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The Use Of Figurative Suicidal Language By College Students And Its Impact On Mental Health And Suicide Stigma, Makayla Hooker Apr 2024

The Use Of Figurative Suicidal Language By College Students And Its Impact On Mental Health And Suicide Stigma, Makayla Hooker

Senior Theses

Using suicidal language as a hyperbole in everyday conversation has become common for college students experiencing stress. Previous research analyzed use of suicidal language on social media with the intention of finding the best way to provide help to the individuals expressing true suicidal ideation on social media but found that many people do not literally mean what they are saying when they use suicidal language. It was hypothesized that the frequency with which individuals use suicidal statements figuratively as well as the frequency with which they hear others use these statements would negatively correlate with the level of seriousness …


Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel Apr 2024

Music As A Coping Mechanism: Clinical Implications Of How College Students Utilize Music To Cope With Anxiety, Depression, And Daily Stressors, Karly Pikel

Senior Theses

Many college students face stress, anxiety, and/or depression in their daily lives which they cope with in their own ways. Listening to music or playing an instrument are particularly powerful forms of coping that can have a plethora of positive effects on an individual. The purpose of this study was to conduct a survey amongst the University of South Carolina student body to determine how they utilize music to cope in their daily lives. Of 847 respondents, almost all of them reported experiencing some extent of anxiety and/or stress and listening to music to help them cope. Respondents agreed that …


The Role Of Sport For Adolescents: The Effect Of Sport Participation As A Unique Form Of Physical Activity On Mental Health And Overall Subjective Well-Being During Adolescence, Caleb M. Rogers Apr 2024

The Role Of Sport For Adolescents: The Effect Of Sport Participation As A Unique Form Of Physical Activity On Mental Health And Overall Subjective Well-Being During Adolescence, Caleb M. Rogers

Senior Theses

Well-being is an extremely multifaceted domain, as there are numerous factors that contribute to one’s way of life. Objective well-being focuses primarily on material factors such as access to food, housing, and a steady household income. Although these factors play a large role, it is important to analyze well-being from the perspective of the individual. Subjective well-being focuses on how one perceives one's own well-being. Physical activity has been well established as one factor associated with improvements within this domain for adolescents. This project investigates the role of one specific form of physical activity during adolescence: sport. The general assumption …


Do Professor Characteristics Influence College Students' Mental Health Disclosure?, Giselle Solorio, Kenneth Barideaux Jr. Jan 2024

Do Professor Characteristics Influence College Students' Mental Health Disclosure?, Giselle Solorio, Kenneth Barideaux Jr.

University of South Carolina Upstate Student Research Journal

Previous studies have provided some evidence that college students may hesitate to disclose their mental health status because of social stigma; however, more research is needed to identify and understand the factors that influence students’ willingness to disclose. For example, it is unclear how professor characteristics impact the likelihood of disclosure. In the current study we examined whether the gender of the professor (male vs. female) and the professor’s teaching discipline (STEM vs. humanities) affected students' likelihood to disclose a mental health problem. Participants read a fictitious syllabus where the professor was either male or female and taught a chemistry …


Understanding The Impact Of Adverse Childhood Experiences On Borderline Features And Deliberate Self-Harm Behaviors Among College Students: The Mediating Roles Of Emotion Regulation And Interpersonal Functioning, Sydney Mari Levine Oct 2023

Understanding The Impact Of Adverse Childhood Experiences On Borderline Features And Deliberate Self-Harm Behaviors Among College Students: The Mediating Roles Of Emotion Regulation And Interpersonal Functioning, Sydney Mari Levine

Theses and Dissertations

Research has established ACEs as significant predictors of deliberate self-harm (DSH) in both clinical and community populations. Further, adults meeting criteria for borderline personality disorder (BPD) are nearly 14 times more likely to report childhood adversity. No previous studies have examined the critical roles of emotion regulation and interpersonal functioning as mediating mechanisms in these relations. Thus, the current study explored the mechanism by which ACEs affect borderline personality features (BPF) or deliberate self-harm through emotion regulation and interpersonal functioning in a sample of emerging adult college students. Participants (N = 2,255, M age = 19.25) included college students from …


