MDMA-Based Psychotherapy in Treatment-Resistant Post-Traumatic Stress Disorder (PTSD): A Brief Narrative Overview of Current Evidence.

MDMA breakthrough therapy post-traumatic stress disorder psychotherapy

Journal

Diseases (Basel, Switzerland)
ISSN: 2079-9721
Titre abrégé: Diseases
Pays: Switzerland
ID NLM: 101636232

Informations de publication

Date de publication:
03 Nov 2023
Historique:
received: 06 09 2023
revised: 24 10 2023
accepted: 31 10 2023
medline: 21 11 2023
pubmed: 21 11 2023
entrez: 21 11 2023
Statut: epublish

Résumé

Post-traumatic stress disorder (PTSD) is a debilitating mental health disorder that causes significant dysfunction in individuals. Currently, there are many approved pharmacotherapy and psychotherapy treatment options for PTSD, but unfortunately, half of the patients do not respond to traditional therapies. In this article, we review clinical trials and research on 3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy in PTSD patients, its pharmacokinetics, and current treatment guidelines for PTSD. Our findings are based on the results of the efficacy of MDMA-assisted psychotherapy from six phase II randomized controlled trials. MDMA-assisted psychotherapy for PTSD has received the "breakthrough therapy" designation from the FDA. MDMA can reduce PTSD symptoms even in treatment-resistant cases by increasing certain neurohormones, i.e., dopamine, serotonin, norepinephrine, and oxytocin. It also modulates activities in the brain regions involved in fear and anxiety. Future research is needed to show whether the advantages outweigh the disadvantages and whether its use can be integrated into available treatment options for PTSD.

Identifiants

pubmed: 37987270
pii: diseases11040159
doi: 10.3390/diseases11040159
pmc: PMC10660711
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Références

