PSILOCYBIN-ASSISTED PSYCHOTHERAPY FOR THE TREATMENT OF DEPRESSION AND ANXIETY IN LIFE-THREATENING CANCER PATIENTS: A LITERATURE REVIEW

Authors

DOI:

https://doi.org/10.47820/recima21.v4i11.4311

Keywords:

Psilocybin. Terminal cancer. Psychedelic. Hallucinogens. Anxiety. Depression.

Abstract

Introduction: Psilocybin is the active principle of the Psilocybe cubensis mushroom species, historically known as magic mushrooms. It is an agonist of the 5HT2A serotoninergic receptors. Its use for the treatment of generalized anxiety disorder and depression in individuals with terminal stage cancer presents results in promising clinical trials. Objective: Literature review on the efficacy and safety of psilocybin-assisted psychotherapy for the treatment of depression and anxiety in life-threatening oncologic patients. Method: Literature review via searches on Pubmed and Medline databases, by using the term "psilocybin cancer” in English. Articles that included life-threatening oncologic patients published between 2011 and 2020 were selected. Only randomized clinical, double-blind trials controlled by placebo were selected. Result: Only 3 articles of the 143 selected ones, met the inclusion criteria. In addition to showing safety, the studies found efficacy in the psilocybin use for the treatment of anxiety and depression symptoms in the patients. There was also an improvement in the well-being, optimism and a decrease in the psychological and existential suffering related to cancer. Considerations: Psilocybin-assisted psychotherapy can be promising in the context of palliative care of oncologic patients.

Downloads

Download data is not yet available.

Author Biographies

Sara Almeida Oliveira

Acadêmica de Medicina da Universidade Nove de Julho (UNINOVE).

Victor Augusto Rodovalho Fava

Médico pela Universidade Federal de Uberlândia e psiquiatra pela Universidade Federal de São Paulo (Unifesp). Especialista em psicoterapia psicodinâmica para transtornos de personalidade e mestrado em Ciências também pela Unifesp.

References

- BREEKSEMA, Joost J. et al. Psychedelic Treatments for Psychiatric Disorders: A Systematic Review and Thematic Synthesis of Patient Experiences in Qualitative Studies. CNS Drugs, v. 34, n. 9, p. 925-946, 17 ago. 2020. Disponível em: https://doi.org/10.1007/s40263-020-00748-y.

- BOKU, Shuken et al. Neural basis of major depressive disorder: Beyond monoamine hypothesis. Psychiatry and Clinical Neurosciences, v. 72, n. 1, p. 3-12, 19 out. 2017. Disponível em: https://doi.org/10.1111/pcn.12604.

- CARBONARO, Theresa M. et al. Survey study of challenging experiences after ingesting psilocybin mushrooms: Acute and enduring positive and negative consequences. Journal of Psychopharmacology, v. 30, n. 12, p. 1268-1278, 27 set. 2016. Disponível em: https://doi.org/10.1177/0269881116662634.

- CARHART-HARRIS, Robin L. et al. Neural correlates of the LSD experience revealed by multimodal neuroimaging. Proceedings of the National Academy of Sciences, v. 113, n. 17, p. 4853-4858, 11 abr. 2016. Disponível em: https://doi.org/10.1073/pnas.1518377113.

- DAVIS, Alan K. et al. Effects of Psilocybin-Assisted Therapy on Major Depressive Disorder. JAMA Psychiatry, 4 nov. 2020. Disponível em: https://doi.org/10.1001/jamapsychiatry.2020.3285.

- DOOLEY, Larissa N. et al. The role of inflammation in core features of depression: Insights from paradigms using exogenously-induced inflammation. Neuroscience & Biobehavioral Reviews, v. 94, p. 219-237, nov. 2018. Disponível em: https://doi.org/10.1016/j.neubiorev.2018.09.006.

- DOS SANTOS, Rafael Guimarães; BOUSO, José Carlos; HALLAK, Jaime E. C. Serotonergic hallucinogens/psychedelics could be promising treatments for depressive and anxiety disorders in end-stage cancer. BMC Psychiatry, v. 19, n. 1, 28 out. 2019. Disponível em: https://doi.org/10.1186/s12888-019-2288-z.

- ESCOBAR, J. A. C., & Roazzi, A. (2015). Substâncias Psicodélicas e Psilocibina Psychedelic Substances and Psilocybin. 1–27. Retrieved from http://neip.info/novo/wp-content/uploads/2015/04/escobarroazzi_substncias.pdf

- GEIGER, Haden A.; WURST, Madeline G.; DANIELS, R. Nathan. DARK Classics in Chemical Neuroscience: Psilocybin. ACS Chemical Neuroscience, v. 9, n. 10, p. 2438-2447, 29 jun. 2018. Disponível em: https://doi.org/10.1021/acschemneuro.8b00186.

- GUTIERREZ, Pilar L.. O que é o paciente terminal?. Rev. Assoc. Med. Bras., São Paulo , v. 47, n. 2, p. 92, June 2001 . Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302001000200010&lng=en&nrm=iso>. access on 14 Apr. 2020. https://doi.org/10.1590/S0104-42302001000200010.

- GRIFFITHS, Roland R. et al. Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial. Journal of Psychopharmacology, v. 30, n. 12, p. 1181-1197, 30 nov. 2016. Disponível em: https://doi.org/10.1177/0269881116675513.

