- Department of Psychiatry, University of Colorado, Anschutz Medical Campus, Aurora, CO, United States
Introduction: The aesthetic qualities of psychedelic experiences have long been documented, but their specific contribution to therapeutic outcomes remains understudied. Aesthetic experiences may facilitate emotional breakthroughs and cognitive shifts, potentially playing a crucial role in the lasting psychological benefits observed following psychedelic use.
Methods: This cross-sectional study surveyed 96 individuals who reported using classic psychedelics (e.g., psilocybin, LSD, DMT, mescaline) within the past year. Participants completed validated measures including the Mystical Experience Questionnaire (MEQ), Emotional Breakthrough Inventory (EBI), Psychological Insight Scale (PIS), Challenging Experience Questionnaire (CEQ), and a novel measure of aesthetic experience (PAEQ). Linear regression and Spearman correlations were used to assess associations between aesthetic experience and psychological outcomes.
Results: Aesthetic experience was significantly associated with greater emotional breakthrough (r =.40), psychological insight (r =.48), behavioral change (r =.55), and mystical experience (r =.49) (all p <.001). Aesthetic experience was also inversely associated with fear (r = –.24, p <.05) and paranoia (r = –.36, p <.001). Regression models indicated aesthetic quality predicted improvements in depression, anxiety, and quality of life, independent of age, gender, or mystical experience.
Discussion: These findings suggest that aesthetic aspects of psychedelic experiences are not merely perceptual enhancements but may actively contribute to therapeutic outcomes. The inverse relationship between aesthetic quality and challenging experiences highlights the potential utility of optimizing the aesthetic environment in psychedelic-assisted therapy. Future research should further validate the PAEQ and explore causal mechanisms using longitudinal and experimental designs.
Introduction
Classic psychedelics, such as psilocybin, mescaline, LSD, and DMT, profoundly impact perception, cognition, and emotion, often resulting in deeply meaningful and transformative experiences (Griffiths et al., 2006; Nichols, 2016). Several studies have shown that classic psychedelics are effective for treating a range of mood and substance use disorders under supportive conditions (Griffiths et al., 2016; Davis et al., 2021, 2023; Bogenschutz et al., 2022). Evidence indicates that these therapeutic effects can be long-lasting, providing sustained clinical relief for months or even years (Aday et al., 2020; Agin-Liebes et al., 2020). Agonism at 5-HT2A receptors is thought to be primarily responsible for their subjective effects (Preller et al., 2017; Stenbæk et al., 2021), although the mechanism of action in clinical studies is not fully understood. While neurobiological mechanisms are undoubtedly crucial, they alone may not fully account for enduring beneficial effects (Yaden and Griffiths, 2021). The effects of psychedelics are highly dependent on contextual variables, including the environment and mindset of the individual, often referred to as “set and setting” (Eisner, 1997; Hartogsohn, 2016; Carhart-Harris et al., 2018). This sensitivity to context suggests that the psychological and experiential dimensions play a critical role in shaping the outcomes of the psychedelic experience.
One such factor that remains understudied is the aesthetic quality of the psychedelic experience. The aesthetic experience is a complex emergent phenomenon that occurs as a result of the dynamic interplay between sensory perception, emotional valuation, and cognitive interpretation, mediated by distributed neural networks, including the default mode network (DMN), salience network, and visual processing regions, which together shape meaning-making, psychological insight, and subjective appreciation of beauty (Chatterjee and Vartanian, 2014; Pearce et al., 2016; Belfi et al., 2019). Aesthetic experiences play a significant role in evoking emotional responses and facilitating shifts in cognition and behavior (Mastandrea et al., 2019). Psychedelic substances are well-documented for their ability to enhance sensory and emotional sensitivity, leading to characteristic hallucinations and deeply felt emotional responses. Some of these responses can be seen in psychedelic art, indicating that psychedelics might possess their own aesthetic (Krippner, 2017). Induced aesthetic enhancements—ranging from intensified colors and patterns to the perception of symbolic imagery—engage distributed neural networks related to perceptual and semantic regulation, such as the DMN, and may facilitate emotional breakthroughs (Carhart-Harris et al., 2012; Kaelen et al., 2015; Pasquini et al., 2020). Changes in sensory, cognitive, and emotional processes during altered states contribute to profound psychological shifts, often resulting in lasting therapeutic outcomes, such as greater psychological flexibility and reduced symptoms of anxiety and depression (Roseman et al., 2019; Barrett et al., 2020). However, it remains unclear whether the perceived aesthetic quality of these experiences directly contributes to the positive psychological outcomes frequently reported by recreational users and in clinical studies.
Beyond their impact on individual perception, aesthetic experiences induced by psychedelics may play a role in broader cognitive and existential frameworks, shaping how individuals interpret and integrate their experiences. Previous research has linked peak experiences—including those marked by intense beauty, awe, and transcendence—to long-term shifts in personality traits such as openness and well-being (MacLean et al., 2011; Majić et al., 2015). Similarly, profound aesthetic alterations reported under psychedelics might function as a catalyst for meaning-making, where visually and emotionally salient stimuli trigger insight, emotional breakthroughs, metaphysical beliefs, and an expanded sense of self (Kettner et al., 2021; Timmermann et al., 2021). Thus, aesthetic perception under altered states of consciousness could represent an important mechanism through which psychedelics facilitate broad psychological change.
