Default Mode Network Modulation by Psychedelics: A Systematic Review
Open accessAbstract
Psychedelics are a unique class of drug that commonly produce vivid hallucinations as well as profound psychological and mystical experiences. A grouping of interconnected brain regions characterized by increased temporal coherence at rest have been termed the Default Mode Network (DMN). The DMN has been the focus of numerous studies assessing its role in self-referencing, mind wandering, and autobiographical memories. Altered connectivity in the DMN has been associated with a range of neuropsychiatric conditions such as depression, anxiety, post-traumatic stress disorder, attention deficit hyperactive disorder, schizophrenia, and obsessive-compulsive disorder. To date, several studies have investigated how psychedelics modulate this network, but no comprehensive review, to our knowledge, has critically evaluated how major classical psychedelic agents—lysergic acid diethylamide, psilocybin, and ayahuasca—modulate the DMN. Here we present a systematic review of the knowledge base. Across psychedelics there is consistent acute disruption in resting state connectivity within the DMN and increased functional connectivity between canonical resting-state networks. Various models have been proposed to explain the cognitive mechanisms of psychedelics, and in one model DMN modulation is a central axiom. Although the DMN is consistently implicated in psychedelic studies, it is unclear how central the DMN is to the therapeutic potential of classical psychedelic agents. This article aims to provide the field with a comprehensive overview that can propel future research in such a way as to elucidate the neurocognitive mechanisms of psychedelics.
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Psychedelics disrupt the functioning of the salience network, potentially leading to altered perceptions of self and world.
“Research indicates that psychedelics disrupt the functioning of the salience network, potentially leading to altered perceptions of self and world [70].”
From Mindfulness meditation and psychedelics: potential synergies and commonalities (2023) · cites this paper as [70]
The review’s study summary (table in Introduction; page unavailable) reports that LSD decreased segregation between the default mode and salience networks. The Introduction also discusses psychedelic-related changes in perceptions of self and world, but the table says the network change was not significantly correlated with ego dissolution. The source therefore does not establish that disruption of salience-network functioning leads to those altered perceptions. (LLM, conf=0.86)
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Neuroscientists must not be afraid to study religion
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Psychedelics and substance use disorder treatment
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What fMRI studies say about the nature of the psychedelic effect: a scoping review
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Breaking the chains of depression: A systematic review and meta-analysis of psilocybin therapy
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Long‐COVID symptoms improved after MDMA and psilocybin therapy: A case report
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Novel treatments of depression: bridging the gap in current therapeutic approaches
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Classic Psychedelics for the Treatment of Depression: Potential Benefits and Challenges
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Neural Network Modulation of Ayahuasca: A Systematic Review of Human Studies
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Systematic review and rationale of using psychedelics in the treatment of cannabis use disorder
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Leveraging meditation research for the study of psychedelic-related adverse effects
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The Therapeutic Effects of Classic Psychedelics in Alcohol Use Disorder
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Psychedelics in functional disorders: A scoping review
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- Authors
- Gattuso, J. J., Perkins, D., Ruffell, S., Lawrence, A. J., Hoyer, D., Jacobson, L. H., Timmermann, C., Castle, D., Rossell, S. L., Downey, L. A., Pagni, B. A., Galvão-Coelho, N. L., Nutt, D., & Sarris, J.
- Affiliations
- The University of Melbourne (AU)
- King's College London (GB)
- MDHS, University of Melbourne , Parkville, Victoria , Australia
- Imperial College London (GB)
- University of Toronto (CA)
- Swinburne University of Technology (AU)
- Arizona State University (US)
- Department of Physiology and Behavior, Universidade Federal do Rio Grande do Norte , Brazil
- Corresponding author
- Gattuso, James J
- ORCID
- Venue
- International Journal of Neuropsychopharmacology
- Publisher
- Oxford University Press (OUP)
- Published
- 2022-10-22
- Volume
- 26
- Issue
- 3
- Pages
- 155-188
- ISSN
- 1461-1457 (ISSN-L)
- 1469-5111
- PMC
- PMC10032309
- OpenAlex
- W4307093712
- Cited by
- 256
- References
- 122
- Citations by year
- 2026: 79 · 2025: 95 · 2024: 61 · 2023: 21
- FWCI
- 7.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The International Journal of Neuropsychopharmacology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Health and Medical Research Council (GNT1154651)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- default mode network, psychedelics, resting-state functional connectivity, LSD, psilocybin, ayahuasca, mind wandering, self-referential processing, neuropsychiatric disorders
- MeSH terms
- Default Mode Network, Brain, Hallucinogens, Lysergic Acid Diethylamide, Magnetic Resonance Imaging, Psilocybin
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