Decreased mental time travel to the past correlates with default-mode network disintegration under lysergic acid diethylamide
In a placebo-controlled crossover fMRI study of 20 healthy volunteers, intravenous LSD (75 μg) reduced spontaneous mental time travel to the past (with no change for present or future) and the extent of this reduction correlated with decreased resting-state functional connectivity within the default‑mode network. This DMN disintegration may help explain how psychedelics could alleviate maladaptive rumination in disorders such as depression.
Authors
- Carhart-Harris, R. L.
- Feilding, A.
- Kaelen, M.
Published
Abstract
This paper reports on the effects of LSD on mental time travel during spontaneous mentation. Twenty healthy volunteers participated in a placebo-controlled crossover study, incorporating intravenous administration of LSD (75 μg) and placebo (saline) prior to functional magnetic resonance imaging (fMRI). Six independent, blind judges analysed mentation reports acquired during structured interviews performed shortly after the functional magnetic resonance imaging (fMRI) scans (approximately 2.5 h post-administration). Within each report, specific linguistic references to mental spaces for the past, present and future were identified. Results revealed significantly fewer mental spaces for the past under LSD and this effect correlated with the general intensity of the drug’s subjective effects. No differences in the number of mental spaces for the present or future were observed. Consistent with the previously proposed role of the default-mode network (DMN) in autobiographical memory recollection and ruminative thought, decreased resting-state functional connectivity (RSFC) within the DMN correlated with decreased mental time travel to the past. These results are discussed in relation to potential therapeutic applications of LSD and related psychedelics, e.g. in the treatment of depression, for which excessive reflection on one’s past, likely mediated by DMN functioning, is symptomatic.
Research Summary of 'Decreased mental time travel to the past correlates with default-mode network disintegration under lysergic acid diethylamide'
Introduction
Lysergic acid diethylamide (LSD) is a classic psychedelic whose psychological effects are largely attributed to serotonin 2A receptor agonism, but the links between its neurobiology and subjective phenomenology remain incompletely understood. Previous work has associated spontaneous mental time travel—the tendency during mind-wandering to recollect past autobiographical episodes or imagine future experiences—with the brain's default-mode network (DMN), and has shown that DMN resting-state functional connectivity (RSFC) correlates with frequency of such self-referential cognition and is elevated in depression. Conversely, acute psychedelic states have been reported to reduce DMN RSFC and to occasion experiences described as ego-dissolution, suggesting a possible mechanistic connection between DMN disruption and altered temporal focus of spontaneous thought. Speth and colleagues therefore set out to combine linguistic analysis of spontaneous mentation reports with resting-state fMRI to test whether LSD reduces linguistic markers of mental time travel to the past, and whether any such change relates to LSD-induced decreases in intra-DMN connectivity. The study used a placebo-controlled, within-subject crossover design in healthy volunteers, analysing mentation reports obtained about 2.5 hours after intravenous administration of 75 µg LSD or saline placebo and relating these behavioural measures to contemporaneous DMN RSFC derived from task-free fMRI scans.
