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Acute effects of ayahuasca on neuropsychological performance: differences in executive function between experienced and occasional users

José Carlos Bouso, Josep María Fábregas, Rosa María Antonijoan, Antoni Rodrı́guez-fornells, Jordi Riba

Psychopharmacology June 20, 2013 DOI: 10.1007/s00213-013-3167-9 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort Peer reviewed
Sample size 24
Population Ayahuasca users (11 long-term experienced and 13 occasional)
Intervention Ayahuasca
Duration Prior to and following ayahuasca intake (acute administration)
Topics Ayahuasca
Keywords Stroop effect Neuropsychology Cognition Audiology
Citations 96
Key findings Acute ayahuasca impaired working memory but reduced stimulus-response interference, and executive function deficits were limited to less experienced users.

Abstract

BackgroundAyahuasca, a South American psychotropic plant tea containing the psychedelic 5-HT2A receptor agonist N,N-dimethyltryptamine, has been shown to increase regional cerebral blood flow in prefrontal brain regions after acute administration to humans. Despite interactions at this level, neuropsychological studies have not found cognitive deficits in abstinent long-term users.ObjectivesHere, we wished to investigate the effects of acute ayahuasca intake on neuropsychological performance, specifically on working memory and executive function.MethodsTwenty-four ayahuasca users (11 long-term experienced users and 13 occasional users) were assessed in their habitual setting using the Stroop, Sternberg, and Tower of London tasks prior to and following ayahuasca intake.ResultsErrors in the Sternberg task increased, whereas reaction times in the Stroop task decreased and accuracy was maintained for the whole sample following ayahuasca intake. Interestingly, results in the Tower of London showed significantly increased execution and resolution times and number of movements for the occasional but not the experienced users. Additionally, a correlation analysis including all subjects showed that impaired performance in the Tower of London was inversely correlated with lifetime ayahuasca use.ConclusionsAcute ayahuasca administration impaired working memory but decreased stimulus-response interference. Interestingly, detrimental effects on higher cognition were only observed in the less experienced group. Rather than leading to increased impairment, greater prior exposure to ayahuasca was associated with reduced incapacitation. Compensatory or neuromodulatory effects associated with long-term ayahuasca intake could underlie preserved executive function in experienced users.

Comparable studies

Other observational and cohort studies on ayahuasca, most cited first.

Study Year Design Participants
Antidepressant effects of a single dose of ayahuasca in patients with recurrent depression: a preliminary report Patients with a depressive disorder 2015 Observational study
The Psychedelic State Induced by Ayahuasca Modulates the Activity and Connectivity of the Default Mode Network Experienced subjects 2015 Observational cohort n = 10
Human Psychopharmacology of Hoasca, A Plant Hallucinogen Used in Ritual Context in Brazil Long-term members of a syncretic church that uses hoasca as a psychoactive sacrament... 1996 Observational cohort with matched controls n = 30
Ayahuasca-Assisted Therapy for Addiction: Results from a Preliminary Observational Study in Canada Rural aboriginal population 2013 Observational study
Personality, Psychopathology, Life Attitudes and Neuropsychological Performance among Ritual Users of Ayahuasca: A Longitudinal Study Regular ayahuasca users and active controls in non-ayahuasca religions 2012 Observational cohort n = 242

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