From: Aspirin: a review of its neurobiological properties and therapeutic potential for mental illness
Author, year; study | Study design | Agent/dosage | Sample | Psych measure | Presentation of results | Key finding |
---|---|---|---|---|---|---|
Non-clinical population | ||||||
Dinnerstein, 1970 | DB-RCT | ASA 600 mg + placebo 'energizer'/'tranquilizer' versus lactose 600 mg + placebo 'energizer'/'tranquilizer' | 80 healthy male college students | CMS | Â | ASA had no direct and fixed effect on mood, but acts to modulate the effect of placebo or other contextual variables |
Lieberman, 1987 | DB-RCT | 2* to 6*sessions: caffeine 64 mg, or ASA 800 mg, or caffeine 64 mg + ASA 800 mg, or caffeine 128 mg + ASA 800 mg, or placebo in Latin-square design | 20 healthy men 18 to 35 years old, caffeine intake <400 mg/day, non-smokers | 6 sessions PMS, visual analog mood scales, NVMS, SSS, and performance tests | Mean and SEM | Caffeine alone and caffeine +ASA improved vigilance, self-reported efficiency and mood compared with ASA alone and placebo |
Kang, 2007; Women's Health Study | Cohort study within a DB-RCT | ASA 100 mg or placebo on alternate days | 6,377 women >65 years old | TICS-M, immediate and delayed recalls of the EBMT and delayed recall of the TICS-M, 10-word list and category fluency (naming as many animals as possible in 1 minute) | Mean and SD | ASA users did not differ in overall performance in any of the cognitive assessments, from the 1* assessment (after 5.6 years) to the 3* (after a mean 9.6 years), or in their average cognitive decline during 3 to 6 years of follow-up. ASA users performed better in category fluency, particularly in the final assessment |
Kudielka, 2007 | DB-RCT | ASA 100 mg, or propranolol 80 mg, or ASA 100 mg + propranolol 80 mg, or placebo | 73 healthy subjects | TSST. Cortisol from six saliva samples taken before and after the stress exposure | Mean and SD | 5 days: groups did not differ in their cortisol responses |
Clinical population | ||||||
Clarke, 2003; VITAL trial collaborative group; dementia or MCI | DB-RC; 4-week placebo-controlled run-in period before randomization + 12-week treatment | ASA 81 mg, or placebo AND folic acid 2 mg + vitamin B12 1 mg, or placebo AND vitamin E 500 mg + vitamin C 200 mg, or placebo in 2 × 2 × 2 factorial design | 149 NII, 12 to 26 patients MMSE score or <27 patients TICS-M score, naïve to study medications. Follow-up: 137 for biochemical outcomes, 128 for cognitive outcomes | TICS-M, MMSE, ADAS | Median percentage reduction | 12 weeks of ASA was effective in reducing biochemical factors (thromboxane) associated with cognitive impairment in people at risk of dementia. No effect of treatment on cognitive function |
AD2000, 2008; Alzheimer's disease | OL-RCT | ASA 75 mg yes/no | 310 NII | MMSE, behavioral symptoms | Mean and SD | At 3 -year follow-up: no differences in scores, significantly higher risk of bleeding |
Price, 2008; asymptomatic atherosclerosis | DB-RCT | ASA 100 mg or placebo | 3350 participants 50-75 years old | Summary cognitive score = tests of memory, executive function, non-verbal reasoning, mental flexibility, and information processing | Mean and SD | At 5-year follow-up: no differences |
Gałecki, 2009; first depressive episode | OL-RCT | fluoxetine 20 mg, or fluoxetine 20 mg + ASA 150 mg | 77 participants | HDRS |  | No differences in HDRS between fluoxetine group and fluoxetine + ASA group |
Laan, 2010; schizophrenic spectrum disorders | DB-RCT | ASA 1000 mg/day or placebo adjuvant to antipsychotic + pantoprazole 40 mg/day | 70 adults PANSS ≥60, 2 items ≥4, illness duration <10 years. 2-week placebo run-in period, and only those who achieved over 80% compliance were randomized | PANSS | Mean and SD | Adjuvant ASA reduced overall psychopathology and positive symptoms at 3 months. No significant results in other subscales. ASA had greater effect on overall psychopathology in individuals with more altered immune function. ASA significantly reduced overall psychopathology in individuals with the lowest Th1:Th2 ratios |