Funcionamiento neurocognitivo en el uso recreativo de la de ketamina: una revisión de alcance

Autores/as

  • Carolina Bellas-Arnosi Facultad de Psicología, Universidad de Santiago de Compostela.
  • Socorro Rodríguez-Holguín Facultad de Psicología, Universidad de Santiago de Compostela.
  • Marta Beranuy Facultad de Ciencias de la Salud, Universidad Pública de Navarra; Grupo de Investigación en Ciberpsicología, Universidad Internacional de La Rioja. https://orcid.org/0000-0003-3226-9082
  • Fran Calvo Màster en Drogodependències, Intitut de Formació Continua IL3, Universitat de Barcelona; Departament de Pedagogia, Institut de Recerca sobre Qualitat de Vida, Universitat de Girona. https://orcid.org/0000-0002-0300-8548

DOI:

https://doi.org/10.21134/haaj.v24i1.782

Palabras clave:

ketamina, neurocognitivo, uso de sustancias, abstinencia, revisión narrativa

Resumen

Introducción: La ketamina es un anestésico disociativo que actúa como antagonista de los receptores NMDA, que desempeñan un papel crucial en el fortalecimiento del aprendizaje y la memoria. No es de extrañar que su uso re-petido pueda estar asociado al deterioro de las funciones cognitivas.
Objetivo: El objetivo de este trabajo es realizar una revisión de alcance de los efectos neurocognitivos del uso re-creativo de la ketamina.
Método: Se realizó una búsqueda bibliográfica en PyscINFO, PubMed, Scopus y Web of Science para el periodo 2000-2020. Finalmente, se incluyeron en la revisión 25 artículos originales.
Resultados y conclusiones: Los resultados revelan que 1) el consumo agudo de ketamina produce déficits en la memoria de trabajo, la memoria semántica y la memoria episódica, 2) el consumo frecuente de ketamina se ha aso-ciado con el deterioro de la memoria episódica y, posiblemente, del aprendizaje, la función ejecutiva, la atención y la memoria semántica, 3) las personas diagnosticadas con trastorno por consumo de ketamina presentan déficits en la memoria episódica visual y verbal, la memoria de trabajo y la atención, 4) los déficits detectados pueden mejorar e incluso revertir tras un periodo de abstinencia.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Bahji, A., Vazquez, G. H., & Zarate, C. A., Jr. (2021). Comparative efficacy of racemic ketamine and esketamine for depression: A systematic review and meta-analysis. Journal of Affective Disorders, 278, 542–555.

Bailey, C. H., Kandel, E. R., & Harris, K. M. (2015). Structural Components of Synaptic Plasticity and Memory Consolidation. Cold Spring Harbor Perspectives in Biology, 7(7). https://doi.org/10.1101/cshperspect.a021758

Bechara, A. (2005). Decision making, impulse control and loss of willpower to resist drugs: a neurocognitive perspective. Nature Neuroscience, 8(11), 1458–1463.

Chan, K. W. S., Lee, T. M. C., Siu, A. M. H., Wong, D. P. L., Kam, C.-M., Tsang, S. K. M., & Chan, C. C. H. (2013). Effects

of chronic ketamine use on frontal and medial temporal cognition. Addictive Behaviors, 38(5), 2128–2132. https:// doi.org/10.1016/j.addbeh.2013.01.014

Cheng, W.-J., Chen, C.-H., Chen, C.-K., Huang, M.-C., Pietrzak, R. H., Krystal, J. H., & Xu, K. (2018). Similar psychotic and cognitive profile between ketamine dependence with persistent psychosis and schizophrenia. Schizophrenia Research, 199, 313–318. https://doi.org/10.1016/j.schres.2018.02.049

Centro de información de Medicamentos. (2020). Ketolar, ficha técnica. Agencia Española de Medicamentos y Pro- ductos Sanitarios. https://cima.aemps.es/cima/pdfs/es/ft/47034/FT_47034.pdf

Cruz, J. M., Giraldo, C. E., Fernández, E. F., & Tovar, O. E. (2009). Farmacología y uso clínico de la ketamina. CES Medicina Veterinaria y Zootecnia, 4(1), 68–79.

