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Dose-response relationships of LSD-induced subjective experiences in humans

Tim Hirschfeld, Johanna Prugger, Tomislav Majić, Timo Torsten Schmidt

bioRxiv (Cold Spring Harbor Laboratory) November 7, 2022 preprint DOI: 10.1101/2022.11.05.515283 via OpenAlex

Summary

AI-generated from the abstract

Lysergic acid diethylamide (LSD) produces a sigmoid-like increase in altered states of consciousness, with effects plateauing around 100 micrograms. The strongest changes involve perception and illusory imagination, followed by positively experienced ego-dissolution, while anxiety and dread of ego dissolution show only small effects. Considerable variability in responses highlights the importance of non-pharmacological factors. These dose-response relationships can serve as references for future research on LSD.

Study at a glance

Characteristics Meta-analysis
Intervention Lysergic acid diethylamide (LSD)
Dose up to 200 μg base
Topics Anxiety LSD
Keywords Consciousness Hallucinogen Rating scale
Citations 4
Key finding Most scales of altered states of consciousness show a sigmoid-like increase with a plateau at around 100 μg of LSD, with the strongest effects on perception and illusory imagination and only small effects on anxiety and dread of ego dissolution.

Abstract

Abstract Lysergic acid diethylamide (LSD) is a potent classic serotonergic psychedelic, which facilitates a variety of altered states of consciousness. Here we present the first meta-analysis establishing dose-response relationship estimates of the altered experience induced by LSD. Data extracted from articles identified by a systematic literature review following PRISMA guidelines were obtained from the Altered States Database. The psychometric data comprised ratings of subjective effects from standardized and validated questionnaires: the Altered States of Consciousness Rating Scale (5D-ASC, 11-ASC) and the Mystical Experience Questionnaire (MEQ30). We performed meta-regression analyses using restricted cubic splines for data from studies with LSD doses of up to 200 μg base. Most scales revealed a sigmoid-like increase of effects with a plateauing at around 100 μg. The most strongly modulated factors referred to changes in perception and illusory imagination, followed by positively experienced ego-dissolution, while only small effects were found for Anxiety and Dread of Ego Dissolution . The partly observed considerable variability of effects points to the importance of non-pharmacological effects on subjective experiences. The established dose-response relationships may be used as general references for future experimental and clinical research on LSD to relate observed with expected subjective effects and to elucidate phenomenological differences between psychedelics.

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