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An Intervention Study On Mindfulness Meditation And Mindfulness, Stress, Flourishing, And Academic Achievement In A First-Year Experience Seminar, Elizabeth S. Bambacus Jan 2018

An Intervention Study On Mindfulness Meditation And Mindfulness, Stress, Flourishing, And Academic Achievement In A First-Year Experience Seminar, Elizabeth S. Bambacus

Theses and Dissertations

This study investigated the two research questions, 1) what are the relationships among the pretest latent variables mindfulness, stress, and flourishing and the manifest variables GPA and retention in first-year college students in a first-year experience seminar and 2) will there be differences in mindfulness, stress, flourishing, GPA, and retention between groups of students in a first-year experience seminar who received a brief mindfulness intervention and those who did not? To answer these questions, the author analyzed secondary data collected from 373 first-year college students at a large public research university who took Introduction to the University (UNIV 101).

The …


Relationships Among Community Violence Exposure, Physiological Stress Responses, And Resilience In Children, Cheryl Kayleen Best Jan 2018

Relationships Among Community Violence Exposure, Physiological Stress Responses, And Resilience In Children, Cheryl Kayleen Best

Legacy Theses & Dissertations (2009 - 2024)

This study seeks to understand how resilience is affected by physiological stress responses in the context of community violence. The hypothesis of this paper is that physiological indicators of salivary cortisol and salivary alpha-amylase (sAA) would moderate a relation between community violence exposure in children and the expression of resilience. Forty-nine children aged nine to twelve were recruited from an after-school program located in an area with high levels of community violence. Results supported our hypothesis for sAA as a moderator of the relation between community violence and resilience, such that at high sAA reactivity, a negative relation exists between …


Personality And Stress: Understanding The Roles Of Extraversion And Neuroticism In Social Stress Scenarios, Synthia Knapp Jan 2018

Personality And Stress: Understanding The Roles Of Extraversion And Neuroticism In Social Stress Scenarios, Synthia Knapp

UNF Undergraduate Capstone Projects and Honors Theses

The purpose of this study was to increase knowledge regarding personality and stress, with a focus on ambiverts, by investigating potential non-linear relationships and overall relationships between extraversion and stress levels, and neuroticism and stress levels. Two hundred thirty­-eight participants completed an online survey through SONA, consisting of the Perceived Stress Scale (PSS), Social Stress Scenarios (SSS), the Big Five Aspects Scale (BF AS), and the Open Extended Jungian Type Scales 1.2 (OEJTS). In general, those lower in extraversion and those higher in neuroticism were found to have higher perceived stress levels. Both aspects of extraversion-enthusiasm and assertiveness-were negatively related …


Anxiety: Stress, Foreign Language Classroom Anxiety, And Enjoyment During Study Abroad In Amman, Jordan, Dan Dewey, R. Kirk Belnap, Patrick Steffen Jan 2018

Anxiety: Stress, Foreign Language Classroom Anxiety, And Enjoyment During Study Abroad In Amman, Jordan, Dan Dewey, R. Kirk Belnap, Patrick Steffen

Faculty Publications

Anxiety is among the most frequently studied emotions in second language acquisition (SLA). Study abroad (SA) researchers have examined its effects on SLA in that setting in a number of studies. The current study goes beyond previous SA research by examining how anxiety develops and connects with language proficiency development over SA. Specifically, it uses anxiety-related measures of foreign language classroom anxiety (FLCA), foreign language enjoyment (FLE), and a physiological manifestation of anxiety (hair cortisol). As far as the classroom is concerned, learners grew more comfortable, experiencing less anxiety and more enjoyment over the period of SA. However, learners showed …


A Longitudinal Examination Of Eating Disorders And Associated Risk Factors In Division I Student-Athletes, Nicole Court-Menendez Jan 2018

A Longitudinal Examination Of Eating Disorders And Associated Risk Factors In Division I Student-Athletes, Nicole Court-Menendez

Electronic Theses and Dissertations

CONTEXT: Eating disorders represent a significant concern across multiple populations including collegiate athletes. Risk factors for eating disorders may be amplified in athletes because of internal and external performance and image expectations. Little is known about how these risk factors change over time in collegiate student-athletes.
OBJECTIVE: To longitudinally examine select eating disorder risk factors in National Collegiate Athletic Association (NCAA) Division I student-athletes.
DESIGN: Descriptive longitudinal study.
SETTING: NCAA Division I collegiate athletics.
PARTICIPANTS