Curran, H. V., & Monaghan, L. (2001). In and out of the K-hole: a comparison of the acute and residual effects of ketamine in frequent and infrequent ketamine users, Addiction, 96(5), 749-760. https://doi.org/10.1046/j.1360-0443.2001.96574910.x

Curran, H. V., & Morgan, C. (2000). Cognitive, dissociative and psychotogenic effects of ketamine in recrea- tional users on the night of drug use and 3 days later. Addiction, 95(4), 575–590. https://doi.org/10.1046

/j.1360-0443.2000.9545759

Delegación del Gobierno para el Plan Nacional sobre Drogas. (2019). Encuesta sobre alcohol y otras drogas en España (EDADES). https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/2019_Estadisticas_EDADES.pdf

Downing, E. H. (2002). Revisión del uso recreacional de la ketamina. Adicciones, 14(2), 177–189.

Gómez-Gil, E., Cañizares, S., Torres, A., la Torre, F. de, Halperin, I., & Salamero, M. (2009). Androgen treatment effects on memory in female-to-male transsexuals. Psychoneuroendocrinology, 34(1), 110–117. https://doi.org/10.1016/j.psyneuen.2008.08.017

Honey, G. D., a. E. Honey, R., O’Loughlin, C., Sharar, S. R., Kumaran, D., Suckling, J., Menon, D. K., Sleator, C., Bullmore,

E. T., & Fletcher, P. C. (2005). Ketamine disrupts frontal and hippocampal contribution to encoding and retrieval of episodic memory: an fMRI study. Cerebral Cortex , 15(6), 749–759. https://doi.org/10.1093/cercor/bhh176

Jansen, K. L. (2000). A review of the nonmedical use of ketamine: use, users and consequences. Journal of Psychoactive Drugs, 32(4), 419–433. https://doi.org/10.1080/02791072.2000.10400244

Ke, X., Ding, Y., Xu, K., He, H., Wang, D., Deng, X., Zhang, X., Zhou, Y., Zhou, C., Liu, Y., Ning, Y., & Fan, N. (2018). The profile of cognitive impairments in chronic ketamine users. Psychiatry Research, 266, 124–131. https://doi.org/10.1016/j.psychres.2018.05.050

Krystal, J. H., Karper, L. P., Seibyl, J. P., Freeman, G. K., Delaney, R., Bremner, J. D., Heninger, G. R., Bowers, M. B., & Charney, D. S. (1994). Subanesthetic effects of the noncompetitive NMDA antagonist, ketamine, in humans. Psychotomimetic, perceptual, cognitive, and neuroendocrine responses. Archives of General Psychiatry, 51(3), 199–214. https://doi.org/10.1001/archpsyc.1994.03950030035004

Lee, C. J., Do, B. R., Kim, J. K., & Yoon, Y. D. (2000). Pentobarbital and ketamine suppress serum concentrations of sex hormones in the female rat. Journal of Anesthesia, 14(4), 187–190. https://doi.org/10.1007/s005400070003

Lee, Y., Syeda, K., Maruschak, N. A., Cha, D. S., Mansur, R. B., Wium-Andersen, I. K., Woldeyohannes, H. O., Rosenblat, J. D., & McIntyre, R. S. (2016). A New Perspective on the Anti-Suicide Effects With Ketamine Treatment: A Pro- cognitive Effect. Journal of Clinical Psychopharmacology, 36(1), 50–56.

