Akuutit dissosiatiiviset oireet huumevaikutuksesta

 Sekavuustiloja verrataan  jakomielisyyteen ja  ketamiinivaikutukseen, joita ne muistuttavat.

Psychiatry Res. 2015 Aug 30;228(3):907-12. doi: 10.1016/j.psychres.2015.04.028. Epub 2015 Apr 30.

MDMA, cannabis, and cocaine produce acute dissociative symptoms.

van Heugten-Van der Kloet D¹, Giesbrecht T², van Wel J², Bosker WM², Kuypers KP², Theunissen EL², Spronk DB³, Jan Verkes R³, Merckelbach H², Ramaekers JG².

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Abstract

Some drugs of abuse may produce dissociative symptoms, but this aspect has been understudied. We explored the dissociative potential of three recreational drugs (3,4-methylenedioxymethamphetamine (MDMA), cannabis, and cocaine) during intoxication and compared their effects to literature reports of dissociative states in various samples. Two placebo-controlled studies were conducted. In Study 1 (N=16), participants received single doses of 25, 50, and 100 mg of MDMA, and placebo. In Study 2 (N=21), cannabis (THC 300 µg/kg), cocaine (HCl 300 mg), and placebo were administered. Dissociative symptoms as measured with the Clinician-Administered Dissociative States Scale (CADSS) significantly increased under the influence of MDMA and cannabis. To a lesser extent, this was also true for cocaine. Dissociative symptoms following MDMA and cannabis largely exceeded those observed in schizophrenia patients, were comparable with those observed in Special Forces soldiers undergoing survival training, but were lower compared with ketamine-induced dissociation. Cocaine produced dissociative symptoms that were comparable with those observed in schizophrenia patients, but markedly less than those in Special Forces soldiers and ketamine users. Thus, MDMA and cannabis can produce dissociative symptoms that resemble dissociative pathology. The study of drug induced dissociation is important, because it may shed light on the mechanisms involved in dissociative psychopathology.