Addiction Flashcards
Define addiction
A disorder in which an individual takes a substance or engages in a behaviour that is pleasurable but eventually becomes compulsive with a harmful consequence. Marked by physiological and/or psychological dependence, tolerance and withdrawal
Define physical dependence
A state of the body due to habitual drug use which results in a syndrome when the use of the drug is reduced or stopped
Define psychological dependence
A compulsion to continue taking a drug because its use is rewarding
Define tolerance
A reduction in response to a drug, so that the addicted individual needs more to get the same effect
Define withdrawal syndrome
A set of symptoms that develop when the addicted person abstains from or reduces their drug use
What are the key features of addiction
dependence, tolerance and withdrawal symptoms
When is it possible to establish if someone is not physically dependant on a substance
when they abstain from it
When is it said that a physical dependence has occurred
when a withdrawal symptom is produced by stopping the drug
What does psychological dependance refer to
the compulsion to experience the effects of a drug, usually in terms of an increase in pleasure or a lessening of discomfort
In physical and psychological dependance…
taking the drug is followed by a reward
What is a consequence of psychological dependance
the person will continue to take the drug (or engage in behaviour) until it becomes a habit, despite the harmful consequences.
When does tolerance occur
When an individuals response to a given amount of a drug is reduced. This means they need ever greater dose to produce the same effect on behaviour
What is tolerance caused by
By repeated previous exposure to the effects of a drug
What are the types of tolerance
behavioural tolerance and cross-tolerance
When does behavioural tolerance occur
When the individual learns through experience to adjust their behaviour to compensate for the effect of a drug
Give an example of behavioural tolerance
When people addicted to alcohol learn to walk more slowly when they are drunk to avoid falling over
What is cross-tolerance
Developing tolerance to one type of drug, which can reduce sensitivity to another type (benzodiazepines)
Why is cross tolerance an issue in surgery
Because people who have developed a tolerance to the sleep-inducing effects of alcohol need higher doses of anaesthetics
How can cross-tolerance be used therapeutically
By giving benzodiazepines to people withdrawing from alcohol to reduce the withdrawal syndrome
What is a withdrawal syndrome
A collection of symptoms associated with abstaining from a drug or reducing its use.
The withdrawal symptoms are always..
the opposite of the ones created by the drug, and indicate that a physical dependence has developed.
What are the withdrawal symptoms of nicotine
irritability, anxiety, restlessness, increased appetite and weight gain