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Equivalent effects of acute tryptophan depletion on REM sleep in ecstasy users and controls.

Robin Carhart-Harris, David Nutt, Marcus R. Munafò, David M Christmas, Sue Wilson

Psychopharmacology July 8, 2009 DOI: 10.1007/s00213-009-1595-3 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-over observational study Peer reviewed
Sample size 24
Population 12 ecstasy users and 12 controls
Intervention tryptophan-supplemented control mixture
Duration Three nights of sleep measurement
Measures Ambulatory polysomnography
Topics MDMA
Keywords Humans Substance-related disorders N-methyl-3,4-methylenedioxyamphetamine Tryptophan Hallucinogens Pain measurement Polysomnography Cross-over studies Double-blind method Reaction time Sleep, rem Time factors Young adult
Key findings Acute tryptophan depletion shortened REM sleep onset latency, increased REM sleep, and increased stage 2 sleep in the first three hours, but ecstasy users and controls did not differ in sleep on the screening night or after depletion. The authors conclude that the ecstasy users had not suffered significant serotonergic damage as indexed by sleep.

Abstract

Introduction: This study sought to test the association between 3,4-methylenedioxymethamphetamine use, serotonergic function and sleep.

Materials and Methods: Ambulatory polysomnography was used to measure three nights sleep in 12 ecstasy users and 12 controls after screening (no intervention), a tryptophan-free amino acid mixture (acute tryptophan depletion (ATD)) and a tryptophan-supplemented control mixture.

Results: ATD significantly decreased rapid eye movement (REM) sleep onset latency, increased the amount of REM sleep and increased the amount of stage 2 sleep in the first 3 h of sleep. There was no difference between ecstasy users' and controls' sleep on the screening night or after ATD.

Discussion: These findings imply that the ecstasy users had not suffered significant serotonergic damage as indexed by sleep.

Comparable studies

Other randomized controlled trials on MDMA, most cited first.

Study Year Design Participants
MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Patients with severe PTSD, including those with comorbidities such as dissociation,... 2021 Randomized controlled trial n = 90
The safety and efficacy of {+/-}3,4-methylenedioxymethamphetamine-assisted psychotherapy in subjects with chronic, treatment-resistant posttraumatic stress disorder: the first randomized controlled pilot study. Patients with chronic post-traumatic stress disorder refractory to both psychotherapy... 2010 Randomized controlled trial n = 20
3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy for post-traumatic stress disorder in military veterans, firefighters, and police officers: a randomised, double-blind, dose-response, phase 2 clinical trial. Military veterans and first responders aged 18 or older with chronic PTSD lasting 6... 2018 Randomized, double-blind, dose-response, phase 2 clinical trial n = 26
A randomized, controlled pilot study of MDMA (±3,4-Methylenedioxymethamphetamine)-assisted psychotherapy for treatment of resistant, chronic Post-Traumatic Stress Disorder (PTSD) Patients with treatment-resistant PTSD 2012 Randomized controlled trial n = 12
MDMA-assisted therapy for moderate to severe PTSD: a randomized, placebo-controlled phase 3 trial. Adults with moderate to severe post-traumatic stress disorder 2023 Randomized controlled trial n = 104

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