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The study is a randomized, double-blind, placebo-controlled, expectancy-controlled, mechanistic trial. This study looks to explore whether a single dose of psilocybin (25mg) reduces amygdala reactivity to negative socioemotional stimuli during the Facial Emotion Recognition Task (FERT) compared to a placebo in adults who feel lonely or those with unresolved grief symptoms.
The main purpose of this study is to determine whether psilocybin engages validated neural and behavioral targets associated with social information processing (SIP), specifically, amygdala threat reactivity, dorsal anterior cingulate, and insula activity during social rejection, and whether this early neural "target engagement" predicts downstream improvements in loneliness and social connectedness. By establishing these mechanistic links, this research aims to provide a data driven, experimental medicine foundation for developing effective, mechanism-based interventions to reduce loneliness.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | Capsule |
|
| Psilocybin | Active Comparator | 25 mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Psilocybin | Drug | 25 mg |
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Loneliness and social connectedness | UCLA Loneliness Scale (UCLA-20) | Baseline (Day -1) and Day +7, Day +30 |
| fMRI Baseline Assessments | Hypervigilance to Social Threat: Facial Emotion Recognition Task (FERT) | Day -2, Day +7 |
| Measure | Description | Time Frame |
|---|---|---|
| Loneliness and social connectedness | Social Connectedness Scale- Revised (SCS-R) | Baseline (Day -1) and Day +7, Day +30 |
| Loneliness and social connectedness | Watts Connectedness Scale (WCS) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Anahita Bassir Nia, MD | Contact | 203-932-5711 | 1-5342 | anahita.bassirnia@yale.edu |
| Yalda Farahmand | Contact | 203-974-7427 | yalda.farahmand@yale.edu |
| Name | Affiliation | Role |
|---|---|---|
| Anahita Bassir Nia, MD | Yale University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Connecticut Mental Health Center | New Haven | Connecticut | 06519 | United States |
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| ID | Term |
|---|---|
| D011562 | Psilocybin |
| ID | Term |
|---|---|
| D026121 | Indole Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D007211 | Indoles |
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| Drug |
Placebo capsule |
|
| Baseline (Day -1) and Day +7, Day +30 |
| Loneliness and social connectedness | PROMIS Social Isolation | Baseline (Day -1), Day +7, Day +30 |
| Loneliness and social connectedness | Berkman-Syme Social Network Index (SNI) | Baseline (Day -1) and Day +7, Day +30 |
| Loneliness and social connectedness | The Social Network Map | Baseline (Day -1), Day +30 |
| Loneliness and social connectedness | Multidimensional Scale of Perceived Social Support (MSPSS) | Baseline (Day -1) and Day +7, Day +30 |
| Unresolved Grief Symptoms | Brief Grief Questionnaire (BGQ) | Baseline (Day -1) and Day +7, Day +30 |
| Unresolved Grief Symptoms | PG-13-Revised (PG-13-R) | Baseline (Day -1) and Day +7, Day +30 |
| Social-Information-Processing (SIP) Targets & Moderators | Adult Rejection Sensitivity Questionnaire (A-RSQ) | Baseline (Day -1) and Day +7, Day +30 |
| Social-Information-Processing (SIP) Targets & Moderators | Yamagishi General and Close Relationship Trust Scale | Baseline (Day -1) and Day +7, Day +30 |
| Social-Information-Processing (SIP) Targets & Moderators | Experiences in Close Relationships-Revised (ECR-R) | Baseline (Day -1), Day +7, Day +30 |
| Social-Information-Processing (SIP) Targets & Moderators | Interpersonal Reactivity Index (IRI) | Baseline (Day -1) and Day +7, Day +30 |
| fMRI baseline assessments | Hypersensitivity to Social Rejection: Cyberball (social exclusion) | Day -2, Day +7 |
| D006574 |
| Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D014363 | Tryptamines |
| D054836 | Indolizidines |
| D007212 | Indolizines |