Evidence map›Paper›PMID 39467856›Full record

SynthesisEuropean archives of psychiatry and clinical neuroscience2025

Ketamine-induced altered states of consciousness: a systematic review of implications for therapeutic outcomes in psychiatric practices.

Kaike Thiê da Costa Gonçalves, Vagner Deuel O de Tavares, Maria Luiza de Morais Barros, Aldielyson Jorge Cavalcante de Brito, Patrícia Cavalcanti-Ribeiro, Fernanda Palhano-Fontes, Marcelo Falchi-Carvalho, Emerson Arcoverde, Rafael Guimarães Dos Santos, Jaime E C Hallak and 2 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of psychiatry and clinical neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Kaike Thiê da Costa GonçalvesPostgraduate Program in Mental Health and Behavior, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Vagner Deuel O de TavaresLaboratory of Hormone Measurement, Department of Physiology and Behavior, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
Maria Luiza de Morais BarrosAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Aldielyson Jorge Cavalcante de BritoAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Patrícia Cavalcanti-RibeiroAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Fernanda Palhano-FontesAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Marcelo Falchi-CarvalhoAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Emerson ArcoverdeAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Rafael Guimarães Dos SantosPostgraduate Program in Mental Health and Behavior, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Jaime E C HallakPostgraduate Program in Mental Health and Behavior, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil.
Draulio Barros de AraujoAdvanced Center for Psychedelic Medicine, Natal, RN, Brazil.
Nicole Leite Galvão-CoelhoPostgraduate Program in Mental Health and Behavior, Department of Neurosciences and Behavior, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, SP, Brazil. nicole.galvao@ufrn.br.ORCID http://orcid.org/0000-0002-4887-8635

Funding

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior 88887.597821/2021-00
6 · The paper itself

Abstract

This systematic review aims to elucidate the nexus between ketamine's psychoactive properties and its efficacy in treating a broad spectrum of psychiatric disorders. We searched three databases and used citation tracking to include 29 studies. Predominantly, mood disorders, including bipolar disorder (BD) and major depressive disorder (MDD) (MDD + BD: + n = 25 studies), a large part of them involve treatment-resistant patients (n = 14 studies), substance use disorder (SUD, n = 3 studies), and social anxiety disorder (SAD, n = 1 study). From all included studies (n = 29), 15 (51.72%) of them identified a positive relation between ketamine-induced altered states of consciousness and clinical outcomes, while 13 studies (44.83%) showed no linkage between them, and one study (3.45%) delineated a negative association. Focusing solely on intravenous (IV) ketamine infusions (n = 25), 14 studies (56%) reported a positive modulation of ketamine's psychoactive effects and therapeutic benefits, whereas 10 studies (40%) confirmed no relationship, and one study (4%) showed a negative association. The single study (33.34%) involving subcutaneous ketamine and all three studies (66.6%) intranasal administration did not demonstrate a significant interaction between ketamine's psychoactive effects and therapeutic response. All three SUD studies reported a positive correlation between ketamine's psychoactive effects and therapeutic response. In contrast, the single SAD study did not find a relationship between these parameters. For studies involving mood disorders (n = 25), 12 studies (48%) reported a positive relationship between psychoactive effects and therapeutic response. Others 12 studies (48%) identified a null relationship, and one study (4%) found a significant negative association. Although we have found a larger association than previous studies between ketamine's psychoactive properties and its efficacy in treating a broad spectrum of psychiatric disorders, its topic remains indeterminate, mainly due to the high heterogeneity.

Indexed as

ConsciousnessExcitatory Amino Acid AntagonistsKetamineMental DisordersMood DisordersBipolar DisorderHumansMajor Depressive DisorderExcitatory Amino Acid AntagonistsKetamineAltered states of consciousness hallucinogenAnxietyBipolar disorderDepressionDissociationEsketamineKetamineMystical experiencesPsychedelicPsychotomimetic effectsSubstance dependence

Identifiers

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.