Evidence map›Paper›PMID 40530408›Full record

ArticlePsychedelic medicine (New Rochelle, N.Y.)2025

Naturalistic Psychedelic Use and Psychotic Symptoms: A Cross-Sectional Study of Individuals with a Personal or Family History of Psychotic or Bipolar Disorders.

Haley Maria Dourron, Melissa Bradley, Otto Simonsson, Heith Copes, Daniel Grossman, Ryan Andrew Shallcross, Peter S Hendricks

Abstract read
In one paragraph

Article in Psychedelic medicine (New Rochelle, N.Y.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Haley Maria DourronDepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0002-1589-4081
Melissa BradleyDepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0002-1293-8587
Otto SimonssonDepartment of Health Behavior, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0003-4197-7566
Heith CopesDepartment of Criminal Justice, University of Alabama at Birmingham, Birmingham, AL, USA.
Daniel GrossmanDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
Ryan Andrew ShallcrossDepartment of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID https://orcid.org/0000-0002-0927-8100
Peter S HendricksDepartment of Psychiatry and Behavioral Neurobiology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prior research examining the associations between psychedelic use and general psychotic symptoms has yielded mixed findings. However, no studies have investigated the relationships between psychedelic use and specific psychotic symptoms, and whether these relationships might differ among those with liability to psychosis, namely those with a history of psychotic or bipolar disorders. Methods: Using cross-sectional survey data from a purposive sample ( Results: In unadjusted models, the estimated number of lifetime psychedelic use occasions was robustly associated with less referential thinking, whereas personal and family histories of psychotic and bipolar disorders were each associated with moderately or slightly greater scores on all measures. Covariate-adjusted regression models revealed that the estimated number of lifetime psychedelic use occasions was not associated with any of the measured psychotic symptoms. A personal history of psychotic disorders was associated with moderately greater magical ideation, referential thinking, and auditory hallucinations, whereas a family history of psychotic disorders was associated with slightly greater negative symptoms. Neither personal nor family history of bipolar disorder was associated with any psychotic symptoms. Finally, estimated lifetime psychedelic use occasions interacted only with a personal history of psychotic disorders on one measure, such that auditory hallucinations were less severe as psychedelic use occasions increased among those with a personal history of psychotic disorder; there was no relationship between psychedelic use and auditory hallucinations among those without a personal history of psychotic disorder. Conclusion: Naturalistic psychedelic use may not be associated with psychotic symptoms, even among those with a personal or family history of psychotic or bipolar disorders. Further work probing the risk-benefit profile for people typically excluded from clinical trials involving psychedelics is needed.

Indexed as

bipolar disorderhallucinationspsychedelicspsychosisrisks

Identifiers

PMID40530408
PMCPMC12169207

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.