Methods
The study used a placebo-controlled, within-subjects crossover design. Twenty healthy volunteers were recruited and completed screening; 19 contributed mentation reports used in the main linguistic analyses (one male was excluded due to a missing LSD-condition report). Participants had prior experience with classic psychedelics and met clinical exclusion criteria (e.g. no personal history of diagnosed psychiatric illness). Dosing sessions were separated by at least two weeks and order of LSD versus placebo was balanced across participants; volunteers were blind to order, but the research team were not. Each participant received 75 µg LSD intravenously (in 10 mL saline infused over two minutes) or 10 mL saline placebo. After infusion, participants underwent a habituation period and then two eyes-closed, task-free BOLD fMRI scans (each ~7 minutes 20 seconds) on a 3T system approximately one hour post-dosing; the first structured interview began soon after scanning, roughly 2.5 hours post-dosing, and mentation reports used for analysis were taken at the start of these interviews. Subjective effect intensity during scanning was measured using a visual analogue scale. Five participants’ fMRI data were excluded (one did not complete scanning, four due to motion), leaving n=15 for the imaging analyses. Quantitative linguistic analysis was applied to verbatim transcriptions of the mentation reports. Six independent, blinded raters identified instances of cognitive agency and ensuing "mental spaces"—linguistic constructs reflecting past, present or future scenarios—drawing on theta-role theory and the cognitive-semantic mental spaces framework. Raters classified agency perspective (first/second/third person, singular/plural) and whether the resulting mental space pertained to past, present or future. While the Methods section at one point refers to 77 reports to be analysed, the extracted text shows that 38 reports were actually collected (19 per condition); this discrepancy is noted in the extracted material but not resolved. fMRI preprocessing used band-pass filtering (0.01–0.08 Hz) and multivariate ICA to extract components; a canonical DMN template derived from Human Connectome Project data was used to calculate intra-DMN RSFC for each condition. Paired t-tests compared within-subject intra-DMN connectivity between LSD and placebo and reductions in DMN RSFC (expressed as z-score changes) were treated as an index of DMN disintegration for correlation with linguistic measures. Statistical tests on behavioural data included repeated-measures MANOVA to test omnibus effects across past/present/future references, post-hoc paired t-tests and planned comparisons focused on past-referenced mental spaces, and Pearson correlations for association analyses. Inter-rater reliability was assessed (Cronbach's alpha reported).
Results
Behavioural sample size for mentation reports was 19 participants per condition, yielding 38 reports in total. Raters identified on average 2.03 cognitive agencies per report (SD=1.67) and inter-rater agreement was very high (Cronbach's alpha=0.92). Participants' verbal reports were lengthier after LSD (mean words per report 252.11, SD=146.88) than after placebo (mean 155.58, SD=114.77); the extracted text states this difference as statistically significant but does not clearly report the complete t-statistic and p-value for that comparison. An omnibus repeated-measures MANOVA testing the effect of LSD on counts of mental spaces for past, present and future did not reach significance (F(3,16)=1.91, p=0.168). A planned comparison, however, indicated a selective reduction in references to the past under LSD: mean past-references after LSD were 0.079 (SD=0.2) versus 0.71 (SD=1.04) after placebo. The extracted t-statistic for this planned comparison is given as t(18)=2.5 but the p-value is incomplete in the extraction; the authors report this as a significant effect. There were no significant differences between conditions for references to the present (placebo mean=1.00, SD=0.90; LSD mean=1.04, SD=0.79; t(18)≈-0.114, p=0.911) or the future (placebo mean=0.64, SD=0.63; LSD mean=0.51, SD=1.08; t(18)=0.5, p=0.624). Correlation analyses examined relationships between subjective intensity of LSD effects during scanning, DMN disintegration (between-condition differences in intra-DMN RSFC), and reductions in past-focused mental spaces. The association between subjective intensity and reduced past-references was in the predicted direction (r=0.34, r²=0.17) and approached but did not reach conventional significance (p=0.076). The relationship between greater DMN disintegration and fewer past-references was also in the predicted direction (r=0.51, r²=0.26) and again narrowly missed conventional significance in the extracted text (p=0.054). Lifelong use measures for LSD, psilocybin and cannabis, time since last use, weekly alcohol use and similar covariates did not correlate with the main outcomes (all p>0.05). For imaging, five participants were excluded from fMRI analyses (leaving n=15), and the authors note that this sample size may be small for correlational neuroimaging analyses.
