Aesthetic Chills Mitigate Maladaptive Cognition In Depression

Aesthetic chills—shivers or goosebumps from music, film, or art—may help shift deep-seated negative self-beliefs in people with depression. In a study of 96 patients with major depressive disorder, those exposed to a validated set of chill-inducing multimedia showed positive changes in core schemas, as measured by the Young Schema Questionnaire, and reported emotional breakthroughs similar to altered states from psychedelic substances like psilocybin. The findings suggest that the biological processes behind aesthetic chills could be developed into a non-pharmacological intervention for depression, though more research is needed on the underlying neurophysiology and on safety and effectiveness.

Study at a glance

Abstract

Abstract Background Depression is a major global health challenge, affecting over 300 million people worldwide. Current pharmacological and psychotherapeutic interventions have limited efficacy, underscoring the need for novel approaches. Emerging evidence suggests that peak emotional experiences characterized by awe, transcendence, and meaning hold promise for rapidly shifting maladaptive cognitive patterns in depression. Aesthetic chills, a peak positive emotion characterized by physical sensations such as shivers and goosebumps, may influence reward-related neural pathways and hold promise for modifying core maladaptive beliefs rooted in early adverse experiences. Methods We enrolled 96 patients diagnosed with major depressive disorder. A validated database of multimedia known to elicit chills responses (ChillsDB) was used for stimulus presentation. Participants' emotional responses were assessed using the Emotional Breakthrough Inventory (EBI), while shifts in self-schema were measured via the Young Schema Questionnaire (YSQ). Results The study found that chill-inducing stimuli have the potential to positively influence the core schema of individuals with depression, impacting areas of self-related beliefs. The associated phenomenology triggered by chills appears to share similarities with the altered states of consciousness induced by psychedelic substances like psilocybin. Conclusions These preliminary results suggest that the biological processes involved in aesthetic chills could be harnessed as a non-pharmacological intervention for depression. However, further investigation is necessary to comprehensively understand the neurophysiological responses to chills and to evaluate the practicality, effectiveness, and safety of utilizing aesthetic chills as a preventive measure in mental health care.