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Full-Text Articles in Psychology

Medical Trauma In Pediatric And Adult Patients With Crohn's And Ulcerative Colitis, Catherine Raupe May 2024

Medical Trauma In Pediatric And Adult Patients With Crohn's And Ulcerative Colitis, Catherine Raupe

Senior Theses and Projects

Inflammatory Bowel Disease is a term that is used to classify Crohn’s Disease and Ulcerative Colitis. It is abundantly clear from past literature that hospitalizations and surgery can lead to PTSD (Taft et al., 2019). However, past research has not examined the impact that smaller procedures, such as infusions, can have on an individual’s mental health. Patients at Connecticut Children’s Infusion Center were recruited during their infusion appointments. After obtaining consent, patients completed questionnaires measuring their felt stigma and concealment, PTSD, and depression and anxiety symptoms. The research team completed medical chart reviews to identify the types of medications participants …


Test Anxiety Inflation, Brian Podkulski, David P. Valentiner May 2024

Test Anxiety Inflation, Brian Podkulski, David P. Valentiner

Honors Capstones

Mental health conditions are higher than ever worldwide, despite best efforts to increase public awareness and deliver informed solutions. To account for this rise, some suggested models argue that measures taken to ameliorate mental health problems are actually contributing to their inflation through iatrogenic effects. The current proposed study seeks to identify the possibility of iatrogenic effects on test anxiety as a product of psychoeducational material. The scope of this study includes the immediate effects of viewing a typical short-form informational video on core and adjacent symptoms of test anxiety. Participants will engage with our study entirely through an online …


The Role Of Social Support And Emotional Regulation In Relationship With Adverse Childhood Experiences And Food Addiction, Negin Ghaffari May 2024

The Role Of Social Support And Emotional Regulation In Relationship With Adverse Childhood Experiences And Food Addiction, Negin Ghaffari

Electronic Theses, Projects, and Dissertations

Adverse childhood experiences (ACEs) are potentially traumatic experiences that occur before the age of 18 and can have long-standing impacts on mental and physical health. Individuals with high exposure to ACEs may be at increased risk for depression, substance use disorders, and cardiovascular disease (Hughes et al., 2017). Social support has been shown to play an essential role in reducing the likelihood of adverse outcomes, such as substance dependence following exposure to adverse experiences. Furthermore, emotional regulation difficulties have been shown to mediate the relationship between childhood trauma and food addiction. There has been little research on adverse events in …


Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis May 2024

Adverse Childhood Experiences And Sexual Functioning: A Mediation Analysis Of Difficulties In Emotional Regulation, Haven Travis

Undergraduate Honors Theses

Sexual dysfunction can lead to a negative impact upon a person’s mental and relational health, including relational and overall distress, poor relationship and sexual satisfaction, and clinical mood disorders such as depression. Moving upstream to identify factors that may predict sexual dysfunction would therefore be beneficial for early intervention in at-risk populations. History of childhood trauma is one such factor that may influence sexual functioning later in life. While adverse childhood experiences (ACEs) have been less studied in association with sexual dysfunction, there is some evidence to indicate that they may be related. ACEs have been shown to increase the …


The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell May 2024

The Implications, Magnitude, And Development Of Traumatic Brain Injury For Individuals Undergoing Treatment For Opioid Use Disorder, Hannah G. Mitchell

Electronic Theses and Dissertations

There is an established bidirectional relation between substance use and traumatic brain injuries (TBIs). Despite the high rate of prescribing opioids for pain management following a TBI and the epidemic of opioid use disorder (OUD) in the United States, scarce research has specifically analyzed the association between TBI and OUD. In a series of three interrelated manuscripts, the present study will first examine the prevalence and features of TBIs among persons seeking treatment for OUD. Next, the present study will evaluate the association between TBI and indicators of risky health behaviors and OUD severity, including the risk of overdose and …


The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons May 2024

The Association Between Uncertainty, Reproductive Distress, And Avoidance In Assigned Female At Birth Adolescent And Young Adult (Aya-F) Cancer Survivors, Devon Ann Pons

Doctoral Dissertations

Family building and fertility is a complex component of survivorship for assigned female at birth Adolescent and Young Adult’s (AYA-F’s), often accompanied by a mix of cognitive uncertainty, emotional uncertainty, reproductive distress, and avoidance. These psychological components present in survivorship for AYA-F’s can impact coping, identity development, and individualized care plans throughout survivorship. This novel examination of data from a cross sectional study shed light on the associations between reproductive distress, uncertainty, and avoidance and how they are experienced differently by various subgroups within the sample.