Discussion
Speth and colleagues interpret their findings as showing that acute LSD selectively reduces spontaneous mental time travel to the past while leaving present- and future-focused spontaneous mentation relatively unaffected, and that this behavioural effect aligns with LSD-induced reductions in DMN integrity. The selective nature of the effect is highlighted: despite longer and more elaborate verbal reports under LSD, participants produced fewer linguistic instances of past-focused mental spaces. The near-significant correlations—stronger subjective intensity and greater DMN disintegration relating to fewer past-references—are presented as supporting evidence that the effect is drug-related and mechanistically linked to DMN changes. The authors situate these results within existing literature linking the DMN, hippocampal-parahippocampal circuitry and autobiographical memory; they propose that disruption of hippocampal–DMN connectivity may reduce the input of autobiographical content that sustains a narrative sense of self, a process related to the phenomenology termed ego-dissolution. The paper contrasts spontaneous, often mundane past-reflections captured in the present linguistic coding with the clinically observed phenomenon of vivid reliving of salient autobiographical memories during psychedelic-assisted psychotherapy, noting that cued recollection in therapeutic settings is a different task and may not be directly comparable to spontaneous unprompted reports. The authors also raise the possibility that enhanced suggestibility under psychedelics could bias cued-memory findings, arguing that measures of spontaneous cognition, as used here, are relatively insulated from such expectancy effects. Key limitations acknowledged include that participants were still acutely intoxicated when providing retrospective reports, so it is unclear whether reduced past-references reflect altered in-the-moment mentation or altered retrospective description; small fMRI sample size for correlational analyses (n=15) which may limit reliability; and the alternative interpretation that the finding could reflect a non-specific cognitive perturbation rather than a psychedelic-specific effect. The authors propose future tests to address these issues, such as comparing other intoxicants or exhilarating experiences, studying patient populations in therapeutic contexts, probing post-acute effects, and further examining hippocampal–DMN circuitry. They also suggest that the observed reduction in past-focused thinking might mechanistically align with therapeutic approaches that reduce ruminative, past-oriented thinking in depression (for example mindfulness), and advocate further research to test whether psychedelics produce enduring shifts in temporal focus that could be therapeutically relevant.
Conclusion
The study concludes that acute intravenous LSD at 75 µg selectively decreased spontaneous linguistic markers of mental time travel to the past, and that this effect correlated with the reported intensity of subjective effects and with decreased intra-DMN connectivity. The authors link these findings to the construct of ego-dissolution and to the notion of a decomposed narrative self, and they suggest potential relevance for psychedelic-assisted approaches to conditions characterised by excessive past-focused rumination, such as depression. The paper emphasises the need for further research to establish the robustness, specificity and clinical implications of these findings.
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METHODS
Quantitative linguistic analysis was conducted on transcriptions of participants' verbally delivered mentation reports collected after LSD or placebo administration. This third person method of analysis is intended to objectively measure mental events as they become expressed in the natural language of the first person report (for further explanation see. This study investigated whether the mentation reports differed in the number of linguistic constructs (referred to as 'theta roles' and 'mental spaces', see below for definitions) that indicated references to mental time travel to the past or future, or thoughts about the present. Six raters were instructed to analyse a total of 77 mentation reports. The raters were blind in so far as they were not informed to which condition (LSD or placebo) the individual reports referred.
RESULTS
Word count per report was compared between LSD and placebo condition by means of a repeated-measures student's t-test. Identified instances of cognitive agency were aggregated for every report, separately for every rater. By calculating the mean rating of all raters for each report, one single rating value was assigned for each report. A one-way repeated-measures multivariate analysis of variance (MANOVA) was conducted to test for an omnibus effect of LSD on the number of cognitive agencies referring to the present, past, and future. Where appropriate, repeated-measures student's t-tests were used post-hoc to investigate any interactions. In addition, a planned comparison was carried out to assess the effect of LSD on cognitive agencies referring to the past to elucidate the potential relationship between the psychedelic effect of 'ego-dissolution'and the hypothesised dependence of a sense of identity on the conscious access of autobiographical information. Pearson's correlation coefficient was used for correlational analyses.
CONCLUSION
This study sought to assess the effects of LSD on spontaneous mental time travel and relate this to the drug's neurobiological effects. Results revealed a selective reduction in the number of linguistic references to mental time travel to the past under LSD. Moreover, there was a relationship between the general intensity of LSD's subjective effects and the reduction in mental time travel to the past, further supporting the assumption that the effect was driven by LSD. Results provide insight into the underlying mechanisms of this effect, as decreased DMN integrity correlated with reduced mental time travel to the past. Prior research links the DMN to autobiographical memoryand self-reflection, as psychological functions relevant to the notion of the self or ego. This fits in with the present data on the correlation between decreased integrity within this particular brain network and reduced time travel to the past. The Table. Report samples from post-lysergic acid diethylamide (LSD) and placebo interviews. Cognitive agencies are given along with the mental spaces to which they are connected.
Study Details
- Study Typeindividual
- Populationhumans
- Characteristicsdouble blindplacebo controlledbrain measuresqualitative
- Journal
- Compounds
- Topics