Evidence map›Paper›PMID 21603895›Full record

Trial reportPsychopharmacology2011

Altered pain responses in abstinent (±)3,4-methylenedioxymethamphetamine (MDMA, "ecstasy") users.

Una D McCann, Robert R Edwards, Michael T Smith, Kristen Kelley, Michael Wilson, Francis Sgambati, George Ricaurte

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Psychopharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

Una D McCannDepartment of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, 5501 Hopkins Bayview Circle, Room 5B71c, Baltimore, MD 21224, USA. umccann@jhmi.edu
Robert R Edwards
Michael T Smith
Kristen Kelley
Michael Wilson
Francis Sgambati
George Ricaurte
Johns Hopkins Medicine · USJohns Hopkins University · US

Funding

NDMA NEUROTOXICITY--OCCURRENCE &CONSEQUENCESR01DA005938 · NIDA · JOHNS HOPKINS UNIVERSITY · PI RICAURTE, GEORGE A · 1989 to 2006
$2.0M
Sleep and Nocturnal Endocrine Function in MDMA UserR01DA016563 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MCCANN, UNA D · 2003 to 2007
$1.6M
NIDA NIH HHS R01 DA05938NIDA NIH HHS R01 DA16563
6 · The paper itself

Abstract

rationale(±)3,4-Methylenedioxymethamphetamine (MDMA) is a popular recreational drug that has potential to damage brain serotonin (5-HT) neurons in humans. Brain 5-HT neurons play a role in pain modulation, yet little is known about long-term effects of MDMA on pain function. Notably, MDMA users have been shown to have altered sleep, a phenomenon that can lead to altered pain modulation.

objectivesThis study sought to assess pain processing in MDMA users using objective methods, and explore potential relationships between pain processing and sleep indices.

methodsForty-two abstinent MDMA users and 43 age-matched controls participated in a 5-day inpatient study. Outcome measures included standardized measures of pain, sleep polysomnograms, and power spectral measures of the sleep EEG. When differences in psychophysiological measures of pain were found, the relationship between pain and sleep measures was explored.

resultsMDMA users demonstrated lower pressure pain thresholds, increased cold pain ratings, increased pain ratings during testing of diffuse noxious inhibitory control, and decreased Stage 2 sleep. Numerous significant relationships between sleep and pain measures were identified, but differences in sleep between the two groups were not found to mediate altered pain perception in MDMA users.

conclusionsAbstinent MDMA users have altered pain perception and sleep architecture. Although pain and sleep outcomes were related, differences in sleep architecture in MDMA users did not mediate altered pain responses. It remains to be determined whether alterations in pain perception in MDMA users are secondary to neurotoxicity of 5-HT-mediated pain pathways or alterations in other brain processes that modulate pain perception.

Indexed as

AdultBrainFemaleHumansMaleNeuropsychological TestsNeurotoxicity SyndromesN-Methyl-3,4-methylenedioxyamphetaminePain MeasurementPain ThresholdPhysical StimulationRegression AnalysisSerotoninSleepSubstance Withdrawal SyndromeYoung AdultN-Methyl-3,4-methylenedioxyamphetamineSerotonin

Identifiers

PMID21603895
OpenAlexW1989902419

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.