Results demonstrate that reproductive distress fully mediated the association between emotional uncertainty and avoidance, …


Examining The Effects Of Menstrual Cycle Phase And Hormonal Contraceptive Use On Women's Sleep, Charles Ethan Coombs May 2024

Examining The Effects Of Menstrual Cycle Phase And Hormonal Contraceptive Use On Women's Sleep, Charles Ethan Coombs

Psychological Science Undergraduate Honors Theses

Women overrepresent men for sub-optimal sleep, a consequence of hormone fluctuation in the menstrual cycle affecting sleep regulatory pathways. While research has examined the prevalence of sub-optimal sleep through cycle phases, little research has examined how hormonal contraceptives (HC’s) could similarly affect women’s sleep, while also neglecting to utilize subjective sleep measures. In this study, we examine subjective sleep quality among naturally cycling (NC) women, women using different HC types, and between active and inactive phase pill users by subjecting 463 women to a subjective sleep battery. We hypothesized that HC users would report more sub-optimal sleep than NC women. …


Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma May 2024

Victim Or Villain: Female Resilience And Agency In The Face Of Trauma In Chimamanda Adichie’S, Purple Hibiscus (2003) And Tsitsi Dangarembga’S, Nervous Conditions (1988), Adaobi Juliet Chukwuma

Electronic Theses and Dissertations

As long as disparities persist in the way women are treated as compared to their male counterparts, the issue of gender will continue to call forth literary productions. For this reason, female writers are on a mission to dismantle the stereotypes that keep women confined to societal roles. Grounded in a feminist framework, this study focuses on the gender disparity theme in Chimamanda Adichie’s Purple Hibiscus and Tsitsi Dangarembga’s Nervous Conditions. The aim is to examine how these writers represent the trauma of women living in an African patriarchal system. The traumatic experiences of the female characters in both texts …


Believe In Yourself And Keep The Doctor Away: Health Self-Efficacy Mediates The Relationship Between Retrospectively Reported Adverse Childhood Experiences (Aces) And College Students’ Current Self-Reported Physical Health, Amber Sale May 2024

Believe In Yourself And Keep The Doctor Away: Health Self-Efficacy Mediates The Relationship Between Retrospectively Reported Adverse Childhood Experiences (Aces) And College Students’ Current Self-Reported Physical Health, Amber Sale

Psychological Science Undergraduate Honors Theses

Adverse childhood experiences (ACEs) are potentially traumatic events occurring during the first 18 years of life (CDC, 2022) and are strong predictors of later negative outcomes such as poor physical health, risky health behaviors, and poor lifestyle habits (Felitti et al., 1998; Lovis-Schmidt et al., 2022; Windle et al., 2018). Previous literature has suggested that self-efficacy may explain the negative impact ACEs have on later physical health (Sachs-Ericsson et al., 2011). Therefore, the present study examined the relationship between college students’ retrospectively reported ACEs and current self-reported physical health, in the context of health self-efficacy levels (i.e., self-perceptions of one’s …


Accommodation And Treatment Seeking For Those With A Concealable Stigmatized Identity Disability In The Undergraduate And Workforce Environments, Sophie K. Louis Apr 2024

Accommodation And Treatment Seeking For Those With A Concealable Stigmatized Identity Disability In The Undergraduate And Workforce Environments, Sophie K. Louis

Psychology Honors Papers

The goal of the present study was to examine the influence of stigma, disclosure, and affect on treatment and accommodation seeking (uptake and confidence) in both an undergraduate and workforce population for those with an invisible disability. Invisible disability, a form of concealable stigmatized identity, lacks research in terms of the barriers and motivators for seeking help, especially within a stigma framework. To fill in this gap in the literature, two studies were conducted via questionnaires for each setting respectively, in order to understand how to navigate disability concerns across multiple contexts. Binomial logistic regressions and linear regressions revealed that …


The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright Apr 2024

The Anatomical Embodiment Of Morning Routines In The Reduction Of Anxiety: An Intervention, Natalie Wright

Expressive Therapies Capstone Theses

The topic under investigation is whether physically embodying a morning routine that was designed through the lens of Laban Bartenieff Movement Analysis (LBMA) will reduce daily symptoms of individuals diagnosed with Generalized Anxiety Disorder.

