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Full-Text Articles in Psychology

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore Apr 2024

The Impact Of Asian American Cultural Centers On Sense Of Belongingness For Asian American Undergraduate Students, Malina B. Maladore

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation examines the role of cultural centers and experiences of microaggressions in shaping the ethnic identity of Asian American undergraduates in U.S. higher education institutions. Utilizing Phinney’s model of ethnic identity development, a study with 175 participants revealed a positive correlation between reported microaggressions and sense of ethnic belonging in students attending universities with cultural centers. The findings highlight the complexities of belongingness and the potential impact of cultural centers on ethnic identity and experiences of microaggressions. This research contributes to a deeper understanding of Asian American students’ experiences in higher education. This dissertation is available in open access …


In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni Apr 2024

In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

The field of clinical psychology has long privileged cognitive and affective experience and information over that which is stored in, and communicated by, the body (Caldwell, 2018; Young, 2006). Despite the profound and complex web of interactions between mind and body in EDs, this subspecialty has been no exception. The need for improvements in eating disorder (ED) treatment outcomes is well documented and transtheoretically accepted. Current practice guidelines for the treatment of adult EDs recommend the utilization of cognitive, behavioral, and interpersonal strategies to target problematic thinking and deficits in emotion regulation that are thought to fuel ED behaviors (American …


Engaging In Art To Support Social-Emotional Learning (Eassel): A Classroom-Based Approach, Hailey Mcafee-Scimone Apr 2024

Engaging In Art To Support Social-Emotional Learning (Eassel): A Classroom-Based Approach, Hailey Mcafee-Scimone

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

This dissertation describes a project to develop an art-based curriculum to teach young elementary school-age children social and emotional skills in the classroom based on the experiences of experts in the field of elementary education. Social-emotional learning (SEL) focuses on several key concepts including skills in interpersonal relationships, emotion regulation, and mindfulness (McClelland et al., 2017). By addressing SEL early within the education curriculum, children are exposed to resources that will help them to develop strong regulation skills, engage in identity exploration, and practice healthy relationship skills (Jones et al., 2017). The integration of SEL and art creates a learning …


Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb Apr 2024

Relationships Between White Psychology Trainees’ Multicultural Competence And Racial Affect In The Pandemic, Daniella L. Colb

Antioch University Full-Text Dissertations & Theses

In this dissertation, I used an exploratory research approach to examine White psychology trainees’ affective responses to race-related material and how they relate to trainees’ self-perceived levels of multicultural competence amidst the COVID-19 pandemic and the rise of the Black Lives Matter movement. Participants completed self-report instruments about their experiences and identities, their affective responses to racial content, and their grasp of facets of multicultural competence. Significant correlations were found between affective responses—specifically White guilt and negation—and multicultural competence. The relationship found between White guilt and multicultural competence may speak to the power of guilt to motivate trainees’ pursuit of …


Posttraumatic Growth Following Pregnancy Loss, Megan Pinette Jan 2024

Posttraumatic Growth Following Pregnancy Loss, Megan Pinette

Antioch University Full-Text Dissertations & Theses

Posttraumatic growth (PTG) is positive psychological change that can result from the struggle with trauma or other highly stressful events (Calhoun & Tedeschi, 1999; Calhoun et al., 2010). The aim of this study was to capture the rich narratives of individuals who have experienced pregnancy loss and reported PTG. The narratives of ten participants were investigated to better understand what areas of posttraumatic growth they experienced following this often-devastating loss, as well as the processes that led to this growth. Participants of this study reported experiencing growth in the domains of (a) Relating to Others, (b) Personal Strength, (c) New …


The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson Jan 2024

The Lived Experience Of The Covid-19 Pandemic Among Mandate-Resistant Adults In Washington State, Amber N. Peterson

Antioch University Full-Text Dissertations & Theses

This study examined the lived experience of self-identified, mandate-resistant adults in Washington state. This study explored participants’ experience of the COVID-19 pandemic, from a retrospective framework by uncovering challenges, silver linings, decision-making, and self-reported mental health. Remote interviews were conducted with nine participants. Participants were between 23–31 years old, mostly male, and over half identified as Black. Through semi structured interviews, data was collected and analyzed using Interpretive Phenomenological Analysis (IPA). Participants described their experiences during the COVID-19 pandemic and highlighted significant changes in the way they lived their lives. Most notably, participants described ways in which they defied COVID-19 …


The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery Jan 2024

The Relationship Of Workplace Support, Job Control, And Burnout In Nurses, Shannon A. Mccleery

