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Andersson, M. & Kjellgren, A. (2019). Twenty percent better with 20 micrograms?: A qualitative study of psychedelic microdosing self-rapports and discussions on YouTube. Harm Reduction Journal, 16(1), Article ID 63.
Open this publication in new window or tab >>Twenty percent better with 20 micrograms?: A qualitative study of psychedelic microdosing self-rapports and discussions on YouTube
2019 (English)In: Harm Reduction Journal, ISSN 1477-7517, E-ISSN 1477-7517, Vol. 16, no 1, article id 63Article in journal (Refereed) Published
Abstract [en]

Background: Psychedelic microdosing is the trending practice of using tiny repeated doses of psychedelic substances to facilitate a range of supposed benefits. With only a few published studies to date, the subject is still under-researched, and more knowledge is warranted. Social media and internet discussion forums have played a vital role in the growing visibility of the microdosing phenomenon, and the present study utilized YouTube contents to improve comprehension of the microdosing practice as well as the social interactions and discussions around microdosing. Methods: Microdosing self-disclosure in YouTube videos and their following comments were qualitatively analyzed by inductive thematic analysis. Various software was utilized to enable gathering and sorting relevant data. Results: Microdosing of psychedelic substances, primarily LSD and psilocybin, was used for therapeutic and enhancement purposes, and predominantly beneficial effects were reported. Many different applications and outcomes were discussed, and therapeutic effects for depression appeared especially noteworthy. Intentions for use were recognized as an influencing factor for the progression and outcomes of microdosing. The function of social interactions was mainly to discuss views on the microdosing phenomenon, strategies for optimal results, minimize risks, and share emotional support. Conclusions: Potentially, microdosing could provide some of the same benefits (for certain conditions) as full-dose interventions with less risk of adverse reactions related to the sometimes intense experiences of higher doses. Microdosing may well also mean additional benefits, as well as risks, through the repeated exposure over extended periods.

Place, publisher, year, edition, pages
BioMed Central, 2019
Keywords
Harm reduction, Internet support groups, Microdosing, Psychedelic substances, Self-optimization, Self-treatment, YouTube, lysergide, psilocybine, psychedelic agent, Article, depression, drug exposure, drug microdose, internet access, qualitative research, self care, self disclosure, social interaction, social media, social status, thematic analysis, treatment outcome
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-75976 (URN)10.1186/s12954-019-0333-3 (DOI)000499976000001 ()2-s2.0-85075782533 (Scopus ID)
Available from: 2019-12-13 Created: 2019-12-13 Last updated: 2020-01-23Bibliographically approved
Soussan, C., Andersson, M. & Kjellgren, A. (2018). The diverse reasons for using Novel Psychoactive Substances - A qualitative study of the users' own perspectives. International journal on drug policy, 52, 71-78
Open this publication in new window or tab >>The diverse reasons for using Novel Psychoactive Substances - A qualitative study of the users' own perspectives
2018 (English)In: International journal on drug policy, ISSN 0955-3959, E-ISSN 1873-4758, Vol. 52, p. 71-78Article in journal (Refereed) Published
Abstract [en]

Background

The increasing number of legally ambiguous and precarious Novel Psychoactive Substances (NPS) constitutes a challenge for policy makers and public health. Scientific and more in-depth knowledge about the motivations for using NPS is scarce and often consist of predetermined, non-systematic, or poorly described reasons deduced from top-down approaches. Therefore, the aim of the present study was to explore and characterize the users’ self-reported reasons for NPS use inductively and more comprehensively.

Methods

The self-reported reasons of a self-selected sample of 613 international NPS users were collected via an online survey promoted at the international drug discussion forum bluelight.org and later analyzed qualitatively using inductive thematic analysis.

Results

The analysis showed that the participants used NPS because these compounds reportedly: 1) enabled safer and more convenient drug use, 2) satisfied a curiosity and interest about the effects, 3) facilitated a novel and exciting adventure, 4) promoted self-exploration and personal growth, 5) functioned as coping agents, 6) enhanced abilities and performance, 7) fostered social bonding and belonging, and 8) acted as a means for recreation and pleasure. The consumption of NPS was also driven by 9) problematic and unintentional use.

Conclusion

The present study contributed to a more comprehensive understanding of the users’ own and self-reported reasons for using NPS, which needs to be acknowledged not only in order to minimize drug related harm and drug user alienation but also to improve prevention efforts and reduce the potentially counter-intuitive effects of strictly prohibitive policies.

