10. Addictive disorders Flashcards
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
b) Substance-Related and Addictive Disorders
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
b) Substance use disorders and Substance-induced disorders
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
b) Two or three
What term is no longer used in the classification systems for alcohol dependence?
a) Alcohol addiction
b) Alcoholism
c) Alcohol abuse
d) Alcohol disorder
b) Alcoholism
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) Number of criteria endorsed
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
c) Caffeine
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
c) Detoxification
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
c) Motivational interviewing
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
b) Public health model
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
b) Exposure to gambling
What percentage of adolescents gamble weekly?
a) 5-10%
b) 10-14%
c) 24-40%
d) 50-60%
c) 24-40%
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
d) Skills training approaches
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
b) Reduced or controlled use
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) Brief interventions
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
b) Reducing population-based risk factors
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) Initial evaluation, stabilisation, and linkage with treatment services
Which medication is used to block the rewarding effects of substances like alcohol?
a) Buprenorphine
b) Methadone
c) Naltrexone
d) Nicotine patches
c) Naltrexone
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) Persistent engagement despite multiple problems
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%
b) 2.1%
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
b) Motivational interviewing
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) 1914-1957
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) Behavioral addiction
What percentage of people with substance use disorders are estimated to suffer from a gambling disorder?
a) 10%
b) 20%
c) 30%
d) 40%
c) 30%
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) Increasing amounts of money to achieve excitement
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) It integrates multiple aetiological factors
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
b) They are most appropriate for early-stage problems
How are most substance use disorder treatments delivered?
a) Inpatient basis
b) Outpatient basis
c) Group therapy sessions
d) Online counseling
b) Outpatient basis
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
d) All of the above
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
b) It classifies gambling as a non-substance addiction
What percentage of gamblers are estimated to suffer from comorbid alcohol abuse?
a) 10%
b) 20%
c) 30%
d) 40%
d) 40%
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
c) Nicotine replacement therapy
What approach did Gamblers Anonymous derive its principles and philosophy from?
a) Cognitive-behavioral therapy
b) Psychoanalytic therapy
c) Alcoholics Anonymous
d) Aversion therapy
c) Alcoholics Anonymous
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
c) Very effective