PMID- 35743326 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 11 IP - 12 DP - 2022 Jun 7 TI - MDMA for the Treatment of Negative Symptoms in Schizophrenia. LID - 10.3390/jcm11123255 [doi] LID - 3255 AB - The profound economic burden of schizophrenia is due, in part, to the negative symptoms of the disease, which can severely limit daily functioning. There is much debate in the field regarding their measurement and classification and there are no FDA-approved treatments for negative symptoms despite an abundance of research. 3,4-Methylenedioxy methamphetamine (MDMA) is a schedule I substance that has emerged as a novel therapeutic given its ability to enhance social interactions, generate empathy, and induce a state of metaplasticity in the brain. This review provides a rationale for the use of MDMA in the treatment of negative symptoms by reviewing the literature on negative symptoms, their treatment, MDMA, and MDMA-assisted therapy. It reviews recent evidence that supports the safe and potentially effective use of MDMA to treat negative symptoms and concludes with considerations regarding safety and possible mechanisms of action. FAU - Arnovitz, Mitchell D AU - Arnovitz MD AUID- ORCID: 0000-0002-8322-2965 AD - Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Queens, NY 11004, USA. FAU - Spitzberg, Andrew J AU - Spitzberg AJ AUID- ORCID: 0000-0001-9379-2075 AD - Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Queens, NY 11004, USA. FAU - Davani, Ashkhan J AU - Davani AJ AD - Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Queens, NY 11004, USA. FAU - Vadhan, Nehal P AU - Vadhan NP AD - Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Queens, NY 11004, USA. AD - Department of Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA. AD - Institute of Behavioral Science, Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA. FAU - Holland, Julie AU - Holland J AD - Private Practice, New York City, NY 10016, USA. FAU - Kane, John M AU - Kane JM AD - Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Queens, NY 11004, USA. AD - Department of Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA. AD - Institute of Behavioral Science, Feinstein Institutes for Medical Research, Manhasset, NY 11030, USA. FAU - Michaels, Timothy I AU - Michaels TI AUID- ORCID: 0000-0002-3048-6860 AD - Department of Psychiatry, The Zucker Hillside Hospital, Northwell Health, Queens, NY 11004, USA. AD - Department of Psychiatry, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY 11549, USA. LA - eng PT - Journal Article PT - Review DEP - 20220607 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC9225098 OTO - NOTNLM OT - MDMA OT - negative symptoms OT - psychedelic-assisted therapy OT - psychosis OT - schizophrenia COIS- J.M.K. has received honoraria for lectures or consulting fees from Alkermes, Allergan, Boehringer Ingelheim, Cerevel, Click Therapeutics, Dainippon Sumitomo, HLS, Indivior, IntraCellular Therapies, Janssen/J&J, Karuna, LB Pharmaceuticals, Lundbeck, Merck, Minerva, Neumora, Neurocrine, Newron, Novartis, Otsuka, Reviva, Roche, Saladax Biomedical, Sunovion, Takeda, and Teva. He is a shareholder of The Vanguard Research Group, and LB Pharma NPV is a paid research consultant to Sunnyside/Cutback Coach, LLC, an online alcohol moderation platform. J.H. is on the scientific advisory board for Apotheca, CB1 Capital, MycoMedica, Palo Santo, and Tactogen. She is a Medical Advisor for Cardea and MAPS. EDAT- 2022/06/25 06:00 MHDA- 2022/06/25 06:01 PMCR- 2022/06/07 CRDT- 2022/06/24 01:24 PHST- 2022/05/17 00:00 [received] PHST- 2022/05/31 00:00 [revised] PHST- 2022/06/02 00:00 [accepted] PHST- 2022/06/24 01:24 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/25 06:01 [medline] PHST- 2022/06/07 00:00 [pmc-release] AID - jcm11123255 [pii] AID - jcm-11-03255 [pii] AID - 10.3390/jcm11123255 [doi] PST - epublish SO - J Clin Med. 2022 Jun 7;11(12):3255. doi: 10.3390/jcm11123255.