Question 1

One of the biggest hurdles in treating adolescents with substance use disorders is:

Accepted Answer

Adolescents with substance use disorders often lack motivation to change their behavior, which can be a significant barrier to successful treatment.

Question 2

Laura is nearing the end of her treatment for alcohol use disorder.Her therapist is now working to have her identify high-risk situations that are likely to lead to substance use (e.g., after-prom parties), developing ways to cope with high-risk situations (e.g., after the prom, go to a late-night diner that does not serve alcohol with non-drinking friends), developing refusal skills to say "no" to alcohol when it is offered, and setting positive goals.Her therapist is now focusing on:

Accepted Answer

The therapist is focusing on relapse prevention by helping Laura identify high-risk situations, develop coping strategies, improve refusal skills, and set positive goals to avoid returning to substance use.

Question 3

The most effective treatments for substance use disorders include:

Accepted Answer

The most effective treatments for substance use disorders often involve a comprehensive approach that includes addressing individual and familial characteristics, peer network issues, and implementing relapse prevention and aftercare strategies.

Question 4

Which of the following is the most effective prevention program?

Accepted Answer

Life Skills Training is considered the most effective prevention program among the options listed. It focuses on developing personal and social skills, which has been shown to effectively reduce drug and alcohol use among youths. The Just Say 'No' campaign and DARE have been criticized for their effectiveness, with research suggesting they are less successful in preventing drug use.

Question 5

Higher rates of substance use are found in studies with:

Accepted Answer

Confidential self-report questionnaires often yield higher rates of substance use reporting because respondents may feel more secure in their anonymity, leading to more honest disclosures compared to other methods like interviews or parent reports.

Question 6

For males, binge drinking is defined as:

Accepted Answer

Binge drinking for males is typically defined as consuming five or more alcoholic drinks within a short period, such as two hours, on a single occasion.

Question 7

When considering substance use rather than substance use disorders, the highest rates of substance use (e.g., hallucinogens, amphetamines, inhalants, barbiturates, and tranquilizers) in the United States are shown by:

Accepted Answer

Native American adolescents have the highest rates of substance use among the groups listed, including the use of hallucinogens, amphetamines, inhalants, barbiturates, and tranquilizers. This is attributed to a variety of socio-economic factors, cultural stressors, and historical trauma.

Question 8

In contrast to girls without a history of sexual abuse, girls who have been sexually abused:

Accepted Answer

Girls who have been sexually abused show higher rates of substance use disorders compared to those without a history of sexual abuse. This is supported by research indicating that experiencing sexual abuse can lead to various negative mental health outcomes, including an increased risk for substance use disorders as a coping mechanism.

Question 9

Which of the following are protective factors associated with lower rates of substance use disorders:

Accepted Answer

All of the options listed are considered protective factors against substance use disorders. A strong intolerance of deviant behaviors can indicate a personal value system that rejects substance use. A strong religious belief system often comes with community support and moral guidelines that discourage substance use. Similarly, a commitment to school can provide a sense of purpose and belonging, as well as a focus on future goals, all of which can reduce the likelihood of substance use disorders.

Question 10

Motivational interviewing is most commonly used to treat:

Accepted Answer

Motivational interviewing is most commonly used to treat substance use disorders. It is a counseling approach that helps individuals resolve ambivalent feelings and insecurities to find the internal motivation they need to change their behavior. It is particularly effective in treating substance use disorders by encouraging individuals to commit to change behaviors that contribute to their addiction.

Question 11

Within the United States, who shows the lowest rates of smoking cigarettes?

Accepted Answer

African American children and young adolescents have the lowest rates of smoking cigarettes compared to other demographic groups. This trend is observed in various public health studies and surveys that track smoking habits across different age and racial/ethnic groups.

Question 12

Define substance abuse and substance dependence, based on the previous DSM-IV criteria.Discuss the various aspects of prevalence of substance use disorders (e.g., gender, age, race/ethnicity, socioeconomic status).

Accepted Answer

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Question 13

Discuss comorbidity in the context of substance use disorders.What is the pattern related to which disorders usually have an earlier onset than other disorders?

Accepted Answer

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Question 14

Discuss two theories of substance use disorders.Provide empirical evidence that supports or refutes these theories.

Accepted Answer

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Question 15

Develop a case study of an adolescent who shows a substance use disorder.Identify what risk factors were likely involved in the development of that adolescent's substance use disorder.

Accepted Answer

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Question 16

What are the most effective treatments for substance use disorders? What components are especially important to include in treatment for substance use disorders?

Accepted Answer

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Question 17

Discuss the gateway phenomenon as it relates to the development of substance use disorder.Highlight the points in which protective factors might lessen the likelihood of substance use disorder along the way.

Accepted Answer

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Question 18

Discuss the role of parents in the development and maintenance of substance use disorders.If you were a therapist, how would you try to engage parents in the treatment of an adolescent who was abusing substances?

Accepted Answer

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Question 19

What risk factors are associated with substance use disorders? Which of these risk factors also put children and adolescents at risk for other disorders? Which other disorders?

Accepted Answer

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Question 20

Discuss the research findings related to alcohol expectancies.How does this research help inform us about prevention programs?

Accepted Answer

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Quiz 11: Alcohol and Substance Use Disorders and Problems