Despite concerns astir accrued stimulant prescribing, nonmedical usage of ADHD narcotics among adolescents has declined successful nan past 20 years, a University of Michigan study shows.
While aesculapian usage of medicine stimulants for ADHD among adolescents accrued somewhat betwixt 2005 and 2023, nonmedical usage declined more.
Lifetime aesculapian usage was 2% little successful 2005 erstwhile compared to nonmedical use, and is now 2% higher."
Philip Veliz, study co-author, U-M investigation subordinate professor astatine nan U-M School of Nursing and Center for nan Study of Drugs, Alcohol, Smoking, and Health
This reversal is important and "is what each parents want to see," he said.
Recently, medicine stimulant dispensing has accrued successful nan United States, particularly among adults. While nonmedical medicine stimulant usage has decreased among teens, nary nationalist studies person examined aesculapian and nonmedical usage patterns among U.S. adolescents. One interest is that nonmedical usage could person accrued on pinch aesculapian use.
To reply that question, Veliz and colleagues analyzed information from 2005 to 2023 from 19 cohorts of 8th, 10th and 12th people students successful nan Monitoring nan Future Study, an yearly study astatine U-M that tracks student constituent usage and different related trends.
The existent study, supported by nan National Institute connected Drug Abuse and nan U.S. Food and Drug Administration and published successful nan Journal of nan American Medical Association, recovered that life usage of nonmedical stimulants successful 2005 was astatine 10% and dropped to 6% successful 2023. Lifetime aesculapian usage was astir 8% successful some 2005 and 2023.
"In different words, while nan life prevalence of aesculapian usage was comparatively stable, pinch a humble summation successful existent use, we still saw a alteration successful some life and existent nonmedical use," Veliz said. "Accordingly, these fears of an uptick successful misusing these prescriptions whitethorn beryllium somewhat overstated fixed nan existent trends shown successful this study."
The diminution successful nonmedical usage of medicine stimulants among adolescents follows akin declines successful different types of nonmedical medicine narcotics use, specified arsenic opioids and benzodiazepines.
"This much than apt is linked to nationalist wellness messaging, prescribing practices and stimulant shortages arsenic it relates to these types of drugs," Veliz said.
He said nan findings were not astonishing fixed really constituent usage has been declining among much caller cohorts of adolescents, and that they will thief clinicians and policymakers to see population-level trends successful aesculapian and nonmedical usage patterns erstwhile weighing nan risks and benefits of medicine stimulants.
Co-authors see Sean Esteban McCabe, Vita McCabe and John Jardine, each of U-M; Ty Schepis of Texas State University; Emily Pasman of nan University of Illinois Chicago; and Timothy Wilens of Massachusetts General Hospital.
Source:
Journal reference:
McCabe, S. E., et al. (2025). Trends successful Medical and Nonmedical Use of Prescription Stimulants Among US Adolescents. JAMA. doi.org/10.1001/jama.2025.11260.