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Rapid Effects of MDMA Administration on Self-Reported Personality Traits and Affect State: A Randomized, Placebo-Controlled Trial in Healthy Adults.

Jessica L Maples-Keller, Courtland S Hyatt, Nathaniel L Phillips, Brinkley M Sharpe, Andrew Sherrill, Carly Yasinski, Collin Reiff, Jeffrey Rakofsky, Sheila A M Rauch, Boadie W Dunlop, Barbara O Rothbaum

Journal of psychoactive drugs October 23, 2024 DOI: 10.1080/02791072.2024.2420044 via PubMed

Summary

AI-generated from the abstract

A randomized, placebo-controlled trial with 34 healthy adults examined whether a single dose of MDMA alters five-factor model personality traits and affective states 48 hours later. No statistically significant changes were observed for the four pre-registered hypotheses, but medium effect sizes emerged: trait Openness increased (d = .79) and Positive Affect increased (d = .51) compared to placebo. These preliminary findings suggest MDMA may produce short-term shifts in openness and positive mood, warranting larger, longer-term studies to clarify how such changes might inform MDMA-assisted therapy.

Study at a glance

Characteristics Randomized controlled trial Placebo-controlled Cross-sectional Preregistered Peer reviewed
Sample size 34
Population Healthy adults
Intervention MDMA
Duration 48 hours after drug administration
Topics MDMA
Keywords Affect Clinical trial Psychedelic research Clinical psychology Personality traits
Citations 2
Key finding MDMA administration did not produce statistically significant changes in the four a priori hypotheses, but medium effect sizes were observed for increased trait Openness and Positive Affect 48 hours later compared to placebo.

Abstract

3,4-methylenedioxymethamphetamine (MDMA) assisted therapy has been shown to be a safe and effective treatment for PTSD and emerging research suggests a change in personality traits may be a factor in treatment response. Most prior research on MDMA and personality has focused on cross-sectional comparisons of MDMA users and non-users; as such, well-controlled research assessing personality and affective states change following MDMA vs placebo administration is needed. In the current pre-registered study, we investigated the impact of MDMA administration on five-factor model (FFM) traits and affective states before and 48 h after drug administration in a randomized, placebo-controlled study of healthy adults (N = 34). Statistical significance was not observed for the four a priori hypotheses; however, medium effect sizes were found between MDMA administration and trait Openness and Positive Affect 48 h following drug administration, compared to placebo (d = .79 and .51, respectively). This study provides initial results to help guide future well-powered studies with large samples and longer follow-up timepoints to continue to investigate how MDMA impacts personality and emotional experience, which may inform optimization of MDMA treatment approaches.

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