10. Addictive disorders Flashcards

1
Q

The current version of the DSM includes which chapter addressing problems stemming from substance use and gambling?
a) Substance Use and Addiction Disorders
b) Substance-Related and Addictive Disorders
c) Addictive Behaviors
d) Substance Abuse Disorders

A

b) Substance-Related and Addictive Disorders

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2
Q

What are the two groups of substance-related disorders?
a) Substance dependence and Substance use disorders
b) Substance use disorders and Substance-induced disorders
c) Substance misuse and Substance addiction
d) Substance abuse and Substance dependence

A

b) Substance use disorders and Substance-induced disorders

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3
Q

How many criteria must be endorsed for a ‘mild’ substance use disorder?
a) One
b) Two or three
c) Four or five
d) Six or more

A

b) Two or three

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4
Q

What term is no longer used in the classification systems for alcohol dependence?
a) Alcohol addiction
b) Alcoholism
c) Alcohol abuse
d) Alcohol disorder

A

b) Alcoholism

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5
Q

What is the main factor that distinguishes a ‘severe’ substance use disorder from a ‘mild’ one?
a) Number of criteria endorsed
b) Type of substance used
c) Duration of substance use
d) Age of onset

A

a) Number of criteria endorsed

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6
Q

Which substance is not classified as a substance use disorder despite resulting in intoxication and withdrawal symptoms?
a) Alcohol
b) Cannabis
c) Caffeine
d) Tobacco

A

c) Caffeine

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7
Q

Which approach is often a first step in the process of ceasing drug or alcohol misuse?
a) Cognitive-behavioral therapy
b) Motivational interviewing
c) Detoxification
d) Pharmacological treatment

A

c) Detoxification

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8
Q

Which therapy has been found effective in reducing problem gambling and retaining gamblers in treatment?
a) Psychoanalytic therapy
b) Cognitive-behavioral therapy
c) Motivational interviewing
d) Aversion therapy

A

c) Motivational interviewing

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9
Q

What is the name of the model that focuses on external societal determinants of gambling?
a) Biopsychosocial model
b) Public health model
c) Disease model
d) Psychodynamic model

A

b) Public health model

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10
Q

According to the public health model, what is necessary but not sufficient to shape an individual’s gambling behaviour?
a) Genetic predisposition
b) Exposure to gambling
c) Psychological factors
d) Socioeconomic status

A

b) Exposure to gambling

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11
Q

What percentage of adolescents gamble weekly?
a) 5-10%
b) 10-14%
c) 24-40%
d) 50-60%

A

c) 24-40%

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12
Q

What type of therapy is associated with addressing unhelpful beliefs using cognitive behaviour therapy (CBT)?
a) Motivational interviewing
b) Aversion therapy
c) Psychoanalytic therapy
d) Skills training approaches

A

d) Skills training approaches

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13
Q

What is the primary goal of controlled drinking?
a) Complete abstinence
b) Reduced or controlled use
c) Elimination of withdrawal symptoms
d) Prevention of social stigma

A

b) Reduced or controlled use

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14
Q

Which intervention is tailored to an individual’s personality traits and has shown effectiveness in reducing substance use?
a) Brief interventions
b) Motivational interviewing
c) Cognitive-behavioral therapy
d) Skills training

A

a) Brief interventions

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15
Q

What is one of the main goals of the public health approach to gambling?
a) Promoting gambling as a safe activity
b) Reducing population-based risk factors
c) Increasing availability of gambling
d) Encouraging more gambling

A

b) Reducing population-based risk factors

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16
Q

What are some of the components of detoxification?
a) Initial evaluation, stabilisation, and linkage with treatment services
b) Diagnosis, medication, and follow-up
c) Therapy, counselling, and support groups
d) Abstinence, exercise, and nutrition

A

a) Initial evaluation, stabilisation, and linkage with treatment services

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17
Q

Which medication is used to block the rewarding effects of substances like alcohol?
a) Buprenorphine
b) Methadone
c) Naltrexone
d) Nicotine patches

A

c) Naltrexone

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18
Q

What is a common characteristic of both substance use disorders and gambling disorder?
a) Persistent engagement despite multiple problems
b) Only affecting older adults
c) Easily treated with medication
d) Predominantly psychological symptoms

A

a) Persistent engagement despite multiple problems

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19
Q

What was the prevalence rate of pathological gambling among Australian adults in 1997/98?
a) 1%
b) 2.1%
c) 3.5%
d) 4.7%

A

b) 2.1%

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20
Q

Which psychological approach explores the client’s ambivalence about drug use?
a) Cognitive-behavioral therapy
b) Motivational interviewing
c) Psychoanalytic therapy
d) Skills training approaches

