BMC Medicine is calling for submissions to our Collection on psychoactive substances. The use of psychedelics, cannabinoids, opioids, and other mind-altering substances, present complex challenges and opportunities in the field of medicine and public health. Research encompasses a wide range of topics, including the biochemical effects of these compounds, potential therapeutic applications, and the societal impact of controlled or aberrant use.
Encouraging clinical trials and translational research are (re)proposing psychoactive substances as potential treatments for a variety of psychiatric illnesses, including but not limited to PTSD, mood, and addictive disorders. Medical cannabis shows potential in treating pain, hyperemesis, and neurological diseases. Recent advances in this field have led to a deeper understanding of the neuropsychopharmacological mechanisms of psychedelics, as well as their potential benefits in conditions such as chronic pain, mental health, and inflammatory disorders.
Research has highlighted the need for comprehensive harm reduction strategies to address safe access and toxicity issues. Some psychoactive molecules were long classified as illegal drugs, but more recently have reemerged in the context of global mental health and the limitations of available treatment. This area of preclinical and clinical research is pressing for governments and medical regulators, as pioneering studies suggest that psychoactive substances could be used as future transdiagnostic interventions.
Conversely, the use of psychoactive substances comes with significant risks. Physical and mental adverse events, challenges with identifying appropriate placebos/control interventions, and addiction itself remain a major concern. Examples include established medicines, such as opioid analgesics and benzodiazepines, groundbreaking at the time of their discovery but have now been shown to have poor safety profiles.
Scientific debate in this respect is highy polarized, with experts, media, and public opinion often proposing extreme views regarding the risks and benefits of the use of these compounds. To avoid wasting a significant opportunity for the development or repurposing of psychoactive substances in brain and physical health, a careful consideration of the balance between therapeutic and harmful effects must be drawn.
This Collection asks where psychoactive research goes from this current inflection point. Can the promise of psychoactives be understood to inform evidence-based policies and clinical practice? This Collection seeks to clarify confusing issues, move the needle forward, and make an impact guiding psychoactive researchers, clinicians, and policymakers.
We welcome front-end content, Reviews, Commentaries, and Debates, research including clinical trials, cohort studies, and meta-analyses that investigate psychoactive substances, their impact, and potential therapeutic applications, especially the following topics:
- Controlled interventions testing the therapeutic potential of psychoactive substances
- Biochemical, computational, and/or translational models exploring the neural mechanisms of psychoactives
- Drug development of new or repurposed pharmacological agents with clinical potential
- Societal and regulatory implications of psychoactive use, especially on mental health, medicalization, and addiction risks
- Lived experiences detailing nuanced, considered reflections on the dangers yet potential of psychoactives in science and culture
- Big data epidemiology to study regional/national trends in psychoactive substance use, treatment outcomes, and public health impacts
- Harm reduction methods to mitigate adverse outcomes (e.g. regulated injection spaces, drug testing)
- Emerging data on the potential safety concerns of established psychoactives, either approved medicines (e.g. benzodiazepines) or intoxicants (e.g. alcohol, nicotine products)
- Cannabis and its impact on safety and health outcomes, including roles in pain management, addiction, and mental health
- Addressing the opioid use epidemic: new treatment alternatives, prevention strategies, and public health responses
This Collection supports and amplifies research related to SDG 3: Good Health and Well-being and SDG 10: Reduced Inequalities
Image credit: © Deep Roots / Stock.adobe.com