Alcohol use disorder

Question 1

what is the guideline unit for men and women per week

Answer 1

14 units

Question 2

hazardous drinking definition

for a woman
for a man

Answer 2

pattern of alcohol consumption that increases the risk of harmful consequences for the user

drinking more than 14 units a week, but less than 35 units a week for women.

drinking more than 14 units a week, but less than 50 units for men

Question 3

Harmful drinking definition

for a woman
for a man

Answer 3

A pattern of alcohol consumption that is causing mental or physical damage

Drinking 35 units a week or more for women.

Drinking 50 units a week or more for men.

Question 4

alcohol dependence definition

Answer 4

A cluster of behavioural, cognitive and physiological factors that typically include a strong desire to drink alcohol and difficulties in controlling its use

Question 5

DSM IV

Answer 5

two distinct disorders, alcohol abuse and alcohol dependence, with specific criteria for each

Question 6

DSM 5

Answer 6

integrates two DSM IV disorders, alcohol abuse and alcohol dependence, into a single disorder called alcohol use disorder (AUD); mild, moderate, severe.

Question 7

DSM 5 Criteria for Alcohol Use Disorder

Answer 7

A maladaptive pattern of substance use leading to clinically significant impairment or distress, as manifested by 2 or more of the following criteria, occurring at any time in the same 12-month period

Impaired control
Social impairment
Risky use
Pharmacological criteria

Question 8

impaired control meaning

Answer 8

Alcohol is often taken in larger amounts or over a longer period than was intended.

There is a persistent desire or unsuccessful efforts to cut down or control alcohol use.

A great deal of time is spent in activities necessary to obtain alcohol, use alcohol, or recover from its effects.
Craving, or a strong desire or urge to use alcohol.

Question 9

social impairement as a result of alcohol misuse

Answer 9

failure to fulfill major role obligations at work, school, or home.

Continued alcohol use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of alcohol.

Important social, occupational, or recreational activities are given up or reduced because of alcohol use.

Question 10

tolerance definition

Answer 10

A need for markedly increased amounts of alcohol to achieve intoxication or desired effect.

OR

A markedly diminished effect with continued use of the same amount of alcohol.

Question 11

withdrawal definition

Answer 11

The characteristic withdrawal syndrome for alcohol

OR

Alcohol (or a closely related substance, such as a benzodiazepine) is taken to relieve or avoid withdrawal symptoms.

Question 12

Mild DSM 5 Criteria

Answer 12

Presence of 2–3 symptoms

Question 13

moderate DSM 5

Answer 13

Presence of 4–5 symptoms

Question 14

severe DSM 5

Answer 14

Presence of 6 or more symptoms

Question 15

what is alcohol use disorders identification test (AUDIT)

Answer 15

comprehensive 10 question alcohol harm screening tool, developed by the World Health Organisation (WHO)

Question 16

what does severity of Alcohol Dependence Questionnaire consist of

Answer 16

Measures five elements of the alcohol dependence:

Physical withdrawal
Affective withdrawal
Withdrawal relief drinking
Alcohol consumption
Rapidity of reinstatement

Question 17

what is the clinical Institute Withdrawal Assessment for Alcohol (CIWA-AR)

Answer 17

ten item scale used in the assessment and management of alcohol withdrawal

Question 18

what is motivational Enhancement Therapy

Answer 18

Express empathy by using reflective listening to convey understanding

Develop the discrepancy between their most deeply held values and their current behaviour

Sidestep resistance by responding with empathy and understanding rather than confrontation

Support self efficacy by building confidence that change is possible

Question 19

for medical assisted detoxification what is the drug of choice

Answer 19

Chlordiazepoxide

Question 20

what are disadvantages of using Chlordiazepoxide

Answer 20

High rate of relapse after successful medicated withdrawal

Cognitive impairment, cumulative neuronal damage

Kindling effect (the severity of withdrawal symptoms tends to increase after each alcohol withdrawal)

Question 21

Alcohol Withdrawal Syndrome symptoms

Answer 21

Tremor, sweating, nausea, retching
Increased HR, BP, T
Anxiety, agitation
Insomnia, nightmares
Auditory, visual, tactile hallucinations
Withdrawal seizures (0-48 hours)
Delirium tremens (48-72 hours) coarse tremor, confusion, delusions, hallucinations

Question 22

Complicated withdrawal

Answer 22

Seizures
Hallucinosis
Delirium Tremens
Wernicke Encephalopathy (Thiamine prophylaxis)

Question 23

Relapse Prevention: Psychosocial Interventions

Answer 23

cognitive Behavioural Therapy
Motivational Enhancement Therapy
12 Step Facilitation Therapy (eg AA)
Family and Couple Therapy