- GROB, Charles S. et al. Pilot Study of Psilocybin Treatment for Anxiety in Patients With Advanced-Stage Cancer. Archives of General Psychiatry, v. 68, n. 1, p. 71, 3 jan. 2011. Disponível em: https://doi.org/10.1001/archgenpsychiatry.2010.116.

- JOHNSON, Matthew W.; GRIFFITHS, Roland R. Potential Therapeutic Effects of Psilocybin. Neurotherapeutics, v. 14, n. 3, p. 734-740, 5 jun. 2017. Disponível em: https://doi.org/10.1007/s13311-017-0542-y.

- LEONARD, James B.; ANDERSON, Bruce; KLEIN-SCHWARTZ, Wendy. Does getting high hurt? Characterization of cases of LSD and psilocybin-containing mushroom exposures to national poison centers between 2000 and 2016. Journal of Psychopharmacology, v. 32, n. 12, p. 1286-1294, 5 set. 2018. Disponível em: https://doi.org/10.1177/0269881118793086.

- MACLEAN, Katherine A. et al. Factor Analysis of the Mystical Experience Questionnaire: A Study of Experiences Occasioned by the Hallucinogen Psilocybin. Journal for the Scientific Study of Religion, v. 51, n. 4, p. 721-737, dez. 2012. Disponível em: https://doi.org/10.1111/j.1468-5906.2012.01685.x.

- MACREADY, N. Opening Doors of Perception: Psychedelic Drugs and End-of-Life Care. JNCI Journal of the National Cancer Institute, v. 104, n. 21, p. 1619-1620, 25 out. 2012. Disponível em: https://doi.org/10.1093/jnci/djs468.

- MUTTONI, S. Classical psychedelics for the treatment of depression and anxiety: A systematic review, Journal of Affective Disorders, Volume 258, 2019, Pages 11-24, ISSN 0165-0327, https://doi.org/10.1016/j.jad.2019.07.076.

- NICHOLS, DE; JOHNSON, MW; NICHOLS, CD. Psychedelics as Medicines: (Ross et al., 2016)An Emerging New Paradigm. Clinical Pharmacology & Therapeutics, v. 101, n. 2, p. 209-219, 26 dez. 2016. Disponível em: https://doi.org/10.1002/cpt.557.

- NICHOLS, David E. The Heffter Research Institute: Past and Hopeful Future. Journal of Psychoactive Drugs, v. 46, n. 1, p. 20-26, jan. 2014. Disponível em: https://doi.org/10.1080/02791072.2014.873688.

- PAHNKE WN. Drugs and Mysticism – An analysis of the relationship between Psychedelic Drugs and the Mystical Consciousness. Thesis Presented to The Committee on Higher Degrees in History and Philosophy of Religion – Harvard University. 1963. p. 1-342.

- PRUGGER, Johanna et al. The Altered States Database: Psychometric data from a systematic literature review. Scientific Data, v. 9, n. 1, 23 nov. 2022. Disponível em: https://doi.org/10.1038/s41597-022-01822-4.

- REIFF, Collin M. et al. Psychedelics and Psychedelic-Assisted Psychotherapy. FOCUS, v. 19, n. 1, p. 95-115, jan. 2021. Disponível em: https://doi.org/10.1176/appi.focus.19104.

- ROSEMAN, Leor; NUTT, David J.; CARHART-HARRIS, Robin L. Quality of Acute Psychedelic Experience Predicts Therapeutic Efficacy of Psilocybin for Treatment-Resistant Depression. Frontiers in Pharmacology, v. 8, 17 jan. 2018. Disponível em: https://doi.org/10.3389/fphar.2017.00974.

- ROSS, Stephen et al. Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial. Journal of Psychopharmacology, v. 30, n. 12, p. 1165-1180, 30 nov. 2016. Disponível em: https://doi.org/10.1177/0269881116675512.

- SCHENBERG, Eduardo Ekman. Psychedelic-Assisted Psychotherapy: A Paradigm Shift in Psychiatric Research and Development. Frontiers in Pharmacology, v. 9, 5 jul. 2018. Disponível em: https://doi.org/10.3389/fphar.2018.00733.

- STUDERUS, Erich et al. Acute, subacute and long-term subjective effects of psilocybin in healthy humans: a pooled analysis of experimental studies. Journal of Psychopharmacology, v. 25, n. 11, p. 1434-1452, 20 set. 2010. Disponível em: https://doi.org/10.1177/0269881110382466.

- THOMAS, Jane DeLima; REITSCHULER-CROSS, Eva; BLOCK, Susan D. Management of Psychosocial Issues in Terminal Illness. DeckerMed Family Medicine, 1 jul. 2013. Disponível em: https://doi.org/10.2310/fm.1224.

- VARGAS, Ana Sofia et al. Psilocybin as a New Approach to Treat Depression and Anxiety in the Context of Life-Threatening Diseases—A Systematic Review and Meta-Analysis of Clinical Trials. Biomedicines, v. 8, n. 9, p. 331, 5 set. 2020. Disponível em: https://doi.org/10.3390/biomedicines8090331.

Published

05/11/2023

How to Cite

Almeida Oliveira, S., & Rodovalho Fava, V. A. (2023). PSILOCYBIN-ASSISTED PSYCHOTHERAPY FOR THE TREATMENT OF DEPRESSION AND ANXIETY IN LIFE-THREATENING CANCER PATIENTS: A LITERATURE REVIEW. RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218, 4(11), e4114311. https://doi.org/10.47820/recima21.v4i11.4311