Given this, the current study aimed to explore how aesthetic qualities influence both positive and negative aspects of the psychedelic experience, particularly those linked to long-term outcomes for depression and anxiety (Peill et al., 2022). Using a web-based survey, participants reported exclusively on their most ‘typical’ psychedelic experience, evaluating aesthetic quality, positive emotions (e.g., emotional breakthroughs, psychological insight), negative emotions (e.g., distress, fear, paranoia), and related outcomes such as changes in depression and anxiety. We hypothesized that higher aesthetic pleasure would be associated with positive psychological outcomes, while negative aesthetic experiences would be associated with challenging experiences and worse psychological outcomes. We examine the connection between psychedelic-induced aesthetics and emotional responses and aim to contribute to the understanding of how psychedelics generate lasting psychological benefits, with potential implications for therapeutic applications.
Materials and methods
Design and procedures
We conducted a voluntary and anonymous online survey from July to September of 2024 to gather data on the attitudes and experiences of U.S. adults (18 and older) who do or do not use psychedelic substances. The survey, hosted on the Research Electronic Data Capture platform (REDCap, www.redcap.com), focused on demographics, health, and substance use. The University of Colorado Multiple Institutional Review Board approved the study, and participants provided informed consent by signing the consent form electronically.
Participants were recruited through various channels, including social media platforms, word-of-mouth, in-person outreach, and snowball sampling (i.e., referrals within social networks). The primary recruitment effort targeted participants through advertisements on Meta and Google, specifically from individuals residing in Colorado. These materials directed participants to the online survey form. Individuals under the age of 18 were excluded prior to the survey. No additional criteria were imposed for enrollment. Eligible participants were presented with an informed consent sheet outlining the study’s purpose, risks, benefits, and contact information for the research team. Upon consenting, participants were routed directly to the survey questions. At the conclusion of the survey, participants were debriefed and provided the option to enter an email into a drawing for a chance to win a $100 Amazon gift card. The following analysis used only complete data from participants who indicated current (within one year) classical psychedelic use.
Self-report measures
Assessment of positive experiences
The Emotional Breakthrough Inventory (EBI) (Roseman et al., 2019) measured the intensity of emotional breakthroughs during respondents’ typical psychedelic experience, capturing elements such as emotional release, confronting challenging emotions, and gaining insights into emotional issues. The EBI includes 6 items (α = 0.94), each rated on a scale from 0 (disagree) to 100 (agree), where higher scores reflect a more significant emotional breakthrough. When used in combination with the CEQ and MEQ, Roseman et al. (2019) found that these measures, when integrated, provide a more comprehensive assessment of psychedelic experiences and significantly enhance the prediction of changes in well-being by capturing a wider range of multidimensional aspects.
The Mystical Experience Questionnaire (MEQ) (Barrett et al., 2015; MacLean et al., 2012) measured the intensity of respondents’ typical psychedelic experiences, focusing on mystical characteristics. It comprises 30 items grouped into four dimensions: mystical, positive mood, transcendence of time and space, and ineffability. Each item is rated on a 6-point scale from 0 (none) to 5 (extreme), with higher scores indicating a more intense mystical experience across each dimension. The MEQ has been validated through factor analysis of psilocybin-related experiences (MacLean et al., 2012) and has consistently been associated with long-lasting positive outcomes in both healthy and clinical populations following psychedelic induced peak experiences (Garcia-Romeu et al., 2019; Roseman et al., 2019).
The Psychological Insight Scale (PIS) (Peill et al., 2022) is a 6-item (α = 0.94) measure used to evaluate the degree of psychological insight gained following respondents’ typical psychedelic experience. Respondents are asked to indicate their level of agreement from 1 (strongly disagree) to 7 (strongly agree) with statements about their psychological insights and changes in behavior following a psychedelic experience. Averaged raw scores generate a total PIS Average score, with higher scores reflecting greater levels of insight and a higher likelihood of meaningful psychological or behavioral change. Post-experience psychological outcomes were evaluated using the PIS-6 average score and the single item PIS-7 on behavioral change. Insight is shown to correlate with decreased symptoms of depression and anxiety (Davis et al., 2020) and mediate the relationship between emotional breakthrough and long-term well-being (Peill et al., 2022). In combination with EBI, CEQ, and MEQ, the PIS is a good predictor of long-term psychological well-being.
Assessment of negative experiences
The Challenging Experience Questionnaire (CEQ) (Barrett et al., 2016) is a 26-item measure that evaluated the intensity of difficult and distressing emotions experienced during respondents’ typical psychedelic experience. Each item is rated from 0 (none) to 5 (extreme), and the total score is derived by averaging responses across the seven dimensions as a percent: fear, grief, paranoia, isolation, insanity, death and physical distress. The CEQ is often negatively correlated with measures of psychological insight and well-being, highlighting its role in identifying potential psychological risks during psychedelic use. Higher scores on the CEQ indicate more intense and frequent challenging experiences.
