Clinical Textbook of Addictive Disorders 3rd ed - R. Frances, S. Miller, A. Mack (Guilford, 2005) WW

Index 669Comorbidity, psychiatric, 31, 43–44, 48–49, 252in alcohol abuse, 78–82, 98–99among adolescents, 565–567among African Americans, 327–328among incarcerated persons, 360–361assessment and diagnosis, 276–278cocaine abuse and, 193–196cognitive therapy, 282, 489compulsive buying behavior, 316epidemiology, 250, 271–273group therapies, 278–279, 283–284,503integrated psychosocial treatments,280–283kleptomania, 314outcomes research, 638pathological gambling, 308–309personality disorders, 253–254pharmacotherapy, 284, 286–292, 606,640predictors of substance abuse, 252relationships between disorders, 273–276, 443–444, 565–566treatment implications, 271, 273,284–285treatment models, 279–280in women, 443–444See also Polysubstance abuseCompulsive behavior, 461–462compulsive buying, 315–317See also Impulse control disordersConduct disorder, 566Confidentialityaddiction treatment with AIDSpatients, 425in drug testing, 346mandated reporting of drug use, 350–351, 357in treatment for physicians withsubstance use problems, 350in workplace intervention, 346, 347Contingency management, 641–642cocaine dependence treatment, 204,652with dually diagnosed patients, 283with methadone maintenance therapy,647–648obstacles to implementation, 648Contract with America AdvancementAct, 341Coping skills training, 641Correctional facilities, 360–363Corticobasal ganglionic–thalamiccircuitry, 305Corticotropin-releasing factor, 190Cortisol, 12Couple therapy, 534, 538–539, 544outcomes, 550–552COX-1/COX-2 inhibitors, 387–389Crack cocaine, 184, 185, 186, 188, 197–198, 415, 560Criminal behavior, substance abuse and,357Cross-tolerance, 588Cue exposurecocaine relapse prevention, 203–204cognitive therapy strategies for dealingwith, 493in pathological gambling, 308Cyclic adenosine monophosphate secondmessenger systemalcohol use and, 85naltrexone effects, 12–13neurobiology of drug liking, 4–5, 6neurobiology of tolerance, 7DDefective stimulus barrier, 460Delirium, alcohol-related, 87Delirium tremens, 591Dementia, alcohol-induced, 88–89Denial, 331, 343, 463–464, 502Department of Transportation, 69Dependenceclinical characteristics, 110–111definition, 369–370neurobiology, 3, 4, 6–9polysubstance, 245–247substance abuse and, 222–223