Evidence map›Paper›PMID 38843272›Full record

Trial reportPloS one2024

A randomized controlled safety and feasibility trial of floatation-REST in anxious and depressed individuals.

McKenna M Garland, Raminta Wilson, Wesley K Thompson, Murray B Stein, Martin P Paulus, Justin S Feinstein, Sahib S Khalsa

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03899090 (Investigating Floatation-REST as a Novel Technique for Reducing Anxiety and Depression), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03899090 naunknown statusnot on this map

Investigating Floatation-REST as a Novel Technique for Reducing Anxiety and Depression

TypeinterventionalSponsorLaureate Institute for Brain Research, Inc.Ran2019 to 2024Enrolled75ConditionsGeneralized Anxiety Disorder, Social Anxiety Disorder, Panic Disorder, AgoraphobiaArmsFloat pool, Float chair
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

McKenna M GarlandLaureate Institute for Brain Research, University of Tulsa, Tulsa, Oklahoma, United States of America.ORCID 0000-0002-3148-9967
Raminta WilsonLaureate Institute for Brain Research, University of Tulsa, Tulsa, Oklahoma, United States of America.ORCID 0000-0001-8062-9797
Wesley K ThompsonLaureate Institute for Brain Research, University of Tulsa, Tulsa, Oklahoma, United States of America.
Murray B SteinDepartment of Psychiatry, University of California San Diego, La Jolla, California, United States of America.ORCID 0000-0001-9564-2871
Martin P PaulusLaureate Institute for Brain Research, University of Tulsa, Tulsa, Oklahoma, United States of America.
Justin S FeinsteinLaureate Institute for Brain Research, University of Tulsa, Tulsa, Oklahoma, United States of America.
Sahib S KhalsaLaureate Institute for Brain Research, University of Tulsa, Tulsa, Oklahoma, United States of America.ORCID 0000-0003-2124-8585

Funding

The Center for Neuroscience-based Mental Health Assessment and Prediction (NEUROMAP)P20GM121312 · NIGMS · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI Jonathan Savitz · 2017 to 2026
$23.7M
A neurocomputational assay of gastrointestinal interoception in anorexia nervosaR01MH127225 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI KHALSA, SAHIB S., PAULUS, MARTIN P. · 2021 to 2025
$3.2M
Neural Basis of Meal Related Interoceptive Dysfunction in Anorexia NervosaK23MH112949 · NIMH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI KHALSA, SAHIB · 2017 to 2021
$994k
Investigating Flotation-REST as a novel technique for reducing anxiety and depressionR34AT009889 · NCCIH · LAUREATE INSTITUTE FOR BRAIN RESEARCH · PI KHALSA, SAHIB · 2018 to 2020
$728k
NCCIH NIH HHS R34 AT009889NIGMS NIH HHS P20 GM121312NIMH NIH HHS K23 MH112949NIMH NIH HHS R01 MH127225
6 · The paper itself

Abstract

backgroundReduced Environmental Stimulation Therapy via floatation (floatation-REST) is a behavioral intervention designed to attenuate exteroceptive sensory input to the nervous system. Prior studies in anxious and depressed individuals demonstrated that single sessions of floatation-REST are safe, well-tolerated, and associated with an acute anxiolytic and antidepressant effect that persists for over 48 hours. However, the feasibility of using floatation-REST as a repeated intervention in anxious and depressed populations has not been well-investigated.

methodsIn this single-blind safety and feasibility trial, 75 individuals with anxiety and depression were randomized to complete six sessions of floatation-REST in different formats: pool-REST (weekly 1-hour float sessions), pool-REST preferred (float sessions with flexibility of duration and frequency), or an active comparator (chair-REST; weekly 1-hour sessions in a Zero Gravity chair). Feasibility (primary outcome) was assessed via an 80% rate of adherence to the assigned intervention; tolerability via study dropout and duration/frequency of REST utilization; and safety via incidence of adverse events and ratings about the effects of REST.

resultsOf 1,715 individuals initially screened, 75 participants were ultimately randomized. Six-session adherence was 85% for pool-REST (mean, M = 5.1 sessions; standard deviation, SD = 1.8), 89% for pool-REST preferred (M = 5.3 sessions; SD = 1.6), and 74% for chair-REST (M = 4.4 sessions; SD = 2.5). Dropout rates at the end of the intervention did not differ significantly between the treatment conditions. Mean session durations were 53.0 minutes (SD = 12.3) for pool-REST, 75.4 minutes (SD = 29.4) for pool-REST preferred, and 58.4 minutes (SD = 4.3) for chair-REST. There were no serious adverse events associated with any intervention. Positive experiences were endorsed more commonly than negative ones and were also rated at higher levels of intensity.

conclusionsSix sessions of floatation-REST appear feasible, well-tolerated, and safe in anxious and depressed individuals. Floatation-REST induces positively-valenced experiences with few negative effects. Larger randomized controlled trials evaluating markers of clinical efficacy are warranted. CLINICAL TRIAL REGISTRATION IDENTIFIER: NCT03899090.

Indexed as

AnxietyDepressionFeasibility StudiesAdultBehavior TherapyFemaleHumansMaleMiddle AgedSingle-Blind MethodTreatment Outcome

Identifiers

PMID38843272
PMCPMC11156321

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.