Dissociative states—disruptions in awareness and perception—occur across many psychiatric conditions and can be modeled in the lab. A meta-analysis of 123 studies (6,692 individuals) measured state dissociation using a standardized scale. At baseline, the largest effects were in dissociative and complex subtypes of posttraumatic stress disorder. In controlled experiments, mirror gazing and several drugs, particularly ketamine and cannabis, induced dissociation as high as or higher than that seen in PTSD. Results were highly variable across studies but not explained by methodological differences. These findings validate experimental methods for inducing dissociation and inform monitoring of adverse events in drug-based interventions.
Dissociative states—disruptions in awareness and perception—occur across many psychiatric disorders and can be experimentally induced. This meta-analysis of 123 studies (6,692 individuals) measured state dissociation using a standard scale. At baseline, the largest effects were in dissociative and complex subtypes of post-traumatic stress disorder (PTSD-DC). In controlled experiments, mirror-gazing and several drugs (especially ketamine and cannabis) produced dissociation levels as high as or higher than baseline PTSD-DC. Effect sizes varied widely but were not consistently linked to study methods. The findings confirm that dissociation can be reliably modeled in the lab, with implications for measuring side effects and predicting outcomes in drug-based treatments.