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32 Cards in this Set
- Front
- Back
All substances except ___ can result in a diagnosis of Substance Dependence.
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caffeine
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Persisting Perception Disorder is only associated with the substance of ___.
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hallucinogens
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A diagnosis of Substance Dependence requires continued use of a substance for a period of __ months with at least __ symptom(s).
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12 months
3 symptoms |
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Continued use of a substance to avoid withdrawal symptoms is called ___
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withdrawal.
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Problems caused by Substance Dependence include __ and __ problems.
Problems caused by Substance Abuse include __ and __ problems. |
Substance Dependence: psychological or physical problems
Substance Abuse: social or interpersonal problems (also legal problems) |
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True or false: Craving is a required symptom for a Substance Dependence diagnosis.
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False
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Substance Abuse involves use over a __ month period with at least __ symptom(s).
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- 12 month
- 1 symptom |
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Marlatt and Gordon identified addictive behaviors as ___.
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overlearned, maladaptive habit patterns
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Conger proposed a ___ hypothesis which holds that addiction is ___.
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- tension-reduction hypothesis
- a result of negative reinforcement |
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The biopsychosocial model holds that addiction involves ___
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- an interaction between physical, psychological, and sociocultural factors
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Most common trigger for relapse: __
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negative emotional states (eg, anxiety, frustration, depression)
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"abstinence violation effect" was termed by __ and involves ___.
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- Marlatt and Gordon
- a reaction to relapse that includes self-blame, anxiety, guilt, depression, and which leads to further susceptibility to relapse |
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The Relapse Prevention Model was developed by ___ and involves ___.
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- Marlatt and Gordon
- CBT approach to help person identify and avoid situations that place person at risk for relapse: situations that elicit negative emotional states, cues, or social pressures. |
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Average weight gain during first few months after quitting smoking is __ pounds.
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5-6 pounds
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__(Males or females?)__ are more likely to be successful at quitting smoking, to have started smoking at a __ age, and have abstained for longer than __ days during previous attempts.
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- Males
- a later age - longer than 5 days |
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ApA's smoking cessation intervention includes
1) 2) 3) |
1) nicotine replacement therapy
2) multicomponent behavioral therapy that includes skills training, relapse prevention, stimulus control, and/or rapid smoking 3) support and assistance from a clinician |
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Substance Induced Disorders
- sxs of Alcohol Intoxication |
- inappropriate sexual or aggressive behavior
- impaired judgment - emotional lability - slurred speech - incoordination and unsteady gait - nystagmus (lack of smooth eye movt, dancing eyes) |
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Substance Induced Disorders
- sxs of Alcohol Withdrawal |
- autonomic hyperactivity (sweating, tachycardia)
- hand tremor - insomnia - nausea - transient illusions or hallucinations - anxiety, psychomotor agitation - grand mal seizures after prolonged/heavy use |
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Substance Induced Disorders
- sxs of Alcohol Withdrawal Delirium (aka ____) |
- Delirium Tremens
- disturbances in consciousness and other cognitive functions - autonomic hyperactivity - vivid hallucinations - delusions - agitation following prolonged use |
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Substance Induced Disorders
- sxs of Alcohol-Induced Persisting Amnestic Disorder (aka ___) include ___. - This disorder is often preceded by __, which has sxs of ___ - Co-occurrence of these two disorders is called __- |
