兴奋剂药物对认知有什么影响?重点关注患有注意缺陷多动障碍(ADHD)的成年人。
What are the cognitive effects of stimulant medications? Emphasis on adults with attention-deficit/hyperactivity disorder (ADHD).
机构信息
Department of Psychology, Louisiana State University, 215 Audubon Hall, Baton Rouge, LA 70803, USA.
出版信息
Neurosci Biobehav Rev. 2010 Jul;34(8):1256-66. doi: 10.1016/j.neubiorev.2010.03.006. Epub 2010 Apr 8.
The relevant literature concerning cognitive effects of amphetamine and methylphenidate, was reviewed, with an emphasis on research conducted in adults diagnosed with attention-deficit/hyperactivity disorder. As first-line treatment for ADHD, stimulant drugs are well-known to improve attention and concentration. Yet, there is increasing evidence that (as with children and adolescents), they do not promote learning and academic achievement in adult college students with ADHD. A review of neuropsychological studies indicates that, although response latencies are reduced, performance of ADHD adults on tests of 'distractibility' and 'planning' is also not consistently improved by stimulants. Studies in non-ADHD adults suggest that stimulants do not promote acquisition of new information, might improve retention of previously acquired information, and facilitate memory consolidation, but may actually impair performance of tasks that require adaptation, flexibility and planning. It is still not clear if improvement only occurs when there is a baseline deficit. Stimulants may influence cognition by their effects on physiological arousal. Regardless, the evidence does not support the conclusion that stimulants are cognitive 'enhancers.'
本文回顾了有关安非他命和哌甲酯对认知影响的相关文献,重点介绍了针对诊断患有注意缺陷多动障碍(ADHD)的成年人开展的研究。作为 ADHD 的一线治疗药物,兴奋剂众所周知可以改善注意力和专注力。然而,越来越多的证据表明(与儿童和青少年一样),它们并不能促进患有 ADHD 的成年大学生的学习和学业成绩。对神经心理学研究的综述表明,尽管反应时缩短,但兴奋剂并不能始终改善 ADHD 成年患者在“分心”和“计划”测试中的表现。在非 ADHD 成年人群体中的研究表明,兴奋剂不会促进新信息的获取,可能会改善之前获取信息的保留,促进记忆巩固,但实际上可能会损害需要适应、灵活性和计划的任务的表现。目前尚不清楚只有在存在基线缺陷的情况下是否才会出现改善。兴奋剂可能通过对生理唤醒的影响来影响认知。无论如何,证据并不支持兴奋剂是认知“增强剂”的结论。