Towards an expanded neurocognitive account of ketamine's rapid antidepressant effects.

Int J Neuropsychopharmacol

Department of Psychiatry, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, Victoria, Australia.

Published: February 2025


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Article Abstract

Ketamine is an N-methyl-D-aspartate receptor antagonist that has shown effectiveness as a rapidly acting treatment for depression. Although advances have been made in understanding ketamine's antidepressant pharmacological and molecular mechanisms of action, the large-scale neurocognitive mechanisms driving its therapeutic effects are less clearly understood. To help provide such a framework, we provide a synthesis of current evidence linking ketamine treatment to the modulation of brain systems supporting reward processing, interoception, and self-related cognition. We suggest that ketamine's antidepressant effects are, at least in part, driven by dynamic multi-level influences across these key functional domains.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11879094PMC
http://dx.doi.org/10.1093/ijnp/pyaf010DOI Listing

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