User perceptions of long-term costs and benefits of MDMA use: findings from a large online sample

Original research
by
Elsey, James W.B., Vivi Anna F. Wuestman & Anouk Fieten

Release Date

2023

Geography

Netherlands

Language of Resource

English

Full Text Available

Yes

Open Access / OK to Reproduce

Yes

Peer Reviewed

Yes

Objective

We aimed to: (1) Assess MDMA user perceptions regarding both positive and negative long-term effects, and (2) Generate a large, open dataset with correlates to explore for future research.

Findings/Key points

User perceptions of MDMA’s long-term effects were far more positive than negative. Respondents endorsed long-term increases in aesthetic appreciation, deeper social connections, and positive changes in life perspectives, among other positive outcomes. A minority of users reported negative effects (e.g. on concentration/memory and mood), which remain important. Long-term effects showed several correlations with acute effects and motivations, with use due to peer influence being repeatedly linked to lower positive and higher negative long-term effects.

Design/methods

886 non-clinical MDMA users completed an online, opt-in survey, with self-reported measures of acute, subacute, and long-term effects, motivations, use context, and polydrug use.

Keywords

About PWUD
Social benefits
Hallucinogens/psychedelics