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ADHD Drugs Aren't Doing What You Think, Scientists Warn (inverse.com)

An anonymous reader quotes a report from Inverse: The study authors Lisa Weyandt, Ph.D., a professor of psychology at the University of Rhode Island, and Tara White, Ph.D., an assistant professor of Behavioral and Social Sciences at Brown University, started out investigating the effects of ADHD medications in students that actually have a diagnosable attention deficit disorder. They showed that in these students, there is decreased activity in the areas of the brain controlling "executive functions," which can make it hard for them to stay organized or focused. But because both authors work with college students, they soon became more interested in the misuse of Adderall. In students whose brains aren't affected by ADHD, does Adderall act as a supercharger? Does it make those areas fly into overdrive and unlock otherwise untapped intellectual ability, as all pill-popping students hope?

Weyant and White's double-blind, placebo-controlled study on 13 college students was a small sample, they admit, but their experiment had a rigorous study design. Neither the students nor the researchers knew who was getting Adderall and who was getting placebo sugar pill. The six tests evaluated different aspects of cognition, like working memory, reading ability and reaction time. While students on Adderall did make fewer errors on a reaction time test, it actually worsened working memory, as shown by a decline in performance on a task where they had to repeat sequences of numbers. In short, Adderall improved focus and attention -- but it didn't actually make anyone smarter.
The research has been published in the journal Pharmacy.

26 of 183 comments (clear)

  1. "Didn't make anyone smarter..." by HotNeedleOfInquiry · · Score: 4, Insightful

    " Adderall improved focus and attention -- but it didn't actually make anyone smarter." Presumably, you are reasonably smarter already, being accepted in college. So the real benefit is focus and attention, not "smarter".

    --
    "Eve of Destruction", it's not just for old hippies anymore...
    1. Re:"Didn't make anyone smarter..." by jordanjay29 · · Score: 3, Insightful

      Right. I never heard of anyone taking them to make themselves smarter. Just to get stuff done, like studying or papers/projects. I'd be interested to see a study done on knowledge retention for learning done on adderall vs without.

    2. Re:"Didn't make anyone smarter..." by Plus1Entropy · · Score: 3, Funny

      An alternative headline could be: "ADHD Drugs Are Doing Exactly What They Are Prescribed To Do, Scientists Confirm".

      --
      Only crack the nuts that crack. You don't put the ones that don't crack in the sack.
    3. Re:"Didn't make anyone smarter..." by alvinrod · · Score: 3, Interesting

      I think that a lot of students are probably using it as a crutch. There are people who legitimately need these substances to function, but there are too many people who are abusing them at the expense of learning some discipline and focus. Yes, it sucks to have to sit down to do a term paper, but really what you should have been doing is spending small amounts of time over the semester working on it instead of putting it all off until the last possible minute.

      Whatever you exercise, you will make stronger. Don't assume that self-control and willpower are any different. Of course you can exercise your vices and bad habits just as easily.

    4. Re:"Didn't make anyone smarter..." by Ferocitus · · Score: 3, Interesting

      I find that 12 to 16 cups of (instant) coffee per day + 30mg dexedrine works for my adult ADHD. Small amounts of cannabis (1/2 a cone every 2-3 hours) as well is even better. Large amounts of weed, while nice, doesn't help my maths research.

      The benefits attributed to l-theanine are mostly bullshit.

      --
      USB, USB, USB!
    5. Re: "Didn't make anyone smarter..." by reanjr · · Score: 2

      Did you miss the part where it says, "can make it hard for them to stay organized or focused"?

    6. Re:"Didn't make anyone smarter..." by Anonymous Coward · · Score: 2, Interesting

      I find that 12 to 16 cups of (instant) coffee per day + 30mg dexedrine works for my adult ADHD.

      Do you know whether that's safe? My doctor discouraged me from drinking more than 1-2 cups of coffee per day when taking a stimulant, though he admitted it's an educated guess rather than something specific from a study. (Coffee and/or ADHD meds may cease to be a heart stimulant after you get acclimated.)

    7. Re:"Didn't make anyone smarter..." by Ol+Olsoc · · Score: 3, Informative

      Exactly. There wasn't any mention of testing to see if long-term memory retention is affected. After all, I thought that students took adderall to study for tests.

