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      Perceived cognitive performance in off‐prescription users of modafinil and methylphenidate: an online survey

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          Abstract

          Introduction

          Modafinil and methylphenidate are used off‐prescription for cognitive enhancement in healthy individuals. Such use is often reported in online surveys but it is unclear whether drug use for cognitive enhancement is motivated by perceived poor cognitive performance or a desire to improve good cognitive performance. The current study investigated whether off‐prescription users of modafinil and methylphenidate differed in their self‐perceived cognitive performance from people who do not take these drugs.

          Method

          An online survey targeting forum sites assessed self‐perceived cognitive function via the Adult Attention Deficit/Hyperactivity Disorder Self‐Report Scale, the Cognitive Failures Questionnaire, and the General Procrastination Scale.

          Results

          There were 249 respondents, of whom 43% reported no use of modafinil and methylphenidate (the control group) and 58% reported use of one or both drugs without a prescription for cognitive enhancement. This created an independent samples design with three groups. On both the Adult Attention Deficit/ Hyperactivity Disorder Self‐Report Scale and General Procrastination Scale, modafinil and methylphenidate users reported higher scores than the control group, indicating higher levels of perceived inattention and procrastination. Scores on the Cognitive Failures Questionnaire indicated that modafinil and methylphenidate users rated themselves as having fewer cognitive failures than controls.

          Conclusion

          These findings suggest that at least some reported off‐prescription users of modafinil and methylphenidate may be seeking to reduce the impact of self‐perceived poorer performance, particularly in forms of cognition that are likely to impact on self‐directed or self‐motivated work.

          Abstract

          The current study investigated whether off‐prescription users of modafinil and methylphenidate differed in their self‐perceived cognitive performance from people who do not take these drugs. An online survey targeting forum sites assessed self‐perceived cognitive function via the Adult Attention Deficit/Hyperactivity Disorder Self‐Report Scale, the Cognitive Failures Questionnaire, and the General Procrastination Scale. Modafinil and methylphenidate users reported higher scores than the control group, indicating higher levels of perceived inattention and procrastination suggesting that these modafinil and methylphenidate users may be self‐medicating for self‐perceived inattention and procrastination.

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          Most cited references73

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          The nature of procrastination: a meta-analytic and theoretical review of quintessential self-regulatory failure.

          Procrastination is a prevalent and pernicious form of self-regulatory failure that is not entirely understood. Hence, the relevant conceptual, theoretical, and empirical work is reviewed, drawing upon correlational, experimental, and qualitative findings. A meta-analysis of procrastination's possible causes and effects, based on 691 correlations, reveals that neuroticism, rebelliousness, and sensation seeking show only a weak connection. Strong and consistent predictors of procrastination were task aversiveness, task delay, self-efficacy, and impulsiveness, as well as conscientiousness and its facets of self-control, distractibility, organization, and achievement motivation. These effects prove consistent with temporal motivation theory, an integrative hybrid of expectancy theory and hyperbolic discounting. Continued research into procrastination should not be delayed, especially because its prevalence appears to be growing. (c) 2007 APA, all rights reserved.
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            The World Health Organization adult ADHD self-report scale (ASRS): a short screening scale for use in the general population

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              The Cognitive Failures Questionnaire (CFQ) and its correlates

              This paper describes a questionnaire measure of self-reported failures in perception, memory, and motor function. Responses to all questions tend to be positively correlated, and the whole questionnaire correlates with other recent measures of self-reported deficit in memory, absent-mindedness, or slips of action. The questionnaire is however only weakly correlated with indices of social desirability set or of neuroticism. It is significantly correlated with ratings of the respondent by his or her spouse, and accordingly does have some external significance rather than purely private opinion of the self. The score is reasonably stable over long periods, to about the same extent as traditional measures of trait rather than state. Furthermore, it has not thus far been found to change in persons exposed to life-stresses. However, it does frequently correlate with the number of current psychiatric symptoms reported by the same person on the MHQ; and in one study it has been found that CFQ predicts subsequent MHQ in persons who work at a stressful job in the interval. It does not do so in those who work in a less stressful environment. The most plausible view is that cognitive failure makes a person vulnerable to showing bad effects of stress, rather than itself resulting from stress.
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                Author and article information

                Contributors
                teodorr2@lsbu.ac.uk
                Journal
                Brain Behav
                Brain Behav
                10.1002/(ISSN)2157-9032
                BRB3
                Brain and Behavior
                John Wiley and Sons Inc. (Hoboken )
                2162-3279
                04 February 2024
                February 2024
                : 14
                : 2 ( doiID: 10.1002/brb3.v14.2 )
                : e3403
                Affiliations
                [ 1 ] Division of Psychology, School of Applied Sciences London South Bank University London UK
                Author notes
                [*] [* ] Correspondence

                Rachel Teodorini, Division of Psychology, School of Applied Sciences, London South Bank University, 103 Borough Road, London SE1 0AA, UK.

                Email: teodorr2@ 123456lsbu.ac.uk

                Author information
                https://orcid.org/0000-0002-9983-7008
                Article
                BRB33403
                10.1002/brb3.3403
                10839162
                a50e26d8-f1d2-4042-895d-33d4fe00492e
                © 2024 The Authors. Brain and Behavior published by Wiley Periodicals LLC.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 28 November 2023
                : 09 March 2023
                : 03 January 2024
                Page count
                Figures: 0, Tables: 7, Pages: 12, Words: 8831
                Categories
                Original Article
                Original Article
                Custom metadata
                2.0
                February 2024
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.3.6 mode:remove_FC converted:05.02.2024

                Neurosciences
                cognitive performance,methylphenidate,modafinil,off‐prescription
                Neurosciences
                cognitive performance, methylphenidate, modafinil, off‐prescription

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