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Articles 301 - 330 of 14027
Full-Text Articles in Entire DC Network
The Use Of Cognitive Biases In Russian Cyber Operations, Emma Manning
The Use Of Cognitive Biases In Russian Cyber Operations, Emma Manning
Honors Theses
This thesis examines how Russia has employed reflexive control through cyber operations to influence decision-making in foreign states, focusing on disinformation campaigns during the 2014 annexation of Crimea and the 2016 U.S. presidential election. Reflexive control, a concept rooted in Russian military doctrine, seeks to shape an adversary's perceptions and decision-making by providing carefully crafted information that leads targets to make choices favorable to the initiator. This research argues that while the fundamental objectives of reflexive control have remained consistent, technological advances have significantly expanded Russia's ability to conduct operations in developing cyber domains.
Using qualitative analysis of open-source intelligence, …
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Public Policy Design In Georgia Child Support And Fatherhood, Troy Gathers
Walden Dissertations and Doctoral Studies
Child support policy in the United States has been widely studied as a method to ensure financial responsibility; however, existing research has identified concerns regarding enforcement practices and their disproportionate impact on African American noncustodial fathers in Georgia. Limited qualitative research examined how Georgia fathers experience and interprets these policies, creating a gap in understanding how policy implementation influences paternal engagement. The purpose of this qualitative study was to examine how African American noncustodial fathers in Georgia perceived the child support process and to explore how modernization of enforcement policies might improve paternal engagement. Guided by policy feedback theory, this …
Effects Of The Historical, Current, Social, And Political Influence Of White Supremacy On The Young, Black Male In Mobile, Alabama, Nicole Moore
Walden Dissertations and Doctoral Studies
Research has shown the negative effects of White supremacy and its historical influence on societal and political factors in the United States. These negative effects include excessive aggression, hate, and violence toward and degradation of Blacks, Indigenous, and people of color that lead to physical and mental health issues, identity crises, and trauma. However, studies have not examined the specific effects of the influence of White supremacy on the daily life of young adult Black males who have attended community college in Mobile, Alabama. The purpose of this generic qualitative study was to identify the perceptions of such Black males …
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Florida Police Officers’ Reflections On Faith And Spirituality Through Lived Experiences, Steven Vose Mcgillicuddy
Walden Dissertations and Doctoral Studies
This qualitative phenomenological study examined how Florida police officers perceived changes in their spiritual and religious beliefs following prolonged exposure to critical incidents. The research question asked how officers interpreted, adapted, and transformed their spiritual or religious beliefs in response to repeated critical incident exposure. Nine sworn frontline officers participated and were interviewed using a semi structured protocol. Transcripts were analyzed inductively using thematic analysis. Three primary findings emerged: (1) Career and Impact captured cumulative occupational exposure that prompted moral appraisal and coping, and participants did not report uniform loss of faith; (2) Spiritual Belief followed three common trajectories—stability, strengthening/reaffirmation, …
Culturally Responsive Trauma-Informed Care: A Crosspollination Through Content Analysis, Ryan Andrew Partika
Culturally Responsive Trauma-Informed Care: A Crosspollination Through Content Analysis, Ryan Andrew Partika
LMU Theses and Dissertations
The purpose of this research was to investigate additional ways trauma-informed care can have more of a whole child approach, especially for the most vulnerable students. This research, with an eye on the most vulnerable, addressed the following a guiding question: what would a traumainformed system of care look like with a social justice dimension? To gain a better understanding of such a possibility, this research used a content analysis of the literature on trauma-informed care. From the literature, it became apparent cultural responsiveness has often been suggested as a needed addition for trauma care but has never been fully …
Toward A Local Governance Model For Green Building Regulation: Lessons From A Philippine City, Mikaela Amihan S. Arrosa, Aileen V. Lapitan
