Psychedelic drug use shows only a weak association with psychosis-like symptoms, largely explained by psychiatric comorbidities and use of other psychoactive substances. In a study of 1,032 adults (701 healthy young adults aged 18–35), psychedelic users had slightly higher schizotypy scores, but the effect was small and not significant after controlling for other drug use. Experimental testing in 39 subjects found that greater lifetime psychedelic exposure was linked to better evidence integration and heightened fear responses to instructed knowledge in a learning task, suggesting possible therapeutic effects on flexibility and aversive learning in non-psychotic populations.
Lifetime MDMA use was not significantly associated with meaning in life overall, but a significant interaction emerged: among Swedish adults with a history of childhood trauma, those who had ever used MDMA reported higher meaning in life than those who had not. Meaning in life was measured using the presence subscale of the Meaning in Life Questionnaire. The findings suggest MDMA use may relate to psychological resilience in trauma-exposed populations, though further longitudinal and experimental research is needed to test causal direction.