- Korsakoff Syndrome
-- sxs include: retrograde and anterograde amnesia, confabulation - often preceded by Wernicke Syndrome -- which has sxs of ataxia, abnormal eye movt (nystagmus, double vision), and confusion - Wernicke-Korsakoff Syndrome |
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Substance Induced Disorders
- Alcohol-Induced Sleep Disorder may result from either withdrawal, which causes sxs of ___, or tolerance, which causes sxs of ___. - usually of the ___ type |
- when produced by Intoxication: increased sleepiness, followed by increased wakefulness, restlessness, and vivid anxiety-arousing dreams
- when produced by Withdrawal: severe disruption in sleep continuity and vivid dreams - usually of the Insomnia Type |
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Substance Induced Disorders
- sxs of Amphetamine Intoxiation |
- maladaptive behavioral and psychological changes, inc:
-- euphoria -- anxiety -- hyperactivity -- grandiosity -- confusion -- anger -- paranoid ideation -- auditory hallucinations [note: amphetamines increase dopamine levels and can cause psychotic sxs, hence, the "dopamine hypothesis" for schizophrenia] - other sxs: - tachycardia - elevated or lowered blood pressure - dilated pupils - perspiration or chills - nausea or vomiting - weight loss - psychomotor agitation - muscular weakness - confusion - seizures |
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Substance Induced Disorders
- sxs of Cocaine Intoxication |
- maladaptive behavioral and psychological changes, inc:
-- euphoria -- anxiety -- hyperactivity -- grandiosity -- confusion -- anger -- paranoid ideation -- auditory hallucinations - other sxs: - tachycardia - elevated or lowered blood pressure - dilated pupils - perspiration or chills - nausea or vomiting - weight loss - psychomotor agitation - muscular weakness - confusion - seizures |
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Substance Induced Disorders
- sxs of Amphetamine Withdrawal |
- dysphoric mood
- fatigue - vivid and unpleasant dreams - insomnia or hypersomnia - increased appetite - psychomotor agitation or retardation following heavy use - a "crash" that includes lassitude and depression following a high-dose use |
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Substance Induced Disorders
- sxs of |
- dysphoric mood
- fatigue - vivid and unpleasant dreams - insomnia or hypersomnia - increased appetite - psychomotor agitation or retardation following heavy use - a "crash" that includes lassitude and depression following a high-dose use |
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Substance Induced Disorders
- sxs of Caffeine Intoxication at a low dose |
- low doses:
-- restlessness -- nervousness -- insomnia -- flushed face -- diuresis -- gastrointestinal problems |
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Substance Induced Disorders
- sxs of Caffeine Intoxication at a high dose |
- high doses:
-- muscle twitching -- rambling thoughts or speech -- cardiac arrhythias -- psychomotor agitation |
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Substance Induced Disorders
- sxs of Sedative, Hypnotic, or Anxiolytic Intoxication |
- maladaptive behavioral and psychological changes
-- inappropriate aggressive and sexual behaviors -- impaired judgment -- mood lability - at least one characteristic sx as the result of drug use: -- slurred speech -- incoordination -- unsteady gait -- nystagmus -- impaired memory or attention, -- stupor or coma |
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Substance Induced Disorders
- sxs of Opioid Intoxication |
- an initial state of euphoria that is followed by apathy or dysphoria, psychomotor agitation or retardation, and impaired judgment
- other sxs include: -- pupillary CONSTRICTION -- drowsiness -- impaired attention and memory -- slurred speech - severe intoxication can result in: -- pupillary DILAITION -- respiratory distress -- coma -- death |
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Substance Induced Disorders
- sxs of Opioid Withdrawal |
sxs resemble a moderate to severe case of the fle:
- sweating - goose bumps - fever - pupillary DILATION - nausea and vomiting - abdominal cramps - diarrhea - agitation and restlessness - insomnia - dysphoric mood |
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Substance Induced Disorders
- sxs of Nicotie Withdrawal |
essential feature is the presence of characteristic symptoms following abrupt cessation of or reduction in the use of nicotine after daily use for at least several weeks
- sxs include: -- depressed mood -- insomnia -- irritability -- anxiety -- restlessness -- impaired concentration -- decreased heart rate -- increased appetite |
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Substance Induced Disorders
- sxs of Hallucinogen Persisting Perception Disorder (aka ___) - is person aware that the perception is a drug effect? |
- aka flashbacks
- re-experiencing one or more perceptual sxs that were experienced during one or more episodes of hallucinogen intoxication: -- trailing images -- afterimages -- halos around objects - person is not intoxicated and is aware the perception is a drug effect |