Toward A Local Governance Model For Green Building Regulation: Lessons From A Philippine City, Mikaela Amihan S. Arrosa, Aileen V. Lapitan
Journal of Public Affairs and Development
The study analyzed local governance in implementing green building regulations in a city in Metro Manila, Philippines, through a case study. Compliance rates were calculated by comparing projects with Green Building Compliance Certification to those with Green Building Pre-Compliance Certification issued by the city. The Delphi method explored environmental sustainability implications of compliance, while key informant interviews and policy landscape analysis identified the factors affecting Green Building Code management. Fewer than half of the pre-compliance and construction permit holders also received occupancy certificates. Three rounds of the Delphi method were conducted, resulting in consensus on recommendations to enhance governance mechanisms …
Building A Coordinated Care Network For New Mexico Veterans: A Roadmap For Statewide Implementation, Nosa Akol, Zachary M. Bridgewater, Vincent R. Delsignore, Emily Graham, Mary Rachel Keville
Building A Coordinated Care Network For New Mexico Veterans: A Roadmap For Statewide Implementation, Nosa Akol, Zachary M. Bridgewater, Vincent R. Delsignore, Emily Graham, Mary Rachel Keville
Institute for Veterans and Military Families
With the support of the New Mexico State Legislature, the D’Aniello Institute for Veterans and Military Families (IVMF) is leading a multi-phase project to design a coordinated care system for New Mexican service members, veterans, and their families. In the project’s first phase, the IVMF conducted a landscape assessment to understand the needs of the military-connected community and examined the viability of a coordinated care system for the state. We found that veteran-serving organizations that participated felt that a coordinated care network would be of value to New Mexico veterans, but questions on how best to implement such a network …
Socially Constructing ‘Climate Change’ In Fishing Communities Of Sarangani, Philippines, Samantha Geraldine G. De Los Santos, Ma. Larissa Lelu P. Gata
Socially Constructing ‘Climate Change’ In Fishing Communities Of Sarangani, Philippines, Samantha Geraldine G. De Los Santos, Ma. Larissa Lelu P. Gata
Journal of Public Affairs and Development
The intensifying impacts of climate change have become more evident in recent years. While policies and programs have been implemented in the Philippines for decades, questions remain about how climate change is understood and experienced by fishing communities, the country’s poorest sector. By applying the Ecological-Symbolic Approach, this paper inquired into the fisherfolk’s social definition of climate change. A Qualitatively Driven Sequential Explanatory (QualDSE) mixed-methods design guided the study in developing an informed, substantiated, and context-based definition of climate change. This definition was also analyzed vis-a-vis the widely held definitions in national climate policy.
The terminology “climate change” remains unknown …
When Flood Warnings Fail: Psychological Predictors Of Information Clarity And Evacuation Intention, Katsuya Tanaka, Tadashi Kito, Kohji Tanaka
When Flood Warnings Fail: Psychological Predictors Of Information Clarity And Evacuation Intention, Katsuya Tanaka, Tadashi Kito, Kohji Tanaka
Center for Public Service Publications and Reports
Flood warnings are often assumed—particularly within traditional average-effect models—to prompt uniform behavioral responses, yet real-world evidence suggests that message effectiveness varies widely across the population. This study empirically identifies and explains such heterogeneity using a factorial survey experiment (n = 1671) conducted among residents in flood-prone regions of Japan. We estimate finite mixture beta regression models to disentangle the distinct behavioral patterns underlying information clarity and evacuation intention. Results reveal two psychological segments: a Responsive majority, whose decisions are shaped by concrete and credible warning attributes (e.g., specific breach point, forecast basis, large-font display), and a Non-Responsive minority, who remain …
Understanding The Underutilization Of The Campus Recreation Facility: A Mixed-Methods Examination Of Basic Psychological Need Satisfaction, Social Physique Anxiety, Sense Of Community, And Physical Environment Barriers, Caden M. Pfingsten
SACAD: Scholarly Activities
General Abstract
Understanding the Underutilization of the Campus Recreation Facility:
A Mixed-Methods Examination of Basic Psychological Need Satisfaction,
Social Physique Anxiety, Sense of Community, and Physical Environment Barriers
Caden Miles Pfingsten
Department of Health and Human Performance, Fort Hays State University
May 2026
