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SoBehav Year 2 > Alcoholism- Allen > Flashcards

Alcoholism- Allen Flashcards

1
Q

DSM-5 ICD 10 diagnostic criteria

A

Tolerance
Withdrawal
Craving

*2 criteria met with-in a 12 month period

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2
Q

Prevalence of alcoholism

A

1 in 10 people have or will have a problem with drinking

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3
Q

Tolerance

A

A reduced sensitivity requiring higher quantities of alcohol be be consumed in order to achieve the same effects

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4
Q

Withdrawal

A

A set of symptoms that can occur when an individual reduces or stops alcoholic consumption after long periods of use

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5
Q 
Increased hand tremor
Insomnia
Nausea/Vomiting
Transient hallucinations
Psychomotor agitations
Anxiety
Tonic-Clonic Seizures
Autonomic instability

How many of these symptoms do you need to diagnose Alcohol withdrawal Syndrome?

A

Two!

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6
Q

What is craving?

A

Desire or urge to consume alcohol

Physical and psychological!!!

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7
Q

Specifiers if person is not drinking in DSM-5

A

In early remission
In sustained remission
In a controlled environment

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8
Q

Specifiers of severity of alcoholism in DSM-5

A

Mild: 2-3 symptoms
Moderate: 4-5 symptoms
Severe: 6 or more symptoms

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9
Q

What are the big changes in DSM-5 with regards to alcoholism?

A

Removed:

  • Legal problems as diagnostic criteria
  • The distinction between “abuse” and “dependence”
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10
Q

Tolerance in alcohol use involves:
a. acceptance of other’s alcohol use despite being abstinent oneself

b. neuroadaptation in response to chronic alcohol use so that progressively smaller amounts of alcohol are required to experience intoxication
c. progressively larger amounts of alcohol to have similar effect
d. increased desire for alcohol as part of chronic use

A

C is correct

D is about craving

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11
Q

Who drinks more, men or women?

A

Men!

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12
Q

What ethnic group has the highest rate of alcohol use?

A

Whites

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13
Q

What ethnic group has the lowest rate of alcohol use?

A

Asian Americans

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14
Q

Is increasing education associated with increasing use?

A

Yes!

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15
Q

Who has the highest rates of binge and heavy drinking use?

A

American indian people

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16
Q

How should you assess alcohol abuse? (CAGE)

A
  • Have you ever felt you should CUT down on your drinking?
  • Have people ANNOYED you by critizing your drinking?
  • Have you ever felt bad or GUILTY about your drinking?
  • Have you ever had a drink first thing in the morning? EYE opener?
17
Q

Treatments for alcohol use disorder?

A
  • Alcoholic Anonymous
  • Motivational Interviewing
  • Relapse Prevention
  • Harm Reduction
18
Q

How many steps are in the AA program?

A

12 steps

19
Q

What is the motivational interviewing approach?

A

A person-centered, GOAL-ORIENTED method of communication for enhancing intrinsic motivation to change by exploring and resolving ambivalence

20
Q

What percent of people with substance use disorders are in pre-contemplation or contemplation stage of change?

A

80%

21
Q

What are the stages of change in the transtheoretical model?

A
  • Pre-contempation
  • Contemplation
  • Determination/Preparation
  • Action
  • Maintenance
22
Q

In the transtheoretical model, the stage in which people are intending to take action in the immediate future is

a. Precontemplation
b. Contemplation
c. Determination/Preparation
d. Action
e. Maintenance

A

C

23
Q

What are the 4 A’s?

A

Ask
Assess
Advise
Assist

24
Q

What is the purpose of relapse prevention?

A
  • Prevent the occurrence of initial lapses after embarking on habit change
  • Prevent any lapse from escalating into total relapse
25
Q

What are some methods of harm reduction?

A
  • Safer route of drug administration
  • Alternative, safer substances
  • Reduce frequency of drug use
  • Reduce intensity of drug use
  • Reduce harmful consequences of drug use
26
Q

What are some strategies to reduce alcohol consumption?

A 
Keep track
slow down
Space your drinks
select different types of drinks
drink for quality instead of quantity
Enjoy mild effects

SoBehav Year 2 (11 decks)

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