Set and setting predict psychopathology, wellbeing and meaningfulness of psychedelic experiences: a correlational study.
Expert review of clinical pharmacology – January 01, 2024
Source: PubMed
Summary
The mindset and environment during psychedelic use significantly impact mental health outcomes, according to a large survey of Spanish-speaking participants. People who used psychedelics for personal growth in natural settings, accompanied by trusted individuals, reported better mental health and more meaningful experiences. Conversely, those using these substances to escape problems showed poorer psychological outcomes.
Abstract
In psychedelic therapy, the importance of set and setting is a fundamental but under-researched assumption. The aim of this study is to correlate variables of set (psychedelic use motivation) and setting (psychedelic use location and type of companion) with psychopathology, wellbeing and personality variables. A sample of 1022 participants of the Spanish-speaking population was collected through an online survey. A novel instrument, the Psychedelic Use Scale (PUS), was developed to measure substance use variables of LSD, mescaline, psilocybin, DMT, 5-Meo-DMT, ketamine, Salvia divinorum, ibogaine and MDMA. Various personality, well-being and psychopathology instruments were implemented to measure outcome variables. Growth motivations, natural settings and presence of significant others predicted less psychopathology, greater wellbeing and meaningfulness of psychedelic experiences, whereas problematic motivations predicted greater psychopathology, lower wellbeing and did not predict meaningfulness of psychedelic experiences. Based on these results, we suggest experimental hypotheses for future clinical trials and longitudinal studies with potential clinical implications.