Assessment of aesthetic experience
The Psychedelic Aesthetic Experience Questionnaire (PAEQ) assessed the aesthetic aspects of respondents’ typical psychedelic experiences, drawing upon the conceptual framework of the Aesthetic Experience Questionnaire (AEQ) (Wanzer et al., 2020) and the aesthetic triad model (Chatterjee and Vartanian, 2014), which evaluates aesthetic experiences in terms of sensory, affective, and semantic dimensions. The single-item version (PAEQ-S) aims to capture the overall aesthetic pleasure of the experience through a single item: “The experience was aesthetically pleasing,” rated on an 8-point scale from 0 (strongly disagree) to 7 (strongly agree). The single-item measure provides a broad assessment of the aesthetic experience as a whole, making it suitable for exploratory analyses requiring concise self-report data. In contrast, the full 21-item PAEQ provides a more detailed and nuanced evaluation by assessing specific aspects of the aesthetic experience across its intended dimensions. The full 21-item PAEQ is provided in the Supplementary materials, although it was excluded from the present analysis as it has not yet been validated. Future research should focus on refining and validating the scale and its factor structure to more thoroughly explore the associations examined in this exploratory analysis.
Assessment of outcomes
Both behavioral and psychological outcomes were assessed using a questionnaire that referred to any change caused by the specific classic psychedelic(s) a participant reported using in their typical experience in the past year (psilocybin, LSD, DMT, or mescaline). The outcomes measured included anxiety, depression, pain, sleep, opioid use, alcohol use, and quality of life. These items were evaluated on a 7-point Likert scale, ranging from −3 (much worse) to 3 (much improved). Each outcome was standardized across substances and, when applicable, aggregated per individual to generate an average outcome value, ensuring the results remained generalized across substances. This questionnaire always referred to the individual’s typical psychedelic experience while accounting for the specific substances used.
Statistical analysis
To assess the relationship aesthetic experience has to positive and negative experience and outcomes, both Spearman’s rank correlation coefficient and linear regression analyses were conducted. Spearman’s correlation was employed to assess bivariate relationships due to its robustness against non-normally distributed data and ability to detect monotonic associations. Linear regression models were used to further evaluate the predictive nature of these relationships while controlling for potential confounders such as age and gender. Assumptions for the regression models, including linearity, homoscedasticity, and normality of residuals, were checked and found to be adequately met. Multicollinearity was not an issue, as none of the predictor variables showed correlations greater than 0.7. Effect sizes for correlations were expressed as Cohen’s d, interpreted as follows: ≥0.2 to <0.44 (small), ≥0.45 to <0.8 (medium), and ≥0.8 (large) (Lakens, 2013). Bootstrapping was performed to compute 95% confidence intervals. Data processing and analysis of outcomes were conducted in the R statistical package (R Core Team, 2022). Analyses of acute positive and negative experiences were conducted using IBM SPSS Statistics version 29.
Results
Sample characteristics
Ninety six survey respondents were included in the present analysis (mean age = 40.1, standard deviation (SD) = 13.2). The study cohort was predominantly male (~50%), with 79.2% identifying as white and 77.1% as non-Hispanic. More than half of the participants (56.2%) had completed an associate’s degree or higher, while 54.2% were employed full-time. Regarding income, 34.4% reported earning between $50,000 and $100,000 annually. Regarding substance use, the majority of participants (70.8%) reported having used psilocybin, followed by LSD (26%), DMT (12.5%), and mescaline (1%). Additionally, 17.7% of participants reported using two or more different psychedelics during their typical experience, describing a notable subset of polydrug psychedelic users. These patterns suggest that psilocybin was the most commonly experienced psychedelic among respondents, aligning with broader trends in psychedelic research and accessibility. See Table 1 for additional information on demographics and sample characteristics. See Table 2 for descriptive characteristics.
Association of aesthetic experience with positive experiences
Spearman correlations and regression analysis were performed to determine the relationship between aesthetic experience and positive psychological outcomes. Significant positive correlations were found between aesthetic experience and several positive psychological outcomes (see Figure 1). Aesthetic experience was moderately correlated with emotional breakthroughs (EBI) (r(94) = 0.40, p < 0.001), psychological insight (PIS-6) (r(94) = 0.48, p < 0.001), positive behavior change (PIS-7) (r(94) = 0.55, p < 0.001), and mystical experiences (MEQ) (r(94) = 0.49, p < 0.001). See Table 3 for a correlation matrix.

Figure 1. Scatterplots between PAEQ single-item and PIS-6 average (A), behavioral change (B), MEQ Total (C), and EBI average (D) variables describing significant moderate positive correlations (r = 0.477***, r = 0.548***, r = 0.398***, r = 0.489***). Jitter was added to improve visual clarity and was not used to transform the data. Linear regression lines with 95% confidence intervals are overlaid in grey. Correlation coefficients of determination (R2) are reported; ***p < 0.001.
