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Lifetime Psychedelic Use and Opioid Use Disorder Severity: Substance-Use Pattern Specific and Mental Health–Dependent Associations in a National Survey

Sebastian Ehmann, Nathan M. Hager, Paul S. Regier, Grant Jones, John JB Allen

PsyArXiv November 2, 2025 preprint DOI: 10.31234/osf.io/jd2rk_v1

Summary

AI-generated from the abstract

Among a national sample of US adults, lifetime psychedelic use is associated with lower severity of opioid use disorder, but this relationship depends on broader substance-use patterns and mental health. The protective association appears specific to certain substance-use profiles and is mediated by mental health status. The findings suggest that psychedelic use alone does not uniformly reduce opioid use disorder severity; rather, the context of other substance use and psychological well-being shapes the association.

Study at a glance

Characteristics Cross-sectional survey
Population US adults from a national survey
Topics Addiction
Keywords Psychedelics Psychedelic use Hallucinogens Entheogens Psychoactive substances
Key finding Lifetime psychedelic use is associated with lower opioid use disorder severity only in certain substance-use patterns and is mediated by mental health.

Abstract

Lifetime Psychedelic Use and Opioid Use Disorder Severity: Substance-Use Pattern Specific and Mental Health–Dependent Associations in a National Survey

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