General Abstract
This study investigated why students at a mid-sized Midwestern public university elect to pay for off-campus commercial gym memberships rather than use the on-campus Campus Recreation Facility (CRF), which is available at no additional direct cost. A cross-sectional quantitative survey (N = 169) was administered to students across six fitness facility groups. Validated and researcher-adapted …
Pages Of Despair: Economic Policy Uncertainty And Mental Health, Kori Massner
Pages Of Despair: Economic Policy Uncertainty And Mental Health, Kori Massner
SACAD: Scholarly Activities
Policy uncertainty threatens access to affordable medical care, yet few studies have examined how it shapes what people search for online. This study examines whether economic policy uncertainty predicts mental health information-seeking behavior by analyzing daily Wikipedia pageviews from July 2015 to April 2026 using a time series model. Results show that as economic policy uncertainty increases, there is an increase in pageviews on Wikipedia for suicide related information. When there is an increase in those searching for information on pages about depression and pages about anxiety, there is also an increase in pageviews on Wikipedia for suicide related information. …
Zero Tolerance Policies In Schools & Subsequent Outcomes, Annalise Loucks
Zero Tolerance Policies In Schools & Subsequent Outcomes, Annalise Loucks
SACAD: Scholarly Activities
Zero tolerance policies refer to policies and practices that disproportionately push marginalized students out of classrooms and into the criminal justice system. These patterns contribute to long-term negative outcomes, including higher dropout rates, increased incarceration, and reduced economic and social opportunities.
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Exploring How Long-Term Residents Influence Environmental Policy Decisions In The Takushara Settlement In Abuja, Nigeria, Agbanusi Uchechukwu Jonathan
Walden Dissertations and Doctoral Studies
Rapid urbanization of Nigeria’s Federal Capital Territory (FCT) has increasingly marginalized indigenous communities, creating a significant disconnect between top-down environmental governance and how it affects residents. Previous research has found that this land swap displaces indigenous stewards and erodes their traditional ecological knowledge, endangering local livelihoods, food security, and sustainable management of natural resources. The purpose of this narrative qualitative study was to explore how long-term residents perceive and experience their influence in environmental policy decisions through the lens of the social-ecological systems framework and the theory of resilience. This study examined the systematic exclusion of long-term residents of the …
Pain Catastrophizing As A Distinct Predictor Of Pain Interference Among Veterans, Annie Zusin, Emily Rabinowitz, Victoria E. Carlin, Qiuxi Huang, Joseph W. Ditre
Pain Catastrophizing As A Distinct Predictor Of Pain Interference Among Veterans, Annie Zusin, Emily Rabinowitz, Victoria E. Carlin, Qiuxi Huang, Joseph W. Ditre
Voices of Service Symposium
Introduction: Pain catastrophizing, defined as a cognitive distortion that magnifies threat of pain, is a strong predictor of pain interference. However, the construct of pain catastrophizing has been criticized for potentially reflecting underlying psychopathology rather than a distinct pain-specific process. The present study examined whether pain catastrophizing uniquely predicts pain interference after accounting for symptoms of PTSD, depression, and anxiety. Clarifying this distinction is critical for understanding whether the Pain Catastrophizing Scale (PCS) captures a construct that is meaningfully distinct from general psychological distress or if the measure is conceptually and statistically redundant with psychopathology Method: A sample of 266 …
Co-Occurring Hallucinogen Use And Mental Health Symptoms, Emerson Hoagland, Grant H. Ripley, Joseph W. Ditre, Dessa Bergen-Cico
Co-Occurring Hallucinogen Use And Mental Health Symptoms, Emerson Hoagland, Grant H. Ripley, Joseph W. Ditre, Dessa Bergen-Cico
Voices of Service Symposium
Introduction: Mental health concerns, including depression and psychological distress, remain highly prevalent among U.S. military veterans and are associated with elevated functional impairment, suicide risk, and barriers to care. Public discourse increasingly suggests the potential therapeutic effects of psychedelic substances in treating mental illness. However, population-level data examining associations between psychedelic use and mental health burden among U.S. military veterans remain limited. The present study examined associations between past-year hallucinogen use and past-year major depressive episode (MDE) and serious psychological distress (SPD) among veterans. Method: Data were drawn from the National Survey on Drug Use and Health (2021-2024). Analyses were …
