Background:
Reconsolidation impairment using propranolol is a novel intervention for mental disorders with an emotional memory at their core. In this systematic review and meta-analysis, we examined the evidence for this intervention in healthy and clinical adult samples.
Methods:
We searched 8 databases for randomized, double-blind studies that involved at least 1 propranolol group and 1 placebo group. We conducted a meta-analysis of 14 studies (n = 478) in healthy adults and 12 studies in clinical samples (n = 446).
Results:
Compared to placebo, reconsolidation impairment under propranolol resulted in reduced recall of aversive material and cue-elicited conditioned emotional responses in healthy adults, as evidenced by an effect size (Hedges g) of −0.51 (p = 0.002, 2-tailed). Moreover, compared to placebo, reconsolidation impairment under propranolol alleviated psychiatric symptoms and reduced cue-elicited reactivity in clinical samples with posttraumatic stress disorder, addiction or phobia (g = −0.42, p = 0.010). Limitations: Methodological differences between studies posed an obstacle for identifying sources of heterogeneity.
Conclusion:
Reconsolidation impairment is a robust, well replicated phenomenon in humans. Its clinical use is promising and deserves further controlled investigation.
Details
Title
Impairing memory reconsolidation with propranolol in healthy and clinical samples: a meta-analysis
Authors
Sereena Pigeon - Douglas Mental Health University Institute
Michelle Lonergan - Douglas Mental Health University Institute
Olivia Rotondo - McGill University
Roger K Pitman - Harvard University
Alain Brunet (Corresponding Author) - McGill University
Publication details
Journal of Psychiatry and Neuroscience, Vol.47(2), pp.E109-E122
Publisher
Canadian Medical Association, Association Medicale Canadienne
M. Lonergan received a doctoral award from the Fonds de Recherche du Québec (FRQS). S. Pigeon received a master’s award from FRQS and from the Canadian Institutes of Health Research while working on this project.