Table 4.
Study | Population | Design | Substance and dose | N | Short-term results | Long-term follow-up |
---|---|---|---|---|---|---|
Aust et al. (48) | Adult inpatients with MDD | UOLS | Ketamine (0.5 mg/kg over 40 min), three infusions per week for 2 weeks. | 31 | Significant difference on 5D-ASC subscale ‘anxious ego-disintegration' for responders (≥ 50% MADRS reduction), with no significant difference in the other 4 dimensions after final dose | N/A |
Carhart-Harris et al. (16)* | Adult patients with TRD | UOLS | Psilocybin (10 and 25 mg), two doses, 7 days apart | 20 | Significant association between mean USB score and decrease in QIDS-SR16. USB, dimensions of 11D-ASC, as a significant predictor of clinical outcome at week 5 | 6 months: Changes sustained |
Roseman et al. (14)* | [As above] | UOLS | [As above] | 20 | From baseline to week 5: significant long-term positive therapeutic outcome (reduction in QIDS-SR16) following higher occurrence and magnitude of OBN and DED OBN, compared to VRS and AUA, is a significantly better predictor of therapeutic outcome “Complete” OBN leads to better clinical outcomes |
N/A |
Palhano-Fontes et al. (47) | Adult patients with TRD | RCT | Ayahuasca (1 ml/kg), single dose | 29 | Significant positive correlation between MADRS score changes on day 7 with the HRS subscale 'perception,' and significant negative correlation with the MEQ subscale ‘transcendence of time and space' | N/A |
MDD, Major Depressive Disorder; TRD, Treatment-resistant Depression; UOLS, Uncontrolled Open-Label Study; RCT, Randomized Controlled Trials; 5D-ASC, 5 Dimensions of Altered States of Consciousness Scale; MADRS, Montgomery-Asberg Depression Rating Scale; HRS, Hallucinogenic Rating Scale; USB, Unity, Spiritual Experience, and Blissful state; QIDS, Quick Inventory of Depressive Symptomatology; 11D-ASC, 11 Dimensions of Altered States of Consciousness Scale; OBN, Oceanic Boundlessness; DED, Dread of Ego Dissolution; VRS, Visionary Restructuralization; AUA, Auditory Alterations; VIR, Vigilance Reduction.
* Studies with same population.