Use and abuse of dissociative and psychedelic drugs in adolescence
Pharmacology Biochemistry and Behavior – January 27, 2021
Source: OpenAlex
Summary
Despite widespread adolescent use of Hallucinogens like MDMA and Psilocybin, their specific effects on developing brains are largely unknown. Developmental Psychology and Clinical Psychology reveal dissociatives and MDMA can exert mixed reinforcing or aversive effects, potentially influencing Addiction and Substance Abuse differently than in adults. Psychiatry and Psychedelics and Drug Studies lack crucial data, including direct age-group comparisons or long-term consequences, hindering our understanding of Neurotransmitter Receptor Influence on Behavior. Forensic Toxicology and Drug Analysis urgently require more research on these Drugs of Abuse in adolescents.
Abstract
Adolescence is a period of profound developmental changes, which run the gamut from behavioral and neural to physiological and hormonal. It is also a time at which there is an increased propensity to engage in risk-taking and impulsive behaviors like drug use. This review examines the human and preclinical literature on adolescent drug use and its consequences, with a focus on dissociatives (PCP, ketamine, DXM), classic psychedelics (LSD, psilocybin), and MDMA. It is the case for all the substances reviewed here that very little is known about their effects in adolescent populations. An emerging aspect of the literature is that dissociatives and MDMA produce mixed reinforcing and aversive effects and that the balance between reinforcement and aversion may differ between adolescents and adults, with consequences for drug use and addiction. However, many studies have failed to directly compare adults and adolescents, which precludes definitive conclusions about these consequences. Other important areas that are largely unexplored are sex differences during adolescence and the long-term consequences of adolescent use of these substances. We provide suggestions for future work to address the gaps we identified in the literature. Given the widespread use of these drugs among adolescent users, and the potential for therapeutic use, this work will be crucial to understanding abuse potential and consequences of use in this developmental stage.