PMID- 18654086 OWN - NLM STAT- MEDLINE DCOM- 20081230 LR - 20211020 IS - 1423-0224 (Electronic) IS - 0302-282X (Print) IS - 0302-282X (Linking) VI - 57 IP - 4 DP - 2008 TI - Dance clubbing on MDMA and during abstinence from Ecstasy/MDMA: prospective neuroendocrine and psychobiological changes. PG - 165-80 LID - 10.1159/000147470 [doi] AB - BACKGROUND/AIMS: The present study is the first to prospectively compare a group of recreational Ecstasy users when dance clubbing on 3,4-methylenedioxymethamphetamine (MDMA) and when clubbing during abstinence from Ecstasy/MDMA. METHODS: Twelve normal healthy volunteers (mean age = 23.2 years) were assessed at a Saturday night dance club under self-administered MDMA. On the other weekend they went to the same dance club without taking MDMA (order counterbalanced). Both conditions involved 5 test sessions conducted at similar times: pre-drug baseline, 1 h post-drug clubbing, 2.5 h post-drug clubbing, and 2 and 4 days later. The assessments included body and ambient temperature, physical activity (pedometer), as well as self-ratings for mood state, physical activity, thermal comfort and thirst. Saliva samples were analyzed for MDMA, cortisol and testosterone. RESULTS: The cortisol levels increased significantly by 800% when dance clubbing on MDMA, while testosterone increased significantly by 75%; neither neuroendocrine measure was altered during abstinence. Saliva analyses confirmed the presence of MDMA when dancing on Ecstasy and its absence when dancing off Ecstasy. The pedometer values and self-rated levels of dancing were similar at both weekends. Hot and cold flushes and feeling hot increased significantly under MDMA. The mean body temperature did not change significantly, although there was a borderline trend for increased values after MDMA. Feelings of happiness and excitement increased under MDMA, although they were not significantly greater than when clubbing during abstinence. CONCLUSIONS: Neurohormonal release may be an important part of the acute MDMA experience. The large cortisol increase provides further data on the bioenergetic stress model of recreational Ecstasy/MDMA. CI - Copyright 2008 S. Karger AG, Basel. FAU - Parrott, A C AU - Parrott AC AD - Department of Psychology Swansea University, Swansea, UK. a.c.parrott@swansea.ac.uk FAU - Lock, J AU - Lock J FAU - Conner, A C AU - Conner AC FAU - Kissling, C AU - Kissling C FAU - Thome, J AU - Thome J LA - eng GR - R01 DA014910/DA/NIDA NIH HHS/United States GR - R01 DA-14910-01/DA/NIDA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20080724 PL - Switzerland TA - Neuropsychobiology JT - Neuropsychobiology JID - 7512895 RN - 0 (Central Nervous System Stimulants) RN - 0 (Hallucinogens) RN - 0 (Illicit Drugs) RN - 3XMK78S47O (Testosterone) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Adolescent MH - Adult MH - Analysis of Variance MH - Body Temperature Regulation/drug effects MH - Central Nervous System Stimulants/*pharmacology MH - Dancing MH - Energy Metabolism/*drug effects MH - Female MH - Hallucinogens/pharmacology MH - Humans MH - Hydrocortisone/*metabolism MH - Illicit Drugs/*pharmacology MH - Male MH - Middle Aged MH - N-Methyl-3,4-methylenedioxyamphetamine/*pharmacology MH - Physical Exertion/drug effects MH - Prospective Studies MH - Reference Values MH - Saliva/metabolism MH - Self Administration MH - Self-Assessment MH - Testosterone/metabolism MH - Young Adult PMC - PMC3575116 MID - NIHMS436461 EDAT- 2008/07/26 09:00 MHDA- 2008/12/31 09:00 PMCR- 2013/02/18 CRDT- 2008/07/26 09:00 PHST- 2007/09/12 00:00 [received] PHST- 2008/04/09 00:00 [accepted] PHST- 2008/07/26 09:00 [pubmed] PHST- 2008/12/31 09:00 [medline] PHST- 2008/07/26 09:00 [entrez] PHST- 2013/02/18 00:00 [pmc-release] AID - 000147470 [pii] AID - 10.1159/000147470 [doi] PST - ppublish SO - Neuropsychobiology. 2008;57(4):165-80. doi: 10.1159/000147470. Epub 2008 Jul 24.