Curr Opin Psychol. 2017 Apr;14:90-95
pubmed: 28813326
Ther Drug Monit. 2004 Apr;26(2):137-44
pubmed: 15228154
Prog Neuropsychopharmacol Biol Psychiatry. 2019 Jan 10;88:418-426
pubmed: 29786514
Expert Rev Clin Pharmacol. 2017 Feb;10(2):167-177
pubmed: 27835034
Can J Psychiatry. 2014 Sep;59(9):460-7
pubmed: 25565692
Psychopharmacology (Berl). 2015 Apr;232(7):1245-60
pubmed: 25300903
Ann Clin Psychiatry. 2012 Aug;24(3):241-2
pubmed: 22860244
BMJ. 2023 Jul 11;382:1599
pubmed: 37433614
Harv Rev Psychiatry. 2018 May/Jun;26(3):99-115
pubmed: 29734225
Eur J Psychotraumatol. 2014 Dec 09;5:26513
pubmed: 25511718
Ann Gen Psychiatry. 2020 May 12;19:33
pubmed: 32435270
Med Clin (Barc). 1996 Oct 26;107(14):549-55
pubmed: 8999216
Psychiatry. 2008 Spring;71(1):13-34
pubmed: 18377203
Neuropsychopharmacology. 2013 Jan;38(1):253-5
pubmed: 23147495
Rev Neurosci. 2022 Aug 08;34(1):103-128
pubmed: 35938987
J Trauma Stress. 2014 Dec;27(6):672-9
pubmed: 25522730
Psychopharmacology (Berl). 2019 Sep;236(9):2735-2745
pubmed: 31065731
Psychiatr Pol. 2022 Aug 31;56(4):823-836
pubmed: 37074831
J Psychoactive Drugs. 2001 Jul-Sep;33(3):213-21
pubmed: 11718314
J Psychopharmacol. 2018 Dec;32(12):1295-1307
pubmed: 30371148
J Clin Med. 2022 Jun 17;11(12):
pubmed: 35743552
Psychiatr Prax. 2019 Mar;46(2):106-108
pubmed: 30380583
Dialogues Clin Neurosci. 2009;11(3):305-17
pubmed: 19877498
Cell Rep Med. 2021 Aug 17;2(8):100378
pubmed: 34467253
BMC Psychol. 2020 Dec 9;8(1):130
pubmed: 33298159
Braz J Psychiatry. 2021 Mar-Apr;43(2):123-124
pubmed: 33053043
Focus (Am Psychiatr Publ). 2023 Jul;21(3):315-328
pubmed: 37404971
Psychol Med. 2016 Aug;46(11):2411-21
pubmed: 27297048
Am J Psychiatry. 2005 Feb;162(2):214-27
pubmed: 15677582
ScientificWorldJournal. 2012;2012:181847
pubmed: 22629120
Neuropsychopharmacology. 2016 Oct;41(11):2704-13
pubmed: 27206266
Prog Neuropsychopharmacol Biol Psychiatry. 2024 Jan 10;128:110843
pubmed: 37611653
BMC Neurosci. 2011 Dec 19;12:127
pubmed: 22182346
J Clin Med. 2020 Sep 12;9(9):
pubmed: 32932645
Curr Opin Psychiatry. 2007 Nov;20(6):614-8
pubmed: 17921765
Nature. 2023 Jul;619(7969):227-228
pubmed: 37386185
PLoS One. 2018 Jun 18;13(6):e0199384
pubmed: 29912955
Eur Child Adolesc Psychiatry. 2023 Oct 10;:
pubmed: 37814082
Curr Drug Targets. 2015;16(10):1094-106
pubmed: 25944011
Psychol Trauma. 2017 Jan;9(1):70-75
pubmed: 27243570
J Psychoactive Drugs. 2016 Apr-Jun;48(2):67-75
pubmed: 26940772
Neuropharmacology. 2022 Nov 1;218:109211
pubmed: 35973598
Mayo Clin Proc. 2020 Sep;95(9):1827-1830
pubmed: 32861323
Psychol Trauma. 2023 Nov;15(8):1293-1298
pubmed: 35025558
Health Psychol. 2022 Oct;41(10):651-662
pubmed: 34807673
Front Psychiatry. 2023 Jul 07;14:957824
pubmed: 37484678
Drugs (Abingdon Engl). 2021;28(3):215-226
pubmed: 34349358
Braz J Psychiatry. 2003 Jun;25 Suppl 1:46-50
pubmed: 14523511
J Psychosoc Nurs Ment Health Serv. 2019 Oct 1;57(10):24-33
pubmed: 31188457
BJPsych Open. 2020 Oct 02;6(6):e115
pubmed: 33004107
Clin Psychopharmacol Neurosci. 2021 Nov 30;19(4):780-785
pubmed: 34690132
J Am Board Fam Pract. 1999 Mar-Apr;12(2):137-42
pubmed: 10220237
CMAJ. 2001 Oct 2;165(7):917-28
pubmed: 11599334
Nature. 2019 May;569(7754):116-120
pubmed: 30944474
Psychol Med. 2022 Sep;52(12):2201-2211
pubmed: 35781354
Nervenarzt. 2006 Jan;77(1):95-6, 98-9
pubmed: 16397805
Eur Neuropsychopharmacol. 2022 Aug;61:17-29
pubmed: 35716404
Curr Psychiatry Rep. 2000 Aug;2(4):335-40
pubmed: 11122978
Eur Neuropsychopharmacol. 2015 Oct;25(10):1637-49
pubmed: 26073279
Front Psychiatry. 2019 Sep 12;10:650
pubmed: 31572236
Drug Alcohol Depend. 2022 Apr 1;233:109356
pubmed: 35286849
J Clin Psychiatry. 2018 Dec 18;80(3):
pubmed: 30695292
Ugeskr Laeger. 2022 Apr 4;184(14):
pubmed: 35410657
Brain Inj. 2020;34(2):290-297
pubmed: 31657244
BMC Med. 2022 Sep 7;20(1):293
pubmed: 36068517
Ann N Y Acad Sci. 1990;600:682-97; discussion 697-8
pubmed: 1979218
Focus (Am Psychiatr Publ). 2023 Jul;21(3):306-314
pubmed: 37404974
Annu Rev Psychol. 2008;59:301-28
pubmed: 17883334
BMC Psychol. 2022 Nov 1;10(1):245
pubmed: 36320044
Neuropsychobiology. 2001;43(3):150-62
pubmed: 11287794
Ann N Y Acad Sci. 1997 Jun 21;821:372-87
pubmed: 9238218
Addiction. 2006 Mar;101(3):348-61
pubmed: 16499508
Nat Hum Behav. 2019 Jun;3(6):549
pubmed: 31097819
JAMA. 2021 Jul 27;326(4):299
pubmed: 34313690
J Psychopharmacol. 2021 Apr;35(4):362-374
pubmed: 33853422
J Psychiatr Pract. 2004 Jan;10(1):26-38
pubmed: 15334985
J Psychopharmacol. 2017 Aug;31(8):967-974
pubmed: 28635375
Eur J Psychotraumatol. 2021 Dec 9;12(1):2002028
pubmed: 34912502
Curr Treat Options Psychiatry. 2020;7(3):221-241
pubmed: 32837831
Eur Neuropsychopharmacol. 2023 May;70:19-20
pubmed: 36806884
Eur J Psychotraumatol. 2022 Oct 07;13(2):2128048
pubmed: 36237826
Psychol Bull. 1986 Jan;99(1):20-35
pubmed: 2871574
Rev Panam Salud Publica. 2000 Dec;8(6):393-402
pubmed: 11209252
Psychiatry Res. 2020 Nov;293:113438
pubmed: 32905864
Palliat Support Care. 2023 Feb;21(1):181-183
pubmed: 35543124
Int J Psychiatry Clin Pract. 2020 Mar;24(1):83-87
pubmed: 31829763
Pilot Feasibility Stud. 2022 Apr 15;8(1):83
pubmed: 35428344
Int J Environ Res Public Health. 2022 Nov 16;19(22):
pubmed: 36429827
Medicina (Kaunas). 2019 Aug 23;55(9):
pubmed: 31450833
Cochrane Database Syst Rev. 2022 Feb 10;2:CD013443
pubmed: 35141873
J Neurochem. 2010 Feb;112(4):951-62
pubmed: 20002520
Eur J Psychotraumatol. 2018 Jan 16;9(1):1414561
pubmed: 29372012
Nat Med. 2021 Jun;27(6):1025-1033
pubmed: 33972795
Drug Alcohol Rev. 2005 Jul;24(4):359-68
pubmed: 16234132
Handb Exp Pharmacol. 2018;252:143-164
pubmed: 29633178
BMJ Open. 2021 Aug 9;11(8):e051173
pubmed: 34373313
Int J Mol Sci. 2017 Jan 12;18(1):
pubmed: 28085108
Fam Community Health. 2017 Jul/Sep;40(3):258-277
pubmed: 26422231
Addiction. 1994 May;89(5):539-51
pubmed: 7913850
Am J Drug Alcohol Abuse. 2017 Jul;43(4):391-401
pubmed: 28010130
Psychoneuroendocrinology. 2020 Oct;120:104787
pubmed: 32745891
Eur Neuropsychopharmacol. 2000 Jul;10(4):297-303
pubmed: 10871713
Psychopharmacol Bull. 2021 Jun 1;51(3):125-149
pubmed: 34421149
J Psychiatr Res. 2018 Mar;98:64-69
pubmed: 29294429
Clin Pharmacol Ther. 2017 Feb;101(2):194-196
pubmed: 27859039
Front Psychiatry. 2022 Oct 12;13:991753
pubmed: 36311515
J Psychopharmacol. 2017 May;31(5):576-588
pubmed: 28443695
Int J Mol Sci. 2019 Jul 24;20(15):
pubmed: 31344835
Psychol Serv. 2018 Nov;15(4):536-542
pubmed: 29265843

