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亚精神病剂量氯胺酮对能动性识别及源记忆的影响:对精神分裂症核心症状药理学模型的启示

The effects of a subpsychotic dose of ketamine on recognition and source memory for agency: implications for pharmacological modelling of core symptoms of schizophrenia.

作者信息

Honey Garry D, O'loughlin Chris, Turner Danielle C, Pomarol-Clotet Edith, Corlett Philip R, Fletcher Paul C

机构信息

Department of Psychiatry, University of Cambridge, UK.

出版信息

Neuropsychopharmacology. 2006 Feb;31(2):413-23. doi: 10.1038/sj.npp.1300846.

Abstract

Ketamine is increasingly used to model the cognitive deficits and symptoms of schizophrenia. We investigated the extent to which ketamine administration in healthy volunteers reproduces the deficits in episodic recognition memory and agency source monitoring reported in schizophrenia. Intravenous infusions of placebo or 100 ng/ml ketamine were administered to 12 healthy volunteers in a double-blind, placebo-controlled, randomized, within-subjects study. In response to presented words, the subject or experimenter performed a deep or shallow encoding task, providing a 2(drug) x 2(depth of processing) x 2(agency) factorial design. At test, subjects discriminated old/new words, and recalled the sources (task and agent). Data were analyzed using multinomial modelling to identify item recognition, source memory for agency and task, and guessing biases. Under ketamine, item recognition and cued recall of deeply encoded items were impaired, replicating previous findings. In contrast to schizophrenia, there was a reduced tendency to externalize agency source guessing biases under ketamine. While the recognition memory deficit observed with ketamine is consistent with previous work and with schizophrenia, the changes in source memory differ from those reported in schizophrenic patients. This difference may account for the pattern of psychopathology induced by ketamine.

摘要

氯胺酮越来越多地被用于模拟精神分裂症的认知缺陷和症状。我们研究了在健康志愿者中给予氯胺酮能在多大程度上重现精神分裂症中报告的情景识别记忆和 agency 源监测缺陷。在一项双盲、安慰剂对照、随机、受试者内研究中,对12名健康志愿者静脉输注安慰剂或100 ng/ml氯胺酮。针对呈现的单词,受试者或实验者执行深度或浅度编码任务,提供一个2(药物)×2(加工深度)×2(agency)析因设计。在测试时,受试者辨别旧/新单词,并回忆来源(任务和执行者)。使用多项式建模分析数据,以识别项目识别、agency 和任务的源记忆以及猜测偏差。在氯胺酮作用下,项目识别和深度编码项目的线索回忆受损,重复了先前的发现。与精神分裂症不同,在氯胺酮作用下,将 agency 源猜测偏差外化的倾向降低。虽然氯胺酮引起的识别记忆缺陷与先前的研究以及精神分裂症一致,但源记忆的变化与精神分裂症患者报告的不同。这种差异可能解释了氯胺酮诱导的精神病理学模式。 (注:这里“agency”在医学语境中可能有特定含义,但仅按要求翻译,具体含义需结合专业知识进一步理解。)

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