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Chapter 30. Alcohol and Drug Disorders

Norman S. Miller, M.D.; Tonia Werner, M.D.
DOI: 10.1176/appi.books.9781585624201.685024

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Excerpt

The greatest risk factors for traumatic brain injury (TBI) are alcohol/drug use and alcohol/drug disorder (A/DD). TBI is often an irreversible adverse consequence of the pharmacological effects and addictive use of alcohol and drugs. Of critical importance is that TBI is preventable. The prevention can include many aspects, but long noted of primary importance is the treatment of A/DD before the onset of the TBI (Brismar et al. 1983; Brooks 1984; Field 1976; Sparadeo and Gill 1989).

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Figure 30–1. Brief Michigan Alcoholism Screening Test (MAST).Note. If this is used as a self-administered written instrument, the scoring system should not be shown on the form. The scores on the Brief MAST correlate well with the full MAST. A score of 6 or above could identify an alcoholic patient. Source. Reprinted from Selzer ML, Vinokur A, van Rooijen L: "A Self-Administered Short Michigan Alcoholism Screening Test (SMAST)." Journal of Studies on Alcohol 36:117–126, 1975. Copyright by Journal of Studies on Alcohol, Inc., Rutgers Center of Alcohol Studies, New Brunswick, NJ 08903. Used with permission.

Figure 30–2. CAGE questionnaire.Source. Reprinted from Mayfield D, McLeod G, Hall P: "The CAGE Questionnaire: Validation of a New Alcoholism Screening Instrument." American Journal of Psychiatry 131:1121'€“1123, 1974. Used with permission.
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Table 30–1. Psychiatric sequelae from drugs and alcohol
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Table 30–2. Criteria for substance dependence
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Table 30–3. Drug doses equivalent to 600 mg of secobarbital and 60 mg of diazepam
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Table 30–4. Signs and symptoms of benzodiazepine withdrawal
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Table 30–5. Resources for treatment of addictive disorders
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Table 30–6. Techniques for therapy of traumatic brain injury (TBI)
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Table 30–7. Comparative effects of brain injury and drugs/alcohol

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