Women’s health final
Study online at https://quizlet.com/_jqkj3n
1. DSM-5 definition of SUD (Gold standard dx of SUD)
Problematic pattern of using leading to clinically
significant impairment or distress, at least two of
the following occurring within 12 months
substance use that changes your lifestyle reduces
your activities because you want to use drug.
You're spending a great time using it. You're crav-
ing it designing it. It's continue despite the knowl-
edge that it's bad for you. You're built in a toler-
ance for it and you are manifesting withdrawal.
Categorized as mild, moderate or severe depend-
ing on number symptoms
2. Common SUD in women Alcohol, tobacco, cannabis, opioids, stimulants
3. Tobacco use and mental health comor- Individuals with mental health and substance use
bidity disorders consume nearly 40% of all cigarettes
smoked by adults
Adults with depression, anxiety, or psychologi-
cal distress smoke at rates of approximately two
times higher than the general population
Those with schizophrenia have a 70 to 88%
chance that they are smoking
Smoking worse, psychiatric vulnerability, and psy-
chiatric symptoms complicate sensation. This is a
neurobiological mechanism.
, Women’s health final
Study online at https://quizlet.com/_jqkj3n
4. Biological genetic risk factors for sub- Biological risk factors include age, sex, ethnicity,
stance use disorder genetic transmission, family, history, personality
disorders, and psychiatric disorders
Of these family, history of disorders and personal
history of psychiatric disorders play a prominent
role
young women who experienced sexual assault
are an increased risk
Earlier age onset is that one of the most important
important predictors from smoking an alcohol to
a illegal drug use
Women are more likely to abuse substances, with
loss of romantic relationship, stress, or school,
obligations, or loss of child custody
Estrogen can enhance the brains reward circuit,
5. DSM Criteria: Impaired Control & esca- 1. Consuming larger amounts or over longer. Pe-
lation riod
2. Persistent desire, or unsuccessful efforts to cut
down or control use.
3. Spending a great deal of time obtaining using
or recovering from the substance.
4. Craving or a strong desire or urge to use a
substance.
6. Urine drug testing immunoassay lim- Disadvantages are their reliability and validity.
its There are many false positives and false nega-
tives
, Women’s health final
Study online at https://quizlet.com/_jqkj3n
For example, quinolone antibiotics or Benadryl
can produce false positive
7. Confirmatory testing characteristics Are mass spectrometry test and are available only
in laboratories. They have greater reliability and
validity than immunoassay testing. They can spec-
ify which opiate a patient has taken, and whether
it was synthetic or semi synthetic, and it can also
detect drug metabolites that provide evidence of
drug use. The disadvantages to this type of test is
that it lacks the point of care testing is expensive
and the ability to detect substances used only
within the past 1 to 2 days and task results can
take several days to obtain.
8. Bio markers of chronic alcohol use Serum gamma-glutamate transferase (GGT) can
be used to detect acute intoxication and chronic
heavy alcohol use
GGT can also be elevated in liver disease
GGT has half life of 14-26 days
9. SUD screening tools and women There is one in depth assessment to design specif-
ically for women, the female version of the addic-
tion, severity index (ASI-F)
This is a comprehensive screening toll that in-
cludes medical, psychiatric, employment, and le-
gal status, family and social relationships family
history of alcohol and other drug use current and
past history of alcohol and other drug use. The
, Women’s health final
Study online at https://quizlet.com/_jqkj3n
assessment must be conducted in person. The
first time it is administered phone. Interviews can
be conducted afterwards.
10. Motivational interviewing principles Best practice
It is a purposeful model of communication that
serves to activate a persons own motivation, and
resources for challenge
It is non-directive yet mindfully directional
It supports autonomy, affirm strength, and is
evocative
It does not convince a coerce the individual but
rather promotes the patient's desire and goals for
health
11. Medications for opiate use disorder Methadone: long acting, opiate agonist medica-
tion that blocks opioid receptors, thereby pre-
venting intoxication from short, acting opiates
and or withdrawal symptoms. Methadone is
an approved opiate substitution therapy only
one provided through programs. Methadone is
used for opiate, used disorder and pregnant
women however less so since the introduction of
Buprenorphine
Buprenorphine: partial mu-opioid agonist and
kappa-opioid antagonist, recommended for
pregnant women.
