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Anomalous bodily-self experiences among recreational ketamine users.

Leanne K. Wilkins, Todd A. Girard, J Allan Cheyne

Cognitive Neuropsychiatry 2012 DOI: 10.1080/13546805.2012.663162 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational survey study with path analysis Peer reviewed
Sample size 192
Population Individuals reporting recreational ketamine use (n=128) and non-ketamine polydrug users (n=64)
Topics Esketamine Ketamine
Key findings The 'disintegration' model, in which illusory movement experiences lead to out-of-body feelings, which in turn lead to out-of-body autoscopy, fit the survey data best among seven competing models, with out-of-body feelings fully mediating the relation between illusory movement and autoscopy. Lifetime ketamine use predicted the frequency of illusory movement experiences. The authors argue these results support a structural model of out-of-body phenomena and encourage including neurochemical systems in future studies of their causes.

Abstract

Out-of-body experiences present a unique paradigm to investigate cognitive and neural mechanisms of bodily-self processes and their disorders. Previous work on out-of-body experiences associated with sleep paralysis supported a model in which illusory movement experiences reflect disrupted bodily-self integration generating anomalous vestibular and motor sensations. Further disintegration and progression of the experience may then give rise to out-of-body feelings, which in turn may instigate out-of-body autoscopy. The current study assesses the disintegration model through analyses of out-of-body experiences reports from an online survey of individuals reporting recreational ketamine use (n=128) and cross-validation in a sample of nonketamine polydrug users (n=64). Path analyses using intensity and frequency measures of anomalous experiences assess the fit of seven competing models. The disintegration model (illusory movement → out-of-body feelings → out-of-body autoscopy) emerged as the best fitting model overall and results support full mediation of the relation between illusory movement experiences and out-of-body autoscopy by out-of-body feelings. Moreover, lifetime measures of ketamine use predicted the frequency of illusory movement experiences. The results corroborate this structural model of out-of-body phenomena and encourage a framework for future studies into aetiological mechanisms of out-of-body experiences to include neurochemical systems.

Comparable studies

Other cross-sectional and survey studies on ketamine, most cited first.

Study Year Design Participants
5-Year Trends in Use of Hallucinogens and Other Adjunct Drugs among UK Dance Drug Users People who use drugs in dance contexts 2006 Repeated-measures cross-sectional survey
Preliminary analysis of positive and negative syndrome scale in ketamine-associated psychosis in comparison with schizophrenia Healthy subjects, ketamine abusers, and schizophrenia patients 2014 Cross-sectional study n = 998
Ketamine as a primary predictor of out-of-body experiences associated with multiple substance use Online survey respondents 2011 Cross-sectional survey n = 192
Self-reported prevalence of dependence of MDMA compared to cocaine, mephedrone and ketamine among a sample of recreational poly-drug users Global non-treatment-seeking sample of last year users of MDMA, cocaine, mephedrone,... 2014 Cross-sectional survey
Near-Death States Reported in a Sample of 50 Misusers Previous ketamine misusers who reported a ketamine-related near-death experience 2010 Cross-sectional survey n = 50

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