Evidence map›Paper›PMID 18949459›Full record

Trial reportPsychopharmacology2009

The incidence of unpleasant dreams after sub-anaesthetic ketamine.

Mark Blagrove, Celia J A Morgan, H Valerie Curran, Leslie Bromley, Brigitte Brandner

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Ketamine plus Alcohol: What We Know and What We Can Expect about This.International journal of molecular sciences · 2022
    Review
  8. A GlutamateThe Journal of pharmacology and experimental therapeutics · 2021
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Ketamine for chronic pain: risks and benefits.British journal of clinical pharmacology · 2014
    Review
  15. Ketamine: use in anesthesia.CNS neuroscience & therapeutics · 2013
    Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Mark BlagroveDepartment of Psychology, Swansea University, Swansea, SA2 8PP, UK. m.t.blagrove@swansea.ac.uk
Celia J A Morgan
H Valerie Curran
Leslie Bromley
Brigitte Brandner
University College Hospital · GBUniversity College London · GBSwansea University · GB

Funding

Medical Research Council
6 · The paper itself

Abstract

rationaleKetamine is an N-methyl-D: -aspartate (NMDA) receptor antagonist with psychotogenic effects and for which there are diverse reports of whether pleasant or unpleasant dreams result during anaesthesia, post-operatively or after sub-anaesthetic use.

objectiveTo assess in healthy volunteers the incidence of unpleasant dreams over the three nights after receiving a sub-anaesthetic dose of ketamine, in comparison to placebo, and with retrospective home nightmare frequency as a covariate.

methodThirty healthy volunteers completed questionnaires about retrospective home dream recall and were then given either ketamine (n = 19, males = 9, mean age = 23.5 years; mean ketamine blood plasma = 175.29 ng/mL) or placebo (n = 11, males = 5, mean age = 25.4 years). Dream recall and pleasantness/unpleasantness of dream content were recorded by questionnaire at home for the three nights after infusion.

resultsKetamine resulted in significantly more mean dream unpleasantness relative to placebo and caused a threefold increase in the odds ratio for the incidence of an unpleasant dream. The number of dreams reported over the three nights did not differ between the groups. The incidence of unpleasant dreams after ketamine use was predicted by retrospectively assessed nightmare frequency at home.

conclusionsKetamine causes unpleasant dreams over the three post-administration nights. This may be evidence of a residual psychotogenic effect that is not found on standard self-report symptomatology measures or a result of disturbed sleep electrophysiology.

Indexed as

Dose-Response Relationship, DrugDouble-Blind MethodDreamsEmotionsExcitatory Amino Acid AntagonistsFemaleHumansIncidenceInfusions, IntravenousKetamineMaleMental RecallOdds RatioPsychiatric Status Rating ScalesReceptors, N-Methyl-D-AspartateRisk AssessmentExcitatory Amino Acid AntagonistsKetamineReceptors, N-Methyl-D-Aspartate

Identifiers

PMID18949459
OpenAlexW1975583330

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.