Supporting Our Heroes: The Need For A Community Of A Community Of Practice Dedicated To The Support Of Military-Connected Families Living In The Southeastern United States, Ashley Gwyneth Monier Oct 2023

Supporting Our Heroes: The Need For A Community Of A Community Of Practice Dedicated To The Support Of Military-Connected Families Living In The Southeastern United States, Ashley Gwyneth Monier

Theses and Dissertations

Military families face unique challenges that many civilian families may not be familiar with, to include frequent geographical relocations and extended periods of separation due to military deployments. This study aims to identify the resources available to military families and identify gaps in services and programming to highlight the need for a Community of Practice dedicated to addressing issues that impact our all-volunteer force in the southeastern United States. Furthermore, this study aims to give a voice to the military community regarding the unique difficulties that are commonplace within the military life, to include regular mandated geographical relocations and extended …


The Effects Of Mental Health Literacy And Perceived Social Support On Mental Health Stigma Across Racial And Ethnic Groups In The United States: A Survey-Based Analysis, Isabel R. Jordan, Dan Cooper, Jayxa Alonzo Oct 2023

The Effects Of Mental Health Literacy And Perceived Social Support On Mental Health Stigma Across Racial And Ethnic Groups In The United States: A Survey-Based Analysis, Isabel R. Jordan, Dan Cooper, Jayxa Alonzo

Senior Theses

The goals of this study were to determine a) whether minoritized groups in the United States had lower levels of mental health literacy (MHL) and higher levels of stigma, b) whether people with higher rates of MHL and social support had lower rates of stigma and c) whether MHL and perceived social support were stronger predictors of stigma levels depending on racial group membership. I hypothesized that people with both high levels of MHL and high levels of social support would have lower levels of mental health stigma, minoritized groups would have lower levels of MHL and social support and …


Piloting Brief, Just-In-Time Training Videos For Mentors: Expanding And Strengthening Motivational Interviewing For Youth, Mackenzie J. Hart Oct 2023

Piloting Brief, Just-In-Time Training Videos For Mentors: Expanding And Strengthening Motivational Interviewing For Youth, Mackenzie J. Hart

Theses and Dissertations

Having paraprofessional providers, such as youth mentors, deliver evidence-based services, has been posited to increase the reach of youth services given the affordability and ubiquity of mentors in school settings. Further, examinations of mentor-delivered Motivational Interviewing (MI) have shown promise in increasing youth mentees’ academic performance and wellbeing. Yet, traditional methods used for training mentors to use MI effectively and sustainably can be costly and time-consuming processes. Previous work has suggested the value of asynchronous, brief, just-in-time trainings (JITTs) to help offset these challenges; however, MI JITTs for mentors have not yet been formally evaluated. As such, the present study …


The Influence Of Tiktok And Social Media On Body Dissatisfaction And Disordered Eating Behavior In College-Aged Women, Ariana R. Faraci Oct 2023

The Influence Of Tiktok And Social Media On Body Dissatisfaction And Disordered Eating Behavior In College-Aged Women, Ariana R. Faraci

Senior Theses

This thesis aims to evaluate the impact of social media, especially TikTok, on body dissatisfaction and disordered eating behavior in college-aged women. Previous research established connections between increased social media usage and body dissatisfaction and between the type of content viewed on social media and body dissatisfaction. In addition, several studies showed a connection between body dissatisfaction and disordered eating behavior. To investigate the impact of social media on body image and body dissatisfaction in college-aged women at the University of South Carolina, I collected data using a self-report survey that asked participants questions about which social media platforms they …


The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey Oct 2023

The Association Between Symptoms Of Adhd And Alcohol Use And Related Consequences In College Students: Social And Environmental Protective And Risk Factors As Moderators Of This Relation, Cameron Shepard Massey

Theses and Dissertations

Alcohol use, while common in college student populations, can bring about significant mental health and educational problems that have negative consequences (Harris et al., 2017; White & Hingson, 2013). Attention-deficit/hyperactivity disorder (ADHD) can also result in significant impairment in academic settings (Kuriyan et al., 2012; Blase et al., 2009, Barbaresi et al., 2007), and those with ADHD often show increased rates of alcohol consumption and related problems, which can greatly increase the risk for students to struggle in college (Barbaresi et al., 2013; Baker et al., 2012). Examining the impact that specific risk and protective factors play in this relation …


