PMID- 36314881 OWN - NLM STAT- MEDLINE DCOM- 20230110 LR - 20230210 IS - 1461-7285 (Electronic) IS - 0269-8811 (Linking) VI - 37 IP - 1 DP - 2023 Jan TI - Race and ethnicity moderate the associations between lifetime psychedelic use (MDMA/ecstasy and psilocybin) and major depressive episodes. PG - 61-69 LID - 10.1177/02698811221127304 [doi] AB - BACKGROUND: Psychedelics are receiving renewed attention within Western medicine as they represent potential treatments for many difficult-to-treat mental health disorders. However, psychedelic science is limited in its focus and inclusion of racial and ethnic minorities. Hence, this study examines whether race and ethnicity moderate the associations that naturalistic 3,4-methylenedioxymethamphetamine (MDMA)/ecstasy use and psilocybin use share with major depressive episodes (MDEs). METHOD: Data for this project are from The National Survey on Drug Use and Health (2005-2019). Participants were adults aged 18 years and older (unweighted N = 596,187). This study used multivariable logistic regression to test the interaction between race and ethnicity and MDMA/ecstasy use and psilocybin use for predicting lifetime, past year, and past year severe MDEs. RESULTS: Race and ethnicity significantly moderated the associations between MDMA/ecstasy use and psilocybin use and MDEs. For White participants, MDMA/ecstasy use and psilocybin use each were associated with lowered odds of all three MDE outcomes (adjusted odds ratio (aOR) range: 0.82-0.92). For Hispanic participants, MDMA/ecstasy use and psilocybin use each conferred lowered odds of only a past year MDE (MDMA/ecstasy aOR: 0.82; psilocybin aOR: 0.79). For Non-Hispanic Racial Minority participants, MDMA/ecstasy and psilocybin use did not confer lowered odds of any MDE outcomes. CONCLUSION: Race and ethnicity have an impact on the associations that psychedelics share with mental health outcomes. Future research should explore the impact of identity and discrimination on the effects of psychedelics and should explore whether these substances can serve as effective treatments for minorities when used in culturally informed contexts. FAU - Jones, Grant M AU - Jones GM AUID- ORCID: 0000-0002-2426-310X AD - Department of Psychology, Harvard University, Cambridge, MA, USA. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221031 PL - United States TA - J Psychopharmacol JT - Journal of psychopharmacology (Oxford, England) JID - 8907828 RN - 2RV7212BP0 (Psilocybin) RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Humans MH - Psilocybin/pharmacology MH - *Hallucinogens/pharmacology MH - *N-Methyl-3,4-methylenedioxyamphetamine/therapeutic use MH - Ethnicity MH - *Depressive Disorder, Major/drug therapy OTO - NOTNLM OT - NSDUH OT - psychedelics OT - race EDAT- 2022/11/01 06:00 MHDA- 2023/01/11 06:00 CRDT- 2022/10/31 09:23 PHST- 2022/11/01 06:00 [pubmed] PHST- 2023/01/11 06:00 [medline] PHST- 2022/10/31 09:23 [entrez] AID - 10.1177/02698811221127304 [doi] PST - ppublish SO - J Psychopharmacol. 2023 Jan;37(1):61-69. doi: 10.1177/02698811221127304. Epub 2022 Oct 31.