1
Q

List

physical determinants of health

A
  • natural environment
  • built environment
  • worksites, schools, and recreational settings
  • housing and community design
  • exposure to toxic substances
  • physical barriers
  • aesthetic elements
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2
Q

List

key areas of social determinants of health

A
  • economic stability
  • education
  • social and community context
  • health and heath care
  • neighborhood and built environment
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3
Q

List

measurements of economic stability

A
  • employment
  • food insecurity
  • housing instability
  • poverty
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4
Q

List

measurements of education

A
  • early childhood education and development
  • enrollment in higher education
  • high school graduation
  • language and literacy
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5
Q

List

measurements of social and community context

A
  • civic participation
  • discrimination
  • incarceration
  • social cohesion
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6
Q

List

measurements of health and healthcare

A
  • access to health care
  • access to primary care
  • health literacy
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7
Q

List

measurements of neighborhood and built environment

A
  • access to foods that support healthy eating patterns
  • crime and violence
  • environmental conditions
  • quality of housing
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8
Q

Explain

biopsychosocial model

A

illness and health are a result of interactions between biological, psychological, and social factors

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9
Q

Quote

Surgeon General’s definition of “mental disorder”

A

“Mental disorders are characterized by abnormalities in cognition, emotion or mood, or the highest integrated aspects of behavior, such as social interactions or planning future activities.”

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10
Q

Explain

DSM-5 definition of “mental disorder”

A

clinically significant disturbance in an individual’s cognition, emotional regulation, or behavior

reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning

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11
Q

List

5 factors of DSM-5 definition of “mental disorder”

A
  • a behavioral or psychological syndrome or pattern that occurs in an individual
  • reflects an underlying psychobiological dysfunction
  • the consequences of which are clinically significant distress or disability
  • must not be merely an expected response to common stressors and losses or a culturally sanctioned response to a particular event
  • primarily the result of social deviance or conflicts within society
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12
Q

Explain

difference between a disorder and a symptom

A

a symptom is a singular abnormality in cognition, mood, or behavior

a disorder is characterized by abnormalities in cognition, mood, or behavior that significantly impact one’s life

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13
Q

List

examples of mental disorders

A
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14
Q

List

types of anxiety disorders

A
  • specific phobias
  • generalized anxiety disorders
  • panic disorders
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15
Q

define

depressive episode

A

period of at least 2 weeks characterized by symptoms of major depression

associated with bipolar disorder

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16
Q

define

manic episode

A

state of mind characterized by high energy, excitement, and euphoria over a sustained period of time

associated with bipolar disorder

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17
Q

List

characteristics of a manic episode

A
  • long period of feeling elated or excessively happy
  • rapid talking, jumping from idea to idea, or racing thoughts
  • easily distractible
  • increasing goal-directed activities
  • restlessness
  • sleeping less than usual
  • unusual belief in one’s activities
  • impulse and reckless behavior
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18
Q

Define

mixed state

A

a state wherein features unique to both depression and mania occur either simultaneously or in very short succession

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19
Q

List

characteristics of a mixed state

A
  • agitation
  • trouble sleeping
  • appetite changes
  • suicidal thinking
  • intense and rapid changes
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20
Q

Explain

why disorders co-occur

A

common risk factors can contribute to both mental disorders and substance use disorders

mental illness can contribute to drug use and substance use disorders

substance use and addiction can contribute to development of mental illness

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21
Q

List

diagnostic criteria of depression

A

Display of the following signs and symptoms for at least two weeks:

  • persistent sad, axious, or “empty mood”
  • feelings of hopelessness/pessimism
  • feelings of guilt, worthlessness, helplessness
  • loss of interest/pleasure in hobbies/activities
  • thoughts of death or suicide or suicide attempts
  • decreased energy and/or fatigue
  • difficulty concentrating, remembering, or making decisions
  • difficulty sleeping
  • appetite/weight changes
  • restlessness/irritability
  • persistent physical symptoms
22
Q

List

diagnostic criteria of bipolar disorder

A

experiencing manic episodes that last for at least 1 week and are characterized by:

  • inflated self-esteem or grandiosity
  • decreased need for sleep
  • increased talkativeness
  • racing thoughts
  • distraction
  • increase in goal-directed activity or psychomotor agitation
  • engaging in activities that hold the potential for painful consequences

experiencing depressive episodes that last for at least 2 weeks and are characterized by:

  • depressed mood
  • loss of interest or pleasure in all (or almost all) activities
  • significant weight loss or decrease/increase in appetite
  • engaging in purposeless movements
  • fatigue or loss of energy
  • feelings of worthlessness or guilt
  • diminished ability to think or concentrate
  • recurrent thoughts of death, suicidal ideation, or suicide attempt
23
Q

List

diagnostic criteria of schizophrenia

A

positive symptoms:

  • hallucinations
  • delusions
  • thought disorders
  • movement disorders

negative symptoms:

