Psychosocial Motivators of “Smart Drug” Use Amongst University Students

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Abstract

University students’ use of “smart drugs” during the course of their studies appears to be on the rise. “Smart drugs”, more formally known as nootropics (noo = mind, tropic = to turn or change; Cakic, Journal of Medical Ethics, 35(10), 611–615, 2009; Giurgea & Salama, Progress in Neuro-Psychopharmacology, 1(3–4), 235–247, 1977), are substances which can be prescribed to improve mental performance, including memory recall, attention, and concentration, amongst other cognitive abilities. Nootropic medications are commonly prescribed to reduce the cognitive deficits associated with a number of medically diagnosed conditions, including vascular dementia, stroke, attention-deficit hyperactivity disorder (ADHD), and schizophrenia. Whilst these substances may be legitimately prescribed to address cognitive impairments in clinical populations, there has been a notable increase in societal concern over the use of these substances by healthy individuals as means of improving their cognitive performance without a medical prescription. A key risk group for the non-prescribed use of these stimulant nootropic “smart drugs” are university students, who may use substances such as methylphenidate (“Ritalin”), wakefulness-promoting medications, or eugeroics (e.g. modafinil), as well as various legal substances, nutraceuticals, and dietary supplements, to improve their performance in their academic studies. The aim of this chapter is to briefly review the use of non-medically prescribed stimulant “smart drugs” by university/college students in higher education, focusing on the psychosocial motivators underlying students’ use of smart drugs to improve academic performance, and an outline of potential interventions for reducing use in this population.

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References

  • Arria, A. M., Caldeira, K. M., Vincent, K. B., O’Grady, K. E., Cimini, M. D., Geisner, I. M., … Larimer, M. E. (2017). Do college students improve their grades by using prescription stimulants nonmedically? Addictive Behaviors, 65, 245–249.

    Article  Google Scholar 

  • Arria, A. M., Geisner, I. M., Cimini, M. D., Kilmer, J. R., Caldeira, K. M., Barrall, A. L., … Larimer, M. E. (2018). Perceived academic benefit is associated with nonmedical prescription stimulant use among college students. Addictive Behaviors, 76, 27–33.

    Article  Google Scholar 

  • Arria, A. M., O’Grady, K. E., Caldeira, K. M., Vincent, K. B., & Wish, E. D. (2008). Nonmedical use of prescription stimulants and analgesics: Associations with social and academic behaviors among college students. Journal of Drug Issues, 38(4), 1045–1060.

    Article  Google Scholar 

  • Bavarian, N., McMullen, J., Flay, B. R., Kodama, C., Martin, M., & Saltz, R. F. (2017). A mixed-methods approach examining stimulant use: Findings from a northern California university. Journal of Primary Prevention, 38(4), 363–383.

    Article  Google Scholar 

  • Brühl, A. B., d’Angelo, C., & Sahakian, B. J. (2019). Neuroethical issues in cognitive enhancement: Modafinil as the example of a workplace drug? Brain and Neuroscience Advances, 3, 239821281881601.

    Article  Google Scholar 

  • Cakic, V. (2009). Smart drugs for cognitive enhancement: Ethical and pragmatic considerations in the era of cosmetic neurology. Journal of Medical Ethics, 35(10), 611–615.

    Article  Google Scholar 

  • Carter, J., Peralta, R. L., & **, J. (2019). The association between ethnic identity and non-medical prescription drug use among a sample of college students: Does a sense of ethnic belonging matter? Substance Use and Misuse, 54(2), 203–213.

    Article  Google Scholar 

  • Cropsey, K. L., Schiavon, S., Hendricks, P. S., Froelich, M., Lentowicz, I., & Fargason, R. (2017). Mixed-amphetamine salts expectancies among college students: Is stimulant induced cognitive enhancement a placebo effect? Drug and Alcohol Dependence, 178, 302–309.

    Article  Google Scholar 

  • Cunliffe, J., Décary-Hêtu, D., & Pollak, T. A. (2019). Nonmedical prescription psychiatric drug use and the darknet: A cryptomarket analysis. International Journal of Drug Policy, 73, 263–272.

    Article  Google Scholar 

  • De Bruyn, S., Wouters, E., Ponnet, K., & Van Hal, G. (2019). Pop** smart pills in medical school: Are competition and stress associated with the misuse of prescription stimulants among students? Substance Use and Misuse, 54(7), 1191–1202.

