Use of ADHD drugs as study aid by students raises concerns.
Like
steroids?: Standard drugs for treating attention deficit/hyperactivity
disorder are being used by some US sudents to help them stay awake as
they cram for exams.
A UNIVERSITY of Kansas freshman took a break from
shooting hoops with friends outside his dormitory to talk about what
some students call “study pills”.
As final exams approached last semester, he took a few doses of a
prescribed stimulant. “But all they did was make me feel nervous,” said
the chemical engineering major. “I’m off of it now.”
He still has a vial of leftover pills he used for his attention
issues in high school. And that’s why he asked that his name not appear
in this article: He didn’t want to be pressed by dormmates to supply
them with an illegal focus boost for upcoming finals.
The controlled stimulants that many college students seek, if only
for a momentary edge, carry familiar brand names such as Adderall,
Vyvanse, Focalin and Ritalin. They’re all standard drugs for treating
attention deficit/hyperactivity disorder, often successfully.
Their misuse, however, is thought to be on the rise at campuses in
the US – creating a potentially serious health hazard and trips to the
emergency room for students not diagnosed for ADHD.
The extent of the problem is anyone’s guess. Because of what experts
consider a lack of reliable research, illicit dealing of ADHD drugs
either is infrequent on campus or something so commonplace as to be the
college crowd’s best-kept secret.
“The only people who don’t know about it are the parents,” said
University of Kentucky communications professor Alan D. DeSantis. “I’m
sure the majority of my students will be using at some time during
finals week. It’s really built into the climate and culture of today’s
college life.”
‘Study pills’
DeSantis has analysed several years’ worth of surveys of Kentucky
undergraduates to conclude that at least one-third of the student body
has taken ADHD medication without prescriptions. Another 8% use the
drugs legally under a doctor’s supervision, he said, and half of them
provide pills to other students.
The incidence of use appears to be higher among Kentucky seniors and juniors than for younger students, DeSantis added.
Assessing a variety of surveys, a 2008 study published in the
Journal of American Child Adolescent Psychiatry offered a not-so-precise range of 5 to 35% of college-aged people taking attention-deficit stimulants not prescribed for them.
A University of Missouri survey found a usage rate in between.
About 12% in a sample of Mizzou students admitted to using
controlled stimulants or painkillers, prescribed or illegally, said Kim
Dude, director of the University of Missouri’s Wellness Resource Center.
“Eighty-five percent of the students don’t use any of that.”
But she does agree with the KU freshman – don’t let on if you’ve got attention-deficit pills.
“We urge students and their parents from the start: Don’t tell
anybody,” Dude said. “They’ll run into peer pressure to sell it or give
it away” to other students.
This month, data-miners at Brigham Young University issued a study that tracked Twitter references to study pills.
Searching keywords such as “Adderall,” “college” and “cramming” over
a six-month period, lead researcher Carl Hanson revealed, “We don’t
have all the answers” on the frequency of legal use or abuse. But the
study did conclude that tweets about the drug were heaviest among
students in the US Northeast and South, and lightest among students in
the Plains and Southwestern states (including California).
Also, the report summary stated, “Tweets about Adderall peak sharply during final exam periods.”
Said Hanson: “I’m concerned about the social norm-ing thing. If
students perceive (taking stimulant medication) as normal because it’s
talked about and tweeted a lot, they’ll take the risk.”
Easy to get
Katharine Beach became addicted when she was a KU student.
“It’s sad how many doctors would fill prescriptions for me,” said Beach, 26 and now clean.
Diagnosed with attention deficit disorder when she was 18, the
medication at first helped her focus and stay awake to study. But after
she started drinking heavily, Beach chose to give up booze and find a
new fix.
“It’s called cross-addiction,” said Beach, who graduated last year with a degree in applied behavioural science.
Student health services at KU required her to jump through too many
hoops before filling prescriptions. (“They’re onto students who want
something quick,” she said.) So, relying upon private medical clinics in
Lawrence, Kansas City and her psychiatrist in Colorado, Beach procured
five times the recommended dosage of Adderall to keep her buzz.
“Everyone around me knew I didn’t drink anymore ... but (that)
something else was going on,” she said. “I’m positive I would have
switched to cocaine or maybe meth down the road.”
Her health insurance carrier got wise and stopped funding her
prescriptions. Her parents caught on after Beach maxed out their credit
card. She entered treatment and works today at a University of Colorado
rehabilitation centre, helping addicts.
Dealing with the consequences
Millions of Americans have taken prescribed ADHD medication – often
intermittently – without experiencing negative side effects. But an
under-30 generation raised on the practice might not be aware of the
dangers of taking even modest dosages without a thorough diagnosis, said
psychiatrist Tahir Rahman of the MU School of Medicine.
“If you’re depressive or have bipolar disorder, taking a drug such
as Adderall could be throwing gasoline on a fire,” Rahman said.
In the US, the number of emergency room visits related to abuse of
ADHD drugs rose to 31,224 in 2010 – more than double the number recorded
five years earlier, according to a report released in January.
Such ER visits by people aged 18 to 25 nearly quadrupled during that
time, the Substance Abuse & Mental Health Association reported.
It is not known how many of those patients were college students.
“I hear students talk about it all the time,” said Kate Baxendale, a
junior studying journalism at the University of Missouri-Kansas City.
She and another student wrote about the problem in the university
newspaper after agreeing to not identify stimulant users by name.
Baxendale has never taken Adderall, she said, but others in her dorm
have sold it. “At a time like this (finals week), they can sell for
US$20 (RM60) a pill,” she said. The sellers ration their prescribed
medication because they need some for themselves.
The university’s health services do not have medical doctors to
prescribe controlled stimulants, so students taking them must get the
drugs elsewhere.
Colleges around the US are tightening their procedures to limit student access to stimulant medicine.
“Some campuses have stopped prescribing stimulants outright,” said
Stacy Andes of the American College Health Association. Others,
including KU, require students to present copies of at least two
diagnostic tests given by doctors or mental-health professionals.
The drugs easily can be obtained off campus in most college towns,
said DeSantis of the University of Kentucky. A clinic or family
practitioner may ask patients to fill out a questionnaire that asks if
they have trouble focusing or completing assignments.
“For the most part, students (seeking medication) know how to answer those questions,” DeSantis said.
Downing Adderall to perform better on tests raises questions beyond
medical ones: Is it the educational equivalent of using steroids to
cheat in sports? Are students who choose not to use stimulants, or those
who can’t afford them, chasing degrees at an unfair disadvantage?
Psychiatrists debate whether the drugs do much at all to help people
not diagnosed with ADHD, other than to keep them awake so they can cram
for tests.
Girding up for finals in a library study room at UMKC, Govinda
Koirala wrinkled his nose when asked if he would ever consider a
pharmaceutical boost.
“I drink coffee,” said the junior studying mechanical engineering.
“And the latest I stay up studying is 11.30pm,” His secret to academic
success? “Just relax. Sleep well. Do what’s good for your mind.”
Must work. Koirala is pulling a 3.91 grade-point average. – The Kansas City Star/McClatchy-Tribune Information Services
By RICK MONTGOMERY The Star/Asia News Network
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