Weskoppies Psychiatric Hospital, University of Pretoria, Pretoria, Gauteng, South Africa.
Acad Psychiatry. 2020 Dec;44(6):721-726. doi: 10.1007/s40596-020-01303-z. Epub 2020 Sep 24.
The aim of this study was to assess medical students' perception of pharmacological cognitive enhancement (PCE) with methylphenidate and to determine whether this perception differs between junior and senior medical students.
The second and fifth year medical student groups of 2017 at a specific university completed self-administered questionnaires in order to investigate if there were a difference in their attitudes towards methylphenidate use for PCE.
A total of 353 students were included as follows: 135 second year and 218 fifth year students. Fifth year students were more aware of PCE with methylphenidate than second year students (94% versus 87%; p value = 0.02). Many students (second year = 86%; fifth year = 71%; p value = 0.2469) were of the opinion that methylphenidate could enhance academic performance. Sixty-six percent of all the students were concerned about the fairness of PCE; 93% were concerned about the harmfulness of methylphenidate. There were no statistical significant differences in the attitudes towards methylphenidate use for PCE between the two groups of junior and senior students.
In both groups, the majority of students were against the use of methylphenidate for PCE in students without attention deficit and hyperactivity disorder. Their attitudes regarding the use of methylphenidate for non-medical purposes did not differ significantly. Addressing the topic of PCE with medical students is essential, and the impact on their practice can be an important direction for future research.
本研究旨在评估医学生对哌醋甲酯(利他林)药理认知增强(PCE)的看法,并确定这种看法在低年级和高年级医学生之间是否存在差异。
特定大学 2017 年的二年级和五年级医学生群体完成了自我管理问卷,以调查他们对使用哌醋甲酯进行 PCE 的态度是否存在差异。
共纳入 353 名学生,其中包括 135 名二年级学生和 218 名五年级学生。五年级学生比二年级学生更了解哌醋甲酯的 PCE(94%对 87%;p 值=0.02)。许多学生(二年级=86%;五年级=71%;p 值=0.2469)认为哌醋甲酯可以提高学业成绩。66%的学生都担心 PCE 的公平性;93%的学生担心哌醋甲酯的危害性。两组低年级和高年级学生对 PCE 中使用哌醋甲酯的态度没有统计学上的显著差异。
在这两个群体中,大多数学生都反对没有注意力缺陷多动障碍的学生使用哌醋甲酯进行 PCE。他们对非医疗用途使用哌醋甲酯的态度没有显著差异。与医学生讨论 PCE 问题至关重要,对其实践的影响可能是未来研究的一个重要方向。