Substance Use Disorders  (ps2008- week 8)
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Questions and Answers

What is a significant impairment criterion for addiction as suggested by the DSM criteria?

  • Total abstinence from substances for over a year
  • Recurrent use leading to failure to fulfill roles in life (correct)
  • Reduced tolerance to non-substance-related activities
  • Using substances only during social gatherings
  • According to the content, which age group had the highest reported drug use?

  • Ages 12-15
  • Ages 60 and above
  • Ages 16-59 (correct)
  • Ages 40-50
  • Which substance showed usage rates between 6-7% in the last year among the specified age group?

  • Cocaine
  • Cannabis (correct)
  • Heroin
  • Methamphetamine
  • How does the incidence of substance dependency in males compare to females among teenagers?

    <p>Males show a higher dependency rate (B)</p> Signup and view all the answers

    What important factor is part of the Power Threat Meaning framework designed by Johnson & Boyle?

    <p>The patient's personal narrative (C)</p> Signup and view all the answers

    What notable trend in drug use has been observed since 1996 among younger populations?

    <p>Declined use in younger age groups (C)</p> Signup and view all the answers

    What risk factor is associated with ongoing substance use despite awareness of increasing problems?

    <p>Using despite awareness increasing problems (C)</p> Signup and view all the answers

    In relation to alcohol use, which demographic was reported to have the highest prevalence?

    <p>White males aged 16-40 (C)</p> Signup and view all the answers

    Which of the following factors is considered a protective factor against developing addiction in a family environment?

    <p>Strong parental bonds (D)</p> Signup and view all the answers

    What is the primary implication of the Gateway hypothesis in substance use?

    <p>Cannabis often leads to the experimentation with more dangerous drugs. (B)</p> Signup and view all the answers

    Which developmental phase is characterized as particularly vulnerable to increased substance use?

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

    Which type of reinforcement is associated with socialization and enjoyment in the context of substance use?

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

    What is a common misconception regarding socio-cultural factors and drug use?

    <p>Drug use is non-existent in wealthy communities. (D)</p> Signup and view all the answers

    Which therapy combination has shown to be more effective for individuals addicted to one substance?

    <p>Cognitive Behavioral Therapy and Contingency management (B)</p> Signup and view all the answers

    Which statement is true regarding the effects of a chaotic family environment on addiction risk?

    <p>It is associated with increased risk of addiction. (D)</p> Signup and view all the answers

    Which statement reflects an accurate description of withdrawal symptoms in behavioral theories?

    <p>It can drive substance use due to negative reinforcement. (D)</p> Signup and view all the answers

    What best characterizes addiction in relation to dependency factors?

    <p>It arises from a complex mix of physical, social, biological, and psychological factors. (C)</p> Signup and view all the answers

    Which neurotransmitter system is most implicated in addiction?

    <p>The dopaminergic system. (C)</p> Signup and view all the answers

    How does the activation of serotonergic receptors in specific brain areas affect perception?

    <p>It induces hallucinations and alters the sense of perception. (C)</p> Signup and view all the answers

    Which of the following statements about chronic relapsing conditions is true?

    <p>They involve preoccupation with the substance and unsuccessful control. (A)</p> Signup and view all the answers

    What can result from treating one pathway in the dopaminergic system?

    <p>It can increase dopamine in both affected and unaffected pathways. (B)</p> Signup and view all the answers

    Why do regular drug users often experience mood dysregulation?

    <p>Due to neurotransmitter dysregulation resulting from substance use. (D)</p> Signup and view all the answers

    What is a common effect of hallucinogenic substances like LSD and MDMA on perception?

    <p>They induce an altered sense of perception and connection. (B)</p> Signup and view all the answers

    Which area of the brain is most significantly impacted by addiction?

    <p>The Nucleus accumbens and ventral tegmentum. (A)</p> Signup and view all the answers

    Study Notes

    Substance Use Disorders

    • Addiction is a complex interplay of physical, social, biological, and psychological factors.
    • Substance use disorders are characterized by a chronic relapsing condition, involving unsuccessful attempts to control substance use, preoccupation with the substance, and unintentional overuse.
    • This often leads to neglecting life activities.
    • Psychoactive substances impact brain chemistry and perception. Individual responses vary significantly.

    Psychoactive Substances

    • Substances like alcohol, cannabis, hallucinogens, opioids, sedatives, and stimulants affect the brain.
    • Different categories of psychoactive substances affect the brain in varied ways.
    • Varying responses to substances exist due to individual sensitivities.

    Neurotransmitter Systems

    • The dopaminergic system (a subgroup of monoamines) is crucial in modulating and stimulating/inhibiting other neurotransmitters.
    • Dopamine receptors and pathways are critical to various brain regions.
    • The mesolimbic pathway is primarily implicated in addiction.
    • Other monoamines like serotonin affect brain regions and functions differently according to receptor types and brain location.

    Dopaminergic System and Addiction

    • Dopamine imbalances in the brain, particularly in areas like the nucleus accumbens and ventral tegmentum, are central to addiction.
    • Treating Parkinson's disease can incidentally cause symptoms of schizophrenia, suggesting overlapping neurotransmitter pathways.
    • Treatment strategies may have unintended consequences in other neurotransmitter systems.
    • Treatment of one condition/pathway can impact others.

    Serotonin and Addiction

    • Serotonin system activation in certain brain regions can result in hallucinations.
    • LSD and similar substances affect serotonin pathways.

    DSM Criteria for Substance Use Disorders

    • DSM criteria define significant impairment or distress in multiple areas including substance use patterns, amount, frequency, and consequences, for at least two criteria in the past 12 months, to meet a diagnosis.

    Epidemiology of Drug Use

    • Drug use varies by age, sex, and ethnicity.
    • The prevalence of illicit drug use shows a variation across age groups, with certain age groups having lower usage frequencies compared to others.

    Family and Socio-Cultural Factors

    • Chaotic family environments, insufficient parental support, and lack of clear boundaries contribute to risk factors.
    • Strong family bonds & clear rules positively influence the likelihood of substance abuse.
    • Increased addiction is linked to adverse childhood experiences.
    • Environmental and socio-cultural exposures influence adolescent substance use behaviors.
    • Drug use impacts various socio-economic levels.

    Treatment Approaches

    • Holistic treatment like the "Power Threat Meaning" framework acknowledges personal narratives.
    • Combining CBT with Contingency Management (CM) may be more effective in treating single-substance addictions compared to other methods.
    • Compassion-Focused Therapy, combined with the Power Threat Meaning Framework, helps understand substance use by focusing on the DRIVE, THREAT, and SOOTHING response centers.

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    Description

    Explore the complex relationship between addiction and psychoactive substances in this quiz. Delve into the factors contributing to substance use disorders and understand the impact of various substances on brain chemistry. Test your knowledge on neurotransmitter systems and individual responses to these substances.

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