Bălăeţ Maria
Department of Brain Sciences, Imperial College London, London, United Kingdom.
Front Neurosci. 2022 Mar 15;16:832375. doi: 10.3389/fnins.2022.832375. eCollection 2022.
Psychedelic compounds hold the promise of changing the face of neuroscience and psychiatry as we know it. There have been numerous proposals to use them to treat a range of neuropsychiatric conditions such as depression, anxiety, addiction and PTSD; and trials to date have delivered positive results in favor of the novel therapeutics. Further to the medical use, the wider healthy population is gaining interest in these compounds. We see a surge in personal use of psychedelic drugs for reasons not limited to spiritual enhancement, improved productivity, aiding the management of non-pathological anxiety and depression, and recreational interests. Notably, microdosing-the practice of taking subacute doses of psychedelic compounds-is on the rise. Our knowledge about the effects of psychedelic compounds, however, especially in naturalistic settings, is still fairly limited. In particular, one of the largest gaps concerns the acute effects on cognition caused by psychedelics. Studies carried out to date are riddled with limitations such as having disparate paradigms, small sample sizes, and insufficient breadth of testing on both unhealthy healthy volunteers. Moreover, the studies are majoritarily limited to laboratory settings and do not assess the effects at multiple dosages within the same paradigm nor at various points throughout the psychedelic experience. This review aims to summarize the studies to date in relation to how psychedelics acutely affect different domains of cognition. In the pursuit of illuminating the current limitations and offering long-term, forward-thinking solutions, this review compares and contrasts findings related to how psychedelics impact memory, attention, reasoning, social cognition, and creativity.
迷幻化合物有望改变我们所知的神经科学和精神病学的面貌。已经有许多提议将它们用于治疗一系列神经精神疾病,如抑郁症、焦虑症、成瘾和创伤后应激障碍;迄今为止的试验已经取得了有利于这些新型疗法的积极成果。除了医学用途,更广泛的健康人群也对这些化合物产生了兴趣。我们看到迷幻药物的个人使用激增,原因不仅限于精神提升、提高生产力、帮助管理非病理性焦虑和抑郁以及娱乐兴趣。值得注意的是,微剂量服用——服用亚急性剂量迷幻化合物的做法——正在兴起。然而,我们对迷幻化合物作用的了解,尤其是在自然环境中的了解,仍然相当有限。特别是,最大的差距之一涉及迷幻药对认知的急性影响。迄今为止进行的研究存在诸多局限性,例如范式不同、样本量小以及对不健康和健康志愿者的测试广度不足。此外,这些研究主要限于实验室环境,没有在同一范式内评估多种剂量的影响,也没有在迷幻体验的不同时间点进行评估。本综述旨在总结迄今为止关于迷幻药如何急性影响不同认知领域的研究。为了阐明当前的局限性并提供长期的、具有前瞻性的解决方案,本综述比较和对比了与迷幻药如何影响记忆、注意力、推理、社会认知和创造力相关的研究结果。