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Client Heart Rate Variability In Motivational Interviewing For Alcohol Use, Brigitte R. Stevens

Psychology ETDs

Heart Rate Variability (HRV) is a useful tool for clinical practice and substance use research, as it may provide insight into liability for relapse or development of addiction, as well as provide indicators of recovery outcomes and response to treatment. Psychotherapy would benefit from an integrated understanding of physiological regulation systems such as what are measured by HRV, as HRV is linked to psychopathology and substance use disorders.

HRV was measured in non-treatment-seeking adult drinkers as they underwent a motivational interviewing (MI) session. Subjects’ HRV from the interview was then regressed on therapist MI-consistent behaviors. The subjects’ drinking at both …

Cultural Factors And Alcohol Use In American Indian Adults: Results From A Randomized Controlled Trial Of Contingency Management, Jalene L. Herron

Psychology ETDs

American Indian and Alaska Native (AI/AN) populations experience health disparities in alcohol use outcomes compared to the general population. This thesis examines cultural factors related to alcohol use in 65 reservation-based American Indian (AI) adults enrolled in a randomized controlled trial of culturally tailored contingency management (CM). Generalized linear mixed modeling (GLMM) was used to analyze the repeated measure, biweekly urine tests of the biomarker, ethyl glucuronide (EtG), across 12 weeks. The relationship between alcohol use (abstinence or heavy drinking) and culturally relevant protective (enculturation, years lived on the reservation) and risk factors (discrimination, historical loss, historical loss symptoms) were …