      One could surmise that if working memory is affected, long term memory will be affected as well.

      It is interesting that this recent test found different results regarding working memory than a 2015 test did. https://en.wikipedia.org/wiki/...

      Granted, the Wikipedia entry reads more like a drug company propaganda piece, taking an amphetamine and elevating it to miracle drug status. Probably to make parents feel good about drugging their young boys to keep them in line.

      Which would be contradictory to the rest of the world's not so good experiences with amphetamine drugs.

      Back in the day, in college, we had access to various amphetamines. It always followed a predictable course. Take them, cram all night, take the test. Crash. The trick was to not crash before taking the test.

      Homie didn't play that. I tried cramming a few times, because it was what you were supposed to do. It really doesn't work. And since I don't sleep much anyway, there was no need for speed.

      --
      The shepherds did so well protecting the flock that the sheep no longer believed that wolves existed.
    8. Re:"Didn't make anyone smarter..." by starless · · Score: 4, Funny

      I raise issue with calling it a "double-blind study" since clearly those that got meth instead of sugar figured it out on the first dose. There are some thing you cant play make believe about. You may be able to trick someone into thinking they got it when they didnt, but there is no way to do the opposite.

      Which, of course, calls for the relevant XKCD comic...
      https://xkcd.com/1462/

    9. Re:"Didn't make anyone smarter..." by Trickster+Paean · · Score: 4, Informative

      That's completely incorrect. Don't spread misinformation.

      Adderall, and its generic equivalents, are a combination of 25% levoamphetamine and 75% dextroamphetamine salts. They both have the chemical formula C9H13N.

      Methamphetamine is a different drug entirely. In its medical form, it is generally sold as dextromethamphetamine hydrochloride, or under the trade name Desoxyn. Its chemical formula is C10H15N.

      Both are approved for the treatment of ADHD in the US, but Adderall is much more likely to be prescribed. Under long-term medical use at therapeutic doses, addition is unlikely to occur with Adderall. While methamphetamine is approved for the treatment of ADHD, it is seldom prescribed due to the risks of recreational abuse and addiction associated with it. That said it is a safe and effective treatment for some people when other treatments fail.

      Abuse of these drugs is another matter entirely.

    10. Re:"Didn't make anyone smarter..." by Trickster+Paean · · Score: 2

      Looking at the study itself, the students were given a 30mg dose of Adderall. Therapeutic doses start at 5 mg.
      So it doesn't surprise me that the side effects from a 30 mg dose overwhelmed any possible cognitive improvements.

      The studies cited that found cognitive improvements also note that there is a dose response-curve, where up to a certain dosage, you see improvements in sustained attention and working memory, and past that working memory takes a dive while sustained attention continues to improve. Until it too begins to decrease.

      These aren't wonder drugs. They're drugs. They're substances that have physiological effects on the body. Doses make a difference.

    11. Re:"Didn't make anyone smarter..." by azcoyote · · Score: 2

      Under long-term medical use at therapeutic doses, addition is unlikely to occur with Adderall

      So it only makes you smarter with subtraction? How about trigonometry?

      Seriously though, I wonder what "addiction" is supposed to mean when it is said that addiction is unlikely to occur with Adderall. I can buy that meth might be more chemically addictive than Adderall, but Adderall is definitely habit-forming. The problem with the word "addiction" is that in common parlance it can cover many different situations of habit with completely different causes. Perhaps Adderall does not make someone dependent the way that nicotine does, but it is easy to be in a situation where making the decision to take Adderall or not to take the med is not a purely rational, level-headed choice.

      --
      Incipiamus, fratres, servire Domino Deo, quia hucusque vix vel parum in nullo profecimus.
  2. Not a Surprise by Cinnamon+Beige · · Score: 4, Interesting

    I've had a lot of teachers whose specialty was in this area, and honestly this is kind of the equivalent of 'We checked, water is wet.' ADHD is basically a bandwidth problem--people with attention deficit disorders (there's several) lack the standard suite of preprocessing filters on their incoming data. These normally are present to basically try to get you to stick with what (the filters judge to be) the important stuff in the incoming data is--without these filters, you're attempting to drink from the proverbial firehose. Hyperactivity is the most common method by which the brain attempts to cope--"Maybe if we move really really really fast we can get all this sorted!"