Since morning routines play a significant part in one’s preparation for the day, I created an individualized LBMA morning routine for a specific client to embody. In addition to the routine, the client documented the process of their anxiety levels on a weekly basis. This client was a white, female, 19-year-old, lesbian college student who was previously diagnosed with Generalized Anxiety Disorder (GAD). The movement analysis …


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 …


Structural Racism, Black Out-Group Preference, And Mental Health, Alexander J. Kellogg Mar 2024

Structural Racism, Black Out-Group Preference, And Mental Health, Alexander J. Kellogg

Masters Theses

Structural racism has increasingly been implicated as a root cause of racial disparities in health and well-being. Specifically, areas where White Americans hold more negative attitudes toward Black Americans have been associated with both anti-Black discrimination and poorer Black physical and mental health. However, previous research has relied on cross-sectional designs and has neglected the potential effects of Black community-level attitudes on mental health. We hypothesized that higher aggregate pro-White bias among White Americans would be associated with higher implicit out-group preference among Black residents living in the same communities, above and beyond the effects of traditional measures of structural …


University Students' Wellbeing: A Case Study Of An International Private University In Egypt, Alia Attia Feb 2024

University Students' Wellbeing: A Case Study Of An International Private University In Egypt, Alia Attia

Theses and Dissertations

Wellbeing is a crucial topic that is gaining increasing attention in higher education and should be taken into careful consideration. This is a qualitative case study, using a phenomenological approach, which explores the phenomenon of student wellbeing in an international private university in Egypt. Data was collected through semi-structured individual interviews with a total of fourteen participants: eight purposefully selected students who have taken part in wellbeing programs, initiatives, or events at the American University in Cairo (AUC), as well as six faculty/staff members, leaders, mentors, or coaches in the field were interviewed. In addition to the interviews, conversations were …


An Examination Of Factors Associated With Ipv Victimization, Ipv Disclosure, And Help-Seeking Among Partnered Sexual Minority Men: An Integrated Theoretical Approach, Stephen Bosco Feb 2024

An Examination Of Factors Associated With Ipv Victimization, Ipv Disclosure, And Help-Seeking Among Partnered Sexual Minority Men: An Integrated Theoretical Approach, Stephen Bosco

Dissertations, Theses, and Capstone Projects

The emerging body of research illustrates that sexual minority cis men (SMM) in a relationship experience intimate partner violence (IPV) at rates comparable to those reported by cis women in a heterosexual relationship. Although research on IPV in male relationships has increased, it is a phenomenon that remains considerably understudied compared to research examining IPV in a heterosexual relationship. Despite comparable rates of IPV victimization, SMM are less likely to disclose and use informal and formal support services compared to heterosexual women. To conceptualize and understand challenges to disclosure and help-seeking as well as identify facets to develop relevant and …


Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo Jan 2024

Development And Validation Of The Pain Resilience And Optimism Scale (Pros), Wonjin Seo

Electronic Thesis and Dissertation Repository

Numerous self-report questionnaires have been used in pain research to explore patients' experiences. However, these questionnaires often employ negatively worded items that can potentially worsen patients' distress. In response to the emergence of positive psychology, this thesis aimed to develop a new questionnaire that adopts a positive and strengths-focused approach, incorporating resilience, to replace the negative items found in existing tools such as the Pain Catastrophizing Scale (PCS). First, the effectiveness of the Connor-Davidson Resilience Scale (CD-RISC) in measuring resilience following trauma was assessed through a systematic review using the COnsensus-based Standards for the selection of health status Measurement INstruments …


Designing A Personalization Intervention To Reduce Churn In Exercise Mobile Apps: A Research Proposal, Chris Li Jan 2024

Designing A Personalization Intervention To Reduce Churn In Exercise Mobile Apps: A Research Proposal, Chris Li

CMC Senior Theses

Sports and fitness mHealth app development has rapidly increased since the COVID-19 pandemic due to changes in living situations that increased the demand for exercising remotely. App developers struggle to understand the various strategies in reducing the amount of users that churn as time progresses. This research proposal will primarily focus on the effect that personalization has on churn, seeing the increased development of mobile health apps, strong desire for curated experiences, and the recent relevance of AI. To fully understand the relationship between personalization and churn, moderator effects of perceived ease of use, perceived usefulness, and user engagement will …


Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau Jan 2024

Variability In Perceptions Of Complementary Health Approaches Among Graduate Student Trainees, Delaney C. Bilodeau

Theses and Dissertations

Complementary Health Approaches (CHAs) encompass a diverse range of practices which are often used both independently and alongside conventional medical treatments. Understanding how graduate students training in different fields perceive CHAs is important because these professional trainees will go on to occupy roles as healthcare practitioners, researchers, policy makers, and consumers. This study used sequential rank agreement methods (Ekstrøm, Gerds, & Jensen, 2019) to investigate variations in perceptions of CHAs in a sample of graduate students (N = 416) from 140 possible training programs. Ratings of CHA familiarity, perceptions of CHA legitimacy, and willingness to recommend CHAs were compared …


