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Establishing The Validity Of A Measure Of Implicit Bias Toward People With Alcohol Use Disorder, Erin Marie Portillo May 2024

Establishing The Validity Of A Measure Of Implicit Bias Toward People With Alcohol Use Disorder, Erin Marie Portillo

Open Access Theses & Dissertations

Alcohol use disorder has been identified as one of the major burdens of disease but also remains one of the disorders with the lowest treatment prevalence. For individuals who seek treatment for their alcohol use disorder, they may experience barriers that impact their treatment for alcohol use disorder. These barriers may extend to a person’s beliefs, attitudes, and stigma. While attitudes and beliefs refer to their perceived need for treatment and beliefs of self-reliance, stigma is multistep process that makes way for stereotypes, prejudice, and acts of discrimination to take place. With labels such as “alcoholic” implying negative connotation and …


Precision Medicine Approaches To Alcohol Use Disorder For American Indians: Assessment And Phenotypic Differentiation Of Reward And Relief Drinking, Hanna M. Hebden Feb 2023

Precision Medicine Approaches To Alcohol Use Disorder For American Indians: Assessment And Phenotypic Differentiation Of Reward And Relief Drinking, Hanna M. Hebden

Psychology ETDs

American Indian (AI) communities endorse high rates of abstinence from alcohol and substance use, yet experience disparate rates of alcohol and substance-related consequences. Alcohol and substance use is conceptualized as interwoven with unique AI contextual factors, which are often not incorporated into examination of related constructs. Current knowledge gaps exist in study of precision medicine approaches to treatment for reward and relief drinking in AI. This study aimed to understand reward and relief substance use phenotypes in AI. We described a contextually-informed model of relief assessment and to compare this assessment to the original reward and relief models using latent …


Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch Jan 2023

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …


Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch Jan 2023

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …


Individual Behavioral And Neurobiological Markers Associated With Vulnerable To Ethanol Use Phenotype, Hannah Elizabeth Manning Jan 2023

Individual Behavioral And Neurobiological Markers Associated With Vulnerable To Ethanol Use Phenotype, Hannah Elizabeth Manning

Honors Theses and Capstones

Alcohol use disorder is a chronic, relapsing brain condition that affects 29.5 million Americans. The disease is characterized by loss of control over drinking, continued use of alcohol in the face of negative consequences, and the experience of withdrawal symptoms. While there are several forms of treatment available for alcohol use disorder, 95% of patients experience at least one relapse during recovery. Currently, the high tendency to relapse remains the major challenge standing in the way of successful treatment for alcohol use disorder. Research is continuing to be conducted into the behavioral and neural mechanisms underlying relapse into alcohol use, …


“Finding The Positive” In Recovery: Psychometric Properties Of A Measure Of Human Flourishing In An Alcohol Use Disorder Recovery Sample, Hannah A. Carlon Jul 2022

“Finding The Positive” In Recovery: Psychometric Properties Of A Measure Of Human Flourishing In An Alcohol Use Disorder Recovery Sample, Hannah A. Carlon

Psychology ETDs

The fields of alcohol use disorder (AUD) recovery and positive psychology have both rapidly grown in recent years, are paralleled in their philosophy and goals, but have scarcely overlapped. An important first step to applying positive psychology to addiction treatment and recovery is quantifying the extent that treatment-as-usual encourages human flourishing (i.e., holistic well-being and adequate functioning). The PERMA Profiler is a measure based on the PERMA model of flourishing, captured across five positive psychology domains (i.e., Positive Emotions, Engagement, Relationships, Meaning, and Accomplishments), and has been validated in a wide variety of samples. The …


Characterizing The Patterns, Predictors, And Processes Involved In Recovery From Substance Use Disorders, Rebecca L. Smith Jan 2022

Characterizing The Patterns, Predictors, And Processes Involved In Recovery From Substance Use Disorders, Rebecca L. Smith

Theses and Dissertations

Alcohol and drug use disorders are associated with significant cost to individuals, families, and society.Approximately 40-75% of affected individuals remit from alcohol use disorders (AUD). Although the development of AUD is well studied, recovery from AUD and factors that contribute to recovery are not as well characterized. With the definition of recovery evolving towards a process rather than an outcome, there is a need to better understand psychosocial functioning and quality of life among individuals at different points in their recovery journeys. Concurrently, additional research is needed to understand the interplay between sources of recovery capital, individual differences in risk …


Relief And Reward Drinking Across Time In Community And Treatment-Seeking Samples, Julia E. Swan Nov 2021

Relief And Reward Drinking Across Time In Community And Treatment-Seeking Samples, Julia E. Swan