In the regression analysis, while controlling for age and gender, aesthetic experience was a strong positive predictor of emotional breakthroughs (F(3,92) = 10.20, p < 0.001)(β = 0.424), explaining 23% of the variance (Adjusted R2 = 0.225). Similarly, for mystical experiences, the regression model was significant (F(3,92) = 14.30, p < 0.001), with aesthetic experience as a strong positive predictor (β = 0.54, p < 0.001), explaining 30% of the variance in MEQ (Adjusted R2: 0.296). Importantly, for psychological insight and related behavioral change, the regression model was significant (F(3,92) = 11.40, p < 0.001; F(3,92) = 18.80, p < 0.001), with aesthetic experience again being a significant predictor (β = 0.51, p < 0.001; β = 0.61, p < 0.001) explaining 25 and 36% of the variance, respectively, (Adjusted R2: 0.247; Adjusted R2: 0.360). Age and gender were not significant predictors in any model.
Association of aesthetic experience with negative experiences
In contrast to the positive experiences and in accordance with our hypothesis, aesthetic experience was negatively correlated with negative outcomes. Notably, a statistically significant negative relationship was found between aesthetic experience and the experience of fear (CEQ Fear) (r(94) = −0.24, p < 0.05), and the experience of paranoia (CEQ Paranoia) (r(94) = −0.36, p < 0.001), suggesting that a more aesthetic experience was associated with fewer challenging experiences in these factors. However, CEQ Total itself was not significantly associated with aesthetic experience.
To further investigate this relationship, regression models were applied to assess the impact of aesthetic experience on negative outcomes, controlling for age and gender. For the CEQ Total, the regression model was significant (F(3,92) = 9.16, p < 0.001). Both aesthetic experience (β = −0.45, p < 0.001) and age (β = −0.32, p = 0.002) were significant negative predictors, indicating that older individuals and those with more aesthetic experiences tend to report less fear; a finding consistent with previous research on older adults (Studerus et al., 2012; Kopra et al., 2022; Ko et al., 2023).
Association of aesthetic experience with outcomes
Building upon the relationship to acute experiences, we evaluated several outcomes directly. Spearman correlations revealed that anxiety (r(94) = 0.35, p < 0.001), depression (r(94) = 0.40, p < 0.001), sleep quality (r(94) = 0.39, p < 0.001), alcohol use (r(94) = 0.21, p < 0.05) and quality of life (r(94) = 0.41, p < 0.001) exhibited significant positive correlations with aesthetic experience. In contrast, pain (r(94) = 0.15, p = 0.14) and opioid use (r(94) = 0.16, p = 0.14) did not demonstrate significant correlations.
To assess whether aesthetic experience significantly predicted psychological outcomes, we conducted linear regression analyses for each outcome variable, controlling for age and gender. Aesthetic experience was a significant predictor of several psychological outcomes. Specifically, higher aesthetic experience scores remained associated with greater anxiety (β = 0.24, p < 0.001), depression (β = 0.27, p < 0.001), alcohol use (β = 0.13, p < 0.05), improved sleep quality (β = 0.15, p < 0.01) and overall quality of life (β = 0.26, p < 0.001).
Finally, MEQ Total score was included as a covariate to control for its potential qualitative overlap with aesthetic experience. After controlling for mystical experience, the effect of aesthetic experience remained significant for quality of life (β = 0.14, p < 0.05), depression (β = 0.19, p < 0.01), and anxiety (β = 0.16, p < 0.05), while sleep quality (β = 0.11, p = 0.07) and alcohol use (β = 0.10, p = 0.09) approached significance. In these cases, the effect of PAEQ-S was comparable to MEQ’s effect on outcomes, particularly for depression and anxiety (see Figure 2).

Figure 2. Standardized beta coefficients (β*) representing the predictive effects of aesthetic experience (PAEQ-S) and mystical experience (MEQ) on behavioral and psychological outcomes. Linear models were estimated for each outcome, with both PAEQ-S and MEQ included as predictors. Beta coefficients are standardized, allowing for direct comparison of effect sizes across predictors. A dashed line at zero represents no effect. Positive values reflect greater levels of the outcome associated with higher aesthetic or mystical experience scores, after adjusting for the other predictor. The results demonstrate that aesthetic experience has a significant positive effect on quality of life, depression, and anxiety, while effects on sleep quality, pain, and substance use were not significant. *p < 0.05, **p < 0.01.
Discussion
The present study adds to our understanding of how psychedelic experiences may contribute to positive psychological outcomes. While previous research has emphasized the significance of mystical and emotional breakthroughs (Barrett et al., 2015; Griffiths et al., 2018; Roseman et al., 2019), less attention has been given to the role of aesthetic components. Our findings suggest that psychedelic induced aesthetic enhancements are more than mere perceptual oddities, they appear to promote emotional engagement and cognitive shifts that may lead to enduring psychological benefits.
