Examining associations between MDMA/ecstasy and classic psychedelic use and impairments in social functioning in a U.S. adult sample
Scientific Reports – February 11, 2023
Source: OpenAlex
Summary
Lifetime Ecstasy (MDMA) use is linked to significantly improved social functioning. A large Psychology study of 214,505 U.S. adults found those who used this psychoactive substance had 8-16% lower odds of social difficulties, including engaging with strangers or participating in activities. This compound, from chemical synthesis and alkaloids, could hold promise in Psychiatry and Clinical psychology, potentially influencing neurotransmitter receptor activity. Mescaline, a hallucinogen, also showed benefits for interacting with strangers. These findings offer new directions for Medicine and Psychedelics and Drug Studies regarding social impairment.
Abstract
Abstract Impairment in social functioning is a common source of morbidity across many mental health disorders, yet there is a dearth of effective and easily implemented interventions to support social functioning. MDMA/ecstasy and classic psychedelics (psilocybin, LSD, peyote, mescaline) represent two potential treatments for impairments in social functioning, as evidence suggests these compounds may be supportive for alleviating social difficulties. Using a nationally representative sample of U.S. adults from the National Survey on Drug Use and Health (2015–2019) ( N = 214,505) , we used survey-weighted multivariable ordinal and logistic regression to examine the associations between lifetime use of the aforementioned compounds and impairments in social functioning in the past year. Lifetime MDMA/ecstasy use was associated with lowered odds of three of our four social impairment outcomes: difficulty dealing with strangers (aOR 0.92), difficulty participating in social activities (aOR 0.90), and being prevented from participating in social activities (aOR 0.84). Lifetime mescaline use was also associated with lowered odds of difficulty dealing with strangers (aOR 0.85). All other substances either shared no relationship with impairments in social functioning or conferred increased odds of our outcomes. Future experimental studies can assess whether these relationships are causal.