Foundations in Continuing Education

Substance Abuse and Chemical Dependency

Chapter Three - Pathophysiology of Addiction 6


Chapter 1: Background Terminology

Chapter 2: Epidemiology

Anatomy: Diagram of a
Neuron

Epidemiology
Models of Addiction and
Alcoholism

Chapter 4: Classification and Characteristics of Psychoactive Substances

Chapter 5: Treatment

Chapter 6: Identification of the Abusing Patient

Chapter 7: Implications for Dental Treatment

Chapter 8: Impaired Oral Health Team Members

Chapter 9: Conclusion

Appendices

Post Examination

Exit to Menu





Models of Addiction and Alcoholism

Addiction and alcoholism, like any other chronic diseases, are multifactorial in nature. The role of how certain biological, social, and environmental factors interact is not completely understood. As a result of this cunning, baffling disease, several different models of addiction/alcoholism appear in the literature.

The American Society of Addiction Medicine (2006) 8 regards addiction as a lifelong disease involving biological, environmental, psychosocial and spiritual factors.


Table 5: Signs of Addiction

Increased consumption with increased tolerance
Increased desire for persistent and regular use of the drug
Loss of control, attempts to stop result in inability to stop and/or withdrawal
Continued use despite physical, psychological, social and legal ramifications
Compulsive drug-seeking behavior
Social Isolation
Suicidal thoughts and attempts

The factors that may play a role in making an individual susceptible to chemical dependency and addiction include:

Biological Factors:

  • Genetics (heredity)
  • Age
  • Race/ethnicity
  • Gender
  • Route of administration (inhalation, oral, mucosal)

Psychosocial Factors:

  • Family of Origin
  • Education
  • Occupation
  • Cultural/religious beliefs

Environmental Factors:

  • Availability of substance
  • Peer pressure
  • Media
  • Substance abuse by family members
  • Community environment (poverty, unemployment, crime)
  • Geographic location
  • Legal ramifications

Table 6: Incidence of Dependence and Abuse,
2005 National Survey of Drug Use and Health

Substance Depended On or Abused
Number of People
Alcohol 14.8 million
Illicit Drugs 3.8 million
Both Alcohol and Illicit Drugs 3.1 million

Continue on to Chapter 4: Classification and Characteristics of Psychoactive Substances