Evidence map›Paper›PMID 39301949›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2024

Autonomic nervous system activity correlates with peak experiences induced by DMT and predicts increases in well-being.

Valerie Bonnelle, Amanda Feilding, Fernando E Rosas, David J Nutt, Robin L Carhart-Harris, Christopher Timmermann

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07614581 (Intra-Sessional Autonomic Arc Detection Using Continuous HRV and EDA Monitoring in Adults Undergoing Ketamine-Assisted Therapy for PTSD), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT07614581 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Intra-Sessional Autonomic Arc Detection Using Continuous HRV and EDA Monitoring in Adults Undergoing Ketamine-Assisted Therapy for PTSD: A Prospective Observational Signal Characterisation Pilot Study

TypeobservationalSponsorAdriaan Dirk van der WartRan2026 to 2026Enrolled5ConditionsPost-Traumatic Stress DisorderArmsContinuous wearable physiological monitoring (EmbracePlus, Empatica), Ketamine-assisted therapy (independently arranged), Structured pre- and post-session interviews
3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. The psychedelic-peptide paradox: a hormetic hypothesis.Comprehensive psychoneuroendocrinology · 2025
    Review
  6. Decreased COCommunications psychology · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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.

Valerie BonnelleThe Beckley Foundation, Oxford, UK.ORCID 0000-0002-4673-0549
Amanda FeildingThe Beckley Foundation, Oxford, UK.
Fernando E RosasDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, UK.
David J NuttDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, UK.
Robin L Carhart-HarrisDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, UK.ORCID 0000-0002-6062-7150
Christopher TimmermannDivision of Psychiatry, Department of Brain Sciences, Centre for Psychedelic Research, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-ordinary states of consciousness induced by psychedelics can be accompanied by so-called "peak experiences," characterized at the emotional level by their intensity and positive valence. These experiences are strong predictors of positive outcomes following psychedelic-assisted therapy, and it is therefore important to better understand their biology. Despite growing evidence that the autonomic nervous system (ANS) plays an important role in mediating emotional experiences, its involvement in the psychedelic experience is poorly understood. The aim of this study was to investigate to what extent changes in the relative influence of the sympathetic (SNS) and parasympathetic nervous systems (PNS) over cardiac activity may reflect the subjective experience induced by the short-acting psychedelic N,N-Dimethyltryptamine (DMT).

methodsWe derived measures of SNS and PNS activity from the electrocardiograms of 17 participants (11 males, mean age = 33.8 years, SD = 8.3) while they received either DMT or placebo.

resultsResults show that the joint influence of SNS and PNS ("sympathovagal coactivation") over cardiac activity was positively related to participants' ratings of "Spiritual Experience" and "Insightfulness" during the DMT experience, while also being related to improved well-being scores 2 weeks after the session. In addition, we found that the state of balance between the two ANS branches ("sympathovagal balance") before DMT injection predicted scores of "Insightfulness" during the DMT experience, as well as subsequent sympathovagal coactivation.

conclusionThese findings demonstrate the involvement of the ANS in psychedelic-induced peak experiences and may pave the way to the development of biofeedback-based tools to enhance psychedelic therapy.

Indexed as

Autonomic Nervous SystemElectrocardiographyHallucinogensN,N-DimethyltryptamineAdultDouble-Blind MethodEmotionsFemaleHeart RateHumansMaleMiddle AgedParasympathetic Nervous SystemSympathetic Nervous SystemYoung AdultHallucinogensN,N-DimethyltryptamineAutonomic nervous systemheart rate variabilitypeak experiencepsychedelicssympathovagal balancesympathovagal coactivation

Identifiers

PMID39301949
PMCPMC11512487

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.