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© Cengage Learning 2016© Cengage Learning 2016
An Invitation to Health: Building Your Future, Brief Edition, 9eDianne Hales
Addictions
11
© Cengage Learning 2016
After reading this chapter, the student should be able to:
• Explain how substance abuse and other addictive behaviors affect every dimension of health
• Describe the dangers of a gambling addiction
• Review and give examples of substance abuse on college campuses
Objectives
© Cengage Learning 2016
• List the effects that drugs have on the brain, body, and behavior
• Summarize the benefits and the adverse effects of caffeine
• Describe the harmful effects of inappropriate use of over-the-counter and prescription drugs
Objectives (cont’d.)
© Cengage Learning 2016
• Identify the types and possible causes of substance use disorders
• Classify common drugs of abuse according to their characteristics and harmful effects
• Outline the principles of drug abuse treatment
Objectives (cont’d.)
© Cengage Learning 2016
• Increased risk-taking correlates with certain lifestyle and health behaviors– Frequent alcohol use and binge drinking
– Smoking
– Low physical activity
– Low vegetable and fruit intake
– Poor sleep
Risky Behaviors
© Cengage Learning 2016
• Gambling disorder– Persistent and recurrent problematic gambling
– Affects more men than women
– More common than alcohol dependence
– Generally develops over the course of years
Gambling
© Cengage Learning 2016
• More than six in ten college students have never used marijuana or illegal drugs
• Top forms of drug use– Marijuana
– Prescription drug misuse
• Why students do not use drugs– Spirituality and religion
– Academic engagement
– Perceived harmfulness
Drug Use on Campus
© Cengage Learning 2016
• Methods of entering the body– Swallowing, inhaling, and injection
• Toxicity– Drug dose at which it becomes poisonous to
the body
• Each person responds differently to different drugs
• Drugs tend to intensify emotional state a person is in
Understanding Drugs and Their Effects
© Cengage Learning 2016
• Stimulant
• Some effects of caffeine– Relieves drowsiness, increases alertness,
sharpens concentration and may relieve migraines
• For most people, caffeine poses few serious health risks– Doctors recommend limiting intake to 500 mg
per day
Caffeine and Its Effects
© Cengage Learning 2016
• Over-the-counter (OTC) drugs– Painkillers, nasal sprays, laxatives, eye drops,
sleep aids, and cough syrup
• Prescription drugs– Popular painkillers for nonmedical use
• Oxycodone and hydrocodone
– College women use more antidepressants than men
• Drug interactions can occur between OTC and prescription drugs
Medications
© Cengage Learning 2016
• Characteristics– Taking a substance in larger amounts or
higher frequency than originally intended
– Persistent desire to cut down or stop
– Unsuccessful efforts to cut down or stop
– Cravings
– Failure to fulfill obligations
Substance Use Disorders
© Cengage Learning 2016
• Types of dependence– Physical and psychological
• Drug dependence a brain disease– Drugs change biochemistry and anatomy of
neurons
– Rise in dopamine levels differs for different drugs
Dependence
© Cengage Learning 2016
• Cannabinoids– Marijuana and hashish
– THC is major psychoactive ingredient
• Medical marijuana– Used for a variety of reasons
• Alleviating cancer pain, neck pain and glaucoma
• Preventing and treating migraines and seizures
• Marijuana legalized in Washington and Colorado in 2012
Common Drugs of Abuse
© Cengage Learning 2016
• Herbal drugs– Salvia
– Khat
• Synthetic designer drugs– Emerging very quickly
– Examples: K2, Spice, “bath salts”, “party pills”
• Club drugs– Rohypnol, fentanyl, and many others
– Use dropping in recent years
Drugs of Abuse (cont’d.)
© Cengage Learning 2016
• Ecstasy (MDMA)– More likely than other stimulants to kill young,
healthy people• Medical emergencies have increased 75 percent in
recent years
• Amphetamine
• Methamphetamine– Less expensive and more addictive than
cocaine or heroin
– Leading problem drug
Additional Drugs of Abuse
© Cengage Learning 2016
• Cocaine– Crystalline white powder that is sniffed or
snorted
– Many risks and potential health consequences
• Depressants– Benzodiazepine
– Rohypnol• Can incapacitate and cause memory loss
More Drugs of Abuse
© Cengage Learning 2016
• Powerful narcotics (painkillers)
• Morphine
• Codeine
• Heroin– Most widely abused opioid in the U.S.
• LSD– Popular in the 1960s and in the 1990s
• Peyote– Less widely used in the U.S.
Opioids and Hallucinogens
© Cengage Learning 2016
• Ketamine– Anesthetic used by veterinarians
– Blocks chemical messengers that carry sensory input
– Misused as a date rape drug
• PCP– Use peaked in the 1970s
• Inhalants produce vapors with psychoactive effects
Dissociative Drugs
© Cengage Learning 2016
• 6.1 million Americans in need of substance abuse treatment– More than 5 million never seek treatment
• 12 step programs– Alcoholics anonymous
– Narcotics anonymous
• Relapse prevention– Learning to avoid cues that can set off
cravings
Treating Substance Dependence and Abuse