Substance Use and Abuse

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Questions and Answers

At what educational stage does the trend of smoking behavior notably begin among children?

  • College freshman year
  • High school graduation
  • Eighth grade (correct)
  • First grade

What is a demographic factor that significantly influences smoking rates among teens?

  • Geographic location
  • Plans to complete 4 years of college (correct)
  • Participation in athletic programs
  • Family income level

Which group is reported to have a particularly high percentage of smokers worldwide?

  • Teenagers in high school
  • Women in developed countries
  • Young adults in urban areas
  • Men in developing countries (correct)

What is the observed pattern of smoking rates as individuals transition into adulthood?

<p>Smoking rates remain constant in early and mid-adulthood (A)</p> Signup and view all the answers

Which of the following contradictions is present in smoking behavior among teens?

<p>Planning to complete college correlates with lower smoking rates (A)</p> Signup and view all the answers

In which age group is the risk of smoking typically the highest?

<p>Ages 19-28 (D)</p> Signup and view all the answers

What percentage of smokers worldwide are reported to be men?

<p>80% (A)</p> Signup and view all the answers

How do smoking rates differ between developed and developing countries?

<p>Higher rates occur in developing countries (A)</p> Signup and view all the answers

What is the term used for stimuli such as the sight and smell of alcohol that can elicit a response?

<p>Cues (A)</p> Signup and view all the answers

Which factor is commonly associated with substance use and abuse among individuals?

<p>High risk-taking or sensation-seeking (C)</p> Signup and view all the answers

What happens to the likelihood of a twin being alcoholic if their identical twin is alcoholic?

<p>It becomes higher than in fraternal twins (B)</p> Signup and view all the answers

How does classical conditioning relate to substance dependence according to the content?

<p>Associations can create cravings through conditioned stimuli. (C)</p> Signup and view all the answers

Which of the following leads to expectancies that impact substance use decisions?

<p>Both positive and negative associations can influence behavior. (A)</p> Signup and view all the answers

Which of these responses is NOT one of the two important responses when cues are associated with substance use?

<p>Fear (B)</p> Signup and view all the answers

Which attribute is typically low among individuals who abuse substances?

<p>Self-regulation (D)</p> Signup and view all the answers

What does self-regulation refer to in the context of substance use?

<p>The capacity to control one's own actions and emotions (B)</p> Signup and view all the answers

What is one of the significant sociocultural factors that influences alcohol use?

<p>Age and gender (A)</p> Signup and view all the answers

Which group is known to have a lower prevalence of drinking alcohol as they age?

<p>Older adults (B)</p> Signup and view all the answers

Which gender generally drinks heavily more in adulthood?

<p>Males (B)</p> Signup and view all the answers

What misconception might people have regarding teenage drinking?

<p>Teenagers only drink at parties (A)</p> Signup and view all the answers

What is a common belief about alcohol in American society today?

<p>Alcohol has both good and bad effects (C)</p> Signup and view all the answers

How much ethanol do Americans consume per year on average?

<p>2.34 gallons (C)</p> Signup and view all the answers

What was the primary focus of women in the temperance movement?

<p>Documenting alcohol purchases (C)</p> Signup and view all the answers

What age group tends to show a significant increase in alcohol consumption?

<p>Young adults (A)</p> Signup and view all the answers

What factors influence a person's likelihood to smoke heavily?

<p>Peer pressure and receptiveness to tobacco advertisements (B)</p> Signup and view all the answers

Which belief is likely to lead adolescents to continue smoking?

<p>Belief that smoking is only dangerous for older adults (D)</p> Signup and view all the answers

What role do parental smoking habits play in a teenager's smoking behavior?

<p>May lead to increased likelihood of adolescent smoking (A)</p> Signup and view all the answers

How does peer pressure contribute to an adolescent's smoking behavior?

<p>It can create a feeling of obligation to smoke in social settings. (C)</p> Signup and view all the answers

What attitude toward smoking is commonly held by adolescents who continue smoking?

<p>They perceive smoking as an enjoyable activity. (D)</p> Signup and view all the answers

Which perception about quitting smoking can affect an adolescent's smoking continuation?

<p>Belief in the ability to quit if desired (C)</p> Signup and view all the answers

What is a common misconception about the health effects of smoking among adolescents?

<p>Smoking only affects individuals who have been smoking for years. (C)</p> Signup and view all the answers

What psychosocial factor may lead to increased smoking behaviors in adolescents?

<p>Exposure to positive representations of smoking (B)</p> Signup and view all the answers

What did Puritan minister Cotton Mather refer to liquor as?

<p>The good creature of God (B)</p> Signup and view all the answers

What impact does stopping smoking have on cardiovascular risk factors?

<p>Improvement in cholesterol levels within 2 months (D)</p> Signup and view all the answers

What were the Puritans' views on excessive drinking?

<p>Condemned drunkenness as sinful (D)</p> Signup and view all the answers

What characterized the temperance movement in the United States during the 18th century?

<p>Pressing for total abstinence from alcohol (B)</p> Signup and view all the answers

What are the diseases classified under chronic lower respiratory disease (CLRD)?

