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Psychoactive substance use among medical students.

J F Maddux, S K Hoppe, R M Costello

    The American Journal of Psychiatry
    |February 1, 1986
    PubMed
    Summary

    A significant number of medical students have used various psychoactive substances, with illicit drug use and substance abuse symptoms linked to depressed mood.

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    Area of Science:

    • Medical Education
    • Psychiatry
    • Public Health

    Background:

    • Substance use among medical students is a concern due to potential impacts on academic performance and future practice.
    • Understanding the prevalence and patterns of psychoactive substance use is crucial for targeted interventions.

    Purpose of the Study:

    • To determine the lifetime, past year, and past month prevalence of psychoactive substance use among senior medical students.
    • To explore associations between substance use, substance abuse symptoms, and depressed mood in this population.

    Main Methods:

    • A cross-sectional survey was administered to 133 senior medical students.
    • Data collected included lifetime and recent use of various psychoactive substances (cigarettes, alcohol, marijuana, amphetamines, cocaine, sedatives, benzodiazepines, hallucinogens, opioids).
    • Participants also reported on frequency of use, substance abuse symptoms, and mood.

    Main Results:

    • High lifetime prevalence rates were observed for alcohol (96%), marijuana (57%), and cigarettes (44%).
    • Significant lifetime use was also reported for opioids (40%), benzodiazepines (37%), amphetamines (22%), and cocaine (20%).
    • Twelve percent reported nearly daily use of substances in the past month, and 11% reported substance abuse symptoms in the past year, with both associated with depressed mood.

    Conclusions:

    • Senior medical students exhibit substantial lifetime use of various psychoactive substances, including illicit drugs.
    • A notable proportion engages in frequent use and experiences substance abuse symptoms, which are linked to mental health challenges like depressed mood.
    • These findings highlight the need for mental health support and substance use prevention programs within medical education settings.

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