Liang, H. J., Lau, C. G., Tang, A., Chan, F., Ungvari, G. S., & Tang, W. K. (2013). Cognitive impairments in poly-drug ketamine users. Addictive Behaviors, 38(11), 2661–2666. https://doi.org/10.1016/j.addbeh.2013.06.017

Liang, H. J., Lau, C. G., Tang, K. L. A., Chan, F., Ungvari, G. S., & Tang, W. K. (2014). Are Sexes Affected Differently by Ketamine? An Exploratory Study in Ketamine Users. Substance Use & Misuse, 49(4), 395–404. https://doi.org/10.3109/10826084.2013.841248

Liang, H. J., Tang, K. L., Chan, F., Ungvari, G. S., & Tang, W. K. (2015). Ketamine users have high rates of psychosis and/ or depression. Journal of Addictions Nursing, 26(1), 8–13. https://doi.org/10.1097/jan.0000000000000060

Liang, H., Tang, W. K., Chu, W. C. W., Ernst, T., Chen, R., & Chang, L. (2020). Striatal and white matter volumes in chronic ketamine users with or without recent regular stimulant use. Drug and Alcohol Dependence, 213, 108063. https://doi.org/10.1016/j.drugalcdep.2020.108063

Liao, Y., Tang, J., Corlett, P. R., Wang, X., Yang, M., Chen, H., Liu, T., Chen, X., Hao, W., & Fletcher, P. C. (2011). Reduced dorsal prefrontal gray matter after chronic ketamine use. Biological Psychiatry, 69(1), 42–48. https://doi.org/10.1016/j.biopsych.2010.08.030

Liao, Y., Tang, J., Ma, M., Wu, Z., Yang, M., Wang, X., Liu, T., Chen, X., Fletcher, P. C., & Hao, W. (2010). Frontal white matter abnormalities following chronic ketamine use: a diffusion tensor imaging study. Brain: A Journal of Neurology, 133(Pt 7), 2115–2122. https://doi.org/10.1093/brain/awq131

Malhotra, A. K., Pinals, D. A., Weingartner, H., Sirocco, K., Missar, C. D., Pickar, D., & Breier, A. (1996). NMDA Receptor Function and Human Cognition: The Effects of Ketamine in Healthy Volunteers. Neuropsychopharmacology: Official Publication of the American College of Neuropsychopharmacology, 14(5), 301–307. https://doi.org/10.1016/0893-133x(95)00137-3

Man, D. W. K. (2020). Virtual reality-based cognitive training for drug abusers: A randomised controlled trial. Neuropsychological Rehabilitation, 30(2), 315–332. https://doi.org/10.1080/09602011.2018.1468271

Morgan, C. J. A., & Curran, H. V. (2006). Acute and chronic effects of ketamine upon human memory: a review. Psychopharmacology, 188(4), 408–424. https://doi.org/10.1007/s00213-006-0572-3

Morgan, C. J. A., & Curran, H. V. (2012). Ketamine use: a review. Addiction , 107(1), 27–38. https://doi.org/10.1111/j.1360-0443.2011.03576.x

Morgan, C. J. A., Dodds, C. M., Furby, H., Pepper, F., Fam, J., Freeman, T. P., Hughes, E., Doeller, C., King, J., Howes, O., & Stone, J. M. (2014). Long-Term Heavy Ketamine Use is Associated with Spatial Memory Impairment and Al- tered Hippocampal Activation. Frontiers in Psychiatry / Frontiers Research Foundation, 0 https://doi.org/10.3389/fpsyt.2014.00149

Morgan, C. J. A., Monaghan, L., & Curran, H. V. (2004). Beyond the K-hole: a 3-year longitudinal investigation of the cognitive and subjective effects of ketamine in recreational users who have substantially reduced their use of the drug. Addiction , 99(11), 1450–1461. https://doi.org/10.1111/j.1360-0443.2004.00879.x

Morgan, C. J. A., Muetzelfeldt, L., & Curran, H. V. (2009). Ketamine use, cognition and psychological wellbeing: a comparison of frequent, infrequent and ex-users with polydrug and non-using controls. Addiction , 104(1), 77–87. https://doi.org/10.1111/j.1360-0443.2008.02394.x

Morgan, C. J. A., Muetzelfeldt, L., & Curran, H. V. (2010). Consequences of chronic ketamine self-administration upon neurocognitive function and psychological wellbeing: a 1-year longitudinal study. Addiction , 105(1), 121–133. https://doi.org/10.1111/j.1360-0443.2009.02761.x

Morgan, C. J. A., Rees, H., & Curran, H. V. (2008). Attentional bias to incentive stimuli in frequent ketamine users.