Study online at https://quizlet.com/_jqkj3n
1. DSM-5 definition of SUD (Gold standard dx of SUD)
Problematic pattern of using leading to clinically
significant impairment or distress, at least two of
the following occurring within 12 months
substance use that changes your lifestyle reduces
your activities because you want to use drug.
You're spending a great time using it. You're crav-
ing it designing it. It's continue despite the knowl-
edge that it's bad for you. You're built in a toler-
ance for it and you are manifesting withdrawal.
Categorized as mild, moderate or severe depend-
ing on number symptoms
2. Common SUD in women Alcohol, tobacco, cannabis, opioids, stimulants
3. Tobacco use and mental health comor- Individuals with mental health and substance use
bidity disorders consume nearly 40% of all cigarettes
smoked by adults
Adults with depression, anxiety, or psychologi-
cal distress smoke at rates of approximately two
times higher than the general population
Those with schizophrenia have a 70 to 88%
chance that they are smoking
Smoking worse, psychiatric vulnerability, and psy-
chiatric symptoms complicate sensation. This is a
neurobiological mechanism.
, Women’s health final
Study online at https://quizlet.com/_jqkj3n
4. Biological genetic risk factors for sub- Biological risk factors include age, sex, ethnicity,
stance use disorder genetic transmission, family, history, personality
disorders, and psychiatric disorders
Of these family, history of disorders and personal
history of psychiatric disorders play a prominent
role
young women who experienced sexual assault
are an increased risk
Earlier age onset is that one of the most important
important predictors from smoking an alcohol to
a illegal drug use
Women are more likely to abuse substances, with
loss of romantic relationship, stress, or school,
obligations, or loss of child custody
Estrogen can enhance the brains reward circuit,
5. DSM Criteria: Impaired Control & esca- 1. Consuming larger amounts or over longer. Pe-
lation riod
2. Persistent desire, or unsuccessful efforts to cut
down or control use.
3. Spending a great deal of time obtaining using
or recovering from the substance.
4. Craving or a strong desire or urge to use a
substance.
6. Urine drug testing immunoassay lim- Disadvantages are their reliability and validity.
its There are many false positives and false nega-
tives
, Women’s health final
Study online at https://quizlet.com/_jqkj3n
For example, quinolone antibiotics or Benadryl
can produce false positive
7. Confirmatory testing characteristics Are mass spectrometry test and are available only
in laboratories. They have greater reliability and
validity than immunoassay testing. They can spec-
ify which opiate a patient has taken, and whether
it was synthetic or semi synthetic, and it can also
detect drug metabolites that provide evidence of
drug use. The disadvantages to this type of test is
that it lacks the point of care testing is expensive
and the ability to detect substances used only
within the past 1 to 2 days and task results can
take several days to obtain.
8. Bio markers of chronic alcohol use Serum gamma-glutamate transferase (GGT) can
be used to detect acute intoxication and chronic
heavy alcohol use
GGT can also be elevated in liver disease
GGT has half life of 14-26 days
9. SUD screening tools and women There is one in depth assessment to design specif-
ically for women, the female version of the addic-
tion, severity index (ASI-F)
This is a comprehensive screening toll that in-
cludes medical, psychiatric, employment, and le-
gal status, family and social relationships family
history of alcohol and other drug use current and
past history of alcohol and other drug use. The
, Women’s health final
Study online at https://quizlet.com/_jqkj3n
assessment must be conducted in person. The
first time it is administered phone. Interviews can
be conducted afterwards.
10. Motivational interviewing principles Best practice
It is a purposeful model of communication that
serves to activate a persons own motivation, and
resources for challenge
It is non-directive yet mindfully directional
It supports autonomy, affirm strength, and is
evocative
It does not convince a coerce the individual but
rather promotes the patient's desire and goals for
health
11. Medications for opiate use disorder Methadone: long acting, opiate agonist medica-
tion that blocks opioid receptors, thereby pre-
venting intoxication from short, acting opiates
and or withdrawal symptoms. Methadone is
an approved opiate substitution therapy only
one provided through programs. Methadone is
used for opiate, used disorder and pregnant
women however less so since the introduction of
Buprenorphine
Buprenorphine: partial mu-opioid agonist and
kappa-opioid antagonist, recommended for
pregnant women.
