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Ketamine reduces the neural distinction between self- and other-produced affective touch: a randomized double-blind placebo-controlled study
Linköping University, Department of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Linköping University, Center for Medical Image Science and Visualization (CMIV).ORCID iD: 0000-0003-2177-7380
Linköping University, Department of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-4429-8916
Linköping University, Department of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0009-0005-6456-6294
Linköping University, Department of Biomedical and Clinical Sciences, Center for Social and Affective Neuroscience. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Psykiatricentrum, Psykiatriska kliniken i Linköping.
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2024 (English)In: Neuropsychopharmacology, ISSN 0893-133X, E-ISSN 1740-634X, Vol. 49, no 11, p. 1767-1774Article in journal (Refereed) Published
Abstract [en]

A coherent sense of self is crucial for social functioning and mental health. The N-methyl-D-aspartate antagonist ketamine induces short-term dissociative experiences and has therefore been used to model an altered state of self-perception. This randomized double-blind placebo-controlled cross-over study investigated the mechanisms for ketamine's effects on the bodily sense of self in the context of affective touch. Thirty healthy participants (15 females/15 males, age 19-39) received intravenous ketamine or placebo while performing self-touch and receiving touch by someone else during functional MRI - a previously established neural measure of tactile self-other-differentiation. Afterwards, tactile detection thresholds during self- and other-touch were assessed, as well as dissociative states, interoceptive awareness, and social touch attitudes. Compared to placebo, ketamine administration elicited dissociation and reduced neural activity associated with self-other-differentiation in the right temporoparietal cortex, which was most pronounced during other-touch. This reduction correlated with ketamine-induced reductions in interoceptive awareness. The temporoparietal cortex showed higher connectivity to somatosensory cortex and insula during other- compared to self-touch. This difference was augmented by ketamine, and correlated with dissociation strength for somatosensory cortex. These results demonstrate that disrupting the self-experience through ketamine administration affects neural activity associated with self-other-differentiation in a region involved in touch perception and social cognition, especially with regard to social touch by someone else. This process may be driven by ketamine-induced effects on top-down signaling, rendering the processing of predictable self-generated and unpredictable other-generated touch more similar. These findings provide further evidence for the intricate relationship of the bodily self with the tactile sense.

Place, publisher, year, edition, pages
SPRINGERNATURE , 2024. Vol. 49, no 11, p. 1767-1774
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Psychology (excluding Applied Psychology)
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URN: urn:nbn:se:liu:diva-206629DOI: 10.1038/s41386-024-01906-2ISI: 001254025700001PubMedID: 38918578OAI: oai:DiVA.org:liu-206629DiVA, id: diva2:1891139
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Funding Agencies|Linkoping University

Available from: 2024-08-21 Created: 2024-08-21 Last updated: 2025-04-15Bibliographically approved

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Pietrzak, MichalKarlsson, HannaLöfberg, AndreasGauffin, EmelieSamuelsson, MartinJohansson Capusan, AndreaOlausson, HåkanHeilig, MarkusBöhme, Rebecca

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Kaldewaij, ReinoudSalamone, PaulaEnmalm, AdamÖstman Vasko, LarsPietrzak, MichalKarlsson, HannaLöfberg, AndreasGauffin, EmelieSamuelsson, MartinGustavson, SarahJohansson Capusan, AndreaOlausson, HåkanHeilig, MarkusBöhme, Rebecca
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Center for Social and Affective NeuroscienceFaculty of Medicine and Health SciencesCenter for Medical Image Science and Visualization (CMIV)Psykiatriska kliniken i LinköpingDepartment of Clinical Neurophysiology
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Neuropsychopharmacology
Psychology (excluding Applied Psychology)

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