addiction basics Flashcards

1
Q

DSM-5 SUD rating scale

A

2-3 mild
4-5 moderate
6 or greater is severe
physiological dependence is not necessary

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2
Q

explain operant conditioning

A
  • reinforcement increases the frequency of a behavior
  • positive reinforcement: behavior makes a good feeling start
  • negative reinforcement: behavior makes a bad feeling stop
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3
Q

heroin, cocaine, and reward

A
  • heroin may turn off GABA
  • cocaine turns on DA
  • both affect nucleus accumbens
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4
Q

opponent-process model

A

in all cases of acquired motivation, affective or hedonistic processes are involved

1) contrast
2) habituation (tolerance)
3) withdrawal (abstinence)

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5
Q

evidence for disease model of addiction

A
  • identifiable symptoms
  • predictable course
  • successful treatment
  • all act on ventrotegmental tract (reward)
  • brain function changes
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6
Q

three types of relapse

A
  • cue induced - people, places, things
  • stress induced - HALT hungry angry lonely tired
  • drug induced - one is too many
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7
Q

how is opiate addiction perpetuated?

A

positive reinforcement - high

negative reinforcement - ending withdrawal

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8
Q

receptor/ligand in opiates

A

methadone - full agonist
buprenorphine - partial agonist
naloxone - antagonist

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