Greater empathy in MDMA users

People who use MDMA (ecstasy) recreationally over the long term show normal or even enhanced empathy compared to other drug users. In a study of 67 individuals, those who used MDMA scored higher on self-reported emotional empathy and on a computer task measuring cognitive empathy than poly-drug users who did not use MDMA. However, MDMA users did not differ from other groups in how they subjectively reacted to social exclusion. The amount or frequency of MDMA use was not linked to empathy levels. These findings suggest that moderate, long-term recreational MDMA use does not cause heightened social distress and may be associated with better empathy, supporting the drug's safety profile for potential therapeutic use.

Study at a glance

Abstract

Background: 3,4-Methylenedioxymethamphetamine (MDMA) is widely known for its positive acute effects on social behaviour, such as increasing empathy, whilst also attenuating the negative impact of social exclusion. However there is a scarcity of research that investigates the long-term impact of recreational MDMA use on these fundamental social processes. Method: Sixty-seven individuals were split into three groups based on their drug-use history: poly-drug MDMA users ( n = 25), poly-drug users who do not use MDMA ( n = 19), alcohol-only users ( n = 23), and were tested in an independent groups design. Participants completed both a self-report measure of emotional and cognitive empathy, along with the Multifaceted Empathy Task – a computerised assessment of empathy – and the Cyberball Game – a social exclusion paradigm. Results: MDMA users had significantly greater subjective emotional empathy, and greater cognitive empathy on the computer task compared with the poly-drug users who do not use MDMA. There were no significant differences in subjective responses to social exclusion between the groups. Indices of MDMA use did not correlate with empathy. Conclusions: Long-term MDMA users in this sample exhibited normal psychosocial functioning in regard to empathy and social pain and had higher subjective emotional empathy. This conflicts with previous suggestions that moderate, long-term MDMA use may cause heightened social distress, and is further evidence of the safety of the drug, which is relevant to considerations of its therapeutic use.