The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia Jul 2023

The Effects Of Poly-Strengths On Psychological Wellbeing Amongst Young Adults With Childhood Poly-Victimization, Nakisa Asefnia

Theses and Dissertations

The field of trauma and victimization has undergone many evolutions in its efforts to conceptualize the impacts of victimization and more recently poly-victimization. Poly-victimization refers to the experiencing of multiple types of victimization over the lifespan. This has led to an ever-growing base of literature highlighting the many deleterious effects of these experiences on individuals’ wellbeing, and the factors which may make a person more vulnerable to victimization. However, a growing movement in the field aims to take a more strengths-based perspective that highlights the resilience of individuals, rather than risk factors, in the hopes of better understanding the factors …


An Exploration Of Racial Trauma And Protective Factors In Black Youth, Daria Chantal Thompson Jul 2023

An Exploration Of Racial Trauma And Protective Factors In Black Youth, Daria Chantal Thompson

Theses and Dissertations

Black students’ experiences in school can vary due to racism and discrimination within and outside of the classroom, which can impact their academic progress and overall well-being. In this three-part study, the impact of discrimination is observed to determine if there is a long-term effect of these situations and, if so, determine if there is utility to implement school-based resources to decrease these negative effects. The first study examined whether ethnic-racial socialization in childhood could moderate against symptoms of trauma in young adulthood that were potentially caused by discrimination from peers and teachers in childhood through hierarchical regressions. The second …


Parent Facilitation Of Child Emotion Regulation In Autism Spectrum Disorder, Aimee K. Rovane Jul 2023

Parent Facilitation Of Child Emotion Regulation In Autism Spectrum Disorder, Aimee K. Rovane

Theses and Dissertations

Parents play a substantial role in their children's emotional regulation (ER) abilities, promoting both adaptive and maladaptive development. Children with autism spectrum disorder (ASD) often have difficulties regulating their emotions, manifesting in externalizing behavioral issues (Mazefsky & White 2014). Though there are many similarities to parents of typically developing (TD) children, parents of children with ASD facilitate their children's ER development (i.e., emotion socialization) in response to unique challenges, often developing resiliency but other times contributing to their children’s dysregulation and behavioral challenges. Using Morris et al.'s (2007) Tripartite Model of Family Impact of Children's Emotion Regulation and Adjustment as …


Socio-Emotional Resilience Among Older Adults During The Covid-19 Pandemic, Cindy J. Lahar, Angela L. Nadeau, Jayne Violette, Summer Roberts, Diana Reindl May 2023

Socio-Emotional Resilience Among Older Adults During The Covid-19 Pandemic, Cindy J. Lahar, Angela L. Nadeau, Jayne Violette, Summer Roberts, Diana Reindl

Journal of the South Carolina Academy of Science

The detrimental impact of social isolation on health and well-being has been reported in older adults (Prohaska, et al., 2020). Yet findings also demonstrate that older adults have a motivational shift to prioritize emotionally meaningful goals and experiences (Carstensen, 1993; Sakaki, et al., 2019), prioritize emotional meaning in situations, focus on positive emotions and stimuli over negative feelings and live in the present rather than focus on future preparedness. Socioemotional selectivity theory (SST) (Carstensen, 1993; Carstensen, Fung & Charles, 2003) suggests that older adults have a limited sense of time left in life and shift their focus to meaningful and …


Moral Injury To Inform Analysis Of Post-Traumatic Stress Disorder, Amanda Julia Manea Apr 2023

Moral Injury To Inform Analysis Of Post-Traumatic Stress Disorder, Amanda Julia Manea

Senior Theses

Post-traumatic stress disorder (PTSD) is a mental health condition that almost one out of ten veterans struggle with. Although the National Center for PTSD has made extensive progress in characterizing and developing new treatments for PTSD, most veterans still experience symptoms of PTSD following treatment. Novel avenues of investigation, such as developing algorithms to review electronic health record (EHR) data and better understanding moral injury, are being pursued to address the gap that still exists when it comes to treating veterans. Moral injury is the individual evaluation of exposure to a potentially morally injurious event (PMIE) and can lead to …


