1 Department of Psychiatry, University of Oxford, Oxford, UK.
2 Oxford Health, NHS Foundation Trust, Oxford, UK.
J Psychopharmacol. 2018 Jan;32(1):70-80. doi: 10.1177/0269881117731472. Epub 2017 Sep 26.
One limiting factor in the development of pharmacological interventions to enhance cognition is the absence of biomarkers that can be used in healthy volunteers to screen novel compounds. Drug discovery has tended to rely heavily on explicit measures of cognition, but these are typically insensitive to cognition-enhancing effects in healthy volunteers. This study investigated whether a novel battery of implicit cognition measures is sensitive to the effects of methylphenidate (Ritalin) in healthy volunteers.
Eighty healthy volunteers were randomised to receive either a single (10 mg) dose of methylphenidate or matched placebo. Participants completed a battery of tasks measuring implicit cognition (location priming, contextual cueing, implicit task switching). The effect of methylphenidate on standard, explicit measures of cognition was also assessed.
Methylphenidate enhanced implicit learning on the location priming task and the implicit task-switching task. In line with previous work, we found that these effects were greater in male volunteers. There was no evidence for improved learning in any of the explicit measures.
These results demonstrate that implicit measures of cognition are sensitive to pharmacological interventions in healthy volunteers. As such, implicit cognition measures may be a useful way of screening and tracking cognitive effects of novel agents in experimental medicine studies.
在开发增强认知的药理学干预措施时,一个限制因素是缺乏可用于健康志愿者筛选新化合物的生物标志物。药物发现往往严重依赖于对认知的明确衡量,但这些通常对健康志愿者的认知增强效果不敏感。本研究调查了一套新的内隐认知测量方法是否能敏感地反映哌甲酯(利他林)对健康志愿者的影响。
80 名健康志愿者被随机分配接受单剂量(10 毫克)哌甲酯或匹配的安慰剂。参与者完成了一系列内隐认知任务(位置启动、语境线索、内隐任务转换)。还评估了哌甲酯对标准、外显认知测量的影响。
哌甲酯增强了位置启动任务和内隐任务转换任务中的内隐学习。与之前的工作一致,我们发现这些效果在男性志愿者中更大。在任何外显测量中都没有证据表明学习得到改善。
这些结果表明,内隐认知测量对内隐认知的药理学干预措施敏感。因此,内隐认知测量可能是实验医学研究中筛选和跟踪新型药物对认知影响的一种有用方法。