    There's other strategies, too, such as 'shut down' and 'increase processing power' which have their own relative issues and your attention is still going to be not working like what is classed as 'normal'--in some populations, ADD is normal, because assumptions about what is/isn't important in your environment tended to get selected against instead of heavily agricultural populations where we strongly selected for the ability to not be too bothered by spending many hours staring at the hind end of a draft animal... It's not shot; you can get hyperfocus and flow, where your attention is very tightly focused on doing a task, vastly more easily than the normal population.

    There is, however, one thing about this that's surprising--and that's that you get the same kind of effects in normal people. One of the old methods for confirming an ADD diagnosis is that you had an atypical reaction to stimulants...which Adderall and Ritalin are. To be specific, they're amphetamines...

    1. Re:Not a Surprise by Cinnamon+Beige · · Score: 2

      which Adderall and Ritalin are. To be specific, they're amphetamines...

      Take a look at the chemical formulas for Adderall and meth sometime.

      I wandered into neuroscience from biochemistry, and actually am thinking of seeing if I can get a copy of this study to read, even though it is kinda stating the obvious.

      I think a lot of ADHD problems would go away if we just let kids run around some more. I've known a fair number of people who've been put into that bucket and physical exertion does a lot to mitigate the effects. Extra PE time might also help with the obesity epidemic as well.

      I can assure you that a lot of it is, in fact, due to cutting back on the time kids get to actually exercise--that, and schools get extra money for each student diagnosed. A lot of the diagnosis is also somewhere around the 'people should be at least sued for this' end of half-assed, too--I've heard of diagnosis being basically done on the word of a school counselor who is mostly relying on teachers' complaints with the medication tossed on their word by a general practitioner. Most teachers go off of how much attention a student is paying--and don't necessarily consider such possibilities as the student being bored to death, needing to have time to indulge in physical activity, or suffers from a physical condition commonly known as 'being male' when it gets really stupidly bad.

      This is not how you should be diagnosing neurological issues--and yes, it is one. You also don't see the behavioral help that's pretty much required (because the drugs have no measurable effect after ~2 years) put in because that's hard and would require one of the parties spend money on the problem instead of just give the kid pills--which, once again, are amphetamines and people with ADHD aren't that different neurologically. Amphetamine side effects and problems are still going to be there, including amphetamine psychosis and the fun that happens when the idiot doctor prescribes sleeping pills because 24/7 amphetamines do screw with your sleep, who knew?

      ADHD definitely exists--but the sheer incompetence, lack of required skills, and perverse incentives here all combine to make it unfortunately very likely that most people who have been diagnosed with it...probably don't actually have it.

    2. Re:Not a Surprise by Khyber · · Score: 2

      In some cases, YES, it does. Your body is capable of growing new arteries and veins if it detects a shut off of oxygen to various parts of the body. Whether it does it fast enough to keep you alive is a different story.

      --
      Still waiting on Serviscope_minor to wake up to fucking reality and realize that Jessica Price isn't going to fuck him.
  3. Oh, almost forgot... by Cinnamon+Beige · · Score: 2

    FYI: Working memory is basically the RAM of the brain--it's short-term holding for stuff you're processing and using, which is why it's called working memory. One of the things you check for if somebody who should be doing well in school but isn't? Is if their working memory is functioning correctly.

    Focus and attention aren't anywhere near as important. You can only be vaguely paying attention and still retain a surprising amount of information, but you need your working memory to remember the start of a paragraph when you reach its end, and other things rather important to the ability to reason and make good choices.

    So it's not just that it didn't make anybody 'smarter,' it actually managed to hose something you direly need working to be smart. Though, if amphetamines in general screw with the working memory, that explains so much about the life choices of amphetamine addicts...

    1. Re:Oh, almost forgot... by Anonymice · · Score: 2

      I've been diagnosed with ADHD since I was a child, and use medication selectively today, adjusting my dosage depending on the demands of the day & how I'm feeling (I only take my full dosage on "bad" days).

      Your description is fairly spot on. Anecdotally however, I'm not sure the medication actually has much of a direct affect on memory, it simply helps in maintaining focus on the right things, which in turn helps you record the right things.

