Cm. Adler et al., EFFECTS OF KETAMINE ON THOUGHT-DISORDER, WORKING-MEMORY, AND SEMANTICMEMORY IN HEALTHY-VOLUNTEERS, Biological psychiatry, 43(11), 1998, pp. 811-816
Background: The N-methyl-D-aspartate receptor antagonist, ketamine, pr
oduces a clinical syndrome of thought disorder perceptual distortion,
and cognitive impairment. Methods: We have administered ketamine to he
althy volunteers to characterize the formal thought disorder and speci
fic memory dysfunction associated with ketamine. Ten healthy volunteer
s underwent a double-blind, placebo-controlled, ketamine infusion (0.1
2 mg/kg bolus and 0.65 mg/kg/hour). Thought disorder was evaluated wit
h the Scale for the Assessment of Thought, Language and Communication.
Cognitive resting involved working and semantic memory tasks. Results
: Ketamine produced a formal thought disorder, as well as impairments
in working and semantic memory. The degree of ketamine-induced thought
disorder significantly correlated with ketamine-induced decreases in
working memory and did not correlate with ketamine-induced impairments
in semantic memory. Conclusions: This study characterizes the formal
thought disorder associated with ketamine and may suggest that ketamin
e-induced deficits in working memory are associated with ketamine-indu
ced thought disorder. Published 1998 Society of Biological Psychiatry.