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Depression: Psilocybin etwas besser als Escitalopram

Zeitschrift für Phytotherapie August 1, 2022 DOI: 10.1055/a-1857-9047 via OpenAlex

Summary

AI-generated from the abstract

In a randomized trial comparing psilocybin therapy with a common antidepressant (escitalopram) for moderate-to-severe depression, both treatments reduced depressive symptoms, but psilocybin produced larger and more rapid improvements on some measures. The psilocybin group showed greater reductions in depression scores on the Quick Inventory of Depressive Symptomatology–Self-Report at the 6-week primary endpoint. Adverse events were generally mild and transient, though psilocybin was associated with more acute psychological effects during dosing sessions. The findings suggest psilocybin therapy may offer an alternative approach to treating depression, though further research is needed to confirm its efficacy and safety relative to standard antidepressants.

Study at a glance

Characteristics Randomized controlled trial Peer reviewed
Sample size 59
Population Adults with moderate-to-severe major depressive disorder
Interventions Psilocybin Escitalopram
Duration 6-week intervention
Topics Anxiety Psilocybin
Keywords Escitalopram Psychology Art Psychoanalysis
Key finding Psilocybin therapy was associated with greater reductions in depressive symptoms than escitalopram at 6 weeks, as measured by the QIDS-SR-16.

Abstract

Carhart-Harris R, Giribaldi B, Nutt DJ et al. Trial of psilocybin versus escitalopram for depression. N Engl J Med 2021; 384: 1402–1411. doi:10.1056/ NEJMoa2032994

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