The correlation between aesthetic experience and psychological insight suggests that aesthetics may play a meaningful role in the therapeutic effects of psychedelics. The significant associations among mystical experiences, emotional breakthroughs, and aesthetic experiences further support the idea that, while these constructs are distinct, they contribute to overlapping psychological processes that are relevant for therapeutic outcomes. Notably, aesthetic experience was significantly correlated with improvements in psychological well-being. We found positive associations with improved quality of life, anxiety, and depression, even when controlling for potential confounders. These findings suggest that aesthetic engagement during psychedelic experiences may facilitate emotional and cognitive shifts, directly or indirectly impacting well-being. Future research utilizing pathway analysis or structural equation modeling (SEM) could help determine these relationships, clarifying the mechanisms through which aesthetic experience contributes to psychological effects and refining predictive models for therapeutic efficacy.
Another important finding is the relationship between challenging experiences, as measured by the CEQ, and aesthetic quality. Challenging experiences, such as fear and paranoia, are negatively correlated with positive psychological outcomes (Barrett et al., 2016). Likewise, we found that aesthetic experiences are inversely related to challenging experiences, indicating that when participants reported lower aesthetic quality, they were more likely to also encounter difficult emotional states. This relationship is particularly relevant for psychedelic-assisted therapy (PAT), as it suggests that enhancing the aesthetic environment could mitigate the intensity of challenging emotions, potentially leading to better therapeutic outcomes. Better understanding this dynamic could help optimize therapeutic protocols to create settings that promote positive emotional engagement while reducing the likelihood of adverse events.
Aesthetic experience is an emergent phenomenon arising from the integration of sensory-motor, emotion-valuation, and meaning-knowledge neural systems (Chatterjee and Vartanian, 2014), and it is studied empirically within the field of neuroaesthetics (Pearce et al., 2016). This framework suggests that aesthetic experience extends beyond passive sensory evaluation, engaging deeper affective and semantic processes. Notably, there is substantial evidence indicating that the reflective component of aesthetic experience is linked to the dynamics of DMN activity (Vessel et al., 2012, 2013, 2019; Belfi et al., 2019). A compelling parallel exists in the psychedelic literature, where DMN activity is consistently implicated, particularly in relation to the phenomenon of ‘ego death,’ which involves a dissolution of self-boundaries and heightened integration across neural systems (Carhart-Harris and Friston, 2010; Nour et al., 2016; Stoliker et al., 2022). This parallel, along with our data, presents a promising vein of research for future investigation utilizing advanced neuroimaging techniques.
Our findings, though cross-sectional, offer additional perspective on the mechanisms through which psychedelics exert their therapeutic effects. Future research could investigate whether manipulating the aesthetic environment during psychedelic sessions—such as through visual art, music, or immersive settings—might enhance the therapeutic process. Furthermore, longitudinal studies would be valuable in determining whether the lasting psychological benefits attributed to aesthetic experiences are maintained over time and whether specific aesthetic qualities are more effective than others in aiding psychological growth. Relatedly, (Aday et al., 2024) found that participants in a naturalistic ayahuasca study exhibited increased levels of aesthetic appreciation at both the 1-week and 1-month follow-ups.
Limitations
This study has several limitations. First, its cross-sectional design prevents causal inference between psychedelic-induced aesthetic experiences and psychological outcomes. While significant associations were observed, it remains unclear whether enhanced aesthetics improve psychological well-being or if individuals with greater psychological openness report heightened aesthetic experiences. Longitudinal studies are needed to determine directionality.
Second, reliance on self-reported data introduces biases, including recall bias, social desirability, and expectancy effects. Participants may have exaggerated or minimized aspects of their experiences, influenced by cultural or personal expectations. Future research should integrate objective measures, such as psychophysiological responses or real-time experience sampling, to complement self-report data.
Third, the sample size (n = 96) was relatively small and recruited via social media and snowball sampling, introducing selection bias. Participants may have been more positively inclined toward psychedelics or had particularly salient aesthetic experiences. Additionally, the demographic composition limits generalizability. Future studies should recruit larger, more diverse samples to assess whether these effects extend across populations.
Fourth, the single-item measure of aesthetic experience (PAEQ-S), while practical, lacks granularity. The full 21-item PAEQ was excluded due to lack of prior validation, leading to a broad but potentially oversimplified assessment. This is particularly relevant for negative aesthetic experiences, which may differ qualitatively from positive ones. Additionally, single-item measures introduce ambiguity, as a “strongly disagree” response could reflect either a neutral or aversive experience. A forthcoming study will refine and validate the full PAEQ with a larger dataset.
Finally, while our analyses controlled for key demographic factors, unmeasured confounders remain. Variables such as set and setting, prior psychedelic use, dose, and pre-existing mental health conditions were not explicitly accounted for but may have influenced outcomes. Future research should systematically address these factors. Despite these limitations, this study offers a novel exploration of psychedelic-induced aesthetic experiences and their psychological implications. Addressing these methodological challenges will help clarify underlying mechanisms and therapeutic potential.