The Effect Of The Degree Of Authoritative Parenting On Adolescents' Adjustment To College, Elizabeth Smith Apr 2023

The Effect Of The Degree Of Authoritative Parenting On Adolescents' Adjustment To College, Elizabeth Smith

Senior Theses

This research aimed to explore how parenting style relates to college students’ adjustment in the first month of college. Authoritative parenting is marked by a standard of maintaining some control, while also promoting children’s autonomy. Previous research has found that authoritative parenting is positively associated with adolescent behavior that is more socially responsible, self-reliant, cheerful, and cooperative. Furthermore, the more support and independence that parents encourage, will in turn breed confidence and academic persistence in adolescent years. I will expand on this research by evaluating whether parenting style also relates to adjustment and mental health outcomes among first year college …


Girls Just Want To Be Safe: An Analysis Of Drugged Drinking And Prevention Amongst Students At The University Of South Carolina, C. Gray Forsberg Apr 2023

Girls Just Want To Be Safe: An Analysis Of Drugged Drinking And Prevention Amongst Students At The University Of South Carolina, C. Gray Forsberg

Senior Theses

Drink-spiking has become a well-known phenomenon since the turn of the century, especially on college campuses in the United States. Drink-spiking or drugging can be defined as “adding alcohol or drugs into someone’s drink without their knowledge or permission” (Alcohol and Drug Foundation, 2006). Drink-spiking is not just relevant to the concern of an illicit substance being placed into an alcoholic drink, but adding additional alcohol to drinks or adding alcohol or drugs to non-alcoholic drinks is considered drugging as well. This study collected data through a survey sent to 250 current students at the University of South Carolina regarding …


An Exploration Of The Social And Economic Factors That Influence The Mental Health Of Lgbtq College Students, Alexandria Mh Fossum Apr 2023

An Exploration Of The Social And Economic Factors That Influence The Mental Health Of Lgbtq College Students, Alexandria Mh Fossum

Senior Theses

LGBTQ individuals face a much higher prevalence of psychiatric disorders and mental health issues than their heterosexual, cisgender counterparts. The added academic pressures of college introduce a unique set of challenges that LGBTQ students face. This thesis includes a review of academic literature and data examining the intersections between social isolation, institutional discrimination, and financial insecurity and the effects they have on the mental health outcomes of LGBTQ college students. The paper is accompanied by a documentary consisting of a set of interviews of LGBTQ college students, giving a more personal insight into the multitude of factors that affect their …


The Relation Between Adhd Symptoms And Life Satisfaction/Self-Esteem Among Youth: Family Structure And Parenting Practices As Moderators, Yvette Rother Apr 2023

The Relation Between Adhd Symptoms And Life Satisfaction/Self-Esteem Among Youth: Family Structure And Parenting Practices As Moderators, Yvette Rother

Theses and Dissertations

Children and adolescents with attention-deficit/hyperactivity disorder (ADHD) may be particularly vulnerable to lower life satisfaction and self-esteem, given negative perceptions about their abilities and self, as well as related impairments in academic, social, and interpersonal functioning. Family factors, such as family structure and parenting behaviors, can impact youth development and behaviors. However, it is unclear what role family factors play in the relation between ADHD symptoms and life satisfaction and self-esteem among youth. This study therefore examined whether ADHD symptoms have an impact on the life satisfaction and self-esteem of children and adolescents in grades 4-12. Moreover, it explored whether …


An Examination Of The Prevalence And Predictors Of Drugging Victimization And Drugging Perpetration In A National Sample, Amber Nicole Wallace Apr 2023

An Examination Of The Prevalence And Predictors Of Drugging Victimization And Drugging Perpetration In A National Sample, Amber Nicole Wallace

