Health and
Wellness
Substance Use and
Abuse
Chapter 13
Terminology Review:
1. Drugs - Chemicals other than food intended to affect the structure or function of the body.
2. Psychoactive drug - Any chemical other than food that, when taken into the body, can alter
the user’s consciousness.
3. Intoxication - The state of being mentally affected by a chemical.
4. Addictive behavior – Any habit that
has gotten out of control, resulting in a negative impact
on a person’s
health.
5. Substance abuse – A maladaptive pattern of use of any substance that persists despite adverse
social, psychological, or medical consequences. The pattern may be intermittent, with or without
tolerance and physical dependence.
6. Physical dependence – The result of physiological adaptation that occurs in response to
the frequent presence of a drug; typically associated with tolerance and withdrawal.
7. Substance dependence – A cluster of cognitive, behavioral, and physiological symptoms that
occur in an individual who continues to use a substance despite suffering significant substance-related
problems, leading to significant
impairment or distress; also known as addiction.
8. Tolerance - Lower sensitivity to a drug so that a given dose no longer exerts the usual effect
and larger does are needed.
9. Withdrawal symptoms - Unpleasant physical and mental sensations experienced when
abstaining from a drug upon which one is dependent.
10. Ethyl alcohol - The ingredient in fermented liquors that causes intoxication; a colorless
pungent liquid.
11. Blood alcohol concentration (BAC) - The amount of alcohol in the blood in terms of
weight per unit volume.
12. Cirrhosis - A disease caused by excessive and chronic drinking in which liver cells are first
damaged and then destroyed and replaced by fibrous scar tissue.
13. Fetal alcohol syndrome – (FSA) A characteristic group of birth defects caused by
excessive alcohol consumption by the mother, including facial deformities, heart defects,
and physical and mental impairments.
14. Alcohol abuse - The use of alcohol to a degree that causes physical damage, impairs
functioning, or results in behavior harmful to others.
15. Alcohol dependence – A pathological use of alcohol, or impairment in functioning due to alcohol;
characterized by tolerance and withdrawal symptoms; alcoholism.
16. Alcoholism – A chronic psychological disorder characterized by excessive and compulsive drinking.
17. Binge drinking – Periodically drinking alcohol to the point of severe intoxication.
18. DTs (delirium tremens) - A state of confusion brought on by reduction of alcohol intake in
an alcohol-dependent person; other symptoms are sweating, trembling, anxiety, and hallucinations,
and seizures.
19. Nicotine - A poisonous substance found in tobacco and responsible for many of the effects of
tobacco.
20. Environmental tobacco smoke (ETS) - Smoke that enters the atmosphere from the burning
end of a cigarette, cigar, or pipe, as well as smoke that is exhaled by smokers; the combination
of mainstream and sidestream smoke.
21. Mainstream smoke - Smoke that is inhaled by a smoker and then exhaled into the
atmosphere.
22. Sidestream smoke - “Secondhand smoke” that comes from the burning end of a cigarette,
cigar, or pipe.
23. Ecotopic pregnancy - A pregnancy in which the fertilized egg implants itself in an oviduct
rather than in the uterus; the embryo must be surgically removed.
Study Questions:
1. What is a drug?
2. To whom is tobacco hazardous?
3. What are the health hazards of tobacco use?
4. What bodily changes occur when a person quits smoking?
5. What are the health consequences of environmental tobacco smoke?
6. What options are available for someone who wants to quit using tobacco?
7. What effect does ethyl alcohol have on the human body?
8. What are the health consequences of alcohol abuse?
9. What is alcohol abuse?
10. What can a person do to drink responsibly?
11. Why do people use drugs?
12. What are some warning signs of drug dependency?
13. What are some alternatives to using drugs?