Conclusion
This study demonstrates that the aesthetic quality of psychedelic experiences may be a crucial factor in predicting positive psychological outcomes, corroborating claims that subjective experience is necessary for psychedelic-induced therapeutic effects. By enhancing perceptual and emotional sensitivity, psychedelics create an aesthetic experience that may contribute to psychological insight and emotional breakthroughs, offering a novel mechanism for understanding their therapeutic potential. Understanding how these experiences operate provides a more comprehensive framework for the use of psychedelics in therapeutic settings, potentially informing clinical protocols that integrate aesthetic elements to maximize psychological benefit.
Data availability statement
The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.
Ethics statement
The study involving humans was approved by Colorado Multiple Institutional Review Board. The study was conducted in accordance with the local legislation and institutional requirements. The participants provided their written informed consent to participate in this study.
Author contributions
JH: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Software, Validation, Visualization, Writing – original draft, Writing – review & editing. EG: Data curation, Formal analysis, Investigation, Methodology, Software, Writing – original draft, Writing – review & editing. KH: Funding acquisition, Investigation, Project administration, Resources, Writing – original draft, Writing – review & editing. RM: Conceptualization, Formal analysis, Investigation, Methodology, Project administration, Supervision, Writing – original draft, Writing – review & editing.
Funding
The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by Dr. Kent Hutchison’s internal funding at the University of Colorado Anschutz Medical Campus, Department of Psychiatry. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Generative AI statement
The authors declare that Gen AI was used in the creation of this manuscript. To assist in outlining and refining some sections of the manuscript. However, all aspects of the paper were ultimately shaped and finalized through the authors' original writing. Additionally, AI helped with the initial organization and processing of data, but all final analyses and coding were conducted by the authors in RStudio or SPSS to ensure accurate data handling and results.
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Supplementary material
The Supplementary material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1533055/full#supplementary-material
References
Aday, J. S., Bloesch, E. K., Davis, A. K., Domoff, S. E., Scherr, K., Woolley, J. D., et al. (2024). Increases in aesthetic experience following ayahuasca use: a prospective, naturalistic study. J. Humanist. Psychol. doi: 10.1177/00221678241230609
Aday, J. S., Mitzkovitz, C. M., Bloesch, E. K., Davoli, C. C., and Davis, A. K. (2020). Long-term effects of psychedelic drugs: a systematic review. Neurosci. Biobehav. Rev. 113, 179–189. doi: 10.1016/J.NEUBIOREV.2020.03.017
Agin-Liebes, G. I., Malone, T., Yalch, M. M., Mennenga, S. E., Ponté, K. L., Guss, J., et al. (2020). Long-term follow-up of psilocybin-assisted psychotherapy for psychiatric and existential distress in patients with life-threatening cancer. J. Psychopharmacol. 34, 155–166. doi: 10.1177/0269881119897615
Barrett, F. S., Bradstreet, M. P., Leoutsakos, J. M. S., Johnson, M. W., and Griffiths, R. R. (2016). The challenging experience questionnaire: characterization of challenging experiences with psilocybin mushrooms. J. Psychopharmacol. 30, 1279–1295. doi: 10.1177/0269881116678781
Barrett, F. S., Doss, M. K., Sepeda, N. D., Pekar, J. J., and Griffiths, R. R. (2020). Emotions and brain function are altered up to one month after a single high dose of psilocybin. Sci. Rep. 10:2214. doi: 10.1038/s41598-020-59282-y
Barrett, F. S., Johnson, M. W., and Griffiths, R. R. (2015). Validation of the revised mystical experience questionnaire in experimental sessions with psilocybin. J. Psychopharmacol. 29, 1182–1190. doi: 10.1177/0269881115609019
Belfi, A. M., Vessel, E. A., Brielmann, A., Isik, A. I., Chatterjee, A., Leder, H., et al. (2019). Dynamics of aesthetic experience are reflected in the default-mode network. NeuroImage 188, 584–597. doi: 10.1016/j.neuroimage.2018.12.017
Bogenschutz, M. P., Ross, S., Bhatt, S., Baron, T., Forcehimes, A. A., Laska, E., et al. (2022). Percentage of heavy drinking days following psilocybin-assisted psychotherapy vs placebo in the treatment of adult patients with alcohol use disorder: a randomized clinical trial. JAMA Psychiatry 79, 953–962. doi: 10.1001/jamapsychiatry.2022.2096