Place, publisher, year, edition, pages
Elsevier, 2018
Keywords
novel psychoactive substances; motivation; drugs; legal highs; internet
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-65428 (URN)10.1016/j.drugpo.2017.11.003 (DOI)000426411100012 ()
Available from: 2017-12-18 Created: 2017-12-18 Last updated: 2019-11-08Bibliographically approved
Andersson, M., Persson, M. & Kjellgren, A. (2017). Psychoactive substances as a last resort—a qualitative study of self-treatment of migraine and cluster headaches. Harm Reduction Journal, 14(60)
Open this publication in new window or tab >>Psychoactive substances as a last resort—a qualitative study of self-treatment of migraine and cluster headaches
2017 (English)In: Harm Reduction Journal, ISSN 1477-7517, E-ISSN 1477-7517, Vol. 14, no 60Article in journal (Refereed) Published
Abstract [en]

Background: Treatment resistant cluster headache and migraine patients are exploring alternative treatments online. The aim of this study was to improve comprehension regarding the use of non-established or alternative pharmacological treatments used by sufferers of cluster headaches and migraines.

Methods: A qualitative thematic analysis of the users’ own accounts presented in online forum discussions were conducted. The forum boards https://shroomery.org/, http://bluelight.org, and https://clusterbusters.org/ met the inclusion criteria and were used for the study.

Results: The analysis resulted in six themes: a desperate need for effective treatments; the role of the forum—finding alternative treatments and community support; alternative treatment substances; dosage and regimens; effects and treatment results; and adverse effects. The results provide an insight into why, how, and by which substances and methods sufferers seek relief from cluster headache and migraines.

Conclusions: These patients are in a desperate and vulnerable situation, and illicit psychoactive substances are often considered a last resort. There appeared to be little or no interest in psychoactive effects per se as these were rather tolerated or avoided by using sub-psychoactive doses. Primarily, psilocybin, lysergic acid diethylamide, and related psychedelic tryptamines were reportedly effective for both prophylactic and acute treatment of cluster headache and migraines. Treatment results with cannabis were more unpredictable. No severe adverse events were reported, but it was observed how desperation sometimes spurred risky behavior when obtaining and testing various treatment alternatives. The forum discourse mainly revolved around maximizing treatment results and minimizing potential harms. 

Place, publisher, year, edition, pages
BioMed Central, 2017
Keywords
Migraine, Cluster headache, Alternative treatments, Psychedelic tryptamines, Harm reduction, Internet support groups, Discussion forum
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-63840 (URN)10.1186/s12954-017-0186-6 (DOI)000409075700001 ()
Available from: 2017-09-20 Created: 2017-09-20 Last updated: 2019-11-08
Andersson, M. & Kjellgren, A. (2017). The slippery slope of flubromazolam: Experiences of a novel psychoactive benzodiazepine as discussed on a Swedish online forum. Nordic Studies on Alcohol and Drugs, 34(3), 217-229
Open this publication in new window or tab >>The slippery slope of flubromazolam: Experiences of a novel psychoactive benzodiazepine as discussed on a Swedish online forum
2017 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, E-ISSN 1458-6126, Vol. 34, no 3, p. 217-229Article in journal (Refereed) Published
Abstract [en]

Aim: The purpose of this qualitative study was to investigate the effects experienced by users of a novel psychoactive substance, the benzodiazepine flubromazolam, by analysing users' own accounts on the Swedish forum Flashback.org. Method: A thematic analysis of anonymous self-reports published on the forum was performed and generated five general themes describing effects and experiences by flubromazolam users. Results: The themes which emerged were: Onset and duration, Desired effects, Adverse effects and addiction, Loss of control, General estimations and evaluations. The main reported characteristics of flubromazolam were heavy hypnotic and sedative effects, long-lasting amnesiac effects and the rapid development of tolerance. Flubromazolam was also anxiolytic and acted as a muscle relaxant for many users. Some users experienced euphoria or intense wellbeing. Other prominent characteristics were loss of control (leading to poor choices and actions, with unpleasant consequences) and long-lasting, often severe withdrawals. There were also serious incidents where users had been admitted to hospital, acute psychiatric treatment or taken into custody by the police. Conclusion: Flubromazolam appears to be a highly addictive and precarious benzodiazepine with many, possibly severe, side effects. The substance is generally described as very potent and with long-lasting effects. Memory loss and loss of control are common adverse effects, and withdrawals appear to be severe for many users

Place, publisher, year, edition, pages
Sage Publications, 2017
Keywords
addiction, benzodiazepine, drug discussion forum, flubromazolam, harm reduction, novel psychoactive substance, NPS
National Category
Substance Abuse Applied Psychology Human Aspects of ICT
Identifiers
urn:nbn:se:kau:diva-65705 (URN)10.1177/1455072517706304 (DOI)000406313600006 ()
Available from: 2018-01-18 Created: 2018-01-18 Last updated: 2020-01-14Bibliographically approved
Andersson, M. & Kjellgren, A. (2016). Aspects of Substance displacement - from illicit drugs to novel psychoactive substance. Journal of Addiction Research & Therapy, 7(3)
Open this publication in new window or tab >>Aspects of Substance displacement - from illicit drugs to novel psychoactive substance
2016 (English)In: Journal of Addiction Research & Therapy, E-ISSN 2155-6105, Vol. 7, no 3Article in journal (Refereed) Published
Abstract [en]

