Sunday, October 13, 2013

Academic Doping: Is Lance in Your Class?



On a windy mountain road in French Pyrenees you grind up the mountain, your bike eating the dotted line pavement like a carbon fiber pac-man.  You have broken away from the peloton and push forward, the crowd splitting like the red sea as you ascend.  Your legs burn, crying for oxygen, but your brain convinces them to push harder you know the polka dot jersey (award for the best climber) and maybe even the yellow one could be yours.  The last 10 years of your life have prepared your for this moment; every meal carefully calculated, every training ride planned by your coach, your bike made of space age materials.  You have optimized every fiber of your bike and body to give you any advantage.  And then it happens.  Seemingly out of nowhere a man from Texas pulls up next to you, makes eye contact as if to say “nice try” and then proceeds to hammer up the mountain ahead of you with machine like precision and determination. 

Now imagine if instead of a mountain in the Pyrenees you are in a lecture hall at the university about to take your final exam.  Or you are at the local testing center taking the MCAT.  It is less obvious where the peloton is, but when the scores come out you will find out how you stack up.  Are you still behind that man from Texas?  The story of how he beat you on that mountain is well known, but what if he beat you in the classroom by the same means?

Doping is no longer limited to athletics.  In recent years there has been an increase in use of amphetamine stimulants on college campuses.  The mostly widely used amphetamines are Adderall and Ritalin, which both have legitimate uses for treating mental disorders such as Attention Deficit Hyperactivity Disorder (ADHD).  However, an increasing number of college students are using these medications as “Smart Drugs” to increase their ability to study and focus for long periods.  Drugs are obtained by either faking ADHD symptoms, or through a non-pharmacy source.  Interestingly at least one study has shown these medication to be only minimally helpful (1), although other studies have shown the benefits to be more significant (2). Despite this, up to 15% of college students have used Adderall or similar cognition enhancers without a medical need (3).  Usage has also shown increases during high stress times such as finals (4).

Briefly, the mechanism of these amphetamine medications: Individuals with ADHD have decreased levels of the neurotransmitter (NT) dopamine.  Medications like Adderall and Ritalin block dopamine re-uptake, effectively increasing the amount of dopamine in the synapse (5).  Increased dopamine levels have been shown to increase motivation and attention, while decreasing distractibility.  

The future of how we treat doping in academics is not entirely clear.  Differentiating between use and abuse may prove to be difficult, making regulation complex and full of ethical grey area.  As we’ve seen in Le Tour, if doping goes unchecked, the only way to succeed is to cheat; those who play by the rules are the ones that lose.  I don’t think we want the academic world to stoop to that level.  Academic doping needs to be addressed before it’s too late. 


References:

1.       Ilieva I, Boland J, Farah MJ. Objective and subjective cognitive enhancing effects of mixed amphetamine salts in healthy people. Neuropharmacology 64: 496–505, 2013.

2.       Steiner H, Van Waes V. Addiction-related gene regulation: risks of exposure to cognitive enhancers vs. other psychostimulants. Progress in neurobiology 100: 60–80, 2013.

3.       Workman T, Eells G. Assessing the Risks and Issues: Prescription Drug Abuse on Campus [Online]. Prescription drug abuse: Assessing the risks …. http://www.law.stetson.edu/conferences/highered/archive/media/higher-ed-archives-2010/assessing-the-risks-and-issues.pdf [14 Oct. 2013].

4.       Burgard D a, Fuller R, Becker B, Ferrell R, Dinglasan-Panlilio MJ. Potential trends in Attention Deficit Hyperactivity Disorder (ADHD) drug use on a college campus: wastewater analysis of amphetamine and ritalinic acid. The Science of the total environment 450-451: 242–9, 2013.

5.       Sherzada, Awista An Analysis of ADHD Drugs: Ritalin and Adderall, JCCC Honors Journal: Vol. 3: Iss. 1, Article 2. Available at:http://scholarspace.jccc.edu/honors_journal/vol3/iss1/2  2012

1 comment:

  1. Brad,

    I enjoyed reading your post. I have seen many college students obtain adderall, ritalin, or vyvanse illegally. And, quite frankly, it is kind of upsetting when kids use medications that are not prescribed or do not have ADD or ADHD to excel in the classroom.

    When you mentioned that college kids use amphetamines during finals, it got me thinking…I remember in my undergraduate psychology class, my professor said that the way you study is the way you should take the test (i.e. you study on adderall, you should take the test on adderall). If you study in a certain mindset, you are more likely to recall information when your brain operations are similar to when you learned it. While I was unable to find research in regards to using certain medications or substances while studying and test taking, I was able to find that studying in the same environment where you originally learned the information is good for recalling information (Dutcher 2011). So, although these kids are using adderall to study more "efficiently" and to retain information, if they are not taking the adderall during the test, who knows if they will actually perform well.


    Reference:
    Dutcher J. Study Tips from Psychology. April 2011. Psychology in Action. Retrieved from: http://www.psychologyinaction.org/2011/04/23/study-tips-from-psychology/

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