PMID- 16163532 OWN - NLM STAT- MEDLINE DCOM- 20070302 LR - 20220129 IS - 0033-3158 (Print) IS - 1432-2072 (Electronic) IS - 0033-3158 (Linking) VI - 189 IP - 4 DP - 2007 Jan TI - Neuropsychological function in ecstasy users: a study controlling for polydrug use. PG - 505-16 AB - RATIONALE: A number of studies have compared ecstasy users to control groups on various measures of neuropsychological function in order to determine whether ecstasy use results in lasting cognitive deficits. However, few of those studies controlled adequately for non-ecstasy illicit drug use. OBJECTIVE: The aim of this study was to investigate neuropsychological function in chronic ecstasy users while controlling for polydrug use. METHODS: Neuropsychological function was assessed in four groups-30 current 3,4-methylenedioxymethamphetamine (MDMA) users with a little history of illicit drug use other than ecstasy and cannabis, 30 polydrug controls, 30 drug-naive controls and 20 ex-MDMA users-using a battery of well-validated, computerized neuropsychological tests. The battery focused on memory, executive function, impulsivity and risk-taking. RESULTS: Few differences were apparent between the groups, and on no measure were the current MDMA users impaired significantly relative to the polydrug controls. However, within the current MDMA users, questionnaire-measured impulsivity correlated with performance on a number of tests-a relationship that was not apparent in the controls. CONCLUSIONS: These data highlight the complexity in understanding the current ecstasy literature and suggest that some individuals may be particularly vulnerable to cognitive impairment following chronic use. Although no differences were identified between the current MDMA users and the controls, trait impulsiveness was significantly correlated with impairment on a number of neuropsychological outcome measures in the MDMA users, but not in the controls. These data suggest that impulsive individuals may be those most at risk for the development of cognitive impairment following chronic ecstasy use. FAU - Roiser, Jonathan P AU - Roiser JP AD - Department of Psychiatry, School of Clinical Medicine, University of Cambridge, Box 189, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 2QQ, UK. FAU - Rogers, Robert D AU - Rogers RD FAU - Sahakian, Barbara J AU - Sahakian BJ LA - eng GR - 019407/WT_/Wellcome Trust/United Kingdom GR - G0001354/MRC_/Medical Research Council/United Kingdom PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20050915 PL - Germany TA - Psychopharmacology (Berl) JT - Psychopharmacology JID - 7608025 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Amphetamine-Related Disorders/*etiology/psychology MH - Cognition/*drug effects MH - Cognition Disorders/*chemically induced/psychology MH - Cross-Sectional Studies MH - Decision Making/drug effects MH - Hallucinogens/*adverse effects MH - Humans MH - Impulsive Behavior/chemically induced MH - Memory/drug effects MH - N-Methyl-3,4-methylenedioxyamphetamine/*adverse effects MH - Research Design MH - Risk-Taking PMC - PMC2653936 MID - UKMS2828 OID - NLM: UKMS2828 EDAT- 2005/09/16 09:00 MHDA- 2007/03/03 09:00 PMCR- 2009/03/10 CRDT- 2005/09/16 09:00 PHST- 2005/06/03 00:00 [received] PHST- 2005/06/03 00:00 [accepted] PHST- 2005/09/16 09:00 [pubmed] PHST- 2007/03/03 09:00 [medline] PHST- 2005/09/16 09:00 [entrez] PHST- 2009/03/10 00:00 [pmc-release] AID - 10.1007/s00213-005-0101-9 [doi] PST - ppublish SO - Psychopharmacology (Berl). 2007 Jan;189(4):505-16. doi: 10.1007/s00213-005-0101-9. Epub 2005 Sep 15.