Theses and Dissertations

Objective: The current study sought to expand the understanding of the nascent phenomenon of drugging, the administering of a drug or alcohol substance to an individual without their knowledge or consent (Swan et al., 2017). Specifically, in this paper, the lifestyle-routine activities theory (L-RAT) is used as a framework to examine what factors may contribute to the occurrence of drugging. Prevalence rates of drugging victimization and drugging perpetration are examined by participant characteristics including gender, sexual orientation, and race/ethnicity, and by risk behaviors including illicit drug use, marijuana use, and binge drinking. Trait sensation seeking, which has been shown to …


Heroes Or Villains: Modern Rappers And Their Effect On Young Adult Males, Jared J. Mccabe Apr 2023

Heroes Or Villains: Modern Rappers And Their Effect On Young Adult Males, Jared J. Mccabe

Senior Theses

This paper examines the role of modern-day rappers and how they affect the growing mental health crisis for young adult males. Recently, an “emo-rap” genre has emerged where vulnerability is common, and rappers share both their mental health struggles and experiences with drug use. The degree to which these artists have influenced their listeners is unclear, and perceptions of them are polarized. There are some who view them as villains who sponsor violence and drug use and others who view them as heroes who break down societal barriers and build supportive networks among their listeners.

Based on the existing scientific …


Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb Apr 2023

Psychosocial Outcomes Of African American Traumatic Race-Based Stress, Zenith Lamb

Senior Theses

Most research into trauma-related mental health concerns has focused predominantly on European American participants, leading to many African American individuals receiving inaccurate diagnoses, if they are able to receive diagnoses at all. This project sought to help fill that gap by identifying clear definitions and examples of “racial trauma” and “race-based stress” - as defined during participation in a focus group interview by the collective experience-based responses of two undergraduate African American students at a predominantly White institution - and identifying symptoms of posttraumatic stress and dissociation - measured by an online survey distributed to the participants that included questions …


Toxic Positivity And Perceptions Of Mental Health, Madeline E. Feltner Apr 2023

Toxic Positivity And Perceptions Of Mental Health, Madeline E. Feltner

Senior Theses

My thesis concerns how toxic positivity, especially the type we commonly see on social media, can affect perceptions and stigma around mental health issues on college campuses. Toxic positivity is the belief that a person should always maintain a positive mindset, no matter what situation they are in, and invalidates negative emotions. Previous research shows that toxic positivity can have a negative effect on mental health, but in this thesis, I study how toxic positivity affects perceptions about others with mental health issues, willingness to interact with those with mental health issues, and self-perception. It is important to research this …


Our Social Packaging: How Labels In Society Affect Our Perceptions Of Ourselves And What This Implicates For The Overdiagnosis And Self-Diagnosis Crisis In Mental Health Conditions, Alexandra X. Cortez Apr 2023

Our Social Packaging: How Labels In Society Affect Our Perceptions Of Ourselves And What This Implicates For The Overdiagnosis And Self-Diagnosis Crisis In Mental Health Conditions, Alexandra X. Cortez

Senior Theses

This paper examines the effects of labeling theory in regard to mental health diagnoses. Specifically, it examines how the self-fulfilling prophecy plays a role after an individual is assigned a label. To view labels and their effects in action, this paper looks to the television show Survivor, specifically Season 37 and uses a television content analysis. Survivor provides an analogy for today’s society and a culturally relevant representation of how individuals are internalizing labels and stereotyping others based on their label. An analysis of season 37 revealed that contestants strongly associated with their assigned label and the specific characteristics that …


Understanding Intergenerational Transmission And Frequency Of Ethnic-Racial Socialization Practices Among Racial Ethnic Minority Groups, Ryan Chantz Houston-Dial Apr 2023

Understanding Intergenerational Transmission And Frequency Of Ethnic-Racial Socialization Practices Among Racial Ethnic Minority Groups, Ryan Chantz Houston-Dial

Theses and Dissertations

Ethnic-racial socialization (ERS) is a multidimensional concept that can be defined as the transmission of attitudes, beliefs and messages about ethnic-racial group membership (Hughes et al., 2006). To counteract the negative effects of discriminatory experiences, ethnic minority parents proactively impart race-salient messages to their youth. Sociodemographic variables such as regional location has been shown to affect the frequency of ERS messages as well (Thornton et al., 1990). The current study examines ERS practices in 436 African American, Hispanic/Latinx and Asian American parents. This study also explores the concept of intergenerational transmission, in which parents pass on to their own children …