A

b) Motivational interviewing

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21
Q

Which period saw the emergence of psychoanalytic/psychodynamic interventions for pathological gambling?
a) 1914-1957
b) 1960s-1980s
c) 1980s-present
d) 2000s-present

A

a) 1914-1957

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22
Q

What term is used to describe an addiction without the drug, such as gambling disorder?
a) Behavioral addiction
b) Substance use disorder
c) Impulse control disorder
d) Psychological addiction

A

a) Behavioral addiction

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23
Q

What percentage of people with substance use disorders are estimated to suffer from a gambling disorder?
a) 10%
b) 20%
c) 30%
d) 40%

A

c) 30%

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24
Q

What is the DSM-5 criterion for tolerance in gambling disorder?
a) Increasing amounts of money to achieve excitement
b) Restlessness when attempting to stop
c) Preoccupation with gambling
d) Chasing losses

A

a) Increasing amounts of money to achieve excitement

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25
Q

What is the primary feature of the integrated pathways model for gambling disorder?
a) It integrates multiple aetiological factors
b) It focuses on biological variables only
c) It uses medication as the primary treatment
d) It excludes environmental factors

A

a) It integrates multiple aetiological factors

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26
Q

What was the main conclusion about the role of brief interventions in substance use disorders?
a) They are only effective for severe cases
b) They are most appropriate for early-stage problems
c) They are not cost-effective
d) They are outdated

A

b) They are most appropriate for early-stage problems

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27
Q

How are most substance use disorder treatments delivered?
a) Inpatient basis
b) Outpatient basis
c) Group therapy sessions
d) Online counseling

A

b) Outpatient basis

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28
Q

What is a key component of relapse prevention for substance use disorders?
a) Pharmacological interventions
b) Psychological therapy
c) Social support
d) All of the above

A

d) All of the above

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29
Q

What is the significance of the DSM-5’s reclassification of gambling disorder?
a) It classifies gambling as an impulse control disorder
b) It classifies gambling as a non-substance addiction
c) It removes gambling from the DSM
d) It equates gambling with criminal behavior

A

b) It classifies gambling as a non-substance addiction

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30
Q

What percentage of gamblers are estimated to suffer from comorbid alcohol abuse?
a) 10%
b) 20%
c) 30%
d) 40%

A

d) 40%

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31
Q

Which type of medication is used to reduce the severity of withdrawal symptoms for nicotine?
a) Naltrexone
b) Methadone
c) Nicotine replacement therapy
d) Buprenorphine

A

c) Nicotine replacement therapy

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32
Q

What approach did Gamblers Anonymous derive its principles and philosophy from?
a) Cognitive-behavioral therapy
b) Psychoanalytic therapy
c) Alcoholics Anonymous
d) Aversion therapy

A

c) Alcoholics Anonymous

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33
Q

What did the systematic review by Cowlishaw et al. (2012) indicate about cognitive behavioural interventions for gambling disorder?
a) Ineffective
b) Moderately effective
c) Very effective
d) Harmful

A

c) Very effective

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34
Q

Which therapy dominated the treatment of pathological gambling from the 1960s to the 1980s?
a) Cognitive-behavioral therapy
b) Psychoanalytic therapy
c) Behavioral techniques
d) Pharmacological interventions

A

c) Behavioral techniques

35
Q

What was the main finding about the age of first use for tobacco, alcohol, cannabis, and amphetamine-type stimulants in Australia since 2010?
a) It has decreased
b) It has remained the same
c) It has significantly increased
d) It fluctuates widely

A

c) It has significantly increased

36
Q

What is the role of antagonist medications in treating substance use disorders?
a) To substitute the abused substance
b) To block the rewarding effects of the substance
c) To enhance the rewarding effects of the substance
d) To detoxify the body

A

b) To block the rewarding effects of the substance

37
Q

What does the public health model for gambling mainly focus on?
a) Individual biological variables
b) External societal determinants
c) Psychological variables
d) None of the above

A

b) External societal determinants

38
Q

What type of interventions are generally considered most appropriate for those whose substance use is not yet severe?
a) Inpatient treatment
b) Brief interventions
c) Long-term therapy
d) Pharmacological treatments

A

b) Brief interventions

39
Q

What is a common withdrawal symptom for gambling disorder?
a) Irritability
b) Severe physical pain
c) Vomiting
d) Hallucinations

A

a) Irritability

40
Q

Which screening tool includes 20 questions assessing the severity of gambling on several dimensions?
a) PGSI-CPGI
b) SOGS
c) DSM-5
d) ICD-10

A

b) SOGS

41
Q

What are the three components of detoxification?
a) Evaluation, medication, and follow-up
b) Initial evaluation, stabilisation, and linkage with treatment services
c) Therapy, counselling, and support groups
d) Abstinence, exercise, and nutrition