Several hundred new synthetic drugs, novel psychoactive substances (NPS) or “legal highs” have in recent years appeared on the drug market. These can effortlessly be obtained from on-line vendors, offering an easy access to a plethora of new and untested substances, often with unknown or dangerous effects. Several different attempts to reduce the availability of NPS and to prevent accidents and fatalities have been applied by governments around the world. Nonetheless this complex and constantly evolving situation provides palpable dilemmas and challenges to legislators and prevention strategists. One unintended consequence from prohibition and current drug policies occurs when possibly more precarious substances are used to substitute older and more well-known illicit drugs; so called “substance displacement”. We have performed extensive research on the use of NPS, by analyzing Internet resources (drug discussion forum, on-line questionnaires), and published several NPS studies. During our research we observed how substance displacement is a common issue, with implications for both clinical practices, drug prevention strategies, as well as for legislators. In the present review we discuss two common themes of substance displacement: 1) Synthetic cannabinoids replace herbal cannabis, and 2) Different attempts for self-medication using NPS. Incitements for substance displacement, that exposes the user to possibly more harmful substances, are founded both in legislation (availability of substances and fear of legal repercussions) as well as from certain policies or cultural perceptions of various medical conditions. We offer no obvious solutions to these complications, but would like to contribute to awareness of how these factors effects drug users and how measures intended to reduce harm in many cases have the opposite effects. Further studies on the divergent motivations and different groups of NPS users are highlighted as imperative to find new and realistic solutions going forward. 

Keywords
Substance displacement; Novel psychoactive substances; Legal highs; Drug abuse; Addiction
National Category
Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-45336 (URN)10.4172/2155-6105.1000283 (DOI)
Available from: 2016-08-16 Created: 2016-08-16 Last updated: 2019-10-14Bibliographically approved
Soussan, C., Sundström, K., Andersson, M. & Kjellgren, A. (2015). Poisoning Casualties: Alcohol, Pharmaceuticals or “Legal Highs”?: Poisoning Cases at Emergency Rooms in The Swedish County Värmland in 2007-2013. Journal of Community Medicine & Health Education, 5(6)
Open this publication in new window or tab >>Poisoning Casualties: Alcohol, Pharmaceuticals or “Legal Highs”?: Poisoning Cases at Emergency Rooms in The Swedish County Värmland in 2007-2013
2015 (English)In: Journal of Community Medicine & Health Education, ISSN 2161-0711, Vol. 5, no 6Article in journal (Refereed) Published
Abstract [en]

Background: The growing number of novel psychoactive substances (NPS), also labelled as “legal highs”, constitutes a challenge to public health. It is uncertain whether this trend is related to the increase in number of poising cases reported by emergency rooms. The aim of this study was to investigate the occurrence of NPS in acute cases of poisoning in the Swedish county Värmland. The numbers of NPS casualties were correlated with poisoning by other substances. Both, the gender and age distribution of the reported cases were recorded.

Method: Records classified as poisoning casualties at the emergency rooms in Värmland during 2007- 2013 were collected and analyzed.

Results: NPS and illicit drugs constituted only a small part (1.67% and 7.84% respectively) of the total poisoning casualties. The results also revealed that alcohol and pharmaceuticals were present in the majority of cases (91.2%), and were to a larger extent involved in polydrug abuse and suicide attempts. Furthermore, the results uncovered an alarming poisoning problem among women who had taken pharmaceuticals and for suicidal young people.

Conclusions: It is unclear whether the comparatively low prevalence of NPS and illicit drug related poisoning casualties reflect the real prevalence of injury cases or a possible under-reporting. 

Place, publisher, year, edition, pages
Omics publishing group, 2015
Keywords
Poisoning, Emergency room, Legal high, Novel psychoactive substances, NPS, internet drug
National Category
Psychology
Research subject
Psychology with an emphasis on medical psychology
Identifiers
urn:nbn:se:kau:diva-39024 (URN)10.4172/2161-0711.1000386 (DOI)
Projects
Interentdroger - effekter och risker
Funder
Public Health Agency of Sweden
Available from: 2016-01-12 Created: 2016-01-12 Last updated: 2017-12-07
Kjellgren, A. & Andersson, M. (2015). Relaxation and Wellness through Yoga Practice. Journal of Yoga & Physical therapy, 5(4)
Open this publication in new window or tab >>Relaxation and Wellness through Yoga Practice
2015 (English)In: Journal of Yoga & Physical therapy, ISSN 2157-7595, Vol. 5, no 4Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Omics, 2015
Keywords
yoga wellness
National Category
Applied Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:kau:diva-38847 (URN)10.4172/2157-7595.1000219 (DOI)
Available from: 2015-12-08 Created: 2015-12-08 Last updated: 2019-10-14Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0001-7201-934x

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