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Exam 3
Lecture 8- substance abuse
47
Architecture
5th Grade
10/27/2013

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Term
-% of populaiton are drug users
-% are alcohol depednet
Definition
8
7
Term
T/F: medicinal drug abuse is lowering
Definition
false
Term
self admin drug in a cultrually dissaproved manner
Definition
abuse
Term
behavioral pattent of drug abuse by complusivenss to relapse
Definition
addiciton
Term
physiologic adaptation to a drug that higher dosage are requaired
Definition
tolerance
Term
increased response to a drug from chronic use or inital withdrawl
Definition
sensitization
Term
state of PHYSIOLOGIC ADAPTATION where abrupt reduction or cessation = withdrawal syndrome
Definition
physical depedence
Term
syndrome where one has craving for the drug to achieve mood or feeling
Definition
psychological dependence
Term
factros that increase risk for drug abuse or depednce -4
Definition
cost of drug
purity
route od admin
speed entry to brain
Term
drug with hgihest addiction
2nd highest
Definition
tobacco
alchol
Term
a lot/ or few users become depedent or addicited
Definition
only a subset
Term
substance dependence increases with max euphoria (rewarding effects) induced by-
Definition
rapid rate of drug uptake like Iv admin
Term
which is more addictive, cigarettes or chewing tobacco?
why?
Definition
cigarettes
-nicotine omre rapidly rises in serum/brain
Term
can substance abuse be genetic?
Definition
yes!
Term
what env factors can affect drug dependence-3
Definition
communtiy
parents
social
Term
how do drugs eleict pleasurable feelings
Definition
activate reward pathway in brain
Term
what is a major reward pathway
Definition
Mesolimbic dopaminergic pathway
Term
the reward pathway of the mesolimbic is done by the DA neurons linking what 3 areas
Definition
ventral tegmentum
nucleus accumbens
frontal cortex
Term
what is the pleasure center of the brain?
Definition
mesolimbic dopamaine circuit
Term
if you discharge an electrode in the _ you ellict pleasure
Definition
VTA
Term
what is self stimulation
Definition
animal will press bar to recieve stimulus if electrode in right area of brain
Term
what is self administraiton
Definition
animal will push bar to get dose of a drug to get hte pleasure high
Term
drugs like cocaine that are postive reinforces increase _ in the pleasure pathway
Definition
dopamaine
Term
what is brain's natural morphine/heroin
Definition
endorphins
Term
what is the brain's natural nicotine
Definition
ACH
Term
drugs of abuse directly stimulate brains recptors in reward system causing _ release to get a high
Definition
dopamine
Term
what is the reward learning part of the brain
Definition
amygdala
Term
what is the reactive reward system?
Definition
the amygdala makes connection of reward learning with the VTA
Term
the reactive reward system does motivation and behavioral drive to achieve pleasure to avoid pain**
Definition
Term
withdrawl anad cravings trigger drug seeking behavior how?
Definition
activating the reactive reward system
Term
whihc pathway can help build behavior to resist drugs?
Definition
reflective reward pathways
Term
what consists the reflective reward pathwasy
Definition
projections from prefrontal cortex to nucleus accumbens
Term
Reflective pathway:
projections form the _ regulate impulses
Definition
orbitofrontal cortex
Term
reflective pathway:
regulates emotions
Definition
ventromedial prefrotnal cortex
Term
reflective pathway:
this analyzes situation
Definition
dorsolateral prefrontal complex
Term
amygdala associates cues for a drug that causes pleasure: what does it signal to show something good is coming
Definition
DA neurons in VTA
Term
high/low prefrontal activity = drug induced craving
Definition
low
Term
ACUTE drug use causes release of dopamaine where
Definition
NUCELUS ACCUMBENS
Term
chronic use of dug cna lead to adaptation of pathways and recptors: what are the two subgroups?
Definition
pharmcodynamic
Pharmcokinetic
Term
the down regulation of receptors so that a response with same dose of medicaiton doenst work
Definition
pharmcodyanmic adaption
Term
the metabolism or excretion of a drug is what adaption?>
Definition
pharmcokinetic (like chronic barbituates)
Term
morphine withdrawal symtpoms-2
Definition
diarrhea
excitaiton
Term
short term asbitence of a drug usually results in-
Definition
withdrawal syndrome (physical addiciton)
Term
long term absitence of a drug, even tho physical addition is gone there is still an occasional "crave"
Definition
Term
what is the greatest hurdle to overcome drug addiciton long term?
Definition
craving
Term
is treatment with addiciotn short or long?
Definition
life-long lasting
Term
what causes the most harm to indivduals and others?
Definition
alcohol
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