A couple of weeks ago, a Letter to the Editor concerning this paper I co-wrote was published, to which the original authors responded https://t.co/gTFx43IF1s
@psybalazs Interesting! Any thoughts on the difference between placebo response in ketamine trials vs these psilocybin trials? You'd think ketamine trials would suffer from similar unblinding and know-cebo issues
@psybalazs Or, possibility number 3: those thinking they got MDMA while they received placebo might differ on important characteristics (e.g., suggestibility), which makes them more likely to respond to the therapy component of the trial compared to the sample as a whole.
@psybalazs Absolutely love this @psybalazs! Especially the expectancy-adjusted treatment difference; very nice way to disentangle all the data. Love it!
Preprint - Expectancy effects in MAPP2
@JacobSAday@MichielElk and I wrote a Matters Arising (Letter to the Editor) regarding the most recent phase 3 trial of MDMA-assisted therapy for PTSD.
A short summary.
https://t.co/0O2inCTbk6
@ee_schenberg ... because it could trigger placebo effects.
@psybalazs measured this beautifully in their self-blinding microdose study. https://t.co/4NvdwMwULQ
In the case of MAPP2, we don't know the cause of unblinding, because it wasn't measured.
@ee_schenberg Hi Eduardo, great point!
The difference lies in the source of unblinding. If it's benign (you know you got the treatment because you feel better), it's no problem!
If it's malicious (you know you got the treatment because you felt side-effects), it could be problematic ...
With this Letter, we're trying to keep the pressure on, and raise the methodological bar for the field of psychedelics. Measure more and measure better!
Make use of the most recent methodological tools developed by the field!