Focus on neuroenhancement: a systematic review and its ethical implications

Introduction Pharmacological and cognitive neuroenhancement refer to the non-medical use of prescription drugs, alcohol, illegal drugs, or the so-called soft enhancers, to enhance cognition, mood, work or school performance, or to promote pro-social behaviour. Literature on the topic is meagre, and...

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Main Authors: L. Massa, S. Palermo, T. Ivaldi, A. Della Vecchia, F. Mucci, D. Marazziti, L. Dell’Osso
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822009130/type/journal_article
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author L. Massa
S. Palermo
T. Ivaldi
A. Della Vecchia
F. Mucci
D. Marazziti
L. Dell’Osso
author_facet L. Massa
S. Palermo
T. Ivaldi
A. Della Vecchia
F. Mucci
D. Marazziti
L. Dell’Osso
author_sort L. Massa
collection DOAJ
description Introduction Pharmacological and cognitive neuroenhancement refer to the non-medical use of prescription drugs, alcohol, illegal drugs, or the so-called soft enhancers, to enhance cognition, mood, work or school performance, or to promote pro-social behaviour. Literature on the topic is meagre, and available data only partially enlightens their use. Objectives The aim of this paper is to review and comment on the available literature on pharmacological neuroenhancement and, secondary, on emotional enhancement. Methods A systematic review was conducted according to the PRISMA guidelines. Pubmed, Scopus, Embase, PsychInfo and Google Scholar databases were accessed to select English language articles, published from 1980 to April 2020. 11746 papers were initially selected and 123 papers were finally included. Results Available literature indicates a widespread and increasing use of different kinds of substances, drugs and food supplements mainly with neuroenhancing purposes, especially amongst specific populations of young healthy subjects. The evidence regarding their efficacy is controversial. Further, a limited or no awareness regarding the possible consequences of their abuse/misuse emerges amongst users. Conclusions Despite the limited evidence that some substances may improve cognitive functions in healthy subjects and neglecting their detrimental side effects and potential risk of misuse, abuse and addiction, there is an increasing worldwide use of the so-called neuroenhancers, especially in some categories of individuals, such as university students. Further studies are needed to collect reliable data on the effects of neuroenhancers in healthy subjects. Neuroenhancement puts into question the concept of authenticity, so that the problem requires to be analyzed within a complex ethical conceptual frame. Disclosure No significant relationships.
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spelling doaj.art-0efd5581ced445c285331e94ed8683b22023-11-17T05:07:50ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S359S36010.1192/j.eurpsy.2022.913Focus on neuroenhancement: a systematic review and its ethical implicationsL. Massa0S. Palermo1T. Ivaldi2A. Della Vecchia3F. Mucci4D. Marazziti5L. Dell’Osso6University of Pisa, Department Of Clinical And Experimental Medicine, Pisa, ItalyUniversity of Pisa, Department Of Clinical And Experimental Medicine, Pisa, ItalyUniversity of Pisa, Department Of Clinical And Experimental Medicine, Pisa, ItalyUniversity of Pisa, Department Of Clinical And Experimental Medicine, Pisa, ItalyUniversity of Siena, Department Of Biotechnology, Chemistry And Pharmacy, Siena, ItalyUniversity of Pisa, Department Of Clinical And Experimental Medicine, Pisa, ItalyUniversity of Pisa, Department Of Clinical And Experimental Medicine, Pisa, Italy Introduction Pharmacological and cognitive neuroenhancement refer to the non-medical use of prescription drugs, alcohol, illegal drugs, or the so-called soft enhancers, to enhance cognition, mood, work or school performance, or to promote pro-social behaviour. Literature on the topic is meagre, and available data only partially enlightens their use. Objectives The aim of this paper is to review and comment on the available literature on pharmacological neuroenhancement and, secondary, on emotional enhancement. Methods A systematic review was conducted according to the PRISMA guidelines. Pubmed, Scopus, Embase, PsychInfo and Google Scholar databases were accessed to select English language articles, published from 1980 to April 2020. 11746 papers were initially selected and 123 papers were finally included. Results Available literature indicates a widespread and increasing use of different kinds of substances, drugs and food supplements mainly with neuroenhancing purposes, especially amongst specific populations of young healthy subjects. The evidence regarding their efficacy is controversial. Further, a limited or no awareness regarding the possible consequences of their abuse/misuse emerges amongst users. Conclusions Despite the limited evidence that some substances may improve cognitive functions in healthy subjects and neglecting their detrimental side effects and potential risk of misuse, abuse and addiction, there is an increasing worldwide use of the so-called neuroenhancers, especially in some categories of individuals, such as university students. Further studies are needed to collect reliable data on the effects of neuroenhancers in healthy subjects. Neuroenhancement puts into question the concept of authenticity, so that the problem requires to be analyzed within a complex ethical conceptual frame. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822009130/type/journal_articleEthicsneuroenhancementemotional enhancementpsychopharmacology
spellingShingle L. Massa
S. Palermo
T. Ivaldi
A. Della Vecchia
F. Mucci
D. Marazziti
L. Dell’Osso
Focus on neuroenhancement: a systematic review and its ethical implications
European Psychiatry
Ethics
neuroenhancement
emotional enhancement
psychopharmacology
title Focus on neuroenhancement: a systematic review and its ethical implications
title_full Focus on neuroenhancement: a systematic review and its ethical implications
title_fullStr Focus on neuroenhancement: a systematic review and its ethical implications
title_full_unstemmed Focus on neuroenhancement: a systematic review and its ethical implications
title_short Focus on neuroenhancement: a systematic review and its ethical implications
title_sort focus on neuroenhancement a systematic review and its ethical implications
topic Ethics
neuroenhancement
emotional enhancement
psychopharmacology
url https://www.cambridge.org/core/product/identifier/S0924933822009130/type/journal_article
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AT fmucci focusonneuroenhancementasystematicreviewanditsethicalimplications
AT dmarazziti focusonneuroenhancementasystematicreviewanditsethicalimplications
AT ldellosso focusonneuroenhancementasystematicreviewanditsethicalimplications