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Ayahuasca improves emotion dysregulation in a community sample and in individuals with borderline-like traits

Elisabet Domínguez‐clavé, Joaquim Soler, Juan Carlos Pascual, Matilde Elices, Alba Franquesa, Marta Valle, Enric Álvarez, Jordi Riba

Psychopharmacology November 7, 2018 DOI: 10.1007/s00213-018-5085-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational study Peer reviewed
Sample size 45
Population Volunteers who participated in an ayahuasca session, including 12 with BPD-like traits
Intervention Ayahuasca
Duration Single session, assessed 24 hours after the session
Topics Ayahuasca Meditation
Keywords Clinical psychology Borderline personality disorder Psychological intervention Emotional dysregulation Observational study
Citations 81
Key findings Ayahuasca significantly improved emotion regulation and several mindfulness-related capacities, with BPD-like participants showing improvements in emotional interference and lack of control but not in mindfulness capacities.

Abstract

BackgroundResearch suggests that mindfulness-based interventions may improve mindfulness-related capacities (e.g., decentering, non-judging, and non-reacting) and emotion regulation. Previously, our group reported that ayahuasca could be a potential analogue of mindfulness practice. The main aim of the current study was to examine the effects of ayahuasca on emotional regulation and mindfulness-related capacities. Secondarily, we sought to explore the effects of ayahuasca on individuals with borderline personality disorder (BPD) traits.MethodThis is an observational study of 45 volunteers who participated in an ayahuasca session. The volunteers completed various self-report instruments designed to measure emotional dysregulation (Difficulties in Emotion Regulation Scale (DERS)) and mindfulness traits (Five Facet Mindfulness Questionnaire (FFMQ)-Short Form and Experiences Questionnaire (EQ)) prior to and 24 h after the ayahuasca session. The volunteers were divided into two subgroups based on their score on the McLean Screening Instrument for BPD (MSI-BPD). Twelve participants were grouped into the BPD-like traits subgroup while the rest of them were included in the non-BPD-like subgroup. We performed within-subjects and between-group analyses.ResultsOverall, the participants showed significant improvements on the FFMQ subscales observing, acting with awareness, non-judging, and non-reacting and also significantly improved on decentering (EQ scale) and on the DERS subscales emotional non-acceptance, emotional interference, and lack of control. The BPD-like subgroup also showed significant improvements on the DERS subscales emotional interference and lack of control but not in mindfulness capacities.ConclusionsThese findings suggest a potential therapeutic effect for ayahuasca in emotion regulation and mindfulness capacities (including decentering, acceptance, awareness, and sensitivity to meditation practice). Based on these results, we believe that ayahuasca therapy could be of value in clinical populations, such as individuals with BPD, affected by emotion dysregulation.

Comparable studies

Other observational and cohort studies on ayahuasca, most cited first.

Study Year Design Participants
Antidepressant effects of a single dose of ayahuasca in patients with recurrent depression: a preliminary report Patients with a depressive disorder 2015 Observational study
The Psychedelic State Induced by Ayahuasca Modulates the Activity and Connectivity of the Default Mode Network Experienced subjects 2015 Observational cohort n = 10
Human Psychopharmacology of Hoasca, A Plant Hallucinogen Used in Ritual Context in Brazil Long-term members of a syncretic church that uses hoasca as a psychoactive sacrament... 1996 Observational cohort with matched controls n = 30
Ayahuasca-Assisted Therapy for Addiction: Results from a Preliminary Observational Study in Canada Rural aboriginal population 2013 Observational study
Personality, Psychopathology, Life Attitudes and Neuropsychological Performance among Ritual Users of Ayahuasca: A Longitudinal Study Regular ayahuasca users and active controls in non-ayahuasca religions 2012 Observational cohort n = 242

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