<p>Emphysema and chronic bronchitis (B)</p> Signup and view all the answers

How did Americans perceive alcohol by the mid-1800s?

<p>As a contributor to moral decay and crime (A)</p> Signup and view all the answers

What was a significant outcome of Prohibition that began in 1920?

<p>Unlawfulness of alcohol sale and transport (C)</p> Signup and view all the answers

What happens to people with chronic lower respiratory disease (CLRD) when they exert themselves?

<p>Airflow is permanently reduced (A)</p> Signup and view all the answers

What was the significant finding regarding heavy smokers in the study?

<p>They smoked 25% more low-nicotine cigarettes. (C)</p> Signup and view all the answers

What behavior is observed among people who smoke ultralow-nicotine cigarettes?

<p>They do not reduce their overall nicotine consumption. (C)</p> Signup and view all the answers

What phenomenon is seen in smokers who smoke a few cigarettes a day for years?

<p>They do not show signs of tolerance. (D)</p> Signup and view all the answers

Why do many people continue to crave cigarettes long after quitting?

<p>They have a psychological dependence on smoking. (D)</p> Signup and view all the answers

In the context of smoking behavior, what does the nicotine regulation model primarily address?

<p>The relationship between nicotine intake and smoking frequency. (A)</p> Signup and view all the answers

What can be inferred about heavy and ultralow-nicotine smokers from the study?

<p>Health risks are higher for ultralow smokers due to increased consumption. (B)</p> Signup and view all the answers

What is a potential reason for the failure of the nicotine regulation model to fully explain smoking behavior?

<p>It overlooks the psychological components of addiction. (C)</p> Signup and view all the answers

What is one behavior that might indicate a smoker does not experience withdrawal symptoms?

<p>Maintaining a consistent smoking rate over time. (A)</p> Signup and view all the answers

Flashcards

Smoking Prevalence

The percentage of people in a population who smoke.

Smoking Trajectory

The pattern of smoking behavior over time, including initiation, progression, and cessation.

Early Smoking Initiation

Starting to smoke at a young age, often during adolescence.

College Plans and Smoking

Students who plan to complete 4 years of college have lower rates of smoking compared to those with lesser or no college plans.

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Gender Differences in Smoking

Smoking rates are significantly higher among men compared to women.

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Smoking Rates Across Cultures

Smoking rates vary greatly across countries, with higher rates in developing countries compared to industrialized countries.

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Former Smokers

Individuals who have quit smoking after previously being smokers.

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Smoking Behavior Change

The possibility of persuading people to avoid or quit smoking based on the decrease in smoking rates over time.

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Cues

Stimuli, like the sight or smell of a substance, that can trigger cravings or attention towards drug use.

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Classical Conditioning

Learning where a neutral stimulus (like the smell of smoke) is paired with a naturally occurring response (drug effect) and becomes associated with that response.

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Expectancies

Beliefs about the effects of a substance, which can be positive (e.g., feeling good) or negative (e.g., hangover).

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Self-Regulation

The ability to control your thoughts, emotions, and actions towards achieving a goal, even without external monitoring.

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Impulsivity

Acting without thinking, characterized by urgency and lack of planning.

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Risk-Taking

A tendency to engage in activities with potential for danger or harm for the sake of excitement or challenge.

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Sensation-Seeking

A personality trait that describes a drive to experience new and intense sensations.

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Twin Studies

Studies comparing identical and fraternal twins to assess the genetic and environmental influence on traits like alcoholism.

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Social Influences on Smoking Continuation

Factors within a person's social environment that influence whether they continue smoking after initial tries.

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Peer Pressure to Smoke

The feeling of being pressured or encouraged by friends or peers to smoke.

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Positive Attitudes About Smoking

Beliefs and feelings that make smoking seem desirable, enjoyable, or beneficial.

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Lack of Perceived Health Risks

Underestimating or dismissing the potential health risks associated with smoking.

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Belief in Ability to Quit

Confidence that one can successfully quit smoking if they choose to.

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Parental Smoking

Having at least one parent who smokes.

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Receptive to Tobacco Ads

Being influenced by tobacco advertising, such as having a favorite ad or brand.

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Factors Affecting Smoking Continuation

Various psychosocial influences, including peer pressure, positive attitudes, perceived health risks, ability to quit belief, and parental smoking, contribute to whether someone continues smoking.

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Nicotine Regulation Model

This model suggests that smokers adjust their smoking habits to maintain a desired nicotine level in their bodies. They smoke more of low-nicotine cigarettes to reach their desired nicotine level, and less of high-nicotine cigarettes.

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Nicotine Tolerance

This refers to the phenomenon where individuals need to smoke more cigarettes over time to achieve the same level of nicotine intake. This happens because the body becomes less sensitive to the effects of nicotine.

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Ultralow-Nicotine Cigarettes

These cigarettes contain very low levels of nicotine. Interestingly, smokers of these cigarettes do not consume less nicotine overall, they simply smoke more cigarettes to compensate.

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Nicotine Craving

This is the strong urge to smoke, even after quitting. It can persist long after nicotine is gone from the body, indicating a complex interplay of psychological and physiological factors.