Analysis Of Research On The Effects Of Auditory Stimulation On Anxiety And Stress In Clinical And General Populations, Rebecca Lee Jan 2024

Analysis Of Research On The Effects Of Auditory Stimulation On Anxiety And Stress In Clinical And General Populations, Rebecca Lee

CMC Senior Theses

The use of auditory stimulation may be a useful method in treating clinical anxiety disorders, as well as aiding in coping with daily stress among general populations. The understanding of how certain forms of auditory stimulation can increase anxiety and stress is also critical so clinicians and the general population can approach decreasing anxiety and stress in the most effective way possible. The following paper will provide a literature review on studies published after the year 2000, analyzing the various impacts of different types of auditory stimulation, including impacts of music-therapy, music and noise at different frequencies, binaural beat stimulation, …


Aromatherapies And Stress: An Examination Of Saliva Sclarea In Acute Stress Conditions, Emily J. Van Gundy Jan 2024

Aromatherapies And Stress: An Examination Of Saliva Sclarea In Acute Stress Conditions, Emily J. Van Gundy

MSU Graduate Theses

The use of essential oils as an alternative medicine in the United States is becoming increasingly popular as more accreditation is given to its therapeutic values. With this increase in use, we must continue to examine the uses of essential oils, including associated risks. One unavoidable aspect of life is stress, both acute and chronic. This study aims to better our understanding of the stress-reducing properties of the essential oil clary sage (salvia sclarea) after an experimentally induced acute stress experience. The Trier Social Stress Test was used to elicit an acute stress response. Participants were given the scent of …


Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood Jan 2024

Student-Athlete Mental Health: University Of Montana Case Study, Abigail M. Sherwood

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Research suggests that Division I college-student athletes experience higher levels of stress and other behavioral health issues than their non-athlete counterparts, with up to 20% of them suffering from depression (Sudano et al., 2017). Two studies on student athletes’ well-being conducted in 2020, reported that athletes continue to report higher levels of mental health concerns (Johnson, 2022). Since the fall of 2020, rates of mental exhaustion, depression, and anxiety have improved minimally with rates remaining 1.5 to two times higher than reported before the COVID-19 pandemic (Johnson, 2022). Naomi Osaka withdrawing from the French Open in 2021 and Simone Biles …


Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose Jan 2024

Frozen By Worry And Fatigue? A Mixed Methods Approach To Understanding The Lived Experiences Of Freezing Of Gait, Sarah M. Ghose

Theses and Dissertations

This study utilized a mixed methods emergent, phenomenological approach to (1) understanding the lived experience of freezing of gait for individuals diagnosed with Parkinson’s Disease and (2) determining the role of anxiety and sleep in freezing of gait outcomes. Participants included 13 adults diagnosed with Parkinson’s Disease (N=14 for qualitative data, N=13 for quantitative data; 23.1% female-identifying, 76.9% male-identifying) who were predominantly white (92.3%) with an average age of 69 years (SD = 6.73 years). Data collection consisted of semi-structured interviews, self-report measures, actigraphic sleep data, and salivary alpha amylase biomarker collection. Results are organized into …


The Relation Between Disordered Eating And Perceived Stress, Tori E. Byars Jan 2024

The Relation Between Disordered Eating And Perceived Stress, Tori E. Byars

Electronic Theses and Dissertations

Disordered eating behavior encompasses a spectrum of maladaptive eating patterns, including emotional eating, binging, restricting, and other similar behaviors. Perceived stress is the extent that an individual perceives their demands exceed their ability to cope. Existing research has demonstrated a positive relation between high ratings of perceived stress and disordered eating behaviors (King et al., 2009; Skead et al., 2018). The current study aimed to expand this research by examining the relation between disordered eating and stress in students, workers, and those who partake in both commitments. Utilizing a single survey, participants completed assessments including the Perceived Stress Scale, the …


Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson Jan 2024

Disparities Between Native Americans And White Individuals In Trajectories Of Community Participation Over The 5 Years After Traumatic Brain Injury, Jack Watson

Theses and Dissertations

Traumatic brain injury (TBI) disproportionately affects minoritized populations within the U.S., especially Native Americans who are more likely to experience a more severe or fatal TBI than White individuals. The current study used a subsample of 63 Native Americans with TBI from the TBI Model Systems (TBIMS) database matched by age, sex, and injury severity to 63 White individuals to examine disparities in community participation, as measured by the Participation Assessment with Recombined Tools—Objective (PART-O), over the five years following TBI. Analysis of variance (ANOVA) and chi-square tests revealed Native Americans were less likely to be employed prior to injury, …