Psychology ETDs

Classifying people with alcohol use disorder into homogenous groups based on observed characteristics (i.e., phenotypes) could match individuals to specific treatments. The reward-relief phenotype classifies individuals based on whether they drink to enhance rewarding experiences and/or to relieve negative states. The current study is a secondary data analysis of a community sample of non-treatment seeking heavy drinkers (n = 189) and two randomized clinical trial samples of individuals with alcohol use disorder (n = 1726, 1383) that aimed to determine if the reward-relief phenotype is identified across samples, is stable over time, and predicts long-term alcohol consumption and consequences. We …


Eeg Features Of Explore-Exploit Decision-Making In Alcohol Use Disorder, Ethan Campbell Jul 2021

Eeg Features Of Explore-Exploit Decision-Making In Alcohol Use Disorder, Ethan Campbell

Psychology ETDs

Little research has assessed explore-exploit behavior in addiction using drug cues and even fewer studies have measured the neural activity underlying these behaviors. The present study aims to explore brain mechanisms of disordered decision-making in alcohol use disorder (AUD) through electroencephalography (EEG) during performance of a novelty bandit task with alcohol imagery and using a validated computational model of explore-exploit dynamics. Individuals with AUD (n = 28) and age and sex-matched controls (n = 27) showed differences in choice behavior and showed differences in EEG activity as a function of exploratory behavior, chosen stimulus type, and explore-exploit computational …


The Role Of Brain-Derived Neurotrophic Factor In The Link Between Physical Activity And Psychosocial Recovery From Alcohol Use Disorder, Adam D. Wilson Jul 2021

The Role Of Brain-Derived Neurotrophic Factor In The Link Between Physical Activity And Psychosocial Recovery From Alcohol Use Disorder, Adam D. Wilson

Psychology ETDs

Objective: Alcohol Use Disorder (AUD) is a common, chronically relapsing condition with substantial health and economic costs. United States federal agencies have put out calls in the last decade to expand the scientific evidence base for broad biopsychosocial recovery from AUD and other substance use disorders (SUD). The present study examined the role of physical activity and exercise in early recovery from AUD, with specific attention to changes in brain-derived neurotrophic factor (BDNF) as a marker of neuroplasticity and a potential mechanism for instantiation of recovery-aligned behaviors. Method: Individuals in the first year of recovery from AUD were …


Sexual Minority Women And Lifetime Risk Of Alcohol Use Disorder, Jennifer Smith Jan 2019

Sexual Minority Women And Lifetime Risk Of Alcohol Use Disorder, Jennifer Smith

Browse all Theses and Dissertations

Sexual minority women demonstrate higher rates of Alcohol Use Disorder, or AUD, compared to their heterosexual counterparts. Factors that potentially impact how likely a sexual minority woman is to develop an AUD during her lifetime has received limited attention in existing research. These include sexual minority stress, stress and cognitive appraisal, and hardiness theories. While many factors are suggested, and some supported, no consistent risk or protective factors have emerged. This study sought to change that by testing whether proposed risk and protective factors for stress, both in general and unique to sexual minority individuals, impacted the likelihood of the …


Neural And Behavioral Associations Of Drinking And Empathic Processing, Charles Samuel Henry Robinson Dec 2018

Neural And Behavioral Associations Of Drinking And Empathic Processing, Charles Samuel Henry Robinson

Psychology ETDs

Alcohol Use Disorder (AUD) is a major health problem, yet most individuals with AUD do not perceive a need for formal treatment and do not receive treatment. The lack of treatment seeking among individuals with AUD may suggest a lack of self-awareness and insight into the seriousness of AUD related problems. Moreover, individuals who have lost or are at risk of losing major relationships are especially likely to perceive the need for help. Thus, it may be the case that awareness of the influence of one’s drinking on social relationships and the feelings of others (i.e., empathy) could improve treatment …


Alcohol Misuse Among Operation Enduring Freedom And Operation Iraqi Freedom Military Healthcare Professionals, Brian Letourneau Jan 2018

Alcohol Misuse Among Operation Enduring Freedom And Operation Iraqi Freedom Military Healthcare Professionals, Brian Letourneau

Theses and Dissertations

Over 2.1 million United States military service members have deployed to support Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF). Nearly 40% of OEF/OIF service members meet criteria for an alcohol use disorder post-deployment. Minimal research has addressed alcohol misuse among military healthcare professionals despite the prevalence of alcohol abuse among civilian providers. This study explored whether military healthcare professionals involved with OIF/OEF operations have increased risk for alcohol misuse (i.e., problem drinking, heavy weekly drinking, heavy episodic drinking). Three evidence-based hypotheses were evaluated: (a) among OEF/OIF military personnel, healthcare professionals would have an increased likelihood of alcohol misuse …