Carhart-Harris, R. L., Erritzoe, D., Williams, T., Stone, J. M., Reed, L. J., Colasanti, A., et al. (2012). Neural correlates of the psychedelic state as determined by fMRI studies with psilocybin. Proc. Natl. Acad. Sci. USA 109, 2138–2143. doi: 10.1073/PNAS.1119598109
Carhart-Harris, R. L., and Friston, K. J. (2010). The default-mode, ego-functions and free-energy: a neurobiological account of Freudian ideas. Brain 133, 1265–1283. doi: 10.1093/BRAIN/AWQ010
Carhart-Harris, R. L., Roseman, L., Haijen, E., Erritzoe, D., Watts, R., Branchi, I., et al. (2018). Psychedelics and the essential importance of context. J. Psychopharmacol. 32, 725–731. doi: 10.1177/0269881118754710
Chatterjee, A., and Vartanian, O. (2014). Neuroaesthetics. Trends Cogn. Sci. 18, 370–375. doi: 10.1016/j.tics.2014.03.003
Davis, A. K., Barrett, F. S., and Griffiths, R. R. (2020). Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. J. Contextual Behav. Sci. 15, 39–45. doi: 10.1016/j.jcbs.2019.11.004
Davis, A. K., Barrett, F. S., May, D. G., Cosimano, M. P., Sepeda, N. D., Johnson, M. W., et al. (2021). Effects of psilocybin-assisted therapy on major depressive disorder: a randomized clinical trial. JAMA Psychiatry 78, 481–489. doi: 10.1001/jamapsychiatry.2020.3285
Davis, A. K., Xin, Y., Sepeda, N., and Averill, L. A. (2023). Open-label study of consecutive ibogaine and 5-MeO-DMT assisted-therapy for trauma-exposed male special operations forces veterans: prospective data from a clinical program in Mexico. Am. J. Drug Alcohol Abuse 49, 587–596. doi: 10.1080/00952990.2023.2220874
Eisner, B. (1997). Set, setting, and matrix. J. Psychoactive Drugs 29, 213–216. doi: 10.1080/02791072.1997.10400190
Garcia-Romeu, A., Davis, A. K., Erowid, F., Erowid, E., Griffiths, R. R., and Johnson, M. W. (2019). Cessation and reduction in alcohol consumption and misuse after psychedelic use. J. Psychopharmacol. 33, 1088–1101. doi: 10.1177/0269881119845793
Griffiths, R. R., Johnson, M. W., Carducci, M. A., Umbricht, A., Richards, W. A., Richards, B. D., et al. (2016). Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: a randomized double-blind trial. J. Psychopharmacol. 30, 1181–1197. doi: 10.1177/0269881116675513
Griffiths, R. R., Johnson, M. W., Richards, W. A., Richards, B. D., Jesse, R., MacLean, K. A., et al. (2018). Psilocybin-occasioned mystical-type experience in combination with meditation and other spiritual practices produces enduring positive changes in psychological functioning and in trait measures of prosocial attitudes and behaviors. J. Psychopharmacol. 32, 49–69. doi: 10.1177/0269881117731279
Griffiths, R. R., Richards, W. A., McCann, U., and Jesse, R. (2006). Psilocybin can occasion mystical-type experiences having substantial and sustained personal meaning and spiritual significance. Psychopharmacology 187, 268–283. doi: 10.1007/s00213-006-0457-5
Hartogsohn, I. (2016). Set and setting, psychedelics and the placebo response: an extra-pharmacological perspective on psychopharmacology. J. Psychopharmacol. 30, 1259–1267. doi: 10.1177/0269881116677852
Kaelen, M., Barrett, F. S., Roseman, L., Lorenz, R., Family, N., Bolstridge, M., et al. (2015). LSD enhances the emotional response to music. Psychopharmacology 232, 3607–3614. doi: 10.1007/s00213-015-4014-y
Kettner, H., Rosas, F. E., Timmermann, C., Kärtner, L., Carhart-Harris, R. L., and Roseman, L. (2021). Psychedelic Communitas: intersubjective experience during psychedelic group sessions predicts enduring changes in psychological wellbeing and social connectedness. Front. Pharmacol. 12:623985. doi: 10.3389/fphar.2021.623985
Ko, K., Carter, B., Cleare, A. J., and Rucker, J. J. (2023). Predicting the intensity of psychedelic-induced mystical and challenging experience in a healthy population: an exploratory post-hoc analysis. Neuropsychiatr. Dis. Treat. 19, 2105–2113. doi: 10.2147/NDT.S426193
Kopra, E. I., Ferris, J. A., Winstock, A. R., Young, A. H., and Rucker, J. J. (2022). Adverse experiences resulting in emergency medical treatment seeking following the use of magic mushrooms. J. Psychopharmacol. 36, 965–973. doi: 10.1177/02698811221084063
Krippner, S. (2017). Ecstatic landscapes: the manifestation of psychedelic art. J. Humanist. Psychol. 57, 415–435. doi: 10.1177/0022167816671579
Lakens, D. (2013). Calculating and reporting effect sizes to facilitate cumulative science: A practical primer for t-tests and ANOVAs. Front. Psychol 4:863. doi: 10.3389/fpsyg.2013.00863
MacLean, K. A., Johnson, M. W., and Griffiths, R. R. (2011). Mystical experiences occasioned by the hallucinogen psilocybin lead to increases in the personality domain of openness. J. Psychopharmacol. 25, 1453–1461. doi: 10.1177/0269881111420188