A

b) Initial evaluation, stabilisation, and linkage with treatment services

42
Q

What is the main characteristic that renders substance use disorders and gambling disorder a challenge in terms of understanding and treatment?
a) Their complexity
b) Their rarity
c) Their simplicity
d) Their mild impact

A

a) Their complexity

43
Q

What is the DSM-5 criterion for withdrawal in gambling disorder?
a) Increasing amounts of money to achieve excitement
b) Restlessness or irritability when attempting to stop
c) Preoccupation with gambling
d) Chasing losses

A

b) Restlessness or irritability when attempting to stop

44
Q

What is a key component of relapse prevention for substance use disorders?
a) Avoiding high-risk situations
b) Increasing substance use
c) Reducing coping skills
d) Ignoring the problem

A

a) Avoiding high-risk situations

45
Q

What is the primary goal of motivational interviewing in substance use disorder treatment?
a) To explore the client’s ambivalence about drug use
b) To confront the client aggressively
c) To increase substance use
d) To ignore the client’s feelings

A

a) To explore the client’s ambivalence about drug use

46
Q

What is the prevalence of any substance use disorder in Australia compared to New Zealand?
a) Lower
b) Higher
c) The same
d) There is no substance use disorder in New Zealand

A

b) Higher

47
Q

What percentage of Emergency Department doctors and nurses in Australia have reported violence or threats related to alcohol?
a) 50%
b) 60%
c) 75%
d) More than 90%

A

d) More than 90%

48
Q

Which organization was instrumental in establishing the first hospital-based treatment centre for pathological gambling?
a) Gamblers Anonymous
b) Alcoholics Anonymous
c) Veterans’ Administration
d) World Health Organization

A

c) Veterans’ Administration

49
Q

Which historical figure described gambling as a manifestation of a masturbation addiction?
a) Sigmund Freud
b) Carl Jung
c) Alfred Adler
d) Erik Erikson

A

a) Sigmund Freud

50
Q

What is a common comorbid condition with gambling disorder?
a) Depression
b) Anxiety
c) Alcohol abuse
d) All of the above

A

d) All of the above

51
Q

What does the SOGS include to assess the severity of gambling?
a) 20 questions
b) 9 items
c) 15 items
d) 12 questions

A

a) 20 questions

52
Q

What is the DSM-5 criterion for tolerance in gambling disorder?
a) Increasing amounts of money to achieve excitement
b) Restlessness when attempting to stop
c) Preoccupation with gambling
d) Chasing losses

A

a) Increasing amounts of money to achieve excitement

53
Q

What type of medication may be used as a substitute for the abused substance in order to reduce the harms associated with substance misuse?
a) Antagonist medications
b) Agonist medications
c) Antidepressants
d) Antipsychotics

A

b) Agonist medications

54
Q

What is one of the primary purposes of medications used in substance use disorder treatment?
a) To induce withdrawal symptoms
b) To block the rewarding effects of the substance
c) To increase substance use
d) To enhance the rewarding effects of the substance

A

b) To block the rewarding effects of the substance

55
Q

What is a characteristic symptom of stimulant-induced psychotic disorder?
a) Hallucinations
b) Severe physical pain
c) Vomiting
d) Fever

A

a) Hallucinations

56
Q

What was the main goal of Gamblers Anonymous when it was established in 1957?
a) Controlled gambling
b) Complete abstinence
c) Psychoanalytic therapy
d) Reducing gambling frequency

A

b) Complete abstinence

57
Q

What is one of the significant harms associated with stimulant use disorder?
a) Paranoid psychotic states
b) Respiratory problems
c) Severe physical pain
d) Vomiting

A

a) Paranoid psychotic states

58
Q

What is the DSM-5 criterion for craving in substance use disorder?
a) Strong desires to use the substance
b) Restlessness when attempting to stop
c) Preoccupation with the substance
d) Chasing the effects

A

a) Strong desires to use the substance

59
Q

What was the main conclusion about the effectiveness of cognitive behavioural interventions for gambling disorder?
a) Ineffective
b) Moderately effective
c) Very effective
d) Harmful

A

c) Very effective

60
Q

What is a common cognitive bias in gambling disorder?
a) Selective memory of wins over losses
b) Complete memory loss
c) Accurate recall of all gambling events
d) No memory of gambling events

A

a) Selective memory of wins over losses

61
Q

Which age group predominantly experiences substance use and its disorders?
a) Young
b) Middle-aged
c) Elderly
d) All age groups equally

A

a) Young

62
Q

What is the estimated percentage of adolescents meeting criteria for pathological gambling?
a) 1-2%
b) 2-9%
c) 10-14%
d) 15-20%

