Lecture 9 Alcohol use Flashcards Preview

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Flashcards in Lecture 9 Alcohol use Deck (18)
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1
Q

What percentage of Canadian adults consumer alcoholic beverages at least occasionally?

A

75% and 51% of that is beer

2
Q

Alcohol use disorder

A
  • AUD is a chronic relapsing brain disease characterized by compulsive alcohol use, loss of control over alcohol intake, and a negative emotional state when not using
  • (meet any two of the 11 DSM criteria)
3
Q

Alcohol use disorder demographic

A
  • More common in males than females
  • More common in younger people
  • Affects any socio-economic background
4
Q

What is AUD most comorbid with?

A

Depression, (Males: 60%, Females: 33%)

5
Q

Treatment concerns regarding AUD?

A
  • No gold standard
  • Anyone can run a treatment center without credentials or scientific research to back it up
  • Some options are too pricey- not covered by insurance
  • Few programs report success rates
6
Q

Key treatment targets for all treatments

A
  • Increase motivation to change
  • Increase capabilities or skills (skills training)
  • Change cognitions that promote use
  • Change reinforcers related to substance use
  • Prevent relapse
7
Q

Is there a difference in effectiveness between Motivational Interviewing, Cognitive Behavioural Coping skills, and 12 Step Facilitation therapy?

A

Few significant differences, most patients did not maintain complete abstinence but all led to reductions in outcome variables.

-One matching characteristic: low-psychiatric severity patients has more abstinent days with 12-step

8
Q

Motivational Interviewing

A
  • An intervention that promotes motivation to change

- Therapist acts as a person of support, allowing client to make their own choices and arrive at their own conclusions

9
Q

Key elements of Motivational interviewing

A
  • Collaboration
  • Compassion
  • Evocation (of internal desire for change)
  • Acceptance and trust in the autonomy of the client
10
Q

FRAMES of Motivational Interviewing

A
F: Feedback 
R: personal Responsibility of client for change
A: clear Advice
M: Menu of options for client
E: Empathetic treatment
S: Self-Efficacy is increased/changed
11
Q

Stages of Change (M.I)

A
  • Precontemplation
  • Contemplation
  • Preparation
  • Action
  • Maintenance/Relapse
12
Q

Early sobriety strategies (CBT)

A
  1. Stimulus control
  2. Dealing with urges
  3. Addressing Cognitive distortions about alcohol
  4. Alternative/Distracting behaviours
  5. Identifying Alternative ways to obtain reinforce
  6. Drink refusal skills
13
Q

12 step programs

A
  • 90 day induction period
  • sponsors as mentors
  • 12 steps
14
Q

Pharmacological Models

A
  • Admit to residential/semi-residential treatment
  • Little emphases on psychological or social interventions
  • Drug replacement to ameliorate withdrawal
15
Q

Chance of Relapse for AUD

A

2/3 or 66%

16
Q

Lapse vs Relapse

A

A Laspe is a temporary blip (drinking on your bday)

A Relapse is a return to previous state (drinking every other day)

17
Q

Two processes of relapse

A

1) Abstinence Violation Effect:: ‘ahh what the hell’ effect

2) Apparently Irrelevant behaviours

18
Q

2 steps after a Lapse

A

1) Identify Stimuli that trigger cravings

2) Problem solve on how modify/avoid/resist