The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review

Introduction: Post-traumatic stress disorder (PTSD) is a common health issue of complex etiology significantly deteriorating functioning in everyday life. It may develop as a result of exposure to traumatic events like traffic accidents, war experience, sexual abuse and domestic violence. Current m...

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Main Authors: Karol Womperski, Rafał Bogacz, Magdalena Gaik, Inga Magda, Justyna Woźniak, Ewa Uram, Magdalena Osuch
Format: Article
Language:English
Published: Kazimierz Wielki University 2023-08-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/45017
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author Karol Womperski
Rafał Bogacz
Magdalena Gaik
Inga Magda
Justyna Woźniak
Ewa Uram
Magdalena Osuch
author_facet Karol Womperski
Rafał Bogacz
Magdalena Gaik
Inga Magda
Justyna Woźniak
Ewa Uram
Magdalena Osuch
author_sort Karol Womperski
collection DOAJ
description Introduction: Post-traumatic stress disorder (PTSD) is a common health issue of complex etiology significantly deteriorating functioning in everyday life. It may develop as a result of exposure to traumatic events like traffic accidents, war experience, sexual abuse and domestic violence. Current methods of treatment consist of trauma-oriented psychotherapy supported by selective serotonin reuptake inhibitors (SSRIs). Their efficacy is far from satisfactory thus a search for alternative methods is necessary. 3,4-Methylenedioxymethamphetamine (MDMA) commonly known as “ecstasy” seems to have promising results in the treatment of PTSD. Aim of study: Review of current knowledge about MDMA-assisted therapy in PTSD, its possible mechanisms of action, efficacy and safety. Methods and materials: A review of chosen literature from in PubMed database, GoogleScholar database in the years 2000-2023 was conducted using the following keywords: “PTSD epidemiology”, “PTSD pathophysiology”, “PTSD neural activity”, “PTSD brain activity”, “MDMA PTSD”, “MDMA brain activity”, “MDMA neural activity”, “MDMA neurotoxicity”, “MDMA PTSD therapy”, “MDMA safety”, “MDMA caffeine” Results: MDMA-assisted therapy has promising effects in PTSD treatment and its safety profile is satisfactory. The improvement in symptoms occurs most likely due to its modulating activity on brain structures responsible for threat detection and emotion processing. Conclusions: Further research is necessary to assess MDMA-assisted therapy in PTSD, especially direct comparison of its efficacy versus first-line treatment SSRIs and assessment of its long-term-safety.
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spelling doaj.art-4be46d50b0de49fd9aec5a68c917e6692023-08-15T10:48:22ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062023-08-0143110.12775/JEHS.2023.43.01.007The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - reviewKarol Womperski0Rafał Bogacz1Magdalena Gaik2Inga Magda3Justyna Woźniak4Ewa Uram5Magdalena Osuch6Wrocław Medical University, Wybrzeże L. Pasteura 1, 50-367 WrocławLower Silesian Oncology Center in Wrocław, Plac Ludwika Hirszfelda 12, 53-413 WrocławLower Silesian Oncology Center in Wrocław, Plac Ludwika Hirszfelda 12, 53-413 Wrocław5 Military Clinical Hospital SPZOZ, Wrocławska 1-3, 30-901 KrakówWrocław Medical University, Wybrzeże L. Pasteura 1, 50-367 WrocławLower Silesian Oncology Center in Wrocław, Plac Ludwika Hirszfelda 12, 53-413 WrocławJ. Dietl Specialist Hospital, Skarbowa 4, 31-121 Kraków Introduction: Post-traumatic stress disorder (PTSD) is a common health issue of complex etiology significantly deteriorating functioning in everyday life. It may develop as a result of exposure to traumatic events like traffic accidents, war experience, sexual abuse and domestic violence. Current methods of treatment consist of trauma-oriented psychotherapy supported by selective serotonin reuptake inhibitors (SSRIs). Their efficacy is far from satisfactory thus a search for alternative methods is necessary. 3,4-Methylenedioxymethamphetamine (MDMA) commonly known as “ecstasy” seems to have promising results in the treatment of PTSD. Aim of study: Review of current knowledge about MDMA-assisted therapy in PTSD, its possible mechanisms of action, efficacy and safety. Methods and materials: A review of chosen literature from in PubMed database, GoogleScholar database in the years 2000-2023 was conducted using the following keywords: “PTSD epidemiology”, “PTSD pathophysiology”, “PTSD neural activity”, “PTSD brain activity”, “MDMA PTSD”, “MDMA brain activity”, “MDMA neural activity”, “MDMA neurotoxicity”, “MDMA PTSD therapy”, “MDMA safety”, “MDMA caffeine” Results: MDMA-assisted therapy has promising effects in PTSD treatment and its safety profile is satisfactory. The improvement in symptoms occurs most likely due to its modulating activity on brain structures responsible for threat detection and emotion processing. Conclusions: Further research is necessary to assess MDMA-assisted therapy in PTSD, especially direct comparison of its efficacy versus first-line treatment SSRIs and assessment of its long-term-safety. https://apcz.umk.pl/JEHS/article/view/45017PTSDMDMAPTSD treatmentMDMA treatmentPTSD MDMAMDMA in medicine
spellingShingle Karol Womperski
Rafał Bogacz
Magdalena Gaik
Inga Magda
Justyna Woźniak
Ewa Uram
Magdalena Osuch
The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review
Journal of Education, Health and Sport
PTSD
MDMA
PTSD treatment
MDMA treatment
PTSD MDMA
MDMA in medicine
title The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review
title_full The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review
title_fullStr The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review
title_full_unstemmed The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review
title_short The use of 3,4-Methylenedioxymethamphetamine (MDMA) in the treatment of Post-Traumatic Stress Disorder (PTSD) - review
title_sort use of 3 4 methylenedioxymethamphetamine mdma in the treatment of post traumatic stress disorder ptsd review
topic PTSD
MDMA
PTSD treatment
MDMA treatment
PTSD MDMA
MDMA in medicine
url https://apcz.umk.pl/JEHS/article/view/45017
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