A

b) 2-9%

63
Q

Which country showed the highest prevalence of pathological gambling among adolescents?
a) Canada
b) Hong Kong
c) Norway
d) Switzerland

A

b) Hong Kong

64
Q

What is the estimated rate of pathological gambling among Australian adults?
a) 0.2%
b) 1%
c) 2.1%
d) 4%

A

c) 2.1%

65
Q

Which therapeutic goal has generated considerable controversy in the treatment of alcohol use disorder?
a) Complete abstinence
b) Controlled drinking
c) Brief interventions
d) Motivational interviewing

A

b) Controlled drinking

66
Q

What type of therapy has been most extensively investigated in the context of alcohol use disorders?
a) Psychoanalytic therapy
b) Aversion therapy
c) Cognitive behaviour therapy
d) Pharmacological interventions

A

c) Cognitive behaviour therapy

67
Q

What was the main finding about the age of first use for heroin in Australia since 2010?
a) It has decreased
b) It has remained the same
c) It has significantly increased
d) It fluctuates widely

A

a) It has decreased

68
Q

What is one of the primary features of relapse prevention in substance use disorders?
a) Ignoring high-risk situations
b) Avoiding all social interactions
c) Anticipating high-risk situations
d) Increasing substance use

A

c) Anticipating high-risk situations

69
Q

Which personality traits are targeted in brief interventions for substance use disorders?
a) Anxiety, depression, impulsivity-reward, sensation seeking
b) Introversion, extroversion, agreeableness, conscientiousness
c) Neuroticism, openness, extraversion, agreeableness

A

a) Anxiety, depression, impulsivity-reward, sensation seeking

70
Q

What is the estimated prevalence of any substance use disorder in Australia?
a) 1%
b) 3%
c) 5.1%
d) 10%

A

c) 5.1%

71
Q

What is a common comorbid condition with substance use disorders?
a) Depression
b) Anxiety
c) Gambling disorder
d) All of the above

A

d) All of the above

72
Q

What is the primary focus of cognitive behaviour therapy for substance use disorders?
a) Recognising situations likely to lead to drug use
b) Avoiding all social interactions
c) Increasing substance use
d) Ignoring the problem

A

a) Recognising situations likely to lead to drug use

73
Q

What type of therapy emphasises training in communicating effectively, problem solving, and assertiveness skills?
a) Cognitive behaviour therapy
b) Motivational interviewing
c) Psychoanalytic therapy
d) Pharmacological interventions

A

a) Cognitive behaviour therapy

74
Q

What percentage of gamblers is estimated to suffer from comorbid alcohol abuse?
a) 10%
b) 20%
c) 30%
d) 40%

A

d) 40%

75
Q

What is one of the significant harms associated with stimulant use disorder?
a) Paranoid psychotic states
b) Respiratory problems
c) Severe physical pain
d) Vomiting

A

a) Paranoid psychotic states

76
Q

What was the primary goal of Gamblers Anonymous when it was established in 1957?
a) Controlled gambling
b) Complete abstinence
c) Psychoanalytic therapy
d) Reducing gambling frequency

A

b) Complete abstinence

77
Q

What was the primary finding about the effectiveness of cognitive behavioural interventions for gambling disorder?
a) Ineffective
b) Moderately effective
c) Very effective
d) Harmful

A

c) Very effective

78
Q

Which country showed the highest prevalence of pathological gambling among adolescents?
a) Canada
b) Hong Kong
c) Norway
d) Switzerland

A

b) Hong Kong

79
Q

What is a common withdrawal symptom for gambling disorder?
a) Irritability
b) Severe physical pain
c) Vomiting
d) Hallucinations

A

a) Irritability

80
Q

What is a key component of relapse prevention for substance use disorders?
a) Avoiding high-risk situations
b) Increasing substance use
c) Reducing coping skills
d) Ignoring the problem

A

a) Avoiding high-risk situations

81
Q

What is the DSM-5 criterion for withdrawal in gambling disorder?
a) Increasing amounts of money to achieve excitement
b) Restlessness or irritability when attempting to stop
c) Preoccupation with gambling
d) Chasing losses

A

b) Restlessness or irritability when attempting to stop

82
Q

What is the main characteristic that renders substance use disorders and gambling disorder a challenge in terms of understanding and treatment?
a) Their complexity
b) Their rarity
c) Their simplicity
d) Their mild impact

A

a) Their complexity

83
Q

What is a common cognitive bias in gambling disorder?
a) Selective memory of wins over losses
b) Complete memory loss
c) Accurate recall of all gambling events
d) No memory of gambling events

A

a) Selective memory of wins over losses

84
Q

What was the main conclusion about the effectiveness of cognitive behavioural interventions for gambling disorder?
a) Ineffective
b) Moderately effective
c) Very effective
d) Harmful

A

c) Very effective