Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence

BackgroundThe psychedelic 5-MeO-DMT has shown clinical potential due to its short duration and ability to induce mystical experiences. However, a phenomenon known as “reactivations” (similar to “flashbacks”) is a poorly understood and frequently reported phenomenon which appears associated with 5-Me...

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Main Authors: Ana María Ortiz Bernal, Charles L. Raison, Rafael L. Lancelotta, Alan K. Davis
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-11-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1049643/full
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author Ana María Ortiz Bernal
Charles L. Raison
Rafael L. Lancelotta
Alan K. Davis
Alan K. Davis
author_facet Ana María Ortiz Bernal
Charles L. Raison
Rafael L. Lancelotta
Alan K. Davis
Alan K. Davis
author_sort Ana María Ortiz Bernal
collection DOAJ
description BackgroundThe psychedelic 5-MeO-DMT has shown clinical potential due to its short duration and ability to induce mystical experiences. However, a phenomenon known as “reactivations” (similar to “flashbacks”) is a poorly understood and frequently reported phenomenon which appears associated with 5-MeO-DMT use and warranted further investigation.AimsThis study examined whether differences in age, gender, education, lifetime use, use location, and preparation strategies predict reactivations (primary outcome). Additionally, we explored how reactivations were perceived by survey respondents and whether demographic data predicted emotional valence (secondary outcome) of reported reactivations.Materials and methodsThis study used secondary quantitative data from a survey assessing epidemiological and behavioral associations of 5-MeO-DMT use in non-clinical settings (N = 513). Descriptive statistics, chi-square tests, t-tests, and logistic regressions were utilized to explore aims.ResultsBeing female, older at the time of first 5-MeO-DMT dose, having higher educational attainment, and dosing in a structured group setting were associated with increased odds of reporting a reactivation event. Higher mystical experience scores, greater personal wellbeing and having had a non-dual awareness experience that was not substance-induced were associated with higher likelihood of reporting a neutral or positive emotional valence of a reactivation event.ConclusionThese findings suggest that reactivation phenomena, in this particular sample may most often represent a neutral or positive byproduct of the acute 5-MeO-DMT experience. More information is needed to best identify individuals most likely to experience a reactivation as a negative event to prevent such potential challenging outcomes.
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spelling doaj.art-c1c1313f1c31492184c7401091f7e8db2022-12-22T02:44:32ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-11-011310.3389/fpsyt.2022.10496431049643Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valenceAna María Ortiz Bernal0Charles L. Raison1Rafael L. Lancelotta2Alan K. Davis3Alan K. Davis4Department of Human Development and Family Studies, School of Human Ecology, University of Wisconsin-Madison, Madison, WI, United StatesDepartment of Human Development and Family Studies, School of Human Ecology, University of Wisconsin-Madison, Madison, WI, United StatesCenter for Psychedelic Drug Research and Education, College of Social Work, The Ohio State University, Columbus, OH, United StatesCenter for Psychedelic Drug Research and Education, College of Social Work, The Ohio State University, Columbus, OH, United StatesCenter for Psychedelic and Consciousness Research, Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, United StatesBackgroundThe psychedelic 5-MeO-DMT has shown clinical potential due to its short duration and ability to induce mystical experiences. However, a phenomenon known as “reactivations” (similar to “flashbacks”) is a poorly understood and frequently reported phenomenon which appears associated with 5-MeO-DMT use and warranted further investigation.AimsThis study examined whether differences in age, gender, education, lifetime use, use location, and preparation strategies predict reactivations (primary outcome). Additionally, we explored how reactivations were perceived by survey respondents and whether demographic data predicted emotional valence (secondary outcome) of reported reactivations.Materials and methodsThis study used secondary quantitative data from a survey assessing epidemiological and behavioral associations of 5-MeO-DMT use in non-clinical settings (N = 513). Descriptive statistics, chi-square tests, t-tests, and logistic regressions were utilized to explore aims.ResultsBeing female, older at the time of first 5-MeO-DMT dose, having higher educational attainment, and dosing in a structured group setting were associated with increased odds of reporting a reactivation event. Higher mystical experience scores, greater personal wellbeing and having had a non-dual awareness experience that was not substance-induced were associated with higher likelihood of reporting a neutral or positive emotional valence of a reactivation event.ConclusionThese findings suggest that reactivation phenomena, in this particular sample may most often represent a neutral or positive byproduct of the acute 5-MeO-DMT experience. More information is needed to best identify individuals most likely to experience a reactivation as a negative event to prevent such potential challenging outcomes.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1049643/full5-methoxy-NN-dimethyltryptamine5-MeO-DMTreactivationflashbackwellbeing
spellingShingle Ana María Ortiz Bernal
Charles L. Raison
Rafael L. Lancelotta
Alan K. Davis
Alan K. Davis
Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence
Frontiers in Psychiatry
5-methoxy-N
N-dimethyltryptamine
5-MeO-DMT
reactivation
flashback
wellbeing
title Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence
title_full Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence
title_fullStr Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence
title_full_unstemmed Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence
title_short Reactivations after 5-methoxy-N,N-dimethyltryptamine use in naturalistic settings: An initial exploratory analysis of the phenomenon’s predictors and its emotional valence
title_sort reactivations after 5 methoxy n n dimethyltryptamine use in naturalistic settings an initial exploratory analysis of the phenomenon s predictors and its emotional valence
topic 5-methoxy-N
N-dimethyltryptamine
5-MeO-DMT
reactivation
flashback
wellbeing
url https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1049643/full
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