Associations Between Psychological Distress And Benzodiazepine Use And Misuse Among U.S. Veterans, Joshua Soh, Victoria E. Carlin, Joon Kyung Nam, Joseph W. Ditre
Associations Between Psychological Distress And Benzodiazepine Use And Misuse Among U.S. Veterans, Joshua Soh, Victoria E. Carlin, Joon Kyung Nam, Joseph W. Ditre
Voices of Service Symposium
Introduction: Psychological distress, defined as a generalized state of emotional suffering characterized by depressive and anxiety symptoms, is common among U.S. military veterans. The use of benzodiazepines, which are central nervous system depressants often used to treat symptoms of anxiety, post-traumatic stress disorder, and insomnia, is also prevalent in this population despite ongoing concerns regarding dependence, misuse, and potential adverse mental health outcomes. Although benzodiazepines may provide short-term symptom relief, both their use and misuse may contribute to increases in symptoms of psychological distress. As such, this study examines the relationship between psychological distress and BZD use and misuse among …
Narrative Strategies In Presidential Environmental Policymaking: An Examination Of The Executive Impacts Of Presidential Narratives, Gorgin Mansourian
Narrative Strategies In Presidential Environmental Policymaking: An Examination Of The Executive Impacts Of Presidential Narratives, Gorgin Mansourian
Electronic Theses and Dissertations 2020 - Present
In this dissertation, I examine how U.S. presidents employ narrative strategies to shape environmental policymaking through both rhetorical and institutional mechanisms. Specifically, I investigate how Presidents Donald J. Trump and Joseph R. Biden constructed, communicated, and institutionalized environmental narratives during their first terms, highlighting the relationship between presidential narratives and executive orders. Using the Narrative Policy Framework (NPF) and Richard Neustadt’s Presidential Power Theory (PPT), this study conceptualizes presidential narratives as both rhetorical tools and instruments of persuasion within institutional contexts. This synthesis advances the NPF by highlighting the role of institutional positions on narrative credibility, by emphasizing the roles …
Bridging The Gap: How My Internship In The Veterans Legal Clinic Helps To Narrow The Civilian-Military Divide, Anna Lupardo, Elizabeth Kubala
Bridging The Gap: How My Internship In The Veterans Legal Clinic Helps To Narrow The Civilian-Military Divide, Anna Lupardo, Elizabeth Kubala
Voices of Service Symposium
Anna Lupardo, an undergraduate student at Syracuse University, describes how her internship in the Betty and Michael D. Wohl Veterans Legal Clinic has helped bridge the civilian-military divide on campus. Her work has included coordinating the AFCCA outreach visit, observing the Onondaga County Veteran Treatment Court, and conducting weekly visits to support homeless veterans at Altamont. She has taken on a leadership role as the VLC's Volunteer Coordinator, working to expand undergraduate involvement in veteran and military community events. Additionally, she was named a Veteran and Military Learning Scholar through the Center for Health Behavior Research and Innovation, allowing her …
Federal Funding Opportunities For Veterans Research, Chetna Chianese, Katherine Mcdonald, Tessa Livingston, Mcallister & Quinn
Federal Funding Opportunities For Veterans Research, Chetna Chianese, Katherine Mcdonald, Tessa Livingston, Mcallister & Quinn
Voices of Service Symposium
Veterans and military-connected populations face distinct health challenges-including traumatic brain injury, post-traumatic stress, chronic pain, military environmental exposures, and substance use disorders-that require dedicated research attention. Multiple federal agencies fund research on these topics through a range of mechanisms. This poster provides a landscape overview of current and anticipated funding opportunities to help university-based researchers identify sponsored funding pathways for Veterans' health research.
Syracuse Veterans Field Guide: The Homefront Edition, Amanda Keeler, Seth M. Owens, Elizabeth Kubala, Ken Marfilius
Syracuse Veterans Field Guide: The Homefront Edition, Amanda Keeler, Seth M. Owens, Elizabeth Kubala, Ken Marfilius
Voices of Service Symposium
Social services are available to veterans in the Syracuse area, yet locating and accessing help can remain challenging-particularly when needs span multiple systems and eligibility requirements are unclear. The goal of this project was to create a brief, pocket-sized resource guide that can be distributed to area veterans and used quickly "in the moment": to identify actionable supports.
