Addiction Flashcards

1
Q

___% is the approximate lifetime prevalence of any substance abuse disorder in the US.

A

15%

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2
Q

Drug addiction/dependence is a chronic relapsing disorder with…? (1, 2, 3)

A
  1. Compulsion to seek/take drug
  2. Loss of control of intake
  3. Emergence of a negative emotional state when access is prevented
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3
Q

In the opponent-process theory of motivation: A-process is…?

A

Immediate emotional response to stimulus and exhibits tolerance

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4
Q

In the opponent-process theory of motivation: B-process is…?

A

Slower, lasts longer, and grows with repeated exposure

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5
Q

The definition of tolerance in regards to addiction is…?

A

A reduction of the reward value of a given dose over repeated exposure

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6
Q

Drug Dependence is related to what other two disorders?

A

Impulse Control and Compulsive Disorders

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7
Q

Describe Impulse Control Disorder.

A

Arousal by the idea of an impulsive act and gratification on committing it.

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8
Q

Describe Compulsive Control Disorder.

A

Anxiety and stress which can only be relived by committing the compulsive act.

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9
Q

Which phase comes first in drug dependence?

A

The impulsive phase

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10
Q

T/F: In the initial impulsive phase of addiction, the HPA axis is upregulated in the impulsive phase.

A

False!

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11
Q

T/F: In the later compulsive phase of addiction, use is more strongly motivated by reward in the compulsive phase.

A

False!

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12
Q

T/F: Animals and humans will readily self-administer many drugs in the nondependent state.

A

True!

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13
Q

Evidence suggests that the opoid system may also play a significant role in reward value of which two drugs?

A

Alcohol and heroin

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14
Q

What is neuroadpation?

A

When the brain adapts to the drug

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15
Q

Initial drug administration produces inscreased ______ and _____ neurotransmission.

A

DA and GLU

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16
Q

Initial drug administration produces increased neurotransmission in _______ _______.

A

Nucleus accumbens

17
Q

Chronic drug administration…?

A

Reduces levels of DA and GLU during withdrawal

18
Q

Decreased density of dopamine transporters in nucleus accumbens is associated with…?

A

Individuals who had a history of heavy prolonged use of psychostimulants but were in recovery.

19
Q

What does the “dark side” of addiction involve?

A

The gradual recruitment of an anti-reward system

20
Q

The anti-reward system of addiction correlates with…?

A

Irritability, emotional pain, dysphoria, and loss of motivation for natural rewards.

21
Q

Which of the following is a neuropeptide elevated in association with psychological stress?

A

Corticotropin releasing factor (CRF)

22
Q

Increased stress-related peptides in which of the following is associated with acute drug withdrawal and anxiety systems?

A

Extended amygdala

23
Q

Which of these is referred to as the brain stress system?

A

Hypothalamic pituitary adrenal (HPA) axis

24
Q

What are some factors contributing to the vulnerability of addiction?

A
  • comorbid psychopathological conditions
  • temperament/personality
  • genetic markers that link to these
  • stress and life events
25
What is allostasis?
Stability through change, which there is continuous readjustment of all parameters in a system toward new set points.
26
Long lasting effects of addiction may be related to the development of a ________ state.
Allostatic
27
T/F: The increased vulnerability of some individuals to addiction that has been associated with certain personality and psychiatric conditions is another explanation allostasis characteristic of addiction.
False
28
Drug use individuals with substance dependence becomes progressively less motivated by drug-associated reward and more motivated by _______________.
the suppression of the anti-reward system