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Chapter 3. Epidemiology of Addiction

Judith S. Brook, Ed.D.; Kerstin Pahl, Ph.D.; Elizabeth Rubenstone, B.A.
DOI: 10.1176/appi.books.9781585623440.344608

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Addiction has been defined as "a chronic relapsing disease characterized by compulsive drug-seeking and abuse and by long-lasting chemical changes in the brain" (National Institute on Drug Abuse 2002). It is generally understood as a disease with genetic, psychosocial, and environmental underpinnings, all of which influence its development and the way in which it expresses itself in the individual. In this chapter, we examine both substance abuse and dependence, which together are referred to as substance use disorders, as delineated in DSM-IV-TR (American Psychiatric Association 2000).

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CME Activity

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Sample questions:
1.
Which of the following DSM-IV-TR clinical criteria does not apply to a diagnosis of substance abuse?
2.
Several epidemiological studies on substance abuse have been conducted in recent years. One of the most important of these was the Epidemiologic Catchment Area (ECA) study. Which of the following statements is true of this study?
3.
The patterns of abuse and dependence for different classes of drugs have been found to differ in epidemiological studies. According to the Wagner and Anthony (2002) study, which of the following is true?
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Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
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