Evidence map›Paper›PMID 39381877›Full record

SynthesisNeuropsychopharmacology reports2024

MDMA-assisted psychotherapy for the treatment of PTSD: A systematic review and meta-analysis of randomized controlled trials (RCTs).

Ghada Shahrour, Kainat Sohail, Safa Elrais, Muhammad Hamza Khan, Javeria Javeid, Khubaib Samdani, Hajra Mansoor, Syed Izhar Hussain, Dhruvikumari Sharma, Muhammad Ehsan and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Neuropsychopharmacology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Choreographing time: toward therapy-aligned entactogens for complex PTSD.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  6. Innovations to improve outcomes and uptake of psychotherapies for mental disorders: a state-of-the-art review.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Use of psychedelic treatments in psychiatric clinical practice: an EPA policy paper.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ghada ShahrourDepartment of Community and Mental Health Nursing, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Kainat SohailDepartment of Psychiatry, Jinnah Sindh Medical University, Karachi, Pakistan.
Safa ElraisDepartment of Psychiatry, University of Tripoli, Tripoli, Libya.
Muhammad Hamza KhanDepartment of Psychiatry, Karachi Medical and Dental College, Karachi, Pakistan.ORCID 0000-0001-8279-5430
Javeria JaveidDepartment of Psychiatry, Allama Iqbal Medical College, Lahore, Pakistan.
Khubaib SamdaniDepartment of Psychiatry, Rawalpindi Medical College, Rawalpindi, Pakistan.
Hajra MansoorDepartment of Psychiatry, CMH Lahore Medical College, Lahore, Pakistan.
Syed Izhar HussainDepartment of Psychiatry, Khyber Medical University, Peshawar, Pakistan.
Dhruvikumari SharmaAvalon University School of Medicine, Willemstad, Curaçao.
Muhammad EhsanDepartment of Psychiatry, King Edward Medical University, Lahore, Pakistan.
Abdulqadir J NashwanHamad Medical Corporation, Doha, Qatar.ORCID 0000-0003-4845-4119

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-traumatic stress disorder (PTSD) is a mental health disorder resulting from exposure to traumatic events, manifesting in various debilitating symptoms. Despite available treatments, many individuals experience inadequate response or significant side effects. Previous reviews suggest promising outcomes with MDMA-assisted psychotherapy (MDMA-AT), but limitations prompt the need for a comprehensive evaluation.

methodsWe searched various online databases and registries such as MEDLINE (via PubMed), Embase, the Cochrane Central Register of Controlled Trials (CENTRAL), and ClinicalTrials.gov to retrieve RCTs that fit our inclusion criteria. We performed meta-analyses using Review Manager by applying a random-effects model. Dichotomous and continuous outcomes were pooled as risk ratios (RR) and standard mean difference (SMD), respectively.

resultsNine studies with a total of 297 participants with PTSD were included in our meta-analysis. The control group consisted of inactive doses of MDMA (25-40 mg) or placebo. Our meta-analysis showed that MDMA-AT led to a significant reduction in the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) severity scores as compared to the control group (SMD -1.10, 95% CI: -1.62 to -0.59). More patients in the MDMA-AT group exhibited significant response (RR 1.59, 95% CI: 1.22, 2.08) and remission (RR 2.32, 95% CI: 1.47 to 3.66) as compared to patients in the control group. There was no significant difference regarding the incidence of ≥1 treatment-emergent adverse events (TEAE), ≥1 severe TEAE, and suicidal ideation between the two groups.

conclusionMDMA-AT demonstrates significant efficacy in improving PTSD symptoms, enhancing both response and remission rates in individuals with chronic, treatment-resistant PTSD, while maintaining a favorable safety profile.

Indexed as

N-Methyl-3,4-methylenedioxyamphetaminePsychotherapyRandomized Controlled Trials as TopicStress Disorders, Post-TraumaticCombined Modality TherapyHumansTreatment OutcomeN-Methyl-3,4-methylenedioxyamphetamineMDMA‐ATmeta‐analysispost‐traumatic stress disorderRCTs

Identifiers

PMID39381877
PMCPMC11609750

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.