Characteristics and mental health of psychedelic mushroom and multi-psychedelic users relative to non-psychedelic users in American adults, 2020-2021.

Journal: Frontiers in psychiatry

Volume: 16

Issue: 

Year of Publication: 

Affiliated Institutions:  Collaborative for the Economics of Psychedelics, University of California, Berkeley, Berkeley, CA, United States. Division of Public Health Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. YourCareChoice, Ann Arbor, MI, United States. Back of the Yards Algae Sciences - Parow Entheobiosciences, Chicago, IL, United States.

Abstract summary 

Few population-based studies have examined associations between psychedelic use and mental health outcomes. This work describes characteristics of exclusive psychedelic mushroom use (referred to as PM use), PMs in combination with other psychedelic substances (multi-psychedelic or MP) use, and non-psychedelic use and explores mental health ratings in non-clinical settings.This work uses cross-sectional survey data from American adults collected by Acumen Health Research Institute, including demographic characteristics, general health-related quality of life (Veterans RAND derived mental and physical health composite scores), depression (PHQ 9-item), anxiety (GAD 7-item), comorbid conditions (CCI), health resource utilization, and perceptions, knowledge, and use of psychedelics. Multivariate and descriptive statistics were used to describe participant characteristics. Correlation analysis assessed anxiety and depression scores across groups. Mean anxiety and depression scores were compared using ANOVA and Tukey's HSD. A multivariate linear regression model controlling for past-year depression, past-year anxiety, age, region, ethnicity, sex, educational attainment, employment, and psychedelic use predicted mental health composite scores (MCS).Of the 6,869 participants included in the dataset, 256 (3.7%) reported using psychedelics in the last 12 months. Of those using psychedelics, 122 (47.7%) reported PM use and 134 (52.3%) reported MP use. All psychedelic users reported lower MCS and higher levels of anxiety and depression relative to non-users (those who said they had not used psychedelics in the past year). The lowest mental health scores were reported in the MP users followed by the PM users (higher MCS corresponded to better mental health). When controlling for confounding characteristics including past-year anxiety and depression, disparities in mental health scores persisted between those with any psychedelic use and the non-psychedelic group (p<0.001).This paper extends previous work describing the association between psychedelic use and mental health, controlling for confounding mental health factors such as comorbid anxiety and depression. These results suggest psychedelic users may have poorer mental health than their non-using counterparts in certain contexts and emphasize the need for future research in this field. Both non-adjusted and adjusted analyses demonstrate lower mental health scores for PM and MP users relative to non-psychedelic users. These differential effects highlight the need for further detailed, population-based research on the use of exclusive psilocybin and on psychedelics in combination.

Authors & Co-authors:  Abramsky-Sze Sofia S Marseille Elliot E Matzopoulos Richard R Morlock Robert R Lerer Leonard L

Study Outcome 

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Statistics
Citations :  William K, Gonzalez Romero O, Braunstein M, Brant S. Indigenous philosophies and the “psychedelic renaissance. Anthropol Consciousness. (2022) 33:90–103. doi: 10.1111/anoc.12161
Authors :  5
Identifiers
Doi : 1508811
SSN : 1664-0640
Study Population
Male,Female
Mesh Terms
Other Terms
anxiety;depression;mental health;psilocybin;psychedelic mushroom;psychedelics
Study Design
Cross Sectional Study,Descriptive Study
Study Approach
Country of Study
Publication Country
Switzerland