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Pharmacological cognitive enhancement in pediatrics
Natalie Colaneri1,2, Mark Sheldon2,3, Andrew Adesman1,4
1Developmental & Behavioral Pediatrics, Steven & Alexandra Cohen Children's Medical Center of New York, New Hyde Park, New York.
Physicians should address the rising trend of youth misusing psychotropic medications for academic enhancement. This review covers stimulant misuse, its consequences, and ethical concerns, urging caution against non-therapeutic pharmaceutical use in children and adolescents.
Area of Science:
- Pediatric Pharmacology
- Neuroscience
- Medical Ethics
Background:
- Psychotropic medication use is prevalent in youth.
- Academic pressure is increasing, potentially driving demand for cognitive enhancement.
- Physicians need awareness of this trend for patient wellness.
Purpose of the Study:
- Review stimulant misuse and diversion in the pediatric population.
- Examine motivations, effects, and consequences of cognitive enhancement drug use.
- Outline ethical considerations and physician roles in preventing misuse.
Main Methods:
- Literature review on stimulant misuse in youth.
- Analysis of motivations, effects, and consequences.
- Exploration of ethical concerns and physician practices.
Main Results:
- Stimulant misuse and diversion are pervasive in youth.
- Use for cognitive enhancement carries health, legal, and ethical risks.
- Concerns include coercion, inequity, and threats to authenticity and autonomy.
Conclusions:
- Pharmacological cognitive enhancement in pediatrics is a growing clinical issue.
- Physicians must be aware and actively discourage non-therapeutic pharmaceutical use.
- Prioritize patient wellness over enhancement to mitigate risks.
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