PSY3032 Study Guide - Final Guide: Fetal Alcohol Spectrum Disorder, Acamprosate, Buprenorphine
21 Jun 2018
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Week 12 Substance Use disorder
Clinical descriptions, prevalence, and effects of SUDs
Alcohol use Disorder
Tobacco Use disorder
Marijuana
Opiates- relieve pain and induce sleep e.g. morphine, heroin
Stimulants- act on sympathetic NS to increase alertness and motor activity
oAmphetamines: cause release of norepinephrine and dopamine- block the
reuptake
oCocaine- blocks reuptake of dopamine for pleasure
Irritability, hallucinations, paranoia, narrowing blood vessels
Hallucinogens, ecstasy and PCP
oLSD- sharp mood wings and expanded consciousness
oEcstasy- release and reuptake of serotonin
oPCP- tranquilizers
-Paranoia, violence, coma and death
-Neuropsychological deficits
DSM-5 criteria for Substance use disorder
Problematic pattern of use that impairs functioning. Two or more symptoms
within a 1-year period:
1. Failure to meet obligations
2.Repeated use in situations where it is physically dangerous
3. Repeated relationships problems
4.Continued use despite problems caused by the substance
5. Tolerance (needing more of substance than previously to achieve same effects and/or
diminished effects from using previously “effective” amount)
6. Withdrawal symptoms when substance use reduced or ceased (symptoms depend on
type of substance)
7. Substance taken for a longer time or in greater amounts than intended
8. Efforts to reduce or control use do not work
9. Much time spent trying to obtain the substance
10. Social, hobbies, or work activities given up or reduced
11. Craving to use the substance is strong
Severity defined by number of symptoms:
Mild: 2-3ofthe11symptomslistedabove
Moderate: 4-5symptoms
Severe: 6 or more symptoms
Alcohol use disorder
Person who has been drinking heavily for several days may also experience
delirium tremens (DTs) when the level of alcohol in the blood drops suddenly
80 to 85 percent of people who abuse alcohol are smokers
Prevalence of Alcohol Use disorder
8.5 percent of the U.S. population met the criteria
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Document Summary
Opiates- relieve pain and induce sleep e. g. morphine, heroin. Stimulants- act on sympathetic ns to increase alertness and motor activity: amphetamines: cause release of norepinephrine and dopamine- block the reuptake, cocaine- blocks reuptake of dopamine for pleasure. Hallucinogens, ecstasy and pcp: lsd- sharp mood wings and expanded consciousness, ecstasy- release and reuptake of serotonin, pcp- tranquilizers. Two or more symptoms within a 1-year period: failure to meet obligations. 2. repeated use in situations where it is physically dangerous. Person who has been drinking heavily for several days may also experience delirium tremens (dts) when the level of alcohol in the blood drops suddenly. 80 to 85 percent of people who abuse alcohol are smokers. 8. 5 percent of the u. s. population met the criteria. Heavy-use drinking- defined as having five drinks on the same occasion five or more times in a 30-day period. Alcohol use disorders are comorbid with several pd, mood disorders, schizophrenia, and anxiety disorders.