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Withdrawal Symptoms

These are physical and psychological symptoms that occur when a smoker stops smoking. They include irritability, anxiety, difficulty concentrating, and cravings.

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Non-Tolerant Smokers

These are people who smoke a few cigarettes daily for years without increasing their use. They don't show tolerance and experience little to no withdrawal symptoms, even though they absorb a comparable amount of nicotine as heavier smokers.

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Addiction Processes

These include factors like reinforcement, conditioned cues, and withdrawal symptoms, and play a role in understanding why people continue to smoke, even those without tolerance.

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Lung Cancer and Heart Disease Risk

Heavy smoking significantly increases the risk of developing lung cancer and heart disease. This risk increases the longer a person smokes and the more cigarettes they smoke per day.

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Puritan View on Liquor

Puritans saw alcohol as a gift from God, but recognized excessive consumption as harmful.

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Temperance Movement

A social movement promoting abstinence from alcohol, gaining popularity in the 18th century.

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Alcohol's Impact on Society

In the 19th century, Americans believed alcohol led to moral decay, crime, and degenerate behavior.

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Prohibition

A period in the United States (1920-1933) when the production, sale, and transport of alcohol were illegal.

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Smoking and Cholesterol

Heavy smokers tend to have higher cholesterol levels and larger plaques on their artery walls.

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Smoking Cessation Benefits

Quitting smoking leads to significant improvements in cardiovascular health within a few months.

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Chronic Lower Respiratory Disease (CLRD)

A group of lung diseases, including emphysema and chronic bronchitis, caused by smoking, characterized by reduced airflow.

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Smoking and Airflow

People with CLRD experience difficulty exhaling due to permanently reduced airflow in their lungs.

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Alcohol Use and Age

Drinking habits change throughout a person's life, with peaks and dips in different age groups.

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Gender Differences in Drinking

Males typically drink more heavily than females, especially in adulthood.

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Sociocultural Influence on Alcohol Use

Cultural attitudes, norms, and traditions significantly impact how people consume alcohol.

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Alcohol Consumption Around the World

The amount of alcohol consumed per person varies greatly across countries.

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Ethanol

The type of alcohol found in beer, wine, and spirits.

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Per Capita Consumption

The average amount of alcohol consumed per person in a country.

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Traditional Classification of Alcohol Consumption

Countries were historically categorized based on their alcohol consumption patterns.

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Shifting Drinking Patterns

People may switch their preferred drinks (e.g., beer to wine) in different social settings.

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Study Notes

Substance Use and Abuse

  • Stimuli, like sights and smells of substances, trigger responses via classical conditioning.
  • A conditioned stimulus (e.g., smell of smoke) becomes associated with an unconditioned stimulus (e.g., effect of substance) creating a response (attention and craving).
  • Expectancies (positive or negative) about substance use influence substance use behavior and quitting.
  • Personality traits, like impulsivity, risk-taking, and low self-regulation, correlate with substance use and abuse.
  • Self-regulation is the ability to control thoughts, emotions, and actions towards a goal, even when unsupervised.
  • Teens with lower likelihood of completing 4 years of college are at high risk of smoking, becoming nicotine-dependent, and having quitting difficulties.
  • Smoking prevalence in Americans is consistent during early and middle adulthood, then declines.

Smoking Behavior

  • Maintaining or increasing smoking often correlates with certain psychosocial influences.
  • Teens who are receptive to tobacco advertisements, felt peer pressure to smoke, had positive attitudes about smoking, and didn't believe smoking is harmful are more likely to continue or increase their smoking habits.
  • Having a parent who smokes is a factor.
  • The nicotine regulation model suggests that smokers consume more low-than high-nicotine cigarettes, impacting smoking behavior. However, many smokers continue to crave and return to smoking after quitting.
  • Some people may not display tolerance or withdrawal symptoms but still absorb as much nicotine as heavy smokers.
  • Smoking is linked to a range of illnesses, particularly chronic lower respiratory disease (CLRD)..

Smoking and Health

  • Smoking increases the risk of death from lung and heart diseases before age 65.
  • Even if someone quits smoking, cravings and return to smoking is common.
  • Cardiovascular risk factors (e.g., cholesterol levels) improve after quitting, and the risk of heart attack/stroke decreases.

Alcohol Use

  • Alcohol consumption has varied throughout history and cultures.
  • Early American attitudes toward alcohol were mixed—viewed as beneficial and condemned for drunkenness.
  • The temperance movement in the US sought alcohol abstinence in the 1800's and led to Prohibition.
  • Attitudes about alcohol shifted towards a more balanced view after prohibition.
  • Alcohol use varies across age, gender, and sociocultural groups, more males drink heavily in adulthood.
  • Americans consume ~2.34 gallons of ethanol annually.

Sociocultural Influences

  • Smoking rates vary significantly between developed and developing countries, with far higher rates in developing nations.
  • Women in the temperance movement were assertive and sometimes visited saloons.
  • Gender differences in smoking are substantial globally with men making up a higher percent of smokers worldwide.

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