    Article  Google Scholar 

  • Del Vigna, F., Avvenuti, M., Macciu, C., Deluca, P., Petrocchi, M., Marchetti, A., & Tesconi, M. (2016). Spotting the diffusion of new psychoactive substances over the Internet. In H. Boström, A. Knobbe, C. Soares, & P. Papapetrou (Eds.), Advances in intelligent data analysis XV. IDA 2016 Lecture notes in Computer Science, vol 9897. Cham: Springer.

    Google Scholar 

  • Dempsey, R. C., McAlaney, J., & Bewick, B. M. (2018). A critical appraisal of the social norms approach as an interventional strategy for health related behaviour and attitude change. Frontiers in Psychology, 9, 2180.

    Article  Google Scholar 

  • Dempsey, R. C., McAlaney, J., Helmer, S., Pischke, C., Akvardar, Y., Bewick, B. M., … Mikolajczyk, R. T. (2016). Normative perceptions of cannabis use amongst European University students: Associations between perceived peer use and peer attitudes with personal use and attitudes. Journal of Studies on Alcohol and Drugs, 77(5), 740–748.

    Article  Google Scholar 

  • DeSantis, A., Noar, S. M., & Webb, E. M. (2010). Speeding through the frat house: A qualitative exploration of nonmedical ADHD stimulant use in fraternities. Journal of Drug Education, 40(2), 157–171.

    Article  Google Scholar 

  • DeSantis, A. D., Webb, E. M., & Noar, S. M. (2008). Illicit use of prescription ADHD medications on a college campus: A multimethodological approach. Journal of American College Health, 57(3), 315–324.

    Article  Google Scholar 

  • Festinger, L. (1954). A theory of social comparison processes. Human Communications, 7, 117–140.

    Google Scholar 

  • Ford, J. A., & Pomykacz, C. (2016). Non-medical use of prescription stimulants: A comparison of college students and their same-age peers who do not attend college. Journal of Psychoactive Drugs, 48(4), 253–260.

    Article  Google Scholar 

  • Gallucci, A. R., Martin, R. J., Hackman, C., & Hutcheson, A. (2017). Exploring the relationship between the misuse of stimulant medications and academic dishonesty among a sample of college students. Journal of Community Health, 42(2), 287–294.

    Article  Google Scholar 

  • Garnier-Dykstra, L. M., Caldeira, K. M., Vincent, K. B., O’Grady, K. E., & Arria, A. M. (2012). Nonmedical use of prescription stimulants during college: Four-year trends in exposure opportunity, use, motives, and sources. Journal of American College Health, 60(3), 226–234.

    Article  Google Scholar 

  • Giurgea, C., & Salama, M. (1977). Nootropic drugs. Progress in Neuro-Psychopharmacology, 1(3–4), 235–247.

    Article  Google Scholar 

  • Hall, K. M., Irwin, M. M., Bowman, K. A., Frankenberger, W., Hall, K. M., & Jewett, D. C. (2005). Illicit use of prescribed stimulant medication among college students. Journal of American College Health, 53(4), 167–174.

    Article  Google Scholar 

  • Hanson, C. L., Burton, S. H., Giraud-carrier, C., West, J. H., Michael, D., & Hanson, B. (2013). Tweaking and tweeting: Exploring Twitter for nonmedical use of a psychostimulant drug (Adderall) Among college students. Journal of Medical Internet Research, 15(4), e62.

    Google Scholar 

  • Helmer, S. M., Mikolajczyk, R. T., McAlaney, J., Vriesacker, B., van Hal, G., Akvardar, Y., … Zeeb, H. (2014). Illicit substance use among university students from seven European countries: A comparison of personal and perceived peer use and personal and perceived peer attitudes towards illicit substance use. Preventive Medicine, 67, 204–209.

    Article  Google Scholar 

  • Helmer, S. M., Pischke, C. R., Van Hal, G., Vriesacker, B., Dempsey, R. C., Akvardar, Y., … Zeeb, H. (2016). Personal and perceived peer use and attitudes towards the use of nonmedical prescription stimulants to improve academic performance among university students in seven European countries. Drug and Alcohol Dependence, 168, 128–134.

    Article  Google Scholar 

  • Kerley, K. R., Copes, H., & Griffin, O. H. (2015). Middle-class motives for non-medical prescription stimulant use among college students. Deviant Behavior, 36(7), 589–603.

    Article  Google Scholar 

  • Lehne, G., Zeeb, H., Pischke, C. R., Mikolajczyk, R., Bewick, B. M., McAlaney, J., … Helmer, S. M. (2018). Personal and perceived peer use and attitudes towards use of non-prescribed prescription sedatives and slee** pills among university students in seven European countries. Addictive Behaviors, 87, 17–23.

