3,4-methylenedioxymethamphetamine (MDMA) assisted therapy for the treatment of social anxiety in autistic adults

Authors

DOI:

https://doi.org/10.33448/rsd-v13i4.44932

Keywords:

MDMA; Autism; Social anxiety.

Abstract

Autism spectrum disorder is a neurodevelopmental condition that causes deficits in an individual's interpersonal interaction and communication, which can lead to the development of social anxiety. The lack of an effective pharmacological treatment with reduced side effects has attracted researchers' attention to treatment with alternative approaches. 3,4-methylenedioxymethamphetamine (MDMA) is a synthesized active compound, found in Ecstasy, capable of producing a great sensation of affection and pro-social intentions, increasing the release of serotonin, dopamine and oxytocin, facilitating the process of social interaction. The objective of this article was to inform, through a bibliographic survey, about the history of clinical research with psychedelics, especially MDMA, its influence on the treatment of social anxiety in adults with autism spectrum disorder and to encourage future studies with these substances. A bibliographical review was carried out from 1986 to 2023 through Pubmed and SciELO. The historical context and pharmacology of MDMA were described, as well as its importance and interaction in the social anxiety of adults with autism. The mechanism of action was reported in order to justify the therapeutic possibilities associated with the use of MDMA. As a result, data on significant improvements in the symptoms of social anxiety in the study subjects were obtained, and its prescription was authorized in Australia for the treatment of Post-Traumatic Stress Disorder, becoming very promising in the search for an effective medication for the Treatment of social anxiety in people with autism spectrum disorder.

References

APA. (2013). DSM-5 Task Force. Diagnostic and statistical manual of mental disorders: DSM-5™ (5th ed.). American Psychiatric Publishing, Inc. https://doi.org/10.1176/appi.books.9780890425596

Australian Goverment. (2023). Change to classification of psilocybin and MDMA to enable prescribing by authorised psychiatrists. Department of Health and Aged Care, Therapeutic Goods Administration (TGA). https://www.tga.gov.au/news/media-releases/change-classification-psilocybin-and-mdma-enable-prescribing-authorised-psychiatrists

Baumann, M. H., Wang, X., & Rothman, R. B. (2006). 3,4-Methylenedioxymethamphetamine (MDMA) neurotoxicity in rats: a reappraisal of past and present findings. Psychopharmacology, 189(4), 407–424. https://doi.org/10.1007/s00213-006-0322-6

Bedi, G., K. Luan Phan, Angstadt, M., & Harriet de Wit. (2009). Effects of MDMA on sociability and neural response to social threat and social reward. Psychopharmacology, 207(1), 73–83. https://doi.org/10.1007/s00213-009-1635-z

Bejerot, S., Eriksson, J., & Mörtberg, E. (2014). Social anxiety in adult autism spectrum disorder. Psychiatry Research, 220(1-2), 705–707. https://doi.org/10.1016/j.psychres.2014.08.030

Capadócia, MC, Weiss, JA & Pepler, D. (2012) Experiências de bullying entre crianças e jovens com transtornos do espectro do autismo. J Autismo Dev Disord 42, 266–277. https://doi.org/10.1007/s10803-011-1241-x

Cordeiro, L. & Soares, C. B. (2019). Revisão de escopo: potencialidades para a síntese de metodologias utilizadas em pesquisa primária qualitativa. Bis. 20(2), 37-43. https://docs.bvsalud.org/biblioref/2019/10/1021863/bis-v20n2-sintese-de-evidencias-qualitativas-37-43.pdf

Danforth, Alicia Lynn (2013). Courage, connection, and clarity: A mixed-methods collective-case study of MDMA (ecstasy) experiences of autistic adults. Institute of Transpersonal Psychology ProQuest Dissertations Publishing. 3596826.

Danforth, A. L., Grob, C. S., Struble, C. M., Feduccia, A. A., Walker, N., Jerome, L., Berra Yazar‐Klosinski, & Emerson, A. (2018). Reduction in social anxiety after MDMA-assisted psychotherapy with autistic adults: a randomized, double-blind, placebo-controlled pilot study. Psychopharmacology, 235(11), 3137–3148. https://doi.org/10.1007/s00213-018-5010-9

Danforth, Alicia Lynn (2019). Embracing Neurodiversity in Psychedelic Science: A Mixed-Methods Inquiry into the MDMA Experiences of Autistic Adults. Journal of Psychoactive Drugs, 51:2, 146-154, DOI: 10.1080/02791072.2019.1587116

Feduccia, A. A., Jerome, L., Berra Yazar‐Klosinski, Emerson, A., Mithoefer, M. C., & Doblin, R. (2019). Breakthrough for Trauma Treatment: Safety and Efficacy of MDMA-Assisted Psychotherapy Compared to Paroxetine and Sertraline. Frontiers in Psychiatry, 10. https://doi.org/10.3389/fpsyt.2019.00650

Freudenmann, R. W., Florian Öxler, & Bernschneider-Reif, S. (2006). The origin of MDMA (ecstasy) revisited: the true story reconstructed from the original documents. Addiction, 101(9), 1241–1245. https://doi.org/10.1111/j.1360-0443.2006.01511.x

Grob, C. S., Poland, R. E., Chang, L., & Ernst, T. (1995). Psychobiologic effects of 3,4-methylenedioxymethamphetamine in humans: methodological considerations and preliminary observations. Behavioural Brain Research, 73(1-2), 103–107. https://doi.org/10.1016/0166-4328(96)00078-2

Mayo‐Wilson, E., Dias, S., Ifigeneia Mavranezouli, Kew, K. M., Clark, D. M., Ades, A. E., & Pilling, S. (2014). Psychological and pharmacological interventions for social anxiety disorder in adults: a systematic review and network meta-analysis. The Lancet Psychiatry, 1(5), 368–376. https://doi.org/10.1016/s2215-0366(14)70329-3

Niles, A. N., Burklund, L. J., Arch, J. J., Lieberman, M. D., Saxbe, D., & Craske, M. G. (2014). Cognitive Mediators of Treatment for Social Anxiety Disorder: Comparing Acceptance and Commitment Therapy and Cognitive-Behavioral Therapy. Behavior Therapy, 45(5), 664–677. https://doi.org/10.1016/j.beth.2014.04.006

Pollan, M. (2018). How to change your mind: what the new science of psychedelics teaches us about consciousness, dying, addiction, depression, and transcendence. Penguin Press.

Reardon, S. (2023). US could soon approve MDMA therapy — opening an era of psychedelic medicine. Nature, 616(7957), 428–430. https://doi.org/10.1038/d41586-023-01296-3

Thompson, M. R., Hunt, G. E., & McGregor, I. S. (2009). Neural correlates of MDMA (“Ecstasy”)-induced social interaction in rats. Social Neuroscience, 4(1), 60–72. https://doi.org/10.1080/17470910802045042

Williams, T., Coenraad Hattingh, Kariuki, C. M., Tromp, S., A.J.L.M. van Balkom, Ipser, J., & Stein, D. J. (2017). Pharmacotherapy for social anxiety disorder (SAnD). The Cochrane Library, 2019(1). https://doi.org/10.1002/14651858.cd001206.pub3

Published

11/04/2024

How to Cite

AZEVEDO, J. de S. .; GUERRA, A. da S. . 3,4-methylenedioxymethamphetamine (MDMA) assisted therapy for the treatment of social anxiety in autistic adults. Research, Society and Development, [S. l.], v. 13, n. 4, p. e3013444932, 2024. DOI: 10.33448/rsd-v13i4.44932. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/44932. Acesso em: 21 nov. 2024.

Issue

Section

Health Sciences