Gratitude Buffers The Effects Of Stressful Life Events On Early Adolescents’ Life Satisfaction And Externalizing Behaviors But Not Internalizing Behaviors, Mimi Scott Webb Oct 2022

Gratitude Buffers The Effects Of Stressful Life Events On Early Adolescents’ Life Satisfaction And Externalizing Behaviors But Not Internalizing Behaviors, Mimi Scott Webb

Theses and Dissertations

Identifying psychological strengths that foster healthy development in youth has become a topic of exploration in the field of positive psychology (e.g., Suldo & Huebner, 2004; Valle et al., 2006). Gratitude is a promising trait-like characteristic with qualities indicative of a potential psychological strength that may serve as a protective factor for early adolescents in the face of stressful life events. This study utilized data from a sample of 1,880 middle school students from the Southeastern United States. Hierarchical regression analyses investigated gratitude’s role as a moderator in the relationship between stressful life events and adolescent well-being. Specifically, gratitude’s ability …


An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal Oct 2022

An Intersectional Lens To Covid-19: Promoting Youth Well-Being In The Midst Of Social-Political Stressors, Magdalena S. Moskal

Theses and Dissertations

Guided by interpretative phenomenological methodology and intersectionality theory, this thesis aims to uncover the mental health experiences of youth surrounding the COVID-19 pandemic. This study also seeks to situate these experiences with the subsequent stressors that young people face in the current social-political context (e.g., witnessing trauma in the media, uprisings to address racism and the resulting backlash, rhetoric of the 2020 presidential election). Furthermore, this thesis aims to give insight and voice how intersectionality shapes the COVID-19-related experiences of youth in South Carolina. Data was collected through semi-structured interviews with 23 participants aged 16-21 years old in South Carolina. …


Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna Oct 2022

Predicting Therapists’ Intentions To Use An Innovation: The Role Of Innovation-Specific, Individual, And Organizational Factors, Jonathan KuʻUhoaepilipono Ahuna

Theses and Dissertations

Understanding factors that contribute to an individual’s decision to use an innovation can increase the public health impact of innovations in children’s mental health services. Objective. This study examined whether and to what extent therapists’ innovation-specific judgements (e.g., innovation is easy to use, socially desirable) were associated with intentions to use an innovation using constructs from one of the most robust theories of innovation use–the Unified Theory of Acceptance and Use of Technology (UTAUT). Method. Two aims were addressed using data collected from 95 therapists and 28 supervisors who participated in a multi-site cluster randomized trial. Therapists used either a …


The Good Soldier: A Look Into The Stigma And Stereotypes Of The Us Military, Riley Margaret Bachmann Oct 2022

The Good Soldier: A Look Into The Stigma And Stereotypes Of The Us Military, Riley Margaret Bachmann

Senior Theses

“The Good Soldier: A Look at the Stigma and Stereotypes of the US Military” examines the stigma associated with mental health as well as gender stereotypes and bias in the United States military. It uses my personal experience in the Air Force Reserve Officer Training Corps program as well as research to show the institutionalization of stigma and stereotypes. The purpose of this thesis is to spread awareness and question why this stigma exists. I will find correlations between mental health and stereotypes and their overlap as a service member in the military. My personal memoir coupled with research on …


How To Survive College As An Acoa: The Effectiveness Of University Resources On Helping Acoas Socially And Psychologically Succeed During Their Academic Career, Kelly Buchan Oct 2022

How To Survive College As An Acoa: The Effectiveness Of University Resources On Helping Acoas Socially And Psychologically Succeed During Their Academic Career, Kelly Buchan

Senior Theses

In 2019, 14.5 million people ages 12 and older had Alcohol Use Disorder (AUD), but only 10% received treatment (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2022). Parental drinking problems can directly affect children, or “Adult Children of Alcoholics.” Of the few studies targeting ACoAs, results show that ACoAs not only have higher risks of mental illness, but they also have lower GPAs and social health (Schroeder & Kelley, 2008). Thus, this study assessed the extent to which perceptions of the college drinking environment are related to higher depression rates in ACoAs, certain drinking motivations, and reluctance to use …