Antioch University Full-Text Dissertations & Theses

Nurses are the most likely group of healthcare workers to develop burnout. Previous research identified supervisory support, job control, and decision-making ability in the workplace as protective factors against burnout. There was a gap in the literature regarding the relationship between burnout in nurses and their experience of support, control, and decision-making during the COVID-19 pandemic. Reducing and preventing burnout in nurses is important due to the nursing shortage and concerns of attrition rates. This quantitative study examined the relationship of emotional support, instrumental support, job control, and decision-making opportunities in the workplace to burnout in hospital-based nurses. Measures used …


The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie Jan 2024

The Pursuit Of Happiness: Freedom And Well-Being In Positive Psychology, Kevin J. Mckenzie

Antioch University Full-Text Dissertations & Theses

This project explores the relationship between freedom and well‑being. Through reviewing the literature of positive psychology and existential psychology, clearer pictures of well‑being and freedom emerge, allowing for statistical analysis. By adopting Seligman’s well‑being theory as a model that incorporates hedonic and eudaimonic elements of well‑being and self‑determination theory’s conceptualization of autonomy as a proxy for freedom in existential psychology, this study explores the relationship between these constructs and their theorized factors through correlational analysis. A potential measurement model for an overall well‑being measure incorporating freedom as a factor is proposed and tested using confirmatory factor analyses. The effects of …


Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury Jan 2023

Does Anyone Else? The Lived Experience Of Writing About Depersonalization On Reddit, Kristina S. Fury

Antioch University Full-Text Dissertations & Theses

As both The International Statistical Classification of Diseases and Related Health Problems 11th Revision (ICD-11) and The Diagnostic and Statistical Manual of Mental Disorders-5-Text Revision (DSM-5-TR) describe, depersonalization (DP) involves unpleasant episodes of detachment from one’s sense of self or of unreality in the environment. Symptoms include people feeling as though they are an outside observer of their thoughts, feelings, sensations, body, or actions. DP can take the form of emotional numbing, in which people may feel they are watching themselves from a distance or as though they are characters in a play. People can also feel physically numb, disconnected …


Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan Jan 2023

Psychologist Perspectives On The Treatment And Assessment Of Problematic Sexual Behavior In Neurodivergent Youth, Emily R. Marhan

Antioch University Full-Text Dissertations & Theses

The following dissertation explored the subjective experience of mental health clinicians regarding their perceptions of providing treatment and assessment to neurodivergent youth (ND) who exhibited problematic sexual behavior (PSB). Prior to this study, scant research has been conducted pertaining to the treatment and assessment of youth who exhibit PSB, and less still on those with comorbid neurodivergence (Jones & Chaplin, 2017; Malovic et al., 2016; Pratt, 2013). This study utilized Interpretative Phenomenological Analysis to inform interpretations of participant responses collected through semi-structured interviews. Participants consisted of five licensed psychologists with experience providing assessment and/or treatment to both neurotypical and ND …


How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner Jan 2023

How Racial Trauma Manifests In Black Women From Direct And Indirect Encounters With Police Brutality, Ashley Turner

Antioch University Full-Text Dissertations & Theses

This phenomenological study explored Black women’s lived experiences with racial trauma stemming from direct and indirect encounters with police brutality. A total of nine participants living in Washington state participated in this study. They identified as Black, ciswomen, fluent in English, and at least 21-years-old. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences with police. Transcripts were analyzed using interpretative phenomenological analysis. The results consisted of the following five themes: (a) forms of police encounters, (b) influence of identity, (c) perceived reason for police brutality, (d) emotions stemming from police brutality, and (e) tactics to survive police interactions. …


Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows Jan 2023

Black Mental Health Clinicians' Experiences And Lessons From The Intersecting Crises Of Black Mental Health, Covid-19, And Racial Trauma: An Interpretive Phenomenological Study, Chanté Meadows

Antioch University Full-Text Dissertations & Theses

This study explored the experiences of African American mental health clinicians’ during the intersecting crises of the Black mental health crisis, the highly publicized racial tension tied to extrajudicial violence and over-policing of Black Americans, and the COVID-19 pandemic. The pandemic started a global crisis that affected millions of people’s physical and mental health and overall well-being. Shared trauma explores the duality of mental health clinicians’ personal and professional experiences. Grounded in critical race theory and models of trauma, this study explores Black mental health clinicians’ lived experiences and lessons. This is an interpretive phenomenological study with narrative interviews of …


Binge Drinking And Protective Behavioral Strategies Among Greek And Non-Greek College Students, Maria Niitepold Jan 2023

Binge Drinking And Protective Behavioral Strategies Among Greek And Non-Greek College Students, Maria Niitepold

