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The effects of psilocybin on psychological distress in cancer patients: a systematic review and meta-analysis

Reza Moshfeghinia, Sara Mostafavi, Kimia Jazi, Amir Reza Ghasemi, Yasamin Khosravaninezhad, Santhosshi Narayanan, Jamshid Ahmadi, Mehdi Pasalar

BMC Psychology January 2, 2026 DOI: 10.1186/s40359-025-03935-y via OpenAlex

Summary

AI-generated from the abstract

Psilocybin may reduce depressive symptoms in cancer patients, with mixed effects on anxiety and time-dependent improvements in spiritual well-being and, in single-arm data, quality of life. However, due to the small number of studies, high heterogeneity, challenges with blinding and expectancy, and frequent co-intervention with psychotherapy, these findings are preliminary. Larger, rigorously blinded trials are needed to determine clinical effectiveness and safety.

Study at a glance

Characteristics Review Peer reviewed
Population Cancer patients
Intervention Psilocybin
Topics Anxiety Psilocybin
Keywords Psychological distress Cancer Depression economics
Citations 2
Key finding Psilocybin may reduce depressive symptoms in cancer patients, with mixed effects on anxiety and time-dependent improvements in spiritual well-being and quality of life, but findings are preliminary due to small number of studies, high heterogeneity, and challenges with blinding and co-intervention with psychotherapy.

Abstract

Psilocybin may reduce depressive symptoms in cancer patients, with mixed effects on anxiety and time-dependent improvements in spiritual well-being and (in single-arm data) quality of life. Given the small number of studies, high heterogeneity, challenges with blinding/expectancy, and frequent co-intervention with psychotherapy, these findings are preliminary. Larger, rigorously blinded trials are needed to determine clinical effectiveness and safety.

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