College students' non-medical use & misuse of ADHD meds

大学生非医疗用途

• 批准号: 6979940
• 负责人: DAVID L RABINER
• 金额: $ 21.09万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2007-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6979940
• 关键词: Internet; alcoholic beverage consumption; attention deficit disorder; behavioral /social science research tag; central nervous system stimulants; clinical research; gender difference; health surveys; human subject; longitudinal human study; mental disorder chemotherapy; methylphenidate; motivation; peer group; personality; psychopharmacology; questionnaires; self medication; statistics /biometry; substance abuse epidemiology; substance abuse related behavior; university student

DESCRIPTION (provided by applicant): Despite growing concerns about the non-medical use of ADHD medications by college students (i.e., using ADHD medications without a prescription), and the possible misuse of such medications by students with prescriptions (e.g., using higher doses than have been prescribed) limited information exists on the prevalence of these behaviors, the reasons students engage in these behaviors, the risk factors for these behaviors, and what the consequences may be. To address these gaps in the literature, we propose a longitudinal study of the non-medical use and misuse of ADHD medications among all entering students at 2 diverse universities - Duke University and the University of North Carolina-Greensboro. Students will be asked to complete a web-based survey pertaining to their use of ADHD medication at the beginning and end of their freshman year, and at the end of their sophomore year, so that the development of non-medical use and misuse of ADHD medication during the first two years of college can be tracked. The survey will assess frequency of use, method of administration (i.e., oral, intranasal, injection), reasons for use (e.g. to enhance academic performance, to get high, etc.), and perceived consequences of use. Other substance use, psychiatric symptoms - including ADHD symptoms - and personality characteristics will be assessed so that risk factors for non-medical use/misuse of ADHD medication can be examined. Results will provide new information on the prevalence of different types of non-medical use and misuse of ADHD medications by college students, and how this varies by gender, ethnicity, and type of institution. New information on risk factors for nonmedical use and misuse of ADHD medication, as well as the consequences associated with these practices, will also be gathered; a particular interest is whether untreated ADHD symptoms are an important risk factor for non-medical use. Finally, data on the prescribed use of ADHD medication among college students, an area where little data currently exists, will be collected. Results will inform college administrators and health providers about whether non-medical use and misuse of ADHD medications by college students represents an important public health problem, and will set the stage for subsequent investigations of this topic.

描述（由申请人提供）：尽管人们越来越担心大学生对 ADHD 药物的非医疗用途（即，在没有处方的情况下使用 ADHD 药物），以及有处方的学生可能滥用此类药物（例如，使用更高剂量的药物）关于这些行为的普遍程度、学生从事这些行为的原因、这些行为的风险因素以及可能产生的后果的信息有限。为了解决文献中的这些空白，我们建议对两所不同大学（杜克大学和北卡罗来纳大学格林斯博罗分校）的所有入学学生对 ADHD 药物的非医疗使用和滥用情况进行纵向研究。学生将被要求在大一开始和结束以及大二结束时完成一份有关他们使用多动症药物的网络调查，以便防止多动症的非医疗使用和滥用可以跟踪大学前两年的用药情况。该调查将评估使用频率、给药方法（即口服、鼻内、注射）、使用原因（例如提高学习成绩、兴奋等）以及使用的感知后果。将评估其他物质使用、精神症状（包括多动症症状）和人格特征，以便检查多动症药物非医疗使用/滥用的风险因素。结果将提供关于大学生不同类型的非医疗用途和滥用多动症药物的流行情况的新信息，以及这种情况如何因性别、种族和机构类型而异。还将收集关于非医疗使用和滥用多动症药物的风险因素以及与这些做法相关的后果的新信息；特别令人感兴趣的是未经治疗的多动症症状是否是非医疗用途的重要危险因素。最后，将收集大学生中多动症药物处方使用的数据，目前该领域数据很少。结果将告知大学管理人员和医疗服务提供者，大学生非医疗使用和滥用多动症药物是否构成一个重要的公共卫生问题，并将为该主题的后续调查奠定基础。