Substance Use and Gambling Disorders
Content part 1
- Adolescence: a ‘’window of vulnerability’’
- Alcohol use patterns
- Tobacco, cannabis and other substance use
- Explaining models
- Other risk / comorbid factors
- Assessment / diagnosis
- Treatment
Adolescence
- Adolescence: transition between childhood and adulthood
- Further maturation of: e.g., body, social functioning, identity, BRAIN
Substance Abuse and Addictive Disorder
Adolescent brain development is characterized by:
- Continuing growth: frontal lobe back-to-front
- Heightened novelty-seeking
- Evolving self-regulations
Risk taking comes from competition between the brain-based socioemotional and cognitive-
control networks.
Problem Behavior Syndrome (Jessor): If adolescents are at risk for one problem behavior,
they tend to be at risk for others.
Tolerance: central nervous system gradually becomes less responsive to stimulation by
particular drugs.
Physical dependence: susceptibility to withdrawal symptoms
Withdrawal symptoms: noxious physical and psychological effects caused by reduction or
cessation of substance intake.
Psychological dependence: craving or compulsion to use substances despite significant
harm
Addiction: a chronic disorder characterized by compulsive drug-seeking and abuse.
Alcohol use and abuse by adolescents is of particular concern due to:
- Relatively high incidence
, - Specific detrimental effects on adolescent brain development
- Association with impairment in personal, academic, and social domains of
development
Binge drinking: having more than five drinks at once
Binge-drinking in NL
5 or more alcoholic beverages in a short period of time
15 yrs:
- 50% engages in binge-drinking in the weekends
- Yearly approx 700 coma-drinkers hospitalized
Youth in general:
- A lot of binge-drinking in weekends and holidays
Content part 1
- Adolescence: a ‘’window of vulnerability’’
- Alcohol use patterns
- Tobacco, cannabis and other substance use
- Explaining models
- Other risk / comorbid factors
- Assessment / diagnosis
- Treatment
Adolescence
- Adolescence: transition between childhood and adulthood
- Further maturation of: e.g., body, social functioning, identity, BRAIN
Substance Abuse and Addictive Disorder
Adolescent brain development is characterized by:
- Continuing growth: frontal lobe back-to-front
- Heightened novelty-seeking
- Evolving self-regulations
Risk taking comes from competition between the brain-based socioemotional and cognitive-
control networks.
Problem Behavior Syndrome (Jessor): If adolescents are at risk for one problem behavior,
they tend to be at risk for others.
Tolerance: central nervous system gradually becomes less responsive to stimulation by
particular drugs.
Physical dependence: susceptibility to withdrawal symptoms
Withdrawal symptoms: noxious physical and psychological effects caused by reduction or
cessation of substance intake.
Psychological dependence: craving or compulsion to use substances despite significant
harm
Addiction: a chronic disorder characterized by compulsive drug-seeking and abuse.
Alcohol use and abuse by adolescents is of particular concern due to:
- Relatively high incidence
, - Specific detrimental effects on adolescent brain development
- Association with impairment in personal, academic, and social domains of
development
Binge drinking: having more than five drinks at once
Binge-drinking in NL
5 or more alcoholic beverages in a short period of time
15 yrs:
- 50% engages in binge-drinking in the weekends
- Yearly approx 700 coma-drinkers hospitalized
Youth in general:
- A lot of binge-drinking in weekends and holidays