    2. Re:Oh, almost forgot... by Cinnamon+Beige · · Score: 2

      I've been diagnosed with ADHD since I was a child, and use medication selectively today, adjusting my dosage depending on the demands of the day & how I'm feeling (I only take my full dosage on "bad" days).

      Your description is fairly spot on. Anecdotally however, I'm not sure the medication actually has much of a direct affect on memory, it simply helps in maintaining focus on the right things, which in turn helps you record the right things.

      Working memory is distinct from short-term and long-term memory--the things people normally think of as memory. Those are more like the write buffer to the hard drive & the hard drive itself.

      That said, you might want to look into flow--hyperfocus is when you find your attention stuck on something and it's not something you want to be paying attention to exclusively, flow is the state of attention you're in when you hit the zone. I've lost days that way. ADHD actually makes it easier to reach these states--it's not that you don't have any attention span, it's that most things won't hold it well...but what holds it will do so really well. (Anecdotally: Music works for me for reaching flow easily. I use endless repeats and long playlists--radio only if there's next to no interruptions to the music--and sometimes I have to have really strangely precise matches between music and what I'm trying to focus on.)

    3. Re:Oh, almost forgot... by Khyber · · Score: 2

      "Anecdotally however, I'm not sure the medication actually has much of a direct affect on memory"

      Judging by your UID, you're a young millennial.

      Come back in 15 more years when you start seeing the extended effects of those amphetamines on your nervous system. I took that shit for 12 years, from age 6 to 18. The damage it did is quite noticable. You'll start thinking you're getting Alzheimer's around 35 if you took it as young and as long as I did.

      --
      Still waiting on Serviscope_minor to wake up to fucking reality and realize that Jessica Price isn't going to fuck him.
  4. wait by superwiz · · Score: 2

    You mean the drug prescribed for Attention Deficit Disorder treated attention deficit, but wasn't helpful in treating cognitive deficit? And that's why it doesn't do what people think it does? Umm... what?

    --
    Any guest worker system is indistinguishable from indentured servitude.
  5. Speed by geekymachoman · · Score: 2, Interesting

    I'm glad we have scientists that brand speed and then sell it to people for profit, legally.

    Wish they did it with cocaine and weed too, I'm sure we can find an excuse WHY it's a good idea. Just invent another imaginary illness, or "condition".

    1. Re:Speed by demonlapin · · Score: 3, Insightful

      It was first used for eye surgery, but when it's used today, it's primarily in nasal work - it's both a vasoconstrictor and a local anesthetic. Due to concerns about diversion, though, it's almost never used. I've been an anesthesiologist for twelve years, and I've seen it used once.

  6. Re:Pretty small sample size by Whibla · · Score: 5, Interesting

    Correct. A sample size of 13 is utterly worthless statistically. No useful information can be had from such an experiment.

    Incorrect. A sample size of 13 does give statistically significant results (for a fairly specific version of significant), and is, in fact, the smallest sample size to do so.

    It might never have occurred to you to wonder why legal trials have a judge and 12 people on a jury - making 13 people. Perhaps you should look into that: mathematically it's quite interesting.

  7. Don't hype a study with such a small sample size. by El+Jynx · · Score: 2

    I don't care how perfectly well you've set up your experiment. 13 people does not a respectable sample size make. It's all too likely that a fluke is majorly skewing the results. I don't even understand what this post is doing here. We should know better.

    --
    A positive attitude may not solve all your problems, but it will annoy enough people to make it well worth the effort.
  8. They're not supposed to make you smarter by Opportunist · · Score: 2

    They're supposed to make you pay attention to what you're told, not to reflect upon it.

    Working as designed.

    --
    We used to have a Bill of Rights. Now, with the rights gone, all we have left is the bill.
  9. Re:Pretty small sample size by azcoyote · · Score: 2

    Yep. A Google search revealed the historical reason that I had presumed from the beginning: it's because of the 12 tribes of Israel: https://www.insidescience.org/news/mathematics-jury-size

    More directly, it was connected to Jesus' twelve apostles, but the reason there were 12 apostles was because it was symbolic of the 12 tribes.

    --
    Incipiamus, fratres, servire Domino Deo, quia hucusque vix vel parum in nullo profecimus.