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WaiFung Tsang

Institute of Psychiatry, Psychology & Neuroscience, King'sCollege London, Department of Psychology, De Crespigny Park, London SE5 8AF, UK.

10 papers in the library · 199 citations · publishing 2020-2025

Papers

Ceremonial Ayahuasca in Amazonian Retreats—Mental Health and Epigenetic Outcomes From a Six-Month Naturalistic Study

Frontiers in Psychiatry June 9, 2021 Simon Ruffell, Nige Netzband, WaiFung Tsang et al. 74 citations

A naturalistic study of 63 people who participated in ayahuasca ceremonies at a retreat in the Peruvian Amazon found significant improvements in depression, anxiety, and overall psychological distress, along with increased self-compassion, immediately after the retreat and sustained at six months. Depression scores on the Beck Depression Inventory dropped from 13.9 to 6.1, anxiety scores on the State-Trait Anxiety Inventory fell from 44.4 to 34.3, and scores on the Clinical Outcomes in Routine Evaluation-Outcome Measure decreased from 37.3 to 22.3. Changes in memory valence were linked to these improvements. Epigenetic results were inconclusive but suggested further research on the SIGMAR1 gene is warranted.

Modulatory effects of ayahuasca on personality structure in a traditional framework

Psychopharmacology July 23, 2020 Nige Netzband, Simon Ruffell, Sabriya Linton et al. 56 citations

Ayahuasca, a psychoactive brew containing DMT and MAOIs, is traditionally used ceremonially in the Amazon and increasingly by tourists seeking healing or spiritual growth. In a mixed-design study, 24 participants who ingested ayahuasca showed significant increases in agreeableness and reductions in neuroticism compared to a control group, with changes sustained at a 6-month follow-up; trait openness also increased at follow-up. Greater perceived mystical experience was linked to larger reductions in neuroticism. These results suggest a positive mediating effect of ayahuasca on personality, supporting potential therapeutic uses for serotonergic psychedelics.

Ayahuasca: A review of historical, pharmacological, and therapeutic aspects.

PCN reports : psychiatry and clinical neurosciences December 1, 2023 Simon G D Ruffell, Max Crosland-Wood, Rob Palmer et al. 37 citations

Ayahuasca, a psychedelic plant brew from the Amazon made from Banisteriopsis caapi vine and a DMT-containing plant like Psychotria viridis, has attracted growing interest since the year 2000. This review covers its history, pharmacology, and the phenomenological responses it produces. Anecdotal reports range from positive to accounts of physical and psychological harm. The authors discuss effects on personality and mental health, and examine phenomenological analyses of the experience. They conclude that ayahuasca is a promising psychedelic agent deserving more empirical research into its neurochemical mechanisms and potential therapeutic use.

Mind over matter: the microbial mindscapes of psychedelics and the gut-brain axis.

Pharmacological research September 1, 2024 Giorgia Caspani, Simon G D Ruffell, WaiFung Tsang et al. 13 citations

Psychedelics show promise for treating psychiatric disorders, but current explanations focus mainly on their action at serotonin receptors in the brain. This review argues that the gut microbiota, via the gut-brain axis, may also play a role. Evidence suggests psychedelics can alter gut microbiota composition, and microbial metabolism might influence psychedelic effects. The authors call for incorporating microbiome hypotheses into future research, which could lead to personalized psychedelic therapies tailored to individual gut microbiota profiles.

Participation in an indigenous Amazonian-led ayahuasca retreat associated with increases in nature relatedness – a pilot study

Drug Science Policy and Law January 1, 2024 Simon Ruffell, Sam Gandy, WaiFung Tsang et al. 10 citations

Participating in ayahuasca retreats in a traditional Indigenous Amazonian context was associated with significant increases in nature relatedness and improvements in depression and stress, but not anxiety. A moderate negative correlation indicated that greater increases in nature relatedness were linked to lower stress levels. The study involved a mean of 6.31 ceremonies. It remains unclear whether changes resulted from the ayahuasca brew, the ceremonies, or the retreat setting. The findings suggest a potential therapeutic role for such retreats as a multidimensional intervention, but further research is needed to identify mediators and assess long-term effects.

Improved mental health outcomes and normalised spontaneous EEG activity in veterans reporting a history of traumatic brain injuries following participation in a psilocybin retreat

Frontiers in Psychiatry August 6, 2025 Grace Blest‐hopley, Giuseppe Pasculli, Simon Ruffell et al. 3 citations

Veterans with traumatic brain injuries who participated in psilocybin retreats showed improvements in PTSD, depression, and anxiety symptoms four weeks afterward. PTSD scores decreased by 50%, depression scores by 65%, and anxiety scores by 28%. Electroencephalography measurements revealed decreased delta and theta brainwave power in frontal and temporal regions, along with enhanced coherence in alpha and beta bands, suggesting improved cognitive control, emotional processing, and neural communication. The preliminary findings provide a rationale for larger controlled studies.

Ayahuasca – a review of historical, pharmacological, and therapeutic aspects

February 21, 2023 Simon Ruffell, Nigel Netzband, WaiFung Tsang et al. 3 citations preprint

Ayahuasca, a psychedelic brew from the Amazon Rainforest made from the Banisteriopsis caapi vine and a DMT-containing plant like Psychotria viridis, has seen a surge in global interest since 2000. This review covers its history, pharmacology, and phenomenological effects, as well as clinical applications. Tourists increasingly travel to the Amazon to consume it, and retreat centers offering plant medicine have become a thriving business. Anecdotal reports range from evangelical accounts to stories of physical and psychological harm. The brew shows promise as a psychedelic agent warranting more empirical research into its neurochemical mechanisms and therapeutic uses.

Participation in an indigenous Amazonian led ayahuasca retreat associated with increases in nature relatedness – a pilot study

June 24, 2022 Simon Ruffell, Sam Gandy, WaiFung Tsang et al. 2 citations preprint

Participation in an indigenous Amazonian ayahuasca retreat, with an average of 5.85 ceremonies attended, was associated with significant increases in nature relatedness and mindfulness, as well as improvements in depression, state anxiety, and trait anxiety. Changes in nature relatedness were negatively correlated with depression, state anxiety, and trait anxiety, and positively correlated with mindfulness. It remains unclear whether these changes resulted from the brew, the ceremony, or the retreat setting. The pilot study suggests a potential therapeutic role for such retreats as a multidimensional intervention, but further research is needed to identify mediators and assess long-term effects.

Can ayahuasca reduce inattention, hyperactivity and impulsivity? A pilot study

Drug Science Policy and Law January 1, 2023 WaiFung Tsang, Simon Ruffell, Nigel Netzband et al.

Adults who attended ayahuasca retreats in Peru reported fewer symptoms of inattention, hyperactivity, and impulsivity afterward, regardless of retreat length or number of ceremonies. In an exploratory pilot study, 49 adults completed the Adult ADHD Self-Report Scale before and after retreats lasting 8 days to 4 weeks. Scores for inattention, hyperactivity/impulsivity, and total symptoms all dropped significantly. Only four participants had a prior ADHD diagnosis. The findings suggest ayahuasca may be associated with reductions in core ADHD features, but controlled trials are needed to confirm causality.