PMID- 36405928 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221122 IS - 1664-0640 (Print) IS - 1664-0640 (Electronic) IS - 1664-0640 (Linking) VI - 13 DP - 2022 TI - Therapeutic setting as an essential component of psychedelic research methodology: Reporting recommendations emerging from clinical trials of 3,4-methylenedioxymethamphetamine for post-traumatic stress disorder. PG - 965641 LID - 10.3389/fpsyt.2022.965641 [doi] LID - 965641 AB - Research of psychedelic assisted therapies is at an all-time high, though few studies highlight extra-pharmacological factors that may affect treatment efficacy. One critical set of attributes includes the therapeutic setting itself, which describe the physical and socio-cultural environments in which the drug-assisted session occurs. Despite enduring consensus of the influence of setting, recommendations for establishing and reporting key setting variables remain sparse across clinical trial protocols and published research methodologies. The purpose of this paper is to: (1) present what is known of the influence and implications of setting to psychedelic-assisted therapies, with a particular focus on 3,4-methylenedioxymethamphetamine (MDMA); and (2) propose a set of reporting guidelines for operationalizing and reporting key setting variables in clinical trials of psychedelic-assisted therapies, based on recommendations emerging from clinical trials of MDMA for PTSD. In fact, recommendations should be expanded to "set" - the subject's mood, expectations, and broader psychological condition - once this is more fully developed in the field. The proposed reporting guidelines offer a means of increasing the volume and variability of data necessary for future empirical examination of key setting attributes influencing treatment efficacy, while preserving practitioner and patient autonomy to co-construct adaptive therapy settings according to their respective needs and expertise. CI - Copyright (c) 2022 Okano, Jones, Deyo, Brandenburg and Hale. FAU - Okano, Lauren AU - Okano L AD - Department of Training and Supervision, Multidisciplinary Association for Psychedelic Studies, Santa Cruz, CA, United States. FAU - Jones, Gregory AU - Jones G AD - Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, United States. FAU - Deyo, Bri AU - Deyo B AD - Department of Data Management, Multidisciplinary Association for Psychedelic Studies, Santa Cruz, CA, United States. FAU - Brandenburg, Alida AU - Brandenburg A AD - Department of Research Development and Regulatory Affairs, Multidisciplinary Association for Psychedelic Studies, Santa Cruz, CA, United States. FAU - Hale, Wesley AU - Hale W AD - Department of Training and Supervision, Multidisciplinary Association for Psychedelic Studies, Santa Cruz, CA, United States. LA - eng PT - Journal Article DEP - 20221103 PL - Switzerland TA - Front Psychiatry JT - Frontiers in psychiatry JID - 101545006 PMC - PMC9668859 OTO - NOTNLM OT - MDMA OT - psychedelic assisted therapy OT - recommendations OT - research methodologies OT - setting COIS- Authors WH, BD, and AB receive full salary support from MAPS-PBC. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/11/22 06:00 MHDA- 2022/11/22 06:01 PMCR- 2022/11/03 CRDT- 2022/11/21 04:07 PHST- 2022/06/10 00:00 [received] PHST- 2022/10/17 00:00 [accepted] PHST- 2022/11/21 04:07 [entrez] PHST- 2022/11/22 06:00 [pubmed] PHST- 2022/11/22 06:01 [medline] PHST- 2022/11/03 00:00 [pmc-release] AID - 10.3389/fpsyt.2022.965641 [doi] PST - epublish SO - Front Psychiatry. 2022 Nov 3;13:965641. doi: 10.3389/fpsyt.2022.965641. eCollection 2022.