抑郁症状对氯胺酮长期使用者认知障碍的影响

IF 4.3 2区 医学 Q1 PSYCHIATRY
Chenxi Zhang , Bin Zhang , Yan Xu , Wei Hao , Wai Kwong Tang
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引用次数: 0

摘要

背景 长期使用氯胺酮与认知障碍有关,而使用氯胺酮的人通常会出现抑郁症状。然而,抑郁症状对氯胺酮长期使用者认知功能障碍的影响仍不清楚。本研究旨在探讨抑郁症状对这一人群认知功能的影响。参与者接受了全面的认知评估,包括注意力、执行功能、工作记忆、言语和视觉记忆的测量。抑郁症状采用贝克抑郁量表(BDI)评分进行评估。结果显示,抑郁症状对氯胺酮长期使用者的认知障碍有显著的负面影响,尤其是在记忆和执行功能方面。偏相关性分析表明,在使用氯胺酮并伴有抑郁症状的人中,与抑郁症状较轻的人相比,抑郁症状较重的人的认知能力较差,这是在控制了潜在的混杂因素之后得出的结论。因此,在考虑对这类人群进行认知增强治疗时,对抑郁症状进行评估至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of depressive symptoms on cognitive impairments in chronic ketamine users

Background

Chronic ketamine use has been associated with cognitive impairments, while depressive symptoms are commonly observed in individuals using ketamine. However, the influence of depressive symptoms on cognitive impairments in chronic ketamine users remains unclear. This study aimed to examine the impact of depressive symptoms on cognitive function in this population.

Methods

A cross-sectional study was conducted with a sample of chronic ketamine users. Participants underwent comprehensive cognitive assessments, including measures of attention, executive function, working memory, verbal and visual memory. Depressive symptoms were assessed using Beck Depression Inventory (BDI) scores. Multivariate analyses were utilized to compare the cognitive performance of individuals who use ketamine, both with and without depressive symptoms, as well as a control group, while controlling for relevant covariates.

Results

The results revealed a significant negative impact of depressive symptoms on cognitive impairments, particularly in the domains of memory and executive function, among chronic ketamine users. The analysis of partial correlations revealed that among individuals who use ketamine and have depressive symptoms, those with higher levels of depressive symptoms demonstrated poorer cognitive performance compared to individuals with lower levels of depressive symptoms, controlling for potential confounding factors.

Conclusions

The findings suggest that depressive symptoms contribute to cognitive impairments, specifically in memory and executive function, in chronic ketamine users. Therefore, it is crucial to evaluate depressive symptoms when considering cognitive enhancement treatment for this population.

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来源期刊
Comprehensive psychiatry
Comprehensive psychiatry 医学-精神病学
CiteScore
12.50
自引率
1.40%
发文量
64
审稿时长
29 days
期刊介绍: "Comprehensive Psychiatry" is an open access, peer-reviewed journal dedicated to the field of psychiatry and mental health. Its primary mission is to share the latest advancements in knowledge to enhance patient care and deepen the understanding of mental illnesses. The journal is supported by a diverse team of international editors and peer reviewers, ensuring the publication of high-quality research with a strong focus on clinical relevance and the implications for psychopathology. "Comprehensive Psychiatry" encourages authors to present their research in an accessible manner, facilitating engagement with clinicians, policymakers, and the broader public. By embracing an open access policy, the journal aims to maximize the global impact of its content, making it readily available to a wide audience and fostering scientific collaboration and public awareness beyond the traditional academic community. This approach is designed to promote a more inclusive and informed dialogue on mental health, contributing to the overall progress in the field.
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