Antioch University Full-Text Dissertations & Theses

One of the most problematic habits of college students, binge drinking, has been of particular interest among researchers as a result of the increased risk of harm experienced by students engaging in this high-risk behavior. Fraternity and sorority students have also come under scrutiny for habitually engaging in binge drinking and experiencing significant levels of negative consequences as a result. Little is currently understood about the differences between Protective Behavioral Strategy (PBS) use of Greek and non-Greek students. The aim of this study was to examine the differences in rates of binge drinking and PBS use among Greek and non-Greek …


When The Bough Breaks: Alcohol Misuse Among Jamaican Young Adults, Marsha Smith Jan 2023

When The Bough Breaks: Alcohol Misuse Among Jamaican Young Adults, Marsha Smith

Antioch University Full-Text Dissertations & Theses

The incidence of alcohol misuse globally continues to be a significant problem with copious adverse health and social causes and implications. The prevalence of alcohol misuse in Jamaica, British West Indies, instigated the trifold objective of this study. The ecological systems model provided a framework for conceptualizing multilayered biological and social processes that interact to determine mental health. This study examined anxiety and depression, family structure, and perceived parental warmth and control as predictors of alcohol misuse among young adults ages 18 to 30 residing in Jamaica. The current study revealed a correlation between alcohol misuse and higher levels of …


From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss Jan 2023

From Intersubjectivity To Activism: A Case For Engaged Psychoanalytic And Psychodynamic Psychology, Abigail Bliss

Antioch University Full-Text Dissertations & Theses

This dissertation consists of a book proposal, including a completed introduction and first chapter, in addition to detailed chapter outlines summarizing the content for the actual book. After framing this project and exploring its inspiration, which includes Freud and his free clinics (Danto, 2005), the first chapter begins with explorations of multiple theories of intersubjectivity and the analytic third, considering how contemporary sociopolitical factors might affect the intersubjective experience. To this end, I demonstrate how race, politics, the COVID-19 pandemic, and the incorporation of telehealth practices affect the intersubjective experience in psychoanalytic/psychodynamic (PA/PD) psychotherapy. I then research and review PA/PD …


A Study On Sexual Shame And Sexual Functioning In Adult Sexual Assault Survivors, Aili Jones Jan 2023

A Study On Sexual Shame And Sexual Functioning In Adult Sexual Assault Survivors, Aili Jones

Antioch University Full-Text Dissertations & Theses

A large portion of women will experience sexual violence in their lives. As many as one in four women report having experienced sexual assault, and there are some who believe that the true number of sexual assault survivors is much higher. Women who are sexually assaulted experience a wide range of emotional, physical, and sexual symptoms related to the trauma. The psychological impacts of sexual violence, including post-traumatic stress disorder (PTSD), depression, and anxiety have been studied and treatments developed. The sexual functioning of sexual assault survivors, however, has not been as thoroughly studied. One relatively new area of study …


A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler Jan 2023

A Mixed-Methods Exploration Of Quality Of Life In Forensic Inpatients With Schizophrenia Spectrum Disorders On The Social Learning Program, Alexa Hutzenbiler

Antioch University Full-Text Dissertations & Theses

This mixed-methods study explored the quality of life and lived experiences of adult individuals with diagnoses of schizophrenia spectrum disorders residing and receiving treatment on the Social Learning Program (SLP) at Fulton State Hospital, a high-security state forensic facility. Eleven participants completed the WHOQOL-BREF quantitative quality-of-life measure. Ten participants completed in-depth, semi-structured, qualitative interviews. Interviews were transcribed then analysed using Interpretive Phenomenological Analysis. The major themes that emerged included “Working the Program,” “Relationship Dynamics with Self and Others,” “Meaning,” “I’ve Been Having Breakthroughs,” and “Areas for Improvement in the Program.” Combined, the findings of the present investigation demonstrate the utility …


Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul Jan 2023

Deconstructing Orthorexia In An Age Of Healthism And Social Media, Maddison Paul

Antioch University Full-Text Dissertations & Theses

Orthorexia, a pathological fixation with healthy eating, has recently emerged as a construct of interest in the field of clinical psychology. Despite its growing recognition, the origin of this construct remains unclear. This dissertation aims to contribute to the understanding of orthorexia by examining its emergence and contextual factors through a constructivist lens. The study found that the cultural, economic, and moralistic landscape of healthism and social medially have played a role in the development of orthorexia. The dominant clinical perspective of orthorexia was also deconstructed, revealing potential biases that may lead to pathologizing the experiences of those who demonstrate …


Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney Jan 2023

Exploring The Lives Of Animal Activists: A Qualitative Study, Erin K. Mckenney

Antioch University Full-Text Dissertations & Theses

The animal rights movement, despite its historical roots, has only recently garnered attention in the realm of social sciences, increasingly being recognized as a facet of social justice. This dissertation delves into the intersection of animal rights activism and gender, primarily focusing on the parallels drawn between the oppression of women and animals/nature. The noticeable dominance of women in the animal rights movement, as suggested by previous studies, formed the basis for adopting an eco-feminist approach to explore this issue, highlighting the shared oppression and exploitation faced by women and animals. In-depth, in-person interviews were used to collect data on …


Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker Jan 2023

Autism Paradigms And Mental Well-Being Among Autistic Adults: A Quantitative Exploration, Libbey Walker

Antioch University Full-Text Dissertations & Theses

Autistic populations experience significant mental health challenges. A growing body of research supports addressing autistic mental health problems using the framework of minority stress theory, the social model of disability, and the neurodiversity paradigm (e.g., Botha & Frost, 2018; Cage et al., 2018). This quantitative study explored how identification with the neurodiversity paradigm versus the pathology paradigm related to mental well-being in autistic adults. Participants (N = 135) completed an online survey in which they rated their identification with autism descriptions representing both paradigms. Participants also completed measures of psychological distress, self-esteem, personal autism acceptance, and internalized autism stigma. Most …


The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood Jan 2023

The Impact Of Poorly Facilitated Anti-Racist Conversations, Brandon Kirkwood

Antioch University Full-Text Dissertations & Theses

It is well established that the graduate school experience is significantly different for students of color; on top of a rigorous training program, they face additional distinct challenges including racism, discrimination, and feelings of isolation. Insidious Trauma theory provides the framework for this quantitative exploration assessing the impact of poorly facilitated anti-racist conversations on the physical and emotional wellbeing of clinical psychology graduate students of color. George Floyd’s murder, among many other incidents of racial injustice, was a powerful catalyst that propelled academic institutions into action. Anti-racist dialogue became the intentional focus of graduate classes almost overnight. Well-meaning but insufficiently-prepared …


Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith Jan 2023

Autistic Authors' Narratives Of Trauma And Resilience: A Qualitative Analysis, Tessa Smith

Antioch University Full-Text Dissertations & Theses

This qualitative dissertation investigates current research gaps regarding autistic individuals’ experience of trauma and resilience in the face of adversity. Specifically, it conceptualizes trauma and resilience through a neurodiverse lens, through identifying themes in memoirs written by five autistic authors related to trauma, potentially traumatic events, resiliency, and posttraumatic growth. Through Interpretive Phenomenological Analysis, I identified individual, interpersonal, and societal factors impacting the memoirists experiences of trauma, through the identification of 11 superordinate themes. Prominent themes at the individual level included self-acceptance and emotion regulation promoting resilience. At the contextual level, sensory processing and uncertainty coincided with experiences of trauma. …


“Avoid It Like The Plague”: Adults' Lived Experience Of Avoidant Restrictive Food Intake Disorder, Megan Knedgen Jan 2023

“Avoid It Like The Plague”: Adults' Lived Experience Of Avoidant Restrictive Food Intake Disorder, Megan Knedgen

Antioch University Full-Text Dissertations & Theses

This phenomenological study explored the lived experiences of adults with a DSM-5 diagnosis of avoidant restrictive food intake disorder (ARFID) aiming to describe key features of ARFID as it is understood by treatment-seeking adults. Nine treatment-seeking adults with a full-threshold diagnosis of ARFID (aged 20–42) were recruited. In-depth, semi-structured, qualitative interviews were conducted to explore participants’ experiences and perceptions of avoidant and/or restrictive eating. Transcripts were analyzed using interpretative phenomenological analysis, through which three group experimental themes were generated: (a) “A tradeoff between safety and freedom,” (b) “A broken self,” and (c) “Being seen: A double-edged sword.” This study’s findings …


A Theoretical Basis For Understanding And Researching The Relationship Between Music, Stress, And Biofeedback, Frederick Wang Jan 2023

A Theoretical Basis For Understanding And Researching The Relationship Between Music, Stress, And Biofeedback, Frederick Wang

Antioch University Full-Text Dissertations & Theses

Music’s ability to influence emotional states and physical arousal has become an increasingly popular area of study. The wealth of literature around music and stress suggests a significant amount of interest in leveraging music to manage stress. However, as attention increases, the robustness of research becomes an increasing concern. This study investigates the current literature and proposes recommendations for the future studying of the psychological and physiological impacts of music as it relates to stress reduction. Existing literature was reviewed with a focus on the operationalization of key concepts of music and stress. The analysis showed considerable discrepancies in research …


