An experience with Holotropic Breathwork is associated with improvement in non-judgement and satisfaction with life while reducing symptoms of stress in a Czech-speaking population
Malin V. Uthaug, Natasha L. Mason, Martha N. Havenith, Michael Vancura, Johannes G. Ramaekers
Journal of Psychedelic Studies December 15, 2021 DOI: 10.1556/2054.2021.00193 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Observational cohort Peer reviewed |
|---|---|
| Sample size | 58 |
| Population | Czech-speaking adults with experience in Holotropic Breathwork |
| Intervention | Holotropic Breathwork |
| Duration | Single session with 4-week follow-up |
| Topics | Anxiety Breathwork |
| Keywords | Judgement Clinical psychology |
| Citations | 15 |
| Key findings | Holotropic Breathwork was associated with increased non-judgment, increased satisfaction with life, and decreased stress symptoms at four weeks post-session. |
Abstract
Abstract Background Holotropic breathwork (Grof ® Breathwork), was developed by Stanislav Grof and Christina Grof as a ‘non-drug’ alternative technique to evoke altered states of consciousness (ASC). Interestingly, although HBW has been anecdotally reported to evoke experiences and mental health effects corresponding to those of psychedelic substances, the scientific literature on the matter is scarce.
Aims: The objective of this study was to assess the (sub)acute and long-term effects of HBW on satisfaction with life, and whether these depend on the depth of the experience evoked by the HBW session.
Methods: A naturalistic observational design was employed in the present study. Between January 2019 and July 2020, 58 Czech-speaking participants who had an experience with HBW were assessed using three separate anonymous online-surveys created and hosted on Qualtrics. Assessments of mindfulness, satisfaction with life, depression, anxiety, and stress were made once prior to (baseline), and two times following (sub-acutely and 4-weeks) the participants’ experience with HBW. The ego dissolution inventory and the 5-dimensional altered states of consciousness scale was used to quantify the HBW experience.
Results: Despite low ratings of the psychedelic experience (mean range of 0–34% out of 100%), ratings of non-judgement significantly increased sub-acutely following the HBW session and persisted for 4-weeks. Stress-related symptoms significantly decreased while satisfaction with life significantly increased at 4-weeks after HBW.
Conclusion: An experience with HBW may be associated with improvement in non-judgement, satisfaction with life, and reductions of stress-related symptoms.
Comparable studies
Other observational and cohort studies on breathwork, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Breathwork-induced psychedelic experiences modulate neural dynamics. Novice participants | 2024 | Observational cohort | n = 14 |
| Decreased CO2 saturation during circular breathwork supports emergence of altered states of consciousness. | 2025 | Observational study | |
| Incorporating biofeedback into the Mindfulness in Motion Intervention for health care professionals: Impact on sleep and stress. Health care providers | 2024 | Observational cohort | n = 66 |
| Self-Rated Effectiveness of Ayahuasca and Breathwork on Well-Being, Psychological Resilience, Self-Compassion, and Personality: An Observational Comparison Study Individuals who attended an ayahuasca retreat or a breathwork session | 2024 | Observational study | n = 99 |
| Decreased CO2 saturation during circular breathwork supports emergence of altered states of consciousness | 2024 | Observational study |
Citations in the library
Cited by 13
- High ventilation breathwork practices: An overview of their effects, mechanisms, and considerations for clinical applications. Neuroscience & Biobehavioral Reviews December 1, 2023
- Decreased CO2 saturation during circular breathwork supports emergence of altered states of consciousness. Communications Psychology April 13, 2025
- ‘Mind-Revealing’ Psychedelic States: Psychological Processes in Subjective Experiences That Drive Positive Change Psychoactives September 27, 2024
- Conscious connected breathing with breath retention intervention in adults with chronic low back pain: protocol for a randomized controlled pilot study Pilot and Feasibility Studies January 24, 2023
- The Afterglow Inventory (AGI): Validation of a new instrument for measuring subacute effects of classic serotonergic psychedelics Journal of Psychopharmacology March 31, 2025
and 8 more in the library
Cites 22
- Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Assessment February 29, 2008
- Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: A randomized double-blind trial Journal of Psychopharmacology November 30, 2016
- Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Journal of Psychopharmacology November 30, 2016
- Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance Psychopharmacology July 7, 2006
- Psilocybin-assisted treatment for alcohol dependence: A proof-of-concept study Journal of Psychopharmacology January 13, 2015
and 17 more in the library