    Article  Google Scholar 

  • London-Nadeau, K., Chan, P., & Wood, S. (2019). Building conceptions of cognitive enhancement: University students’ views on the effects of pharmacological cognitive enhancers. Substance Use and Misuse, 54(6), 908–920.

    Article  Google Scholar 

  • Looby, A., Beyer, D. L., & Zimmerman, L. (2015). Non-medical prescription stimulant use: Investigating modifiable risk factors. Addiction Research & Theory, 23(2), 143–147.

    Article  Google Scholar 

  • Looby, A., De Young, K. P., & Earleywine, M. (2013). Challenging expectancies to prevent nonmedical prescription stimulant use: A randomized, controlled trial. Drug and Alcohol Dependence, 132(1–2), 362–368.

    Article  Google Scholar 

  • Lookatch, S. J., Fivecoat, H. C., & Moore, T. M. (2017). Neuropsychological effects of placebo stimulants in college students. Journal of Psychoactive Drugs, 49(5), 398–407.

    Article  Google Scholar 

  • Lucke, J., Jensen, C., Dunn, M., Chan, G., Forlini, C., Kaye, S., … Hall, W. (2018). Non-medical prescription stimulant use to improve academic performance among Australian university students: Prevalence and correlates of use. BMC Public Health, 18(1), 1270.

    Article  Google Scholar 

  • Maier, L. J., Liechti, M. E., Herzig, F., & Schaub, M. P. (2013). To dope or not to dope: Neuroenhancement with prescription drugs and drugs of abuse among Swiss university students. PLoS ONE, 8(11), e77967.

    Article  Google Scholar 

  • Maier, L. J., & Schaub, M. P. (2015). The use of prescription drugs and drugs of abuse for neuroenhancement in Europe: Not widespread but a reality. European Psychologist, 20(3), 155–166.

    Article  Google Scholar 

  • Mallett, K. A., Lee, C. M., Neighbors, C., Larimer, M. E., & Turrisi, R. (2006). Do we learn from our mistakes? An examination of the impact of negative alcohol-related consequences on college students’ drinking patterns and perceptions. Journal of Studies on Alcohol, 67(2), 269–276.

    Article  Google Scholar 

  • McAlaney, J., Helmer, S., Stock, C., Vriesacker, B., van Hal, G., Dempsey, R. C., … Mikolajczyk, R. (2015). Personal and perceived peer use of and attitudes toward alcohol among university and college students in seven EU countries: Project SNIPE. Journal of Studies on Alcohol and Drugs, 76(3), 430–438.

    Article  Google Scholar 

  • McCabe, S. E. (2008). Misperceptions of non-medical prescription drug use: A web survey of college students. Addictive Behaviors, 33(5), 713–724.

    Article  Google Scholar 

  • McCabe, S. E., Knight, J. R., Teter, C. J., & Wechsler, H. (2005). Non-medical use of prescription stimulants among US college students: Prevalence and correlates from a national survey. Addiction, 99, 96–106.

    Article  Google Scholar 

  • McCabe, S. E., Teter, C. J., & Boyd, C. J. (2006). Medical use, illicit use and diversion of prescription stimulant medication. Journal of Psychoactive Drugs, 38(1), 43–56.

    Article  Google Scholar 

  • Neighbors, C., Jensen, M., Tidwell, J., Walter, T., Fossos, N., & Lewis, M. A. (2011). Social-norms interventions for light and nondrinking students. Group Processes & Intergroup Relations, 14(5), 651–669.

    Article  Google Scholar 

  • Perkins, H. W. (2003). The emergence and evolution of the social norms approach to substance abuse prevention. In H. W. Perkins (Ed.), The social norms approach to preventing school and college age substance abuse: A handbook for educators, counselors, and clinicians (pp. 3–18). San Francisco: Jossey-Bass.

    Google Scholar 

  • Perkins, H. W., Meilman, P. W., Leichliter, J. S., Cashin, J. R., & Presley, C. A. (1999). Misperceptions of the norms for frequency of alcohol and other drug use on campus. Journal of American College Health, 47, 253–258.

    Article  Google Scholar 

  • Pino, N. W., Tajalli, H., Smith, C. L., & DeSoto, W. (2017). Nonmedical prescription drug use by college students for recreational and instrumental purposes: Assessing the differences. Journal of Drug Issues, 47(4), 606–621.