The guide organizes services into 12 categories: accessing veterans' benefits; mental and physical healthcare; education benefits; financial services; housing; nutritional support; legal services; documentation resources; technology access; and peer support. Within each category, the guide provides a curated, limited set of local …
Va Wholehealth Approaches To Treatment Of Ptsd, Mackenna Murphy, Justin Hirschberg, Emily Rabinowitz, Joseph W. Ditre
Va Wholehealth Approaches To Treatment Of Ptsd, Mackenna Murphy, Justin Hirschberg, Emily Rabinowitz, Joseph W. Ditre
Voices of Service Symposium
The U.S. Department of Veterans Affairs has implemented the Veterans Health Administration Whole Health model as a system-wide transformation toward personalized, proactive, and patient-driven care. Whole Health emphasizes the integration of conventional medical treatment with complementary and integrative health (CIH) approaches, including mindfulness, yoga, meditation, tai chi, acupuncture, health coaching, and peer support. Given the high prevalence of posttraumatic stress disorder (PTSD), depression, anxiety, chronic pain, and substance use disorders among veterans, Whole Health programming may offer a non-stigmatizing and holistic pathway to mental health support.
Psychological Distress, Hazardous Duty, And Alcohol Risk Among Student Veterans, Anna Lupardo, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Stephen A. Maisto, Joseph W. Ditre
Psychological Distress, Hazardous Duty, And Alcohol Risk Among Student Veterans, Anna Lupardo, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Stephen A. Maisto, Joseph W. Ditre
Voices of Service Symposium
Introduction: Military service and college environments are each associated with higher alcohol risk. Psychological distress is consistently linked to alcohol risk, and hazardous duty exposure is associated with both greater distress and problematic alcohol use. However, it remains unclear whether hazardous duty influences the relationship between psychological distress and alcohol risk among student service members. Clarifying this relationship is critical to informing targeted prevention and support efforts for veterans in higher education. Method: Participants included 3,258 current and former service members who responded to the American College Health Association 2023-2025 National College Health Assessment IIIb. Participants completed measures on alcohol …
Development Of The Veteran & Military Learning Scholars Program (Su-Vmlsp): An Immersive, Experiential Learning Community For Veteran & Military-Connected Students, Emily Rabinowitz, Dezarie Moskal, Ken Marfilius, Dessa Bergen-Cico, Stephen A. Maisto, Joseph W. Ditre
Development Of The Veteran & Military Learning Scholars Program (Su-Vmlsp): An Immersive, Experiential Learning Community For Veteran & Military-Connected Students, Emily Rabinowitz, Dezarie Moskal, Ken Marfilius, Dessa Bergen-Cico, Stephen A. Maisto, Joseph W. Ditre
Voices of Service Symposium
Introduction: The Syracuse University Veteran & Military Learning Scholars Program (SU-VMLSP) is an immersive, cohort-based initiative designed to expand access to veteran and military studies through experiential learning, structured mentorship, and community engagement. A collaborative effort of the Center for Health Behavior Research & Innovation and the IVMF Veteran & Military Behavioral Health Collaborative, SU-VMLSP supports and engages student veterans, military-connected students, and students with academic or professional interests in veteran and military populations. Methods: The program is structured around three core pillars: interactive seminars, immersive research engagement, and community-centered cohort development. Scholars participate in discussion-based seminars focused on veteran …
Hazardous Alcohol Use And Chronic Pain Co-Occurrence And Comorbidity Rates: A National Study Of Veterans Affairs Primary Care Patients, Dezarie Moskal, Jacob L. Scharer, Jennifer S. Funderburk, Joseph W. Ditre, Gregory P. Beehler
Hazardous Alcohol Use And Chronic Pain Co-Occurrence And Comorbidity Rates: A National Study Of Veterans Affairs Primary Care Patients, Dezarie Moskal, Jacob L. Scharer, Jennifer S. Funderburk, Joseph W. Ditre, Gregory P. Beehler
Voices of Service Symposium
Hazardous alcohol use (HAU) and chronic pain are each common among U.S. veterans and are associated with poorer health outcomes when they co-occur. Primary care plays a central role in the identification and management of both conditions. However, national estimates of their co-occurrence and related comorbidity burden are limited. Accordingly, this study aimed to estimate the prevalence of HAU and chronic pain and compared comorbidity patterns in a national Veterans Affairs (VA) primary care sample.