Psychological Medicine, 38(9), 1331–1340. https://doi.org/10.1017/s0033291707002450

Morgan, C. J. A., Riccelli, M., Maitland, C. H., & Curran, H. V. (2004). Long-term effects of ketamine: evidence for a persisting impairment of source memory in recreational users. Drug and Alcohol Dependence, 75(3), 301–308. https://doi.org/10.1016/j.drugalcdep.2004.03.006

Morgan, C. J. A., Rossell, S. L., Pepper, F., Smart, J., Blackburn, J., Brandner, B., & Curran, H. V. (2006). Semantic Priming after Ketamine Acutely in Healthy Volunteers and Following Chronic Self-Administration in Substance Users. Biological Psychiatry, 59(3), 265–272. https://doi.org/10.1016/j.biopsych.2005.06.018

Morgan, C. J., Duffin, S., Hunt, S., Monaghan, L., Mason, O., & Curran, H. V. (2012). Neurocognitive Function and Schizophrenia-Proneness in Individuals Dependent on Ketamine, on High Potency Cannabis (“Skunk”) or on Cocaine. In Pharmacopsychiatry (Vol. 45, Issue 07, p. 269). https://doi.org/10.1055/s-0032-1306310

Muetzelfeldt, L., Kamboj, S. K., Rees, H., Taylor, J., Morgan, C. J. A., & Curran, H. V. (2008). Journey through the K-hole: phenomenological aspects of ketamine use. Drug and Alcohol Dependence, 95(3), 219–229. https://doi.org/10.1016/j.drugalcdep.2008.01.024

Sassano-Higgins, S., Baron, D., Juarez, G., Esmaili, N., & Gold, M. (2016). A review of ketamine abuse and diversion.

Depression and Anxiety, 33(8), 718–727. https://doi.org/10.1002/da.22536

Schilt, T., de Win, M. M. L., Jager, G., Koeter, M. W., Ramsey, N. F., Schmand, B., & van den Brink, W. (2008). Specific effects of ecstasy and other illicit drugs on cognition in poly-substance users. Psychological Medicine, 38(9), 1309– 1317. https://doi.org/10.1017/s0033291707002140

Siu, A. M. H., Ko, F. S. L., & Mak, S. K. (2018). Outcome Evaluation of a Short-Term Hospitalization and Community Support Program for People Who Abuse Ketamine. Frontiers in Psychiatry / Frontiers Research Foundation, 9, 313. https://doi.org/10.3389/fpsyt.2018.00313

Squire, L. R., & Dede, A. J. O. (2015). Conscious and Unconscious Memory Systems. Cold Spring Harbor Perspectives in Biology, 7(3). https://doi.org/10.1101/cshperspect.a021667

Stefanovic, A., Brandner, B., Klaassen, E., Cregg, R., Nagaratnam, M., Bromley, L. M., Das, R. K., Rossell, S. L., Morgan,

C. J. A., & Curran, H. V. (2009). Acute and chronic effects of ketamine on semantic priming: modeling schizophrenia?

Journal of Clinical Psychopharmacology, 29(2), 124–133. https://doi.org/10.1097/jcp.0b013e31819a4b91

Strous, J. F. M., Weeland, C. J., van der Draai, F. A., Daams, J. G., Denys, D., Lok, A., Schoevers, R. A., & Figee, M. (2022). Brain Changes Associated With Long-Term Ketamine Abuse, A Systematic Review. Frontiers in Neuroanatomy, 16, 795231.

