Psilocybin with psychological support improves emotional face recognition in treatment-resistant depression.

Abstract:

RATIONALE:Depressed patients robustly exhibit affective biases in emotional processing which are altered by SSRIs and predict clinical outcome. OBJECTIVES:The objective of this study is to investigate whether psilocybin, recently shown to rapidly improve mood in treatment-resistant depression (TRD), alters patients' emotional processing biases. METHODS:Seventeen patients with treatment-resistant depression completed a dynamic emotional face recognition task at baseline and 1 month later after two doses of psilocybin with psychological support. Sixteen controls completed the emotional recognition task over the same time frame but did not receive psilocybin. RESULTS:We found evidence for a group × time interaction on speed of emotion recognition (p = .035). At baseline, patients were slower at recognising facial emotions compared with controls (p < .001). After psilocybin, this difference was remediated (p = .208). Emotion recognition was faster at follow-up compared with baseline in patients (p = .004, d = .876) but not controls (p = .263, d = .302). In patients, this change was significantly correlated with a reduction in anhedonia over the same time period (r = .640, p = .010). CONCLUSIONS:Psilocybin with psychological support appears to improve processing of emotional faces in treatment-resistant depression, and this correlates with reduced anhedonia. Placebo-controlled studies are warranted to follow up these preliminary findings.

journal_title

Psychopharmacology

authors

Stroud JB,Freeman TP,Leech R,Hindocha C,Lawn W,Nutt DJ,Curran HV,Carhart-Harris RL

doi

10.1007/s00213-017-4754-y

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

459-466

issue

2

eissn

0033-3158

issn

1432-2072

pii

10.1007/s00213-017-4754-y

journal_volume

235

pub_type

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