This national retrospective VA electronic health record study included 3,900,633 veterans aged 18+ seen in primary care between July 2022 and December 2023. HAU was …
Navigating High-Stakes Transition: An Interpretative Phenomenological Analysis Study Of The Information Experiences Among Green Berets During Military Transition, Christian Teodoro, Ken Marfilius
Navigating High-Stakes Transition: An Interpretative Phenomenological Analysis Study Of The Information Experiences Among Green Berets During Military Transition, Christian Teodoro, Ken Marfilius
Voices of Service Symposium
Transitioning Service members face a complex mix of challenges as they transition back to civilian life, including the need to make sense of career-related information while renegotiating identity, belonging, trust, and purpose. Often overlooked, however, is the informational side of that experience and how leaving the military, either voluntarily or involuntarily, impacts one's ability to judge relevance, evaluate credibility, and act on guidance when familiar military structures no longer exist. This is especially true for our nation's elite U.S. Army Special Forces soldiers. Special Forces are mission-driven and possess highly distinct character traits that allow them to perform effectively under …
Military Justice Meets Experiential Learning: The U.S. Air Force Court Of Criminal Appeals Outreach Project, Anna Lupardo, Elizabeth Kubala
Military Justice Meets Experiential Learning: The U.S. Air Force Court Of Criminal Appeals Outreach Project, Anna Lupardo, Elizabeth Kubala
Voices of Service Symposium
Syracuse University College of Law partnered with the U.S. Air Force Court of Criminal Appeals (AFCCA) to create an experiential learning opportunity for law students centered on a real military appellate case. The AFCCA, based at Andrews Air Force Base, reviews courts-martial convictions under the Uniform Code of Military Justice and can affirm, modify, or overturn sentences. The featured case, U.S. v. Reese, involved a USAF airman in Germany charged with offenses related to a vehicle accident and improper breathalyzer use. Two Veterans Legal Clinic students briefed the case as amici for the appellant--both of whom will go on to …
The Impact Of Traumatic Event Exposure On Ptsd, Depression, And Anxiety Among Veterans, Casie Daum, Emily Rabinowitz, Ken Marfilius, Joseph W. Ditre
The Impact Of Traumatic Event Exposure On Ptsd, Depression, And Anxiety Among Veterans, Casie Daum, Emily Rabinowitz, Ken Marfilius, Joseph W. Ditre
Voices of Service Symposium
Background: Psychiatric disorders including post-traumatic stress disorder (PTSD), depression, and anxiety are highly common and debilitating conditions among veterans. Exposure to potentially traumatic events (PTEs) such as active combat, blast exposure, close calls, and witnessing injury or death during military service may be a significant risk factor for the development and maintenance of psychiatric conditions. This analysis sought to examine the extent to which individuals with PTE exposure related to military service had different levels of psychiatric symptoms. Method: A sample of 266 veterans were recruited using Prolific, an online research panel service. Participants completed the Primary Care PTSD Screen …
Substance Use Disorder Severity And Suicide Risk Among U.S. Veterans: Evidence For A Severity-Based Risk Gradient, Hunter J. Pyke, Grant H. Ripley, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Joseph W. Ditre, Ken Marfilius
Substance Use Disorder Severity And Suicide Risk Among U.S. Veterans: Evidence For A Severity-Based Risk Gradient, Hunter J. Pyke, Grant H. Ripley, Emily Rabinowitz, Victoria E. Carlin, Dezarie Moskal, Joseph W. Ditre, Ken Marfilius
Voices of Service Symposium
