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65 Cards in this Set
- Front
- Back
Comorbidity vs. dual diagnosis….Which one is more specific and severe? |
Dual diagnosis |
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What is often attributed to an increase in evidence of dual diagnoses? |
Deinstitution |
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What example of a severe mental illness has had a huge shift in the treatment for people with it? |
Schizophrenia |
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What is the concept that comorbidity is an illusion caused by imprecise research (not likely to be sole explanation, but could distort exact prevalence)? |
Research artifacts |
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What three factors may lead to research artifacts? |
Chance, sampling bias, and population stratification (failing to account for some other relevant factor) |
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What is the process in which comorbidity occurs because the same risk factors lead to both mental illness and substance use disorder? |
Transdiagnostic processes |
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What type of transdiagnostic process involves a single risk factor underlying both MI and SUD - like a genetic vulnerability or the experience of early childhood hardship? |
Alternative forms/general latent factor |
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What type of transdiagnostic process involves the same large set of risk factors underlying both MI and SUD? |
Correlated liabilities |
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What other explanation for comorbidity involves “MI and SUD” being its own distinct disorder with its own distinct etiology? |
Three independent disorders |
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What common explanatory factor involves sometimes one disorder presenting like another disorder? |
Multiformity |
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What type of multiformity involves symptoms happening to resemble each other? |
Random multiformity |
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What type of multiformity involves symptoms only to resembling each other when at some severe level? |
Extreme multiformity |
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What example of causal factors of comorbidity involves MI causing SUD (or vice versa) - disagreement over which one is the primary disorder? |
Causation |
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What example of casual factors of comorbidity involves MI causing SUD AND SUD causing MI (or at least they both exacerbate each other over time)? |
Reciprocal causation |
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In the development of psychosis, what role has been proven to be played by some evidence for cannabis use during adolescence? |
Causal role |
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This causal evidence for cannabis use during adolescence in the development of psychosis is mostly for those with what existing vulnerability? |
Genetic vulnerability |
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Is it rare to find evidence this clear of causation? |
Yes |
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In this study on causal factors for cannabis use in adolescents, what was ruled out, controlling for other factors? |
Self-medication |
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What does the survey called NESARC-III focus on? |
Prevalence of alcohol and other related conditions |
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Put these SUDs and MI in order from most prevalent to least prevalent: - PTSD - Personality disorders (ASPD, BPD) - Anxiety - Mood (BD, MDD) |
Personality disorders (ASPD, BPD), PTSD, Mood (BD, MDD), Anxiety |
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Considering comorbidity of SUDs with each other, what is the lowest comorbid agent? |
Alcohol (1 in 7 people) |
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Considering comorbidities of SUDs with each other, which substance is highest? |
Inhalants (almost 100% comorbidity) |
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When it comes to prevalence of multiple SUDs and MI, what type of disorders are the most common? |
Personality disorders (PTSD specifically) |
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What theory is based on social psych rather than clinical, but similar to the correlated liabilities and reciprocal causation models? |
Problem behavior theory |
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What are the three categories or systems of variables in the problem behavior theory? |
(Perceived) environmental system, behavior system, and personality system |
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What system of variables in the problem behavior theory focuses on motivation, self-esteem, and mental health? |
Personality system |
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What system of variables in the problem behavior theory focuses on aggression, academic performance, and substance use? |
Behavior system |
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What system of variables in the problem behavior theory focuses on “controls” and “instigations” -like risk and protective factors? |
(Perceived) environmental system |
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What concept does the problem behavior theory mainly focus on? |
Multiple “problem” behaviors clustering together due to one or more of the systems of variables (other risky behaviors, aggression, etc.) |
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What is more common in people with SUD? |
Delay discounting |
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In delay discounting, what are people with SUD more likely to do? |
Pick the immediate reward or substance |
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Delay discounting is especially common in people with what (may be an underlying factor or symptom)? |
Comorbidities |
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What test is linked to delay discounting, although the test largely failed to replicate and was strongly linked to SES? |
Marshmallow test |
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What usually refers to schizophrenia, severe bipolar disorder, some personality disorders, but depends on the literature? |
SMI (Severe Mental Illness) |
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What model/explanation for SMI and SUDs involves being commonly caused by antisocial personality disorder, which leads to both risk behavior and other comorbid severe mental illnesses? |
ASPD model |
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What model/explanation for SMI and SUDs involves an extreme vulnerability to stress that exacerbated both mental illness and effects of drugs/alcohol? |
Supersensitivity |
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What explanation for SMI and SUDs involves the occurrence where these models are proposed as complements to explain two different patterns? |
Not mutually exclusive |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
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Adults pose special challenges when they have what two things? |
SMI and dual diagnosis |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
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Adults pose special challenges when they have what two things? |
SMI and dual diagnosis |
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Is this true? Treatment systems may not be equipped for severe mental health needs which may lead to revolving doors and the involvement of authorities. |
True! |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
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Adults pose special challenges when they have what two things? |
SMI and dual diagnosis |
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Is this true? Treatment systems may not be equipped for severe mental health needs which may lead to revolving doors and the involvement of authorities. |
True! |
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In the past, if treatment was received for both SUD and SMI, how was it structured? |
In sequence |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
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Adults pose special challenges when they have what two things? |
SMI and dual diagnosis |
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Is this true? Treatment systems may not be equipped for severe mental health needs which may lead to revolving doors and the involvement of authorities. |
True! |
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In the past, if treatment was received for both SUD and SMI, how was it structured? |
In sequence |
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The sequence treatment method is beginning to change, leading to what type of model for adults with SMI? |
Integrated care model |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
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Adults pose special challenges when they have what two things? |
SMI and dual diagnosis |
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Is this true? Treatment systems may not be equipped for severe mental health needs which may lead to revolving doors and the involvement of authorities. |
True! |
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In the past, if treatment was received for both SUD and SMI, how was it structured? |
In sequence |
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The sequence treatment method is beginning to change, leading to what type of model for adults with SMI? |
Integrated care model |
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What type of treatment is met with mixed feelings on effectiveness, may help keep SMU patients engaged, and is often “layered over” existing treatment? |
Integrated treatment |
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What does treatment for SUD and MI focus on? |
Only substance use, not comorbid mental health issues (even though these comorbidities can affect how effective the substance use treatment is too!) |
|
Adults pose special challenges when they have what two things? |
SMI and dual diagnosis |
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Is this true? Treatment systems may not be equipped for severe mental health needs which may lead to revolving doors and the involvement of authorities. |
True! |
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In the past, if treatment was received for both SUD and SMI, how was it structured? |
In sequence |
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The sequence treatment method is beginning to change, leading to what type of model for adults with SMI? |
Integrated care model |
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What type of treatment is met with mixed feelings on effectiveness, may help keep SMU patients engaged, and is often “layered over” existing treatment? |
Integrated treatment |
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Yes or no…Is further work needed to be done for SMI and adults? |
Yes!! |