Comparison of ketamine-induced thought disorder in healthy volunteers and thought disorder in schizophrenia

被引:223
作者
Adler, CM [1 ]
Malhotra, AK [1 ]
Elman, I [1 ]
Goldberg, T [1 ]
Egan, M [1 ]
Pickar, D [1 ]
Breier, A [1 ]
机构
[1] NIMH, Expt Therapeut Branch, Bethesda, MD USA
关键词
D O I
10.1176/ajp.156.10.1646
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: This study sought to determine whether thought disorder induced in healthy volunteers by the N-methyl-D-aspartic acid (NMDA) receptor antagonist ketamine resembles the thought disorder found in patients with schizophrenia. Method: The Scale for the Assessment of Thought, Language, and Communication was used to assess thought disorder in healthy volunteers (N=10) who received subanesthetic doses of ketamine and in a group of clinically stable inpatients with schizophrenia (N=15) who did not receive ketamine. Results: Mean scores on the Scale for the Assessment of Thought, Language, and Communication for patients with schizophrenia and healthy volunteers receiving ketamine did not differ significantly. Moreover, three of the four highest rated test items in both groups were the same. Conclusions: These data suggest that ketamine-induced thought disorder in healthy volunteers is not dissimilar to the thought disorder in patients with schizophrenia and provide support for the involvement of the NMDA receptor in a cardinal symptom of schizophrenia.
引用
收藏
页码:1646 / 1649
页数:4
相关论文
共 28 条
[1]   Effects of ketamine on thought disorder, working memory, and semantic memory in healthy volunteers [J].
Adler, CM ;
Goldberg, TE ;
Malhotra, AK ;
Pickar, D ;
Breier, A .
BIOLOGICAL PSYCHIATRY, 1998, 43 (11) :811-816
[2]   SCALE FOR THE ASSESSMENT OF THOUGHT, LANGUAGE, AND COMMUNICATION (TLC) [J].
ANDREASEN, NC .
SCHIZOPHRENIA BULLETIN, 1986, 12 (03) :473-482
[3]   BEHAVIORAL-EFFECTS OF PHENCYCLIDINE AND KETAMINE ALONE AND IN COMBINATION WITH OTHER DRUGS [J].
BYRD, LD ;
STANDISH, LJ ;
HOWELL, LL .
EUROPEAN JOURNAL OF PHARMACOLOGY, 1987, 144 (03) :331-341
[4]   INHIBITION OF MAMMALIAN BRAIN ACETYLCHOLINESTERASE BY KETAMINE [J].
COHEN, ML ;
CHAN, SL ;
BHARGAVA, HN ;
TREVOR, AJ .
BIOCHEMICAL PHARMACOLOGY, 1974, 23 (11) :1647-1652
[5]   LSD - THE VARIETIES OF PSYCHOTIC EXPERIENCE [J].
COHEN, S .
JOURNAL OF PSYCHOACTIVE DRUGS, 1985, 17 (04) :291-296
[6]   DOES FORMAL THOUGHT-DISORDER DIFFER AMONG PATIENTS WITH SCHIZOPHRENIC, SCHIZOPHRENIFORM AND MANIC SCHIZOAFFECTIVE DISORDERS [J].
CUESTA, MJ ;
PERALTA, V .
SCHIZOPHRENIA RESEARCH, 1993, 10 (02) :151-158
[7]  
Harvey PD, 1997, AM J PSYCHIAT, V154, P205
[8]   THE CONSISTENCY OF THOUGHT-DISORDER IN MANIA AND SCHIZOPHRENIA - AN ASSESSMENT OF ACUTE PSYCHOTICS [J].
HARVEY, PD ;
EARLEBOYER, EA ;
WIELGUS, MS .
JOURNAL OF NERVOUS AND MENTAL DISEASE, 1984, 172 (08) :458-463
[9]   Empirical evaluation of the factorial structure of clinical symptoms in schizophrenia: Effects of typical neuroleptics on the brief psychiatric rating scale [J].
Harvey, PD ;
Davidson, M ;
White, L ;
Keefe, RSE ;
Hirschowitz, J ;
Mohs, RC ;
Davis, KL .
BIOLOGICAL PSYCHIATRY, 1996, 40 (08) :755-760
[10]   EMPIRICAL-ASSESSMENT OF THE FACTORIAL STRUCTURE OF CLINICAL SYMPTOMS IN SCHIZOPHRENIC-PATIENTS - FORMAL THOUGHT-DISORDER [J].
HARVEY, PD ;
LENZENWEGER, MF ;
KEEFE, RSE ;
POGGE, DL ;
SERPER, MR ;
MOHS, RC .
PSYCHIATRY RESEARCH, 1992, 44 (02) :141-151