Lecture 5 - Comorbidity

Question 1

What percentage of people in the general population have had a substance use disorder in their life?

lecture

Answer 1

19.1%

Question 2

What percentage of people had a substance use disorder in the past year?

lecture

Answer 2

5.6%

Question 3

What percentage of clients in addiction treatment have another mental disorder?

lecture

Answer 3

50%

Question 4

What percentage of clients with addiction suffer from comorbid mood or anxiety disorders?

lecture

Answer 4

25%

Question 5

Name three consequences of comorbidity in addiction treatment

Answer 5

• More severe symptoms
• worse treatment outcomes
• higher relapse risk

Question 6

What is the susceptibility/high-risk hypothesis for addiction comorbidity?

Answer 6

Substance use leads to behaviors or changes that increase the risk of developing mental disorders

Question 7

What is the self-medication hypothesis?

this might be a duplicate card idk

Answer 7

Individuals use substances to cope with emotional or psychological pain caused by a mental disorder

Question 8

What is the third-factor hypothesis in addiction comorbidity?

Answer 8

A shared underlying cause (e.g., genetics, brain abnormalities, environment) leads to both addiction and mental disorders

Question 9

What is the bidirectional hypothesis for addiction comorbidity?

Answer 9

Substance use and mental disorders influence each other in both directions

real creative theory here

Question 10

How long should clinicians wait before diagnosing mental disorders after alcohol cessation?

Answer 10

2-3 weeks (Dutch guidelines, withdrawal related obvs)

Question 11

Which disorders can be diagnosed without full substance abstinence?

Answer 11

• SAD
• OCD
• PTSD
• Specific phobia
• PTSD
• GAD

Did someone say anxiety/panic disordersss

Question 12

What is the prevalence of PTSD among those with substance abuse disorder?

lecture

Answer 12

11-41%

Question 13

What percentage of people with bipolar disorder have comorbid substance abuse?

Answer 13

50%

Question 14

Which personality disorders are most often comorbid with addiction?

Answer 14

Borderline and antisocial personality disorder

Question 15

What psychotic symptoms can be substance-related? (3)

Answer 15

• Paranoia
• hallucinations (especially with cannabis or cocaine)
• delirium from alcohol withdrawal

Question 16

Why is separate registration (GGZ vs. addiction care) problematic?

Answer 16

It leads to underestimation of either substance use or psychological symptoms and fragmented care