    Article  Google Scholar 

  • Piper, B. J., Ogden, C. L., Simoyan, O. M., Chung, D. Y., Caggiano, J. F., Nichols, S. D., & McCall, K. L. (2018). Trends in use of prescription stimulants in the United States and territories, 2006 to 2016. PLoS ONE, 13(11), e0206100.

    Article  Google Scholar 

  • Pischke, C. R., Helmer, S. M., McAlaney, J., Bewick, B. M., Vriesacker, B., Van Hal, G., … Zeeb, H. (2015). Normative misperceptions of tobacco use among university students in seven European countries: Baseline findings of the ‘Social norms intervention for the prevention of polydrug use’ study. Addictive Behaviors, 51, 158–164.

    Article  Google Scholar 

  • Ragan, C. I., Bard, I., & Singh, I. (2013). What should we do about student use of cognitive enhancers? An analysis of current evidence. Neuropharmacology, 64, 588–595.

    Article  Google Scholar 

  • Renoux, C., Shin, J. Y., Dell’Aniello, S., Fergusson, E., & Suissa, S. (2016). Prescribing trends of attention-deficit hyperactivity disorder (ADHD) medications in UK primary care, 1995–2015. British Journal of Clinical Pharmacology, 82, 858–868.

    Article  Google Scholar 

  • Rosansky, J. A., & Rosenberg, H. (2019). University students’ self-reported reasons for abstinence from prescription and non-prescription stimulants and depressants. Drug and Alcohol Dependence, 194, 476–481.

    Article  Google Scholar 

  • Rosiers, J., & Van Hal, G. (2010). Stimulant medication use among Flemish students: Results from an exploring secondary data analysis 1965–2005. Archives of Public Health, 67(4), 169–178.

    Article  Google Scholar 

  • Ross, L., Greene, D., & House, P. (1977). The “false consensus effect” an egocentric bias in social perception and attribution processes. Journal of Experimental and Social Psychology, 13, 279–301.

    Article  Google Scholar 

  • Schleim, S. (2010). Second thoughts on the prevalence of enhancement. Biosocieties, 5(4), 484–485.

    Article  Google Scholar 

  • Silvestri, M. M., & Correia, C. J. (2016). Normative influences on the nonmedical use of prescription stimulants among college students. Psychology of Addictive Behaviors, 30(4), 516–521.

    Article  Google Scholar 

  • Teter, C. J., Esteban, S., Cranford, J. A., Boyd, C. J., & Guthrie, S. K. (2005). Prevalence and motives for illicit use of prescription stimulants in an undergraduate student sample. Journal of American College Health, 53(6), 253–262.

    Article  Google Scholar 

  • Verdi, G., Weyandt, L. L., & Zavras, B. M. (2016). Non-medical prescription stimulant use in graduate students: Relationship with academic self-efficacy and psychological variables. Journal of Attention Disorders, 20(9), 741–753.

    Article  Google Scholar 

  • Vrecko, S. (2015). Everyday drug diversions: A qualitative study of the illicit exchange and non-medical use of prescription stimulants on a university campus. Social Science and Medicine, 131, 297–304.

    Article  Google Scholar 

  • Weyandt, L., White, T., Gudmundsdottir, B., Nitenson, A., Rathkey, E., De Leon, K., & Bjorn, S. (2018). Neurocognitive, autonomic, and mood effects of Adderall: A pilot study of healthy college students. Pharmacy, 6(3), 58.

    Article  Google Scholar 

  • Weyandt, L. L., Janusis, G., Wilson, K. G., Verdi, G., Paquin, G., Lopes, J., … Dussault, C. (2009). Nonmedical prescription stimulant use among a sample of college students. Journal of Attention Disorders, 13(3), 284–296.

    Article  Google Scholar 

  • Weyandt, L. L., Marraccini, M. E., Gudmundsdottir, B. G., Martinez Zavras, B., Turcotte, K. D., Munro, B. A., & Amoroso, A. J. (2013). Misuse of prescription stimulants among college students: A review of the literature and implications for morphological and cognitive effects on brain functioning. Experimental and Clinical Psychopharmacology, 21(5), 385–407.

    Article  Google Scholar 

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Dempsey, R.C. (2021). Psychosocial Motivators of “Smart Drug” Use Amongst University Students. In: Hall, M., Forshaw, M., Montgomery, C. (eds) Chemically Modified Minds. Palgrave Macmillan, Singapore. https://doi.org/10.1007/978-981-15-6771-1_2

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