Exam 3 Flashcards
An increased physiological need for alcohol to achieve the same effect is most likely to be associated with
Substance dependence (tolerance)
Which of the following brain areas is most impacted by chronic alcohol use?
Prefrontal cortex
The main goal of the medication naltrexone is to reduce drinking by:
Lowering cravings
pathological substance use that involved potentially hazardous behavior or continued use despite persistent social, psychological, occupational, or health problems
substance abuse
physical symptoms such as sweating, tremors upon discontinuation
withdrawal symptoms
third leading preventable cause of death in the United States
alcohol related causes
________ has some of the highest rates of alcohol use disorders
Russia
common conception that alcohol use is relatively high in ___________
college students
average person can metabolize ________ of alcohol per hour
7-10g (1 standard beer)
alcohol stimulates ___________ that release _______________
“pleasure circuits,” endogenous opioids
brain effects of chronic drinking:
ventricles are larger
brain shrinkage
grey matter volume is reduced
________ are time when intoxicated person cannot recall key details of events
Blackouts
certain blocks of time they can’t recall
fragmentary
rare, not being able to recall anything
en bloc
Antabuse
older medication for alcohol abuse
triggers vomiting after drinking
compliance issues, little benefit for actually reducing alcohol abuse
____________ are used to help with withdrawal symptoms
Tranquilizers (ex. valium, librium)
particularly for alcohol dependent individuals, popular during detox but not after (risk for dependence)
Harm reduction approach for alcohol use disorder
Naltraxone
alcohol use disorder is one the few psychiatric disorders where first-line treatment is __________________
psychological treatment (psychotherapy)
Most popular form of alcohol use treatment
Alcoholics Anonymous
AA more effective than cognitive behavior therapy or motivational interviewing for ______________ for up to 3 years
helping people remain abstinent
Largest clinical trial of psychotherapies ever
Project MATCH
Project MATCH found that 12-step facilitation (similar to AA), cognitive-behavioral therapy, and motivational enhancement therapy were _____________
no ___________ effects for treatment
equally effective
matching