PSY 215 Lecture Notes - Lecture 4: Honestreporting, Major Depressive Disorder, Psychopathology
11 Sep 2017
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Document Summary
Historicaly: dsm-iv: a person who has used three or more substances (not nicotine, caffeine) but does not have a preference, polysubstance abuse: not specifically addicted to one particular substance, but motivated by interrupted intoxication. Dsm-5: eliminated polysubstance disorder as formal diagnosis, for diagnosis, patients who use multiple substances will be diagnosed by substance type and graded on severity scale, clinical significance of poly substance dependence. Population-based studies: alcohol use disorder 40% also had co-occurring substance use, highest for cocaine use disorder 84. 8, difficult to determine temporal relationship disorders. Adolescents: highest risk for polysubstance abuse, compared to older users. Injection drug use (idu: highly correlated with multiple drug use issues, early onset polysubstance use correlated with idu, influence of depression, anxiety. Gender issues: more men across ethnic groups (alcohol, cannabis, cocaine, not for opioid) Comorbid pds associated with poorer treatment outcome. Pds associated with increased risk of multiple suds in injection drug users.
