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Behavioral economic analysis of drug preference using multiple choice procedure data.

Mark K Greenwald1

  • 1Substance Abuse Research Division, Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA. mgreen@med.wayne.edu

Drug and Alcohol Dependence
|October 24, 2007
PubMed
Summary

The multiple choice procedure (MCP) effectively models drug demand, translating individual preferences into population-level estimates. This behavioral economic analysis aids in assessing drug abuse liability and treatment efficacy.

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Area of Science:

  • Behavioral Economics
  • Psychopharmacology
  • Addiction Science

Background:

  • The multiple choice procedure (MCP) is used to assess human preference for psychoactive drugs versus monetary compensation.
  • Previous analyses suggest MCP data align with behavioral economic principles of drug choice.

Purpose of the Study:

  • To re-analyze multiple choice procedure (MCP) data using behavioral economic principles.
  • To construct demand curves for various drugs and assess their inelasticity.
  • To evaluate the utility of MCP in estimating population drug demand and informing addiction research.

Main Methods:

  • Demand curves were generated by plotting unit price against average percent drug choice in log-log space.
  • Data were derived from studies involving opioids (fentanyl, hydromorphone, methadone), psychostimulants (d-amphetamine, MDMA), and marijuana.
  • Unit price was calculated by dividing the monetary value by the drug dose (mg/70kg).

Main Results:

  • Opioid inelasticity ranked: fentanyl > hydromorphone (continuing users) > methadone > hydromorphone (abstainers).
  • Psychostimulant inelasticity ranked: d-amphetamine > MDMA > MDMA + fluoxetine.
  • Smoked marijuana showed increased inelasticity with high-dose naltrexone pretreatment.

Conclusions:

  • The multiple choice procedure (MCP) provides a valid method for estimating population drug demand from individual preferences.
  • Findings support the use of MCP in evaluating pharmacotherapy efficacy and drug abuse liability.
  • This approach offers insights into individual susceptibility to drug abuse.