Evidence map›Paper›PMID 40864618›Full record

ArticlePloS one2025

Neurobiological substrates of altered states of consciousness induced by high ventilation breathwork accompanied by music.

Amy Amla Kartar, Toru Horinouchi, Balázs Örzsik, Brittany Anderson, Lottie Hall, Duncan Bailey, Sarah Samuel, Nati Beltran, Samira Bouyagoub, Chris Racey and 4 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Amy Amla KartarBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.ORCID https://orcid.org/0009-0008-6428-8847
Toru HorinouchiDepartment of Psychiatry and Neurology, Hokkaido University Hospital, Japan.
Balázs ÖrzsikRadiology, Leiden University Medical Centre, Leiden, Netherlands.
Brittany AndersonUniversity of Wisconsin School of Medicine & Public Health, Department of Psychiatry, University of Wisconsin-Madison, United States of America.
Lottie HallBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Duncan BaileyBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Sarah SamuelBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Nati BeltranBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Samira BouyagoubBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Chris RaceyBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Yoko NagaiBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Iris AsllaniBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Hugo CritchleyBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.
Alessandro ColasantiBrighton and Sussex Medical School, Department of Clinical Neuroscience, University of Sussex, United Kingdom.ORCID https://orcid.org/0000-0001-6017-801X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The popularity of breathwork as a therapeutic tool for psychological distress is rapidly expanding. Breathwork practices that increase ventilatory rate or depth, facilitated by music, can evoke subjective experiential states analogous to altered states of consciousness (ASCs) evoked by psychedelic substances. These states include components such as euphoria, bliss, and perceptual differences. However, the neurobiological mechanisms underlying the profound subjective effects of high ventilation breathwork (HVB) remain largely unknown and unexplored. In this study, we investigated the neurobiological substrates of ASCs induced by HVB in experienced practitioners. We demonstrate that the intensity of ASCs evoked by HVB was proportional to cardiovascular sympathetic activation and to haemodynamic alterations in cerebral perfusion within clusters spanning the left operculum/posterior insula and right amygdala/anterior hippocampus; regions implicated in respiratory interoceptive representation and the processing of emotional memories, respectively. These observed regional cerebral effects may underlie pivotal mental experiences that mediate positive therapeutic outcomes of HVB.

Indexed as

ConsciousnessMusicRespirationAdultBrainFemaleHumansMaleYoung Adult

Identifiers

PMID40864618
PMCPMC12385377

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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.