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Health-compromising behaviours?
behaviours that undermine or harm our current or future health
Characteristics of health-compromising behaviours?
1. A window of vulnerability in adolescence; 2. Tied to peer culture and self-presentation; 3. Tend to be pleasurable (but also dangerous); 4. Development occurs gradually; 5. Predicted by similar factors; 6. Related to the larger social structures in which they occur
Substance use disorder?
happens when a person uses a substance repeatedly, which then causes that person to experience functional or clinical impairment
Risky use?
using a substance despite knowledge that it has health risks
Impaired control?
consuming a substance more often and in larger quantities than intended
Craving?
Strong desire to engage in a behaviour or consume a substance; results from physical dependence and a conditioning process (i.e., teaching the body to expect a reward)
Social impairment?
substance use interferes with social relationships
Tolerance?
The body increasingly adapts to the use of a substance, requiring larger and larger doses to obtain the same effects
Withdrawal?
unpleasant symptoms experienced when one stops using a substance on which they become dependent
Addiction?
Physically or psychologically dependent on a substance following use over a period of time
Harm reduction?
comes from a public health perspective, and supports focusing on the risks and consequences of substance use, rather than the use itself
Psychoactive substances?
drugs that impact cognitive and affective processes and can alter the way we behave when ingested
Alcohol use disorder?
occurs when problem drinking becomes severe
General alcohol use guidelines?
Women: 10 drinks/week (no more than 2/day). Men: 15 drinks/week (no more than 3/day)
Maturing out?
essentially, they just grow out of their problematic drinking behaviour and stop drinking on their own
Detoxification?
the process of withdrawing from alcohol
Broad-spectrum CBT (for alcohol use disorder)?
form of therapy that works to decrease the reinforcing properties of alcohol, teach new behaviours, modify the environment, and instill coping techniques to deal with stress/relapse
Contingency contracting?
agreeing to a costly outcome in the event of failure to abstain from alcohol
Placebo drinking?
consuming nonalcoholic beverages while others are drinking or alternating an alcoholic with a nonalcoholic beverage
Moderation Management?
a program based on the principles of goal-setting, self-monitoring, and self-control, and serves to help individuals decide if moderate drinking is a realistic and helpful option for them
Synergistic?
enhances the impact of other risk factors in compromising health
Puffers?
people who have tried a few puffs of a cigarette, but never finished a full one
Experimental users?
those who smoke five or fewer cigarettes per day
Social Influence Intervention?
intervention that draws on social learning principles of modeling and behavioural inoculation. It features older peer models who deliver anti-smoking messages after exposure to simulated peer pressure to smoke
Behavioural inoculation?
exposure to mild versions of persuasive pro-smoking communications lead to development of effective responses
Life-Skills Training Approach?
intervention that involves training in self-esteem and coping skills to increase self-image
Difference between eating disorder and disordered eating?
an eating disorder is a clinically diagnosed illness, while disordered eating involves patterns of eating that may be problematic and like those seen with eating disorders, but that have just not reached that clinical level
Anorexia nervosa (AN)?
an obsessive disorder that is characterized by excessive dieting and exercise
Bulimia?
an eating disorder characterized by alternative cycles of binge eating and then purging (either through vomiting, using laxatives, using certain drugs or alcohol, or dieting)
Negative urgency?
tendency to be impulsive in response to a bad mood
Predictors of anorexia nervosa?
Genetics regulating serotonin and dopamine, an overactive HPA axis, body image distortion, and family dynamics such as a competitive environment
First stage of anorexia treatment?
Getting the patient's weight back to a normal level, which is necessary to improve cognitive functioning before behavioral therapy can begin
Challenge to treating bulimia?
Many who suffer do not seek treatment because they do not view their behavior as a problem or don't believe treatment will help
Synergistic effects of smoking and stress?
Produces an increase in heart rate reactivity for men, and an increase in blood pressure for women
Social contagion process in smoking?
The phenomenon where nonsmokers have contact with regular smokers or "tryers," leading them to also try smoking
Causes of smoking relapse?
Being young, highly dependent on nicotine, having low self-efficacy, concerns about weight gain, and having more previous quit attempts
Windows of vulnerability for AUD?
Adolescence, when brains are more susceptible to alcohol, and middle age, when people turn to drinking to cope with stress
Alcoholics Anonymous (AA) philosophy?
Maintains that alcohol use disorder is a disease that can never be cured, requiring a policy of 100% abstinence
University student AUD interventions?
Typical interventions are often ineffective because students do not see the behavior as a problem, so successful approaches focus instead on self-control and imposing limits
Examples of harm reduction?
Methadone maintenance for opioid addiction and needle exchange programs for intravenous drug users