Auteurs

Kainat Riaz (K)

Dow Medical College, Dow University of Health Sciences, Karachi 75700, Pakistan.

Sejal Suneel (S)

Dow Medical College, Dow University of Health Sciences, Karachi 75700, Pakistan.

Mohammad Hamza Bin Abdul Malik (M)

Services Institute of Medical Sciences, Lahore 54000, Pakistan.

Tooba Kashif (T)

Jinnah Sindh Medical University, Karachi 75510, Pakistan.

Irfan Ullah (I)

Kabir Medical College, Gandhara University, Peshawar 25120, Pakistan.

Abdul Waris (A)

Kabir Medical College, Gandhara University, Peshawar 25120, Pakistan.

Marco Di Nicola (M)

Department of Geriatrics, Neuroscience and Orthopedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Marianna Mazza (M)

Department of Geriatrics, Neuroscience and Orthopedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Gabriele Sani (G)

Department of Geriatrics, Neuroscience and Orthopedics, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Giovanni Martinotti (G)

Department of Neurosciences, Imaging, and Clinical Sciences, University G. D'Annunzio, 66100 Chieti-Pescara, Italy.

Domenico De Berardis (D)

Department of Psychiatry, Azienda Sanitaria Locale 4, 64100 Teramo, Italy.
School of Nursing, University of L'Aquila, 67100 L'Aquila, Italy.
International Centre for Education and Research in Neuropsychiatry, Samara State Medical University, 443100 Samara, Russia.

Classifications MeSH