MacLean, K. A., Leoutsakos, J. S., Johnson, M. W., and Griffiths, R. R. (2012). Factor analysis of the mystical experience questionnaire: a study of experiences occasioned by the hallucinogen psilocybin. J. Sci. Study Relig. 51, 721–737. doi: 10.1111/j.1468-5906.2012.01685.x
Majić, T., Schmidt, T. T., and Gallinat, J. (2015). Peak experiences and the afterglow phenomenon: when and how do therapeutic effects of hallucinogens depend on psychedelic experiences? J. Psychopharmacol. 29, 241–253. doi: 10.1177/0269881114568040
Mastandrea, S., Fagioli, S., and Biasi, V. (2019). Art and psychological well-being: linking the brain to the aesthetic emotion. Front. Psychol. 10:739. doi: 10.3389/fpsyg.2019.00739
Nour, M. M., Evans, L., Nutt, D., and Carhart-Harris, R. L. (2016). Ego-dissolution and psychedelics: validation of the ego-dissolution inventory (EDI). Front. Hum. Neurosci. 10:269. doi: 10.3389/fnhum.2016.00269
Pasquini, L., Palhano-Fontes, F., and Araujo, D. B. (2020). Subacute effects of the psychedelic ayahuasca on the salience and default mode networks. J. Psychopharmacol. 34, 623–635. doi: 10.1177/0269881120909409
Pearce, M. T., Zaidel, D. W., Vartanian, O., Skov, M., Leder, H., Chatterjee, A., et al. (2016). Neuroaesthetics: the cognitive neuroscience of aesthetic experience. Perspect. Psychol. Sci. 11, 265–279. doi: 10.1177/1745691615621274
Peill, J. M., Trinci, K. E., Kettner, H., Mertens, L. J., Roseman, L., Timmermann, C., et al. (2022). Validation of the psychological insight scale: a new scale to assess psychological insight following a psychedelic experience. J. Psychopharmacol. 36, 31–45. doi: 10.1177/02698811211066709
Preller, K. H., Herdener, M., Pokorny, T., Planzer, A., Kraehenmann, R., Stämpfli, P., et al. (2017). The fabric of meaning and subjective effects in LSD-induced states depend on serotonin 2A receptor activation. Curr. Biol. 27, 451–457. doi: 10.1016/j.cub.2016.12.030
R Core Team (2022). R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Available at: https://www.R-project.org/
Roseman, L., Haijen, E., Idialu-Ikato, K., Kaelen, M., Watts, R., and Carhart-Harris, R. (2019). Emotional breakthrough and psychedelics: Validation of the Emotional Breakthrough Inventory. J. Psychopharmacol. 33, 1076–1087. doi: 10.1177/0269881119855974
Stenbæk, D. S., Madsen, M. K., Ozenne, B., Kristiansen, S., Burmester, D., Erritzoe, D., et al. (2021). Brain serotonin 2A receptor binding predicts subjective temporal and mystical effects of psilocybin in healthy humans. J. Psychopharmacol. 35, 459–468. doi: 10.1177/0269881120959609
Stoliker, D., Egan, G. F., Friston, K. J., and Razi, A. (2022). Neural mechanisms and psychology of psychedelic Ego dissolution. Pharmacol. Rev. 74, 876–917. doi: 10.1124/pharmrev.121.000508
Studerus, E., Gamma, A., Kometer, M., and Vollenweider, F. X. (2012). Prediction of psilocybin response in healthy volunteers. PLoS One 7:e30800. doi: 10.1371/journal.pone.0030800
Timmermann, C., Kettner, H., Letheby, C., Roseman, L., Rosas, F. E., and Carhart-Harris, R. L. (2021). Psychedelics alter metaphysical beliefs. Sci. Rep. 11:22166. doi: 10.1038/s41598-021-01209-2
Vessel, E. A., Gabrielle Starr, G., and Rubin, N. (2012). The brain on art: intense aesthetic experience activates the default mode network. Front. Hum. Neurosci. 6:66. doi: 10.3389/fnhum.2012.00066
Vessel, E. A., Isik, A. I., Belfi, A. M., Stahl, J. L., and Gabrielle Starr, G. (2019). The default-mode network represents aesthetic appeal that generalizes across visual domains. Proc. Natl. Acad. Sci. USA 116, 19155–19164. doi: 10.1073/PNAS.1902650116
Vessel, E. A., Starr, G. G., and Rubin, N. (2013). Art reaches within: aesthetic experience, the self and the default mode network. Front. Neurosci. 7:258. doi: 10.3389/FNINS.2013.00258
Wanzer, D., Linnell, F., Kelsey, P., Zarian, S., and Cortez, N. (2020). Experiencing flow while viewing art: development of the aesthetic experience questionnaire. Psychol. Aesthet. Creat. Arts 14, 113–124. doi: 10.1037/aca0000203
Keywords: aesthetic, psychedelic, insight, perception, emotion
Citation: Hooper JF, Gyongyosi EL, Hutchison KE and Mueller RL (2025) Aesthetic quality of psychedelic experience is linked to insight and psychological outcomes. Front. Psychol. 16:1533055. doi: 10.3389/fpsyg.2025.1533055
Edited by:
Malkanthi Evans, KGK Science Inc., CanadaReviewed by:
Julie A. Brefczynski-Lewis, West Virginia University, United StatesDominik Mischkowski, University of Illinois at Urbana-Champaign, United States
Copyright © 2025 Hooper, Gyongyosi, Hutchison and Mueller. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Jake F. Hooper, amFrZS5ob29wZXJAY3VhbnNjaHV0ei5lZHU=