Evidence map›Paper›PMID 40294641›Full record

ArticleAddiction (Abingdon, England)2025

The landscape of ketamine use disorder: Patient experiences and perspectives on current treatment options.

Rebecca E Harding, Tamsin Barton, Maeve Niepceron, Ella Harris, Emily Bennett, Emily Gent, Flora Fraser, Celia J A Morgan

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

8 authors.

Rebecca E HardingClinical Psychopharmacology Unit University College London Gower Street, London, UK.ORCID https://orcid.org/0009-0008-2701-6930
Tamsin BartonPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.
Maeve NiepceronPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.
Ella HarrisPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.
Emily BennettPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.
Emily GentPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.ORCID https://orcid.org/0009-0005-2296-8789
Flora FraserPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.
Celia J A MorganPsychopharmacology and Addiction Research Centre, University of Exeter, Exeter, UK.ORCID https://orcid.org/0000-0002-8858-4906

Funding

Efficacy and Mechanism Evaluation Programme NIHR150193
6 · The paper itself

Abstract

aimsTo report the symptoms and aetiology of ketamine use disorder (KUD), gauge the effectiveness of current treatment services and identify strategies to enhance patient access and outcomes.

designMixed-methods, cross-sectional questionnaire. Electronic survey from November 2023 to April 2024.

settingParticipants were recruited through snowball sampling, social media and referrals from UK addiction treatment services. The survey was open to international participants, with responses collected from the United Kingdom, United States, Canada, Europe and Australia. PARTICIPANTS/CASES: A total of 274 individuals with self-identified KUD, including both treatment-seeking (40%) and non-treatment-seeking (60%) current or former ketamine users. Participants' ages ranged from 18 to 67 years old, with 47.7% identifying as male. Additionally, 58.8% reported a diagnosed mental health disorder. On average, participants consumed 2.0 g of ketamine per day, with treatment-seeking individuals reporting higher average use (M = 2.67 g) than non-treatment-seeking users (M = 1.68 g) (P < 0.001). MEASUREMENTS: Participants completed an online questionnaire addressing their attitudes toward ketamine and treatment services, including questions pertaining to their symptoms of problematic ketamine use, perceptions of education and awareness about KUD, opinions of existing treatment options, and facilitators for seeking treatment.

findingsThe study identified various physical symptoms associated with KUD, with bladder problems (60%), nasal problems (60%) and 'K-cramps' (56%) being commonly reported among all users. In response to these symptoms, the majority (56%) did not seek treatment; among treatment-seeking users only 36% reported feeling satisfied with their care. Symptoms of abstinence syndrome were also identified, including cravings (71%), low mood (62%), anxiety (59%) and irritability (45%). Treatment-seeking participants reported that the services they used had little (31%) or some (31%) awareness of ketamine, were not tailored to ketamine use (43%) and were generally only somewhat effective (43%). Fifty-nine percent of participants reported that there was "definitely not" sufficient awareness in education and peer groups about the risks associated with ketamine use. When asked about the most important factors when choosing a treatment program, cost/affordability was the most cited for all participants.

conclusionsKetamine use disorder (KUD) appears to be associated with a high prevalence of physical and psychological symptoms, including some specifically linked to abstinence. Despite this, most individuals with KUD do not seek treatment, and existing services are often perceived as ineffective.

Indexed as

KetaminePatient Acceptance of Health CareSubstance-Related DisordersAdolescentAdultAgedAustraliaCanadaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesUnited KingdomUnited StatesKetamineaddictiondependenceketaminenon‐treatment‐seeking abstinencesurveytreatmenttreatment‐seeking

Identifiers

PMID40294641
PMCPMC12426348

What OpenQuestion holds

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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.