Acute effects of ketamine and esketamine on cognition in healthy subjects: A meta-analysis
Impairment in cognition is frequently associated with acute ketamine administration. However, some questions remain unanswered as to which deficits are most prominent and what variables modulate these effects. A literature search yielded 56 experimental studies of acute ketamine administration that...
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| Published in | Progress in neuro-psychopharmacology & biological psychiatry Vol. 118; p. 110575 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier Inc
30.08.2022
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0278-5846 1878-4216 1878-4216 |
| DOI | 10.1016/j.pnpbp.2022.110575 |
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| Abstract | Impairment in cognition is frequently associated with acute ketamine administration. However, some questions remain unanswered as to which deficits are most prominent and what variables modulate these effects.
A literature search yielded 56 experimental studies of acute ketamine administration that assessed cognition in 1041 healthy volunteers. A multivariate meta-analysis was performed, and effect sizes were estimated for eleven cognitive domains: attention, executive function, response inhibition, social cognition, speed of processing, verbal / language, verbal learning, verbal memory, visual learning & memory, visuospatial abilities, and working memory.
There were small-to-moderate impairments across all cognitive domains. Deficits in verbal learning / memory were most prominent, whereas response inhibition was the least affected. Meta-regression analysis revealed that the negative effects of ketamine on cognition are dependent on infusion dose and plasma level, but unaffected by enantiomer type, route of administration, sex or age. A publication bias was observed.
Acute ketamine broadly impairs cognition across all domains among healthy individuals. Verbal learning and memory figures most prominently in cognitive impairment elicited by acute ketamine administration.
•Acute ketamine affects multiple cognitive domains in healthy individuals.•The most prominent ketamine-induced deficits are in verbal learning and memory.•The negative effects of acute ketamine administration are dose-dependent. |
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| AbstractList | Impairment in cognition is frequently associated with acute ketamine administration. However, some questions remain unanswered as to which deficits are most prominent and what variables modulate these effects.BACKGROUNDImpairment in cognition is frequently associated with acute ketamine administration. However, some questions remain unanswered as to which deficits are most prominent and what variables modulate these effects.A literature search yielded 56 experimental studies of acute ketamine administration that assessed cognition in 1041 healthy volunteers. A multivariate meta-analysis was performed, and effect sizes were estimated for eleven cognitive domains: attention, executive function, response inhibition, social cognition, speed of processing, verbal / language, verbal learning, verbal memory, visual learning & memory, visuospatial abilities, and working memory.METHODSA literature search yielded 56 experimental studies of acute ketamine administration that assessed cognition in 1041 healthy volunteers. A multivariate meta-analysis was performed, and effect sizes were estimated for eleven cognitive domains: attention, executive function, response inhibition, social cognition, speed of processing, verbal / language, verbal learning, verbal memory, visual learning & memory, visuospatial abilities, and working memory.There were small-to-moderate impairments across all cognitive domains. Deficits in verbal learning / memory were most prominent, whereas response inhibition was the least affected. Meta-regression analysis revealed that the negative effects of ketamine on cognition are dependent on infusion dose and plasma level, but unaffected by enantiomer type, route of administration, sex or age. A publication bias was observed.RESULTSThere were small-to-moderate impairments across all cognitive domains. Deficits in verbal learning / memory were most prominent, whereas response inhibition was the least affected. Meta-regression analysis revealed that the negative effects of ketamine on cognition are dependent on infusion dose and plasma level, but unaffected by enantiomer type, route of administration, sex or age. A publication bias was observed.Acute ketamine broadly impairs cognition across all domains among healthy individuals. Verbal learning and memory figures most prominently in cognitive impairment elicited by acute ketamine administration.DISCUSSIONAcute ketamine broadly impairs cognition across all domains among healthy individuals. Verbal learning and memory figures most prominently in cognitive impairment elicited by acute ketamine administration. Impairment in cognition is frequently associated with acute ketamine administration. However, some questions remain unanswered as to which deficits are most prominent and what variables modulate these effects. A literature search yielded 56 experimental studies of acute ketamine administration that assessed cognition in 1041 healthy volunteers. A multivariate meta-analysis was performed, and effect sizes were estimated for eleven cognitive domains: attention, executive function, response inhibition, social cognition, speed of processing, verbal / language, verbal learning, verbal memory, visual learning & memory, visuospatial abilities, and working memory. There were small-to-moderate impairments across all cognitive domains. Deficits in verbal learning / memory were most prominent, whereas response inhibition was the least affected. Meta-regression analysis revealed that the negative effects of ketamine on cognition are dependent on infusion dose and plasma level, but unaffected by enantiomer type, route of administration, sex or age. A publication bias was observed. Acute ketamine broadly impairs cognition across all domains among healthy individuals. Verbal learning and memory figures most prominently in cognitive impairment elicited by acute ketamine administration. •Acute ketamine affects multiple cognitive domains in healthy individuals.•The most prominent ketamine-induced deficits are in verbal learning and memory.•The negative effects of acute ketamine administration are dose-dependent. Impairment in cognition is frequently associated with acute ketamine administration. However, some questions remain unanswered as to which deficits are most prominent and what variables modulate these effects. A literature search yielded 56 experimental studies of acute ketamine administration that assessed cognition in 1041 healthy volunteers. A multivariate meta-analysis was performed, and effect sizes were estimated for eleven cognitive domains: attention, executive function, response inhibition, social cognition, speed of processing, verbal / language, verbal learning, verbal memory, visual learning & memory, visuospatial abilities, and working memory. There were small-to-moderate impairments across all cognitive domains. Deficits in verbal learning / memory were most prominent, whereas response inhibition was the least affected. Meta-regression analysis revealed that the negative effects of ketamine on cognition are dependent on infusion dose and plasma level, but unaffected by enantiomer type, route of administration, sex or age. A publication bias was observed. Acute ketamine broadly impairs cognition across all domains among healthy individuals. Verbal learning and memory figures most prominently in cognitive impairment elicited by acute ketamine administration. |
| ArticleNumber | 110575 |
| Author | Zhornitsky, Simon Assaf, Roxane Tourjman, Valérie Li, Chiang-Shan R. Pelletier, Julie Potvin, Stéphane |
| Author_xml | – sequence: 1 givenname: Simon surname: Zhornitsky fullname: Zhornitsky, Simon organization: Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA – sequence: 2 givenname: Valérie surname: Tourjman fullname: Tourjman, Valérie organization: Department of Psychiatry, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada – sequence: 3 givenname: Julie surname: Pelletier fullname: Pelletier, Julie organization: Department of Psychiatry, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada – sequence: 4 givenname: Roxane surname: Assaf fullname: Assaf, Roxane organization: Department of Psychiatry, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada – sequence: 5 givenname: Chiang-Shan R. surname: Li fullname: Li, Chiang-Shan R. organization: Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA – sequence: 6 givenname: Stéphane surname: Potvin fullname: Potvin, Stéphane email: stephane.potvin@umontreal.ca organization: Department of Psychiatry, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35568275$$D View this record in MEDLINE/PubMed |
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| Title | Acute effects of ketamine and esketamine on cognition in healthy subjects: A meta-analysis |
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