Information processing in anxiety: a pilot study of the effect of manipulating 5-HT function

J Psychopharmacol. 1998;12(2):155-60. doi: 10.1177/026988119801200207.

Abstract

We gave the indirect 5-HT agonist, D-fenfluramine (30 mg), the 5 -HT antagonist methysergide (2 mg) and placebo to 11 patients with an anxiety disorder and 12 controls in a double-blind, balanced-order, cross-over design. Compared to controls, patients had significantly higher anxiety ratings, were slower in naming colours in computerized Stroop tests and showed greater interference for anxiety-related words. Patients tended to have a lower critical flicker fusion threshold (CFFT) than controls and in the subjects taken as a whole there was a significant inverse correlation between CFFT and Spielberger state (r=-0.54, p<0.01) and trait anxiety (r=-0.55, p<0.01). Neither drug had significant effects on anxiety ratings or on Stroop interference. D-Fenfluramine significantly increased CFFT (p < 0.02) and methysergide non-significantly reduced CFFT with no significant differences between patients and controls. 5-HT may be involved in lower-level visual information processing but we found no evidence for its direct involvement in the attentional bias for anxiety-related information in the emotional Stroop.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Anxiety Disorders / physiopathology*
  • Arousal / drug effects
  • Arousal / physiology*
  • Attention / drug effects
  • Attention / physiology*
  • Cross-Over Studies
  • Double-Blind Method
  • Female
  • Fenfluramine
  • Flicker Fusion / drug effects
  • Flicker Fusion / physiology
  • Humans
  • Male
  • Methysergide
  • Middle Aged
  • Reaction Time / drug effects
  • Reaction Time / physiology
  • Sensory Thresholds / drug effects
  • Sensory Thresholds / physiology
  • Serotonin / physiology*
  • Serotonin Antagonists
  • Serotonin Receptor Agonists

Substances

  • Serotonin Antagonists
  • Serotonin Receptor Agonists
  • Fenfluramine
  • Serotonin
  • Methysergide