Friday 14 March 2014

Adderall May Not Make You Smarter, But It Makes You Think You Are | TIME.com

Adderall May Not Make You Smarter, But It Makes You Think You Are | TIME.com





Ten milligram tablets of the hyperactivity drug, Adderall, m
JB Reed/Bloomberg News via Getty Images



Adderall, Ritalin and other “smart drugs” have become popular among
college students and young professionals, who use them to enhance
performance. The drugs are normally
prescribed to treat attention deficit hyperactivity disorder (ADHD), but
healthy students use them to get a leg up in school, by improving
focus, concentration and memory. The question is, do they work?

Maybe not, according to a new study from the University of
Pennsylvania. Students who took Adderall didn’t actually perform better
on tests of cognitive function — they only thought they did. Casey Schwartz blogged about the findings on the Daily Beast:

The research team tested 47 subjects, all in their
twenties, all without a diagnosis of ADHD, on a variety of cognitive
functions, from working memory — how much information they could keep in
mind and manipulate — to raw intelligence, to memories for specific
events and faces. Each subject was tested both while on Adderall and on a
placebo; in each condition, the subjects didn’t know which kind of pill
they were receiving.

The researchers did come up with one significant finding. The last
question they asked their subjects was: “How and how much did the pill
influence your performance on today’s tests?” Those subjects who had
been given Adderall were significantly more likely to report that the
pill had caused them to do a better job on the tasks they’d been given,
even though their performance did not show an improvement over that of
those who had taken the placebo.
It’s not surprising that Adderall gave students an inflated sense of
productivity, Schwartz writes, given that the drug — a close cousin of
amphetamine — “unleashes the feel-good neurotransmitter dopamine,
triggers the brain’s reward system, and can produce a mild sense of
euphoria.” (More on Time.com: Drug Surprise: Meth Makes You Feel Almost As Cuddly as Ecstasy)

So whether or not the drug boosts performance on cognitive tests in
the short-term, could it be possible that its “euphoric” effect simply
makes studying more pleasurable, helping student achievement by ramping
up enthusiasm for academics overall? (More on Time.com: Clues to the Genetic Roots of ADHD)

Schwartz points to a personal essay about performance enhancement by a recent college senior, Molly Young. Writing
for N+1, Young noted, “Of course, I could have studied in college
without Adderall, just like I did in high school — I just couldn’t have
studied with such ecstasy.”

Then again, ecstasy doesn’t necessarily mean creativity, which is
another marker of cognitive performance, and one that’s hard to pin down
in a scientific study. “Though I could put more words to the page per
hour on Adderall, I had a nagging suspicion that I was thinking with
blinders on,” wrote Slate’s Joshua Foer in 2005. (More on Time.com: A Five-Minute Brain Scan Tracks Kids’ Development and May Spot Disorders)

UPDATE: It bears noting that the new study, which
has not yet been published (it was presented at the annual Society of
Neuroscience conference in November), is contradicted by a body of
evidence showing actual cognitive benefits of the drug. Healthland’s
Maia Szalavitz reported:

The benefits of enhancement include increased alertness
and focus and improvement in some types of memory. Research shows that
in normal people, stimulants consistently and significantly improve
learning of material that must be recalled days later — exactly what you
want from a drug when you are prepping for exams. The drugs even seem
to improve certain aspects of judgment. One study of 36 normal women and
men found that they were more likely to choose to delay gratification
and receive a larger monetary reward when given amphetamines than settle
for a smaller amount of money immediately. Improvements in memory and
cognitive control have been reported in multiple studies, mainly using
Ritalin and amphetamines.
Research suggests, however, that the drug doesn’t improve performance
evenly. Many users receive no performance boost, as evidenced by the
current University of Pennsylvania study as well as previous work.
Szalavitz wrote:

Interestingly, those who have the least ability in a
particular area are likely to see the greatest drug-related improvement.
In fact, on some tests of cognition, the smartest people actually
showed performance reductions, a result that may address some of the
concerns over “cheating”: on tasks involving working memory and
impulsivity, stimulants had a leveling effect, allowing below-average
performers to catch up to their peers, not dominate them. According to
Farah, the typical student user is actually not the overachieving
brainiac but a “white male frat brother with a B average.”
Why it works for some and not others isn’t entirely clear, but nota bene:
don’t take Adderall or Ritalin without a doctor’s prescription,
especially if you suffer from psychosis, mood disorders or high blood
pressure.

This post has been updated to reflect the fact that past research
suggests taking “smart drugs” may have a significant effect on
performance.


Related Links:

ADHD: A Global Epidemic or Just a Bunch of Fidgety Kids?

Training Your Brain to Learn Better (Even Without Drugs)

They’re Baaaack! How to Avoid a Holiday Clash When the Kids Come Home From College