Background: U.S. Military veterans are at disproportionate risk for suicide. Substance use disorders (SUDs) are prevalent and are strongly associated with suicide risk among veterans, yet less is known about whether increasing SUD severity is associated with greater risk for suicidal thoughts and behaviors among veterans. Methods: Data were drawn from the National Survey on Drug Use and Health (NSDUH) 2021-2024 and included (n = 9,172) veterans. Analyses utilized survey weights to produce nationally representative estimates. Logistic regression tested associations between SUD severity (classified consistent with DSM-5 criteria for substances endorsed during the previous year; 0=no SUD (< 2 criteria), 1=mild (2-3 criteria), 2=moderate (2-5 criteria), 3=severe (≥ 6 criteria)) and odds of (1) past-year suicide ideation (SI), (2) suicide planning (SP), and (3) suicide attempt (SA), adjusted for age and sex. Results: Findings indicated that 3.7% of veterans endorsed SI, 1% SP, and 0.5% SA. Additionally, 10% endorsed symptoms consistent with mild SUD, 4% moderate SUD, and 3% severe SUD. The prevalence of SI increased from 2.4% among veterans without SUD to 16.7% among those with severe SUD. In adjusted models, compared to veterans without SUD, severe SUD was associated with higher odds of SI (AOR=6.00, 95% CI: 3.82–9.43, p < .001), SP (AOR=10.40, 95% CI: 5.06–21.37, p < .001), and SA (AOR=15.26, 95% CI: 6.22–37.42, p < .001). Discussion: SUD severity was associated with progressively greater odds of suicidal ideation, planning, and attempts among U.S. veterans. Suicidal thoughts and behaviors increased in a graded pattern across SUD severity levels. Future work should elucidate the temporality of such relations to identify whether SUD severity precedes suicidal thoughts and behaviors, or alternatively, if suicidal thoughts and behaviors may precede increases in SUD severity. Results support integrated screening and intervention efforts targeting substance use and suicidality among veterans.
Recent Alcohol Use Moderates The Relationship Between Psychological Distress And Daytime Sleepiness Among Military-Connected Students, Treston Pulley, Emily Rabinowitz, Grant H. Ripley, Qiuxi Huang, Stephen A. Maisto, Joseph W. Ditre
Recent Alcohol Use Moderates The Relationship Between Psychological Distress And Daytime Sleepiness Among Military-Connected Students, Treston Pulley, Emily Rabinowitz, Grant H. Ripley, Qiuxi Huang, Stephen A. Maisto, Joseph W. Ditre
Voices of Service Symposium
Introduction: Sleep difficulties are prevalent among college students and especially among veteran and military-connected students (VMCS), who face unique stressors related to military service and campus life. Alcohol use is common in both military and university settings, and many students use it as a sleep aid, especially when dealing with symptoms of psychological distress. However, alcohol use disrupts sleep quality and contributes to next-day fatigue. Research has shown that psychological distress is strongly linked to both alcohol use and sleep problems, although little research has examined how these factors jointly relate to sleep among VMCS. This study examined associations between …
Examining Tobacco Use Among Student Servicemembers And Veterans: The Unique Role Of Hazardous Duty Exposure, Holly Schmidt, Victoria E. Carlin, Emily Rabinowitz, Joon Kyung Nam, Joseph W. Ditre
Examining Tobacco Use Among Student Servicemembers And Veterans: The Unique Role Of Hazardous Duty Exposure, Holly Schmidt, Victoria E. Carlin, Emily Rabinowitz, Joon Kyung Nam, Joseph W. Ditre
Voices of Service Symposium
Introduction: Student servicemembers and veterans (SS/V) use tobacco products at higher rates than the general college student population. These students face unique stressors during and after military service, which may influence their health behaviors, including tobacco product use. One such stressor is hazardous duty exposure, as previous research indicates that veterans with riskier deployments and greater deployment stress are more likely to engage in tobacco use. However, no prior research has examined the relationship between hazardous duty exposure and tobacco use among SS/V. Method: Participants included 4,626 SS/V who completed the 2023-2025 National College Health Assessment (NCHA) III. Participants were …