Diabetes Distress In U.S. Adults During The Covid-19 Pandemic: A Systematic Review, Joanna Leah Sullivan Jan 2023

Diabetes Distress In U.S. Adults During The Covid-19 Pandemic: A Systematic Review, Joanna Leah Sullivan

Antioch University Full-Text Dissertations & Theses

Diabetes mellitus (DM) is a common metabolic disease that continues to grow in prevalence, affecting around 11% of the U.S. population in 2019. Although DM has a clear medical cause, a growing body of research points to social determinants of health (SDOH) and psychosocial factors as important mediators of prevalence and severity of DM. Diabetes distress, a mental health phenomenon arising out of the challenges of living with a stigmatized and demanding chronic disease, is one such factor. Given the heightened effect of the COVID-19 pandemic on psychosocial stressors and vulnerability to mental health disorders, it is important to understand …


Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington Jan 2023

Exploring The Definition Of Resilience: A Convergent Parallel Mixed Methods Study In Adults Over The Age Of 65, Sara J. Blessington

Antioch University Full-Text Dissertations & Theses

The definition of a word helps us understand its context and how it is meant to be used in daily life or research. When a word lacks a universal definition, it is hard to know how to use it. “Resilience” is that type of word. The resilience community in psychological research does not have a concrete, universal definition for this word. It takes on whatever characteristics are useful to the investigator. This study began with seeking a universal definition for the domain known as resilience. This study used a convergent parallel design with adults aged 60 and older living independently …


Attachment Styles And The Impact Of Extradyadic Behaviors In Polyamorous Relationships, Noah Corey Jan 2023

Attachment Styles And The Impact Of Extradyadic Behaviors In Polyamorous Relationships, Noah Corey

Antioch University Full-Text Dissertations & Theses

This study examines the emotional experience of extradyadic behavior (EDB) in polyamorous relationships through an attachment lens. Estimated prevalence rates suggest that one in nine people in the United States have engaged in polyamory at some point in their life (Moors et al., 2021). Attachment theory addresses with anxiety and separation in relationships, feelings likely aroused by extradyadic behavior, yet it has been minimally applied to this population (Moors et al., 2015, 2019). The current study utilized a phenomenological approach where eight participants were interviewed, examining the emotional experience of EDB in polyamorous relationships through an attachment lens. The study …


With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey Jan 2023

With Liberty And Justice For All: Psychological And Functional Consequences For Service Members Acquitted Of Sexual Assault, Jamie Leavey

Antioch University Full-Text Dissertations & Theses

Policy makers are tasked with changing laws and improving systemic processes in response to evolving moral standards. As societal outrage grew regarding sexual assault in the military, those in power sought to balance what was perceived as a system that ignored, retaliated against, or unfairly burdened victims. However, as the pendulum swung toward victims’ rights and privileges, those accused of this crime inherited the burden of an imbalanced system. In the military context, the experience of the accused is impacted by the lack of separation between functional domains of life (e.g., work, home, community), multiple roles of military commanders (e.g., …


Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis Jan 2023

Examining The Relationship Between Non-Suicidal Self-Injury And Attachment Styles, Larissa Grundmanis

Antioch University Full-Text Dissertations & Theses

Non-suicidal self-injury, or NSSI, can be defined as the “intentional, self-inflicted destruction of body tissue performed without suicidal intent using methods that are not socially sanctioned” (Martin et al., 2017, p. 425). Lifetime prevalence has been found to be between 5.9% and 18% (Cassels et al., 2019; Klonsky, 2011), indicating that there is a need to understand NSSI so that individuals can be helped to reduce the frequency of their harming behaviors. There is reason to believe that one’s attachment style is associated with the engagement of NSSI (e.g., Wrath & Adams, 2019). Research shows mixed results regarding the types …


Protective Behavioral Strategies And Negative Consequences Of Alcohol Use Among College Athletes, Nirmala Jayaraman Jan 2023

Protective Behavioral Strategies And Negative Consequences Of Alcohol Use Among College Athletes, Nirmala Jayaraman

Antioch University Full-Text Dissertations & Theses

Alcohol use is associated with a variety of negative consequences among young adults (Benton et al., 2004). Current studies are considering how protective behavioral strategies (PBS), such as acting as a designated driver, alternating with a non-alcoholic beverage, or watching out for a friend at a party, can be analyzed to better understand what factors contribute to alcohol consumption and drinking behavior (Borden et al., 2011). The purpose of this study was to further understand the relationship between the use of specific protective behavior strategies and negative consequences related to drinking alcohol among college athletes. The present study used survey …