Non-Medical Methylphenidate Use Among Medical Students: Prevalence and Association with Type A Personality Traits.
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| Title: | Non-Medical Methylphenidate Use Among Medical Students: Prevalence and Association with Type A Personality Traits. |
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| Authors: | Sari, Mesut (AUTHOR), Çobaner, Mustafa (AUTHOR), Ayvat, Canan (AUTHOR), İmrek, Yasemin (AUTHOR), Göl Özcan, Güler (AUTHOR), Öztürk, Yusuf (AUTHOR), Tufan, Ali Evren (AUTHOR) |
| Source: | Substance Use & Misuse. 2026, Vol. 61 Issue 10, p1767-1776. 10p. |
| Subjects: | Substance abuse risk factors, Substance abuse prevention, Substance abuse, Risk assessment, School environment, Cross-sectional method, Mathematical variables, Medical education, Data analysis, Mental health services, Mental health, T-test (Statistics), Mothers, Multiple regression analysis, Affinity groups, Sex distribution, Disease prevalence, Multivariate analysis, Social norms, Chi-squared test, Mann Whitney U Test, Descriptive statistics, Neural enhancement (Enhancement medicine), Odds ratio, Personality, Medical schools, Fathers, Research, Academic achievement, Analysis of variance, Statistics, One-way analysis of variance, Methylphenidate, Psychology of medical students, Personality tests, Interpersonal relations, Comparative studies, Social support, Data analysis software, Confidence intervals, Ergogenic aids, Medical referrals |
| Geographic Terms: | Türkiye |
| Abstract: | Aim: To estimate the prevalence of non-medical methylphenidate use (NMU) in Turkish medical students and its association with Type A personality. Method: This cross-sectional study surveyed 600 of 1,275 invited medical students (47.1%) at a single public medical faculty in Türkiye in 2025. A sociodemographic/methylphenidate-use questionnaire and the Type A Personality Traits Scale were administered. NMU was operationalized as methylphenidate use for academic or social performance enhancement in students without clinician-diagnosed ADHD, regardless of prescription status. Type A differences were tested with MANOVA. Given the low event count, Firth penalized logistic regression served as the primary multivariable analysis, with standard logistic regression reported for comparison. Results: Lifetime methylphenidate use was 6.8% (n = 41) and current use 2.2% (n = 13); 23 students (3.8%) met NMU criteria, most commonly for academic enhancement. Awareness of methylphenidate and of peer use rose markedly from preclinical to clinical years, whereas actual use did not. Type A scores did not differ between NMU and non-NMU students. In the Firth model, peer NMU awareness and past psychiatric consultation remained associated with NMU; tentative inverse associations for male sex and the standardized Type A score should be interpreted as exploratory given the low events-per-variable ratio (3.3). Conclusion: NMU prevalence was low and more closely linked to contextual correlates—peer exposure and prior psychiatric contact—than to Type A traits, which did not show a robust or stable association across analyses. Multivariable findings require replication. Prevention may benefit from focusing on peer-network dynamics and mental-health support rather than personality-based risk profiling. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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