Literature DB >> 23702522

The use and misuse of prescription stimulants as "cognitive enhancers" by students at one academic health sciences center.

John B Bossaer1, Jeffrey A Gray, Stacy E Miller, Gavin Enck, Vamsi C Gaddipati, Robert E Enck.   

Abstract

PURPOSE: Prescription stimulant use as "cognitive enhancers" has been described among undergraduate college students. However, the use of prescription stimulants among future health care professionals is not well characterized. This study was designed to determine the prevalence of prescription stimulant misuse among students at an academic health sciences center.
METHOD: Electronic surveys were e-mailed to 621 medical, pharmacy, and respiratory therapy students at East Tennessee State University for four consecutive weeks in fall 2011. Completing the survey was voluntary and anonymous. Surveys asked about reasons for, frequency of, and side effects of nonprescription misuse of prescription stimulants. Given the sensitive material, an opportunity to win one of ten $50 gift cards was used as an incentive.
RESULTS: Three hundred seventy-two (59.9%) students completed the survey from three disciplines (47.6% medical, 70.5% pharmacy, and 57.6% respiratory therapy). Overall, 11.3% of responders admitted to misusing prescription stimulants. There was more misuse by respiratory therapy students, although this was not statistically significant (10.9% medicine, 9.7% pharmacy, 26.3% respiratory therapy; P = .087). Reasons for prescription stimulant misuse included to enhance alertness/energy (65.9%), to improve academic performance (56.7%), to experiment (18.2%), and to use recreationally/get high (4.5%).
CONCLUSIONS: Prescription stimulant misuse was prevalent among participating students, but further research is needed to describe prevalence among future health care workers more generally. The implications and consequences of such misuse require further study across professions with emphasis on investigating issues of academic dishonesty (e.g., "cognitive enhancement"), educational quality, and patient safety or health care quality.

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Year:  2013        PMID: 23702522     DOI: 10.1097/ACM.0b013e318294fc7b

Source DB:  PubMed          Journal:  Acad Med        ISSN: 1040-2446            Impact factor:   6.893


  15 in total

Review 1.  Substance Use Attitudes, Behaviors, Education and Prevention in Colleges of Pharmacy in the United States.

Authors:  Samah F Al-Shatnawi; Matthew Perri; Henry N Young; Merrill Norton
Journal:  Am J Pharm Educ       Date:  2016-11-25       Impact factor: 2.047

Review 2.  Prescription stimulant medication misuse: Where are we and where do we go from here?

Authors:  Lisa L Weyandt; Danielle R Oster; Marisa E Marraccini; Bergljot Gyda Gudmundsdottir; Bailey A Munro; Emma S Rathkey; Alison McCallum
Journal:  Exp Clin Psychopharmacol       Date:  2016-10       Impact factor: 3.157

3.  Pharmaceutical enhancement and medical professionals.

Authors:  Gavin G Enck
Journal:  Med Health Care Philos       Date:  2014-02

4.  Non-credible symptom report in the clinical evaluation of adult ADHD: development and initial validation of a new validity index embedded in the Conners' adult ADHD rating scales.

Authors:  Miriam Becke; Lara Tucha; Matthias Weisbrod; Steffen Aschenbrenner; Oliver Tucha; Anselm B M Fuermaier
Journal:  J Neural Transm (Vienna)       Date:  2021-03-02       Impact factor: 3.850

Review 5.  Attitudes toward pharmacological cognitive enhancement-a review.

Authors:  Kimberly J Schelle; Nadira Faulmüller; Lucius Caviola; Miles Hewstone
Journal:  Front Syst Neurosci       Date:  2014-04-17

6.  (Mis)use of Prescribed Stimulants in the Medical Student Community: Motives and Behaviors: A Population-Based Cross-Sectional Study.

Authors:  Guillaume Fond; Martine Gavaret; Christophe Vidal; Lore Brunel; Jean-Pierre Riveline; Jean-Arthur Micoulaud-Franchi; Philippe Domenech
Journal:  Medicine (Baltimore)       Date:  2016-04       Impact factor: 1.889

7.  Why is Cognitive Enhancement Deemed Unacceptable? The Role of Fairness, Deservingness, and Hollow Achievements.

Authors:  Nadira S Faber; Julian Savulescu; Thomas Douglas
Journal:  Front Psychol       Date:  2016-02-19

8.  Enhancing attention in neurodegenerative diseases: current therapies and future directions.

Authors:  Kanchan Sharma; Thomas Davis; Elizabeth Coulthard
Journal:  Transl Neurosci       Date:  2016-10-22       Impact factor: 1.757

Review 9.  Pharmacological interventions for adolescents and adults with ADHD: stimulant and nonstimulant medications and misuse of prescription stimulants.

Authors:  Lisa L Weyandt; Danielle R Oster; Marisa E Marraccini; Bergljot Gyda Gudmundsdottir; Bailey A Munro; Brynheld Martinez Zavras; Ben Kuhar
Journal:  Psychol Res Behav Manag       Date:  2014-09-09

10.  Seven Pervasive Statistical Flaws in Cognitive Training Interventions.

Authors:  David Moreau; Ian J Kirk; Karen E Waldie
Journal:  Front Hum Neurosci       Date:  2016-04-14       Impact factor: 3.169

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