PMID- 24345398 OWN - NLM STAT- MEDLINE DCOM- 20150212 LR - 20220321 IS - 1469-5111 (Electronic) IS - 1461-1457 (Linking) VI - 17 IP - 4 DP - 2014 Apr TI - The effect of acutely administered MDMA on subjective and BOLD-fMRI responses to favourite and worst autobiographical memories. PG - 527-40 LID - 10.1017/S1461145713001405 [doi] AB - 3,4-methylenedioxymethamphetamine (MDMA) is a potent monoamine-releaser that is widely used as a recreational drug. Preliminary work has supported the potential of MDMA in psychotherapy for post-traumatic stress disorder (PTSD). The neurobiological mechanisms underlying its putative efficacy are, however, poorly understood. Psychotherapy for PTSD usually requires that patients revisit traumatic memories, and it has been argued that this is easier to do under MDMA. Functional magnetic resonance imaging (fMRI) was used to investigate the effect of MDMA on recollection of favourite and worst autobiographical memories (AMs). Nineteen participants (five females) with previous experience with MDMA performed a blocked AM recollection (AMR) paradigm after ingestion of 100 mg of MDMA-HCl or ascorbic acid (placebo) in a double-blind, repeated-measures design. Memory cues describing participants' AMs were read by them in the scanner. Favourite memories were rated as significantly more vivid, emotionally intense and positive after MDMA than placebo and worst memories were rated as less negative. Functional MRI data from 17 participants showed robust activations to AMs in regions known to be involved in AMR. There was also a significant effect of memory valence: hippocampal regions showed preferential activations to favourite memories and executive regions to worst memories. MDMA augmented activations to favourite memories in the bilateral fusiform gyrus and somatosensory cortex and attenuated activations to worst memories in the left anterior temporal cortex. These findings are consistent with a positive emotional-bias likely mediated by MDMA's pro-monoaminergic pharmacology. FAU - Carhart-Harris, R L AU - Carhart-Harris RL AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. FAU - Wall, M B AU - Wall MB AD - Institute of Neurology, University College London, London, UK. FAU - Erritzoe, D AU - Erritzoe D AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. FAU - Kaelen, M AU - Kaelen M AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. FAU - Ferguson, B AU - Ferguson B AD - Clinical Psychopharmacology Unit, University College London, London, UK. FAU - De Meer, I AU - De Meer I AD - IMANOVA, Centre for Imaging Sciences, London, UK. FAU - Tanner, M AU - Tanner M AD - IMANOVA, Centre for Imaging Sciences, London, UK. FAU - Bloomfield, M AU - Bloomfield M AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. FAU - Williams, T M AU - Williams TM AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. FAU - Bolstridge, M AU - Bolstridge M AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. FAU - Stewart, L AU - Stewart L AD - Clinical Psychopharmacology Unit, University College London, London, UK. FAU - Morgan, C J AU - Morgan CJ AD - Clinical Psychopharmacology Unit, University College London, London, UK. FAU - Newbould, R D AU - Newbould RD AD - IMANOVA, Centre for Imaging Sciences, London, UK. FAU - Feilding, A AU - Feilding A AD - The Beckley Foundation, Beckley Park, Oxford, UK. FAU - Curran, H V AU - Curran HV AD - Clinical Psychopharmacology Unit, University College London, London, UK. FAU - Nutt, D J AU - Nutt DJ AD - Division of Brain Sciences, Faculty of Medicine, Imperial College London, Centre for Neuropsychopharmacology, London, UK. LA - eng GR - MR/J00460X/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20131217 PL - England TA - Int J Neuropsychopharmacol JT - The international journal of neuropsychopharmacology JID - 9815893 RN - 0 (Placebos) RN - 0 (Serotonin Agents) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adult MH - Cerebral Cortex/*drug effects MH - Double-Blind Method MH - Emotions/drug effects MH - Female MH - Functional Neuroimaging/instrumentation/*methods MH - Humans MH - Magnetic Resonance Imaging MH - Male MH - *Memory, Episodic MH - Mental Recall/*drug effects MH - N-Methyl-3,4-methylenedioxyamphetamine/administration & dosage/*pharmacology MH - Placebos MH - Serotonin Agents/administration & dosage/*pharmacology EDAT- 2013/12/19 06:00 MHDA- 2015/02/13 06:00 CRDT- 2013/12/19 06:00 PHST- 2013/12/19 06:00 [entrez] PHST- 2013/12/19 06:00 [pubmed] PHST- 2015/02/13 06:00 [medline] AID - S1461145713001405 [pii] AID - 10.1017/S1461145713001405 [doi] PST - ppublish SO - Int J Neuropsychopharmacol. 2014 Apr;17(4):527-40. doi: 10.1017/S1461145713001405. Epub 2013 Dec 17.