Cognitive Functioning In Well-Controlled Asthma, Erin Walsh Jan 2024

Cognitive Functioning In Well-Controlled Asthma, Erin Walsh

West Chester University Doctoral Projects

Asthma is a common lung disease that impacts lung functioning through inflammatory based mechanisms. Past research suggests that decreased blood oxygenation due to asthma attacks may impair cognitive capabilities (Irani et al., 2017). Moreover, the observed differences in cognition between those with and without asthma may be associated with disease severity or asthma control respectively in asthma populations. The current study explored differences in cognitive functioning between college students with and without self-reported asthma. Sociodemographic data, self-reported asthma severity, and measures of asthma control were collected. The current study did not find significant differences in measures of cognitive efficiency between …


Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal Jan 2024

Identifying Youth Appeals In Alcohol Alternative Social Media Content Through Framing, Melina Oneal

West Chester University Master’s Theses

Proposed regulations for alcohol advertising prevent beverage companies from targeting people under the legal drinking age. However, similar regulations for alcohol alternative beverages are less explored, which could allow alcohol alternative products to create awareness for alcoholic beverages among youth. Alcohol alternatives beverages, including no-alcohol and low-alcohol products, are increasing in popularity and can function as compliments to alcoholic products to decrease the total alcohol volume consumed or as substitutes for alcoholic products. Framing theory can be operationalized through the Content Appealing to Youth Index, an index of content elements found in research literature to be appealing to youth, to …


Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford Dec 2023

Traumatic Brain Injury Severity In Older Adults: Impact On Anxiety And Depression Symptoms And Community Engagement, Ashley Tomford

Theses and Graduate Projects

Background: Traumatic Brain Injury (TBI) is one of the leading causes of physical and cognitive disability worldwide. TBI can negatively impact cognitive, physical, social, and psychological functioning.

Objective: This study investigated interactions between TBI severity, mental health symptom severity, and community engagement among older adults. Specific aims included investigating 1) the relationship between TBI severity at the time of injury and psychiatric symptom severity at one-year post-TBI; 2) the relationship between TBI severity and community engagement at one-year post-TBI; and 3) whether mental health symptom severity moderated the relationship between TBI and post-injury community engagement.

Methods: Archival data was analyzed …


Repeated Treatment With 5-Ht1a And 5-Ht1b Receptor Agonists: Evidence Of Tolerance And Behavioral Sensitization, Jordan Taylor Dec 2023

Repeated Treatment With 5-Ht1a And 5-Ht1b Receptor Agonists: Evidence Of Tolerance And Behavioral Sensitization, Jordan Taylor

Electronic Theses, Projects, and Dissertations

Serotonin has been found to regulate several cognitive and physiological functions, and its role in depression and other neuropsychiatric disorders has been a focus of research. More specifically, a wealth of research regarding serotonin focuses on serotonergic medications in the treatment of neuropsychiatric disorders, such as depression and anxiety, and stimulates the 5-HT1A and 5-HT1B receptors. Within the last decade, there has been an increase in prescriptions of psychotropic medication for children, however, the efficacy and adverse effects of these drugs have not been evaluated in younger populations. While antidepressants reduce symptoms of depression in adults, they are …


The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman Dec 2023

The Effect Of Parent-Child Relationships On Healthcare Utilization Among Children With Chronic Medical Health Concerns, Karina Guerra-Guzman

Theses and Dissertations

Parents of children with chronic health complaints are more likely to utilize healthcare services for their child, and are prone to experiencing increased stress and anxiety related to their child’s compromised health status. As these parents navigate managing their child’s health and integrating parenting behaviors, they are dealt with unique stressors that are likely to impact their parenting styles, anxiety, and use of healthcare services. However, most studies that have examined HCU in the context of parent-child relationships have neglected children with chronic health concerns (CHCs). This study examined the relationship between parenting styles across parents of children with a …


Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan Dec 2023

Nonmedical Stimulant Use In An Undergraduate College Student Sample: Demographics, Academics, Stress, And Other Substance Use, Ashley Skye Vanover, Meredith K. Ginley, Shelby Whalan

Undergraduate Honors Theses

Nonmedical use of prescription stimuluants (NMUS) can cause adverse outcomes for college students including academic impediments, such as a lowered GPA, and polyuse of illicit substances (Garcia et al., 2021; Holt & McCarthy, 2019; Norman & Ford, 2018). The current study investigated the demographics, academics, stress, and polysubstance use between students who endorsed NMUS and those who did not in an undergraduate college population sample at a large public university in the Southeast. The sample consisted of 429 undergraduate students who completed online measures of demographics, perceived stress, stressful life events, and substance use. Overall, 3.4% of the sample reported …