PMID- 30100932 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1868-8527 (Print) IS - 1868-8535 (Electronic) IS - 1868-8527 (Linking) VI - 9 IP - 4 DP - 2018 TI - Additive Effects of 3,4-Methylenedioxymethamphetamine (MDMA) and Compassionate Imagery on Self-Compassion in Recreational Users of Ecstasy. PG - 1134-1145 LID - 10.1007/s12671-017-0849-0 [doi] AB - 3,4-Methylenedioxymethylamphetamine (MDMA;'ecstasy') produces prosocial subjective effects that may extend to affiliative feelings towards the self. Behavioural techniques can produce similar self-directed affiliation. For example, compassionate imagery (CI) and ecstasy reduce self-criticism and increase self-compassion to a similar extent, with the effects of CI enhanced in the presence of ecstasy. Here, we examine self-compassion and self-criticism in recreational users who consumed chemically verified MDMA in a within-subjects crossover study. In a naturalistic setting, polydrug-using participants performed a self-focused CI exercise on two occasions separated by >/=6 days: once having consumed self-sourced MDMA and once not. Effects on state self-criticism, self-compassion and emotional empathy were assessed before and after MDMA use (or over an extended baseline period on the occasion that MDMA was not consumed) and reassessed after CI. In participants (n = 20; 8 women) whose ecstasy contained MDMA and no other drug, CI and MDMA appeared to separately increase emotional empathy (to critical facial expressions) and self-compassion. The effects of CI and MDMA on self-compassion also appeared to be additive. Establishing the observed effects in controlled studies will be critical for determining the combined utility of these approaches in fostering adaptive self-attitudes in a therapeutic context. FAU - Kamboj, Sunjeev K AU - Kamboj SK AUID- ORCID: 0000-0003-2197-0826 AD - 1Clinical Psychopharmacology Unit, Research Department of Clinical, Educational and Health Psychology, University College London, Gower St., London, WC1E 6BT UK. ISNI: 0000000121901201. GRID: grid.83440.3b FAU - Wallden, Ylva S E AU - Wallden YSE AD - 1Clinical Psychopharmacology Unit, Research Department of Clinical, Educational and Health Psychology, University College London, Gower St., London, WC1E 6BT UK. ISNI: 0000000121901201. GRID: grid.83440.3b FAU - Falconer, Caroline J AU - Falconer CJ AD - 1Clinical Psychopharmacology Unit, Research Department of Clinical, Educational and Health Psychology, University College London, Gower St., London, WC1E 6BT UK. ISNI: 0000000121901201. GRID: grid.83440.3b FAU - Alotaibi, Majdah Raji AU - Alotaibi MR AD - 2Medicinal Chemistry, Department of Pharmacy and Pharmacology, University of Bath, Bath, BA2 7AY UK. ISNI: 0000 0001 2162 1699. GRID: grid.7340.0 FAU - Blagbrough, Ian S AU - Blagbrough IS AD - 2Medicinal Chemistry, Department of Pharmacy and Pharmacology, University of Bath, Bath, BA2 7AY UK. ISNI: 0000 0001 2162 1699. GRID: grid.7340.0 FAU - Husbands, Stephen M AU - Husbands SM AD - 2Medicinal Chemistry, Department of Pharmacy and Pharmacology, University of Bath, Bath, BA2 7AY UK. ISNI: 0000 0001 2162 1699. GRID: grid.7340.0 FAU - Freeman, Tom P AU - Freeman TP AD - 1Clinical Psychopharmacology Unit, Research Department of Clinical, Educational and Health Psychology, University College London, Gower St., London, WC1E 6BT UK. ISNI: 0000000121901201. GRID: grid.83440.3b AD - 3Present Address: National Addiction Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, 4 Windsor Walk, London, SE5 8BB UK. ISNI: 0000 0001 2322 6764. GRID: grid.13097.3c LA - eng PT - Journal Article DEP - 20171104 PL - United States TA - Mindfulness (N Y) JT - Mindfulness JID - 101518348 PMC - PMC6061231 OTO - NOTNLM OT - Compassion OT - Compassionate imagery OT - Empathy OT - MDMA OT - Prosocial OT - Self-compassion OT - Self-criticism COIS- Compliance with Ethical StandardsThe authors declare that they have no conflicts of interest.All procedures were performed in accordance with the ethical standards of the institutional and were in line with the Declaration of Helsinki. The study received ethical approval by the University College London Research Ethics Committee and was conducted under a UK Home Office license for controlled drugs.All the participants gave written informed consent at the start of the first session; all were made aware that they could withdraw from the study at any time without needing to give a reason. EDAT- 2018/08/14 06:00 MHDA- 2018/08/14 06:01 PMCR- 2017/11/04 CRDT- 2018/08/14 06:00 PHST- 2018/08/14 06:00 [entrez] PHST- 2018/08/14 06:00 [pubmed] PHST- 2018/08/14 06:01 [medline] PHST- 2017/11/04 00:00 [pmc-release] AID - 849 [pii] AID - 10.1007/s12671-017-0849-0 [doi] PST - ppublish SO - Mindfulness (N Y). 2018;9(4):1134-1145. doi: 10.1007/s12671-017-0849-0. Epub 2017 Nov 4.