Tang, W. K., Lau, C. G., Ungvari, G. S., Lin, S.-K., & Lane, H.-Y. (2019). Recovery of cognitive functioning following abstinence from ketamine. Addictive Behaviors, 99, 106081. https://doi.org/10.1016/j.addbeh.2019.106081

Tang, W. K., Liang, H. J., Lau, C. G., Tang, A., & Ungvari, G. S. (2013). Relationship between cognitive impairment and depressive symptoms in current ketamine users. Journal of Studies on Alcohol and Drugs, 74(3), 460–468. https://doi.org/10.15288/jsad.2013.74.460

Tsien, J. Z., Huerta, P. T., & Tonegawa, S. (1996). The essential role of hippocampal CA1 NMDA receptor-dependent synaptic plasticity in spatial memory. Cell, 87(7), 1327–1338. https://doi.org/10.1016/s0092-8674(00)81827-9

Uhlhaas, P. J., Millard, I., Muetzelfeldt, L., Curran, H. V., & Morgan, C. J. A. (2007). Perceptual organization in ketamine users: preliminary evidence of deficits on night of drug use but not 3 days later. Journal of Psychopharmacology, 21(3), 347–352. https://doi.org/10.1177/0269881107077739

United Nations Office on Drugs and Crime. (2019). World Drug Report. Cannabis and hallucinogens. UN.

Vonmoos, M., Hulka, L. M., Preller, K. H., Jenni, D., Baumgartner, M. R., Stohler, R., Bolla, K. I., & Quednow, B. B. (2013). Cognitive dysfunctions in recreational and dependent cocaine users: role of attention-deficit hyperactivity disorder, craving and early age at onset. The British Journal of Psychiatry: The Journal of Mental Science, 203(1), 35–43. https://doi.org/10.1192/bjp.bp.112.118091

Wang, L.-J., Chen, C.-K., Lin, S.-K., Chen, Y.-C., Xu, K., & Huang, M.-C. (2018). Cognitive profile of ketamine-dependent patients compared with methamphetamine-dependent patients and healthy controls. In Psychopharmacology (Vol. 235, Issue 7, p. 2113). https://doi.org/10.1007/s00213-018-4910-z

Zanos, P., Moaddel, R., Morris, P. J., Riggs, L. M., Highland, J. N., Georgiou, P., Pereira, E. F. R., Albuquerque, E. X., Thomas, C. J., Zarate, C. A., & Gould, T. D. (2018). Ketamine and Ketamine Metabolite Pharmacology: Insights into Therapeutic Mechanisms. Pharmacological Reviews, 70(3), 621–660. https://doi.org/10.1124/pr.117.015198

Zeng, H., Su, D., Jiang, X., Zhu, L., & Ye, H. (2016). The similarities and differences in impulsivity and cognitive ability among ketamine, methadone, and non-drug users. Psychiatry Research, 243, 109–114. https://doi.org/10.1016/j.psychres.2016.04.095

Zhang, C., Tang, W. K., Liang, H. J., Ungvari, G. S., & Lin, S.-K. (2018). Other drug use does not impact cognitive impair- ments in chronic ketamine users. Drug and Alcohol Dependence, 186, 1–8. https://doi.org/10.1016/j.drugalcdep.2018.01.007

Zhang, C., Xu, Y., Zhang, B., Hao, W., & Tang, W. K. (2020). Cognitive impairment in chronic ketamine abusers. Psychiatry Research, 291, 113206. https://doi.org/10.1016/j.psychres.2020.113206

Descargas

Publicado

2024-02-22

Cómo citar

Bellas-Arnosi, C. ., Rodríguez-Holguín, S. ., Beranuy, M., & Calvo, F. (2024). Funcionamiento neurocognitivo en el uso recreativo de la de ketamina: una revisión de alcance. Health and Addictions/Salud Y Drogas, 24(1), 111–129. https://doi.org/10.21134/haaj.v24i1.782

Número

Sección

Artículos