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Journal article

Ketamine as a prophylactic resilience-enhancing agent

Abstract:
Stress exposure is one of the greatest risk factors for psychiatric illnesses, including major depressive disorder (MDD) and posttraumatic stress disorder (PTSD). Enhancing stress resilience could potentially protect against the development of stress-induced psychiatric disorders, yet no resilience-enhancing pharmaceuticals have been developed to date. This review serves to consider the existing evidence for a potential pro-resilience effect of ketamine in rodents as well as the preliminary evidence of ketamine as a prophylactic treatment for postpartum depression (PPD) in humans. Several animal studies have demonstrated that ketamine administered 1 week prior to a stressor (e.g., chronic social defeat and learned helplessness) may protect against depressive-like behavior. A similar protective effect has been demonstrated against PTSD-like behavior following Contextual Fear Conditioning (CFC). Recent work has sought to explore if the administration of ketamine prevented the development of postpartum depression (PPD) in humans. Researchers administered ketamine immediately following caesarian-section and found a significantly reduced prevalence of PPD in the ketamine-treated groups compared to the control groups. Utilizing ketamine as a resilience-enhancing treatment may have unique applications, including leading to a deeper understanding of the neurobiological mechanism underlying resilience. Future trials aiming to translate and replicate these findings with humans are warranted
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.3389/fpsyt.2022.833259

Authors

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Role:
Author
ORCID:
0009-0001-6765-7686
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Role:
Author
ORCID:
0000-0001-6286-1242
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Role:
Author
ORCID:
0000-0003-0610-3433
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Institution:
University of Oxford
Role:
Author
ORCID:
0000-0002-7937-8596


Publisher:
Frontiers Media
Journal:
Frontiers in Psychiatry More from this journal
Volume:
13
Pages:
833259-833259
Article number:
833259
Publication date:
2022-07-28
DOI:
EISSN:
1664-0640
ISSN:
1664-0640


Language:
English
Keywords:
Pubs id:
1275282
Local pid:
pubs:1275282
Source identifiers:
W4288074638
Deposit date:
2026-04-28
ARK identifier:
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