Stimulants to enhance academic achievement
Journal of Developmental and Behavioral Pediatrics : JDBP
|September 6, 2012
Summary
Many students in elite schools misuse prescription stimulants for academic gain. Falsifying symptoms of attention-deficit hyperactivity disorder (ADHD) is a common tactic to obtain these drugs, highlighting a need for pediatrician intervention.
Area of Science:
- Pediatric Health
- Neuroscience
- Medical Ethics
Background:
- A survey in a large urban community revealed significant stimulant use among elite middle and high school students for academic enhancement.
- Students frequently feign symptoms of attention-deficit hyperactivity disorder (ADHD) during medical consultations to acquire stimulant prescriptions.
Discussion:
- The misuse of prescription stimulants as cognitive enhancers poses risks to adolescent health and academic integrity.
- Pediatricians play a crucial role in identifying and preventing the diversion and abuse of stimulant medications among student populations.
- Ethical considerations arise regarding the diagnosis of ADHD and the prescription of controlled substances to minors seeking academic advantages.
Key Insights:
- Prevalence of stimulant misuse for academic purposes in elite student populations.
- Common methods employed by students to obtain fraudulent prescriptions for stimulants.
- The critical preventative role of pediatricians in addressing adolescent stimulant abuse.
Outlook:
- Future research should explore effective screening tools and intervention strategies for pediatricians to combat stimulant misuse.
- Educational initiatives targeting students, parents, and educators about the risks associated with stimulant abuse are warranted.
- Policy discussions may be necessary to address the systemic pressures contributing to academic-related drug-seeking behaviors.
More Related Videos
Related Concept Videos
01:30Cognitive Enhancers: Cholinesterase Inhibitors and NMDA Receptor Antagonists
Cognitive enhancers, also known as "smart drugs," are substances used to enhance memory, mental alertness, and concentration. These can be natural or synthetic and improve cognition in conditions like Alzheimer's disease (AD) and other neurodegenerative diseases. Some common examples include caffeine, amphetamines, methylphenidate, modafinil, arecoline, donepezil, vortioxetine, and piracetam. These enhancers work on the principle of synaptic plasticity and altered circuit function. They...
01:29Stimulants
Stimulants are substances that enhance neural activity and elevate dopamine levels in the brain, leading to their highly addictive nature. These drugs include cocaine, amphetamines, MDMA, caffeine, and nicotine, each with distinct mechanisms of action and varied health implications.
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
Cocaine can be administered via snorting, injection, or smoking. It primarily functions by blocking the reuptake of dopamine, resulting in a euphoric high characterized by an intense sensation of happiness and...
01:30Attention-Deficit/Hyperactivity Disorder
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
01:24CNS Stimulants: Cocaine, Amphetamines and Cannabinoids
CNS stimulants, such as cocaine, amphetamines, and cannabinoids, have varying structures and mechanisms of action that lead to different therapeutic effects and side effects. Cocaine, with its molecular formula C17H21NO4, is a tropane alkaloid and a tertiary amino compound. It has two chemical forms: the hydrochloride salt and the "freebase." The former is in powder form, while the latter involves removing the hydrochloride salt to create a form that can be smoked. Cocaine exerts its effects by...
01:23Drugs Acting on Autonomic Ganglia: Stimulants
Ganglionic stimulants activate NM nicotinic receptors in autonomic ganglia, falling into two categories: nicotine mimetics [e.g., lobeline, dimethylpiperazine, tetramethylammonium] and muscarinic receptor agonists [e.g., muscarine, methacholine]. The first category's action is rapid and blocked by nicotinic receptor antagonists, while the second category's action is delayed and blocked by atropine-like agents. Nicotine, an alkaloid, affects the heart rate by stimulating sympathetic or...
01:25Adrenergic Agonists: Indirect-Acting Agents
Indirect-acting adrenergic agonists potentiate the effects of endogenous catecholamines through different mechanisms without directly binding to adrenoceptors.
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral bioavailability, and...
One mechanism involves depleting stored catecholamines by displacing them from synaptic vesicles. These agents, known as "displacers," are transported into vesicles at the expense of noradrenaline. Examples include amphetamine and tyramine, which lack a catechol moiety, resulting in prolonged action, improved oral bioavailability, and...