Ketamine administration in healthy volunteers reproduces aberrant agency experiences associated with schizophrenia.

James W Moore, Danielle C Turner, Philip R Corlett, Fernando S Arana, Hannah L Morgan, Antony R Absalom, Ram Adapa, Sanne de Wit, Jessica C Everitt, Jenny M Gardner, Jennifer S Pigott, Patrick Haggard, Paul C Fletcher

Journal: Cognitive neuropsychiatry 2014;16(4):364-81

PMID: 21302161

Abstract

INTRODUCTION

Aberrant experience of agency is characteristic of schizophrenia. An understanding of the neurobiological basis of such experience is therefore of considerable importance for developing successful models of the disease. We aimed to characterise the effects of ketamine, a drug model for psychosis, on sense of agency (SoA). SoA is associated with a subjective compression of the temporal interval between an action and its effects: This is known as "intentional binding". This action-effect binding provides an indirect measure of SoA. Previous research has found that the magnitude of binding is exaggerated in patients with schizophrenia. We therefore investigated whether ketamine administration to otherwise healthy adults induced a similar pattern of binding.

METHODS

14 right-handed healthy participants (8 female; mean age 22.4 years) were given low-dose ketamine (100 ng/mL plasma) and completed the binding task. They also underwent structured clinical interviews.

RESULTS

Ketamine mimicked the performance of schizophrenia patients on the intentional binding task, significantly increasing binding relative to placebo. The size of this effect also correlated with aberrant bodily experiences engendered by the drug.

CONCLUSIONS

These data suggest that ketamine may be able to mimic certain aberrant agency experiences that characterise schizophrenia. The link to individual changes in bodily experience suggests that the fundamental change produced by the drug has wider consequences in terms of individuals' experiences of their bodies and movements.

Address: a Department of Psychiatry, Brain Mapping Unit , University of Cambridge , Cambridge , UK.
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