Evidence map›Paper›PMID 39018321›Full record

Trial reportPloS one2024

Altered states of consciousness caused by a mindfulness-based programme up to a year later: Results from a randomised controlled trial.

Julieta Galante, Jesús Montero-Marín, Maris Vainre, Géraldine Dufour, Javier García-Campayo, Peter B Jones

Abstract readRandomized Controlled TrialPragmatic Clinical 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Julieta GalanteDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom. (second affiliation: Contemplative Studies Centre, Melbourne School of Psychological Sciences, The University of Melbourne, Melbourne, Australia).ORCID 0000-0002-4108-5341
Jesús Montero-MarínDepartment of Psychiatry, University of Oxford, Oxford, United Kingdom (second affiliation: Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain; third affiliation: Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiology and Public Health - CIBERESP), Madrid, Spain).ORCID 0000-0001-5677-1662
Maris VainreNational Institute for Health Research Collaboration for Leadership in Applied Health Research and Care East of England, Cambridge, United Kingdom (current affiliation: MRC Cognition and Brain Sciences Unit, University of Cambridge, Cambridge, United Kingdom and Institute of Psychology, University of Tartu, Tartu, Estonia).ORCID 0000-0001-9570-3726
Géraldine DufourUniversity Counselling Service, University of Cambridge, Cambridge, United Kingdom (current affiliation: Psychotherapist, Therapeutic Consultations, Cambridge, United Kingdom; and School of Health and Social Care, University of Essex, Colchester, United Kingdom).
Javier García-CampayoDepartment of Medicine, Psychiatry and Dermatology, University of Zaragoza, Zaragoza, Spain.
Peter B JonesDepartment of Psychiatry, University of Cambridge, Cambridge, United Kingdom (second affiliation: National Institute for Health Research Applied Research Collaboration East of England, Cambridge, United Kingdom).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMindfulness-based programmes (MBPs) have shown beneficial effects on mental health. There is emerging evidence that MBPs may also be associated with marked deviations in the subjective experience of waking consciousness. We aimed to explore whether MBPs can have a causal role in different types of such states.

methodsWe conducted a pragmatic randomised controlled trial (ACTRN12615001160527). University of Cambridge students without severe mental illness were randomised to an 8-week MBP plus mental health support as usual (SAU), or to SAU alone. We adapted the Altered States of Consciousness Rating Scale (OAV, 0-100-point range) to assess spontaneous experiences in daily life, and included it as a post-hoc secondary outcome at the end of the one-year follow-up questionnaire. Two-part model analyses compared trial arms, and estimated dose-response effects of formal (meditation) and informal (daily activities) mindfulness practice during the year. Sensitivity analyses correcting for multiple comparisons were conducted.

resultsWe randomised 670 participants; 205 (33%) completed the OAV. In comparison with SAU, MBP participants experienced unity more frequently and intensively (two-part marginal effect (ME) = 6.26 OAV scale points, 95% confidence interval (CI) = 2.24, 10.27, p = 0.006, Cohen's d = 0.33) and disembodiment more frequently (ME = 4.84, 95% CI = 0.86, 8.83, p = 0.019, Cohen's d = 0.26). Formal practice predicted spiritual, blissful and unity experiences, insightfulness, disembodiment, and changed meanings. Informal practice predicted unity and blissful experiences. Trial arm comparisons and informal practice effects lost significance after corrections for multiple comparisons, but formal practice dose-response effects remained significant.

conclusionsResults provide a novel suggestion of causal links between mindfulness practice and specific altered states of consciousness. To optimise their impact, practitioners and teachers need to anticipate and handle them appropriately. Future studies need to confirm findings and assess mechanisms and clinical implications.

Indexed as

ConsciousnessMindfulnessAdolescentAdultFemaleHumansMaleMeditationMental HealthSurveys and QuestionnairesYoung Adult

Identifiers

PMID39018321
PMCPMC11253948

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Registered trials

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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.