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Flashcards in Alcoholism Deck (14):
1

DSM-5 Definition of Alcoholism

problematic pattern of alcohol use leading to clinically significant impairment or distress (within 12-month period)
- tolerance (neuroadaptation to substance)
- desire to cut back/quit
- lots of time spent obtaining alcohol/recovering
- recurrent/continued use despite problems (gets in way of other activities)
- range of severities (more symptoms = more severe = more intense treatment)

2

Tolerance

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

3

Withdrawal

set of symptoms that can occur when individual reduces or stops alcohol consumption
- tremor, insomnia, N/V, hallucinations, anxiety, agitation, seizure, and autonomic instability
- craving -> physical & psychological

4

Graph on slide 7

- Latent Trait --> mathematical model of a variable (could be anything but in graph it is severity of drinking)
- Probability of Criterion Endorsement -> the probability that individual with latent trait will meet the criteria

5

Other addictive disorders

can be behavioral addictions --> increasing consistent evidence that some behaviors activate brain reward system

6

Assessment of Alcohol Abuse

C - ever felt you should Cut down drinking?
A - people Annoyed you by criticizing your drinking?
G - ever felt Guilty about drinking?
E - ever had drink first thing in morning to steady your nerves or get rid of hangover (Eye-opener)?

7

Treatment of Alcohol Use Disorder

AA, motivational interviewing, relapse prevention, harm reduction

8

Alcoholics Anonymous

Self-help approach -> meetings lead by non-professionals, new enrollees paired with sponsor
- 12 step program
- spiritual basis -> involves placing control over life and cravings in a higher power
- Abstinence based

9

Motivational Interviewing for alcohol

person-centered, goal oriented
- enhance motivation to change

10

Phases of motivational interviewing

Phase I -> resolve ambivalence and build motivation
Phase II -> strengthen commitment and create plan

11

Transtheoretical Model

Precontemplation
Contemplation
Determination/Preparation
Action
Maintenance
- approximately 80% are in precontemplation/contemplation
- success is defined by movement of 1-stage to next

12

Relapse Prevention

primary focus is on maintenance of habit
- purpose is to prevent occurrence of initial lapses and preventing any lapse escalating into total relapse
- self-control --> acquire new coping skills, new cognitions, develop daily lifestyles

13

Harm Reduction

public health alternative to moral/criminal disease models of drug use and addiction
- abstinence is ideal outcome but accepts other alternatives
- safer route of administration, safer substances, reduce frequency, reduce intensity, reduce consequences

14

Strategies to Reduce Alcohol Consumption

Keep track
Slow down
Space your drinks
Select different types of drinks
Drink for quality instead of quantity
Enjoy mild effects