  • lack of affect
  • difficulty starting or sustaining activities
  • reduced speaking or interaction with others
  • reduced pleasure

cognitive symptoms:

  • poor executive functioning
  • trouble focusing or paying attention
  • poor working memory
24
Q

Define

substance use disorder

A

a problematic pattern of substance use leading to clinically significant impairment or distress for over a 12-month period

25
Q

List

5 alcohol-related disorders (recognized by DSM-5)

A
  • alcohol use disorder
  • alcohol intoxication
  • alcohol withdrawal
  • other alcohol-induced disorders
  • unspecified alcohol-related disorders
26
Q

List

how we know behavior health disorders are genetic

A
  • family studies
  • adoption studies
  • twin studies
  • environmental studies
27
Q

Describe

spectrum of substance use

A
28
Q

Describe

substance use continuum

A
28
Q

Define

addiction

A

compulsive need for and use of a habit-forming substance

characterized by tolerance and well-defined physiological symptoms upon withdrawal

(broadly) persistent compulsive use of a substance known by the user to be harmful

29
Q

Explain

relationship between mental health and substance use disorders

A

overlapping genetic contributions

30
Q

Define

epigenetics

A

the study of heritable phenotype changes that do not involve alterations in the DNA sequence

the study of how behaviors and environment can cause changes that affect the way genes work

31
Q

Identify

active ingredient in marijuana

A

tetrahydrocannabinol (THC)

32
Q

List

short-term effects of marijuana

A
  • euphoria
  • sedation
  • slowed thinking and reaction time
  • confusion
  • impaired balance
33
Q

List

long-term effects of marijuana

A
  • impaired memory and learning
  • cough, respiratory infections, and increased heart rate
  • anxiety and panic attacks
  • long half-life
34
Q

List

medical uses of marijuana

A
  • prevention of weight loss
  • pain management
  • prevention of nausea/vomiting
  • control of glaucoma
  • control of movement disorders
35
Q

Explain

level of evidence on use of marijuana for chronic pain

A

only low-moderate evidence of improvements in pain severity and function

no studies conducted on CBD alone

36
Q

Explain

level of evidence on use of marijuana for PTSD

A

low evidence showing no effect on severity, mental health, functioning, or sleep

37
Q

Describe

correlation between marijuana use and other drug use

A

strong correlation

38
Q

Explain

marijuana gateway theory

A

general notion that marijuana use leads to use of more harmful drugs

39
Q

Describe

pharmacological explanation of marijuana gateway theory

A

experience of “high” leads one to want more due to tolerance and desensitization

“Early marijuana use ‘primes’ the brain to enjoy cocaine”

40
Q

Describe

sociocultural explanation of marijuana gateway theory

A

progression from marijuana to more dangerous drugs is caused by social factors (friends and activities)

blames subculture of drug use for marijuana gateway theory

41
Q

Describe

predisposition explanation of marijuana gateway theory

A

unrelated factors predispose one toward use of both marijuana and more dangerous drugs

42
Q

Explain

level of evidence for pharmacological, sociocultural, or predisposition explanations of marijuana gateway theory

A

little evidence to prove correlation between use of marijuana and more dangerous drugs

43
Q

List

short-term effects of cocaine

A
  • exhilaration
  • euphoria
  • grandiosity
  • confidence
  • energy
  • increased mental altertness
44
Q

List

long-term effects of cocaine

A
  • increased heart rate, blood pressure, and metabolism
  • decreased appetite, weight loss, and malnutrition
  • rapid/irregular heartbeat, chest pain, heart failure
  • nasal problems
  • nervousness and irritability
  • insomnia
  • inability to concentrate
  • stroke, seizures, and/or headaches
  • panic attacks, depression, and/or paranoia
45
Q

List

short-term effects of heroin

A
  • euphoria
  • sense of well-being, tranquility, ease, and/or calm
  • pain relief
  • drowsiness, sedation, and/or lethargy
46
Q

List

long-term effects of heroin

A
  • dysphoria, confusion, and/or mental cloudiness
  • nausea and/or constipation
  • staggering gait
  • respiratory depression
  • increased risk of disease from sharing needles
  • unconsiousness, coma, and/or death
47
Q

List

uses of fentanyl

A
  • legal medical use
  • illegal street use (usually used to “cut” other drugs)
48
Q

List

classifications of drugs (based on their effects)

A
  • stimulants
  • hallucinogens
  • depressants
49
Q

List

examples of stimulants

A
  • methamphetamine
  • amphetamine
  • MDMA/ecstasy
  • ritalin
  • nicotine
  • caffeine
50
Q

List

examples of hallucinogens

A
  • lysergic acid diethylamide (LSD)
  • psilocybin
  • ketamine
  • phencyclidine (PCP)
51
Q

List

examples of depressants

A
  • benzodiazepines
    • Ativan
    • Xanax
    • Valium
    • Rohypnol
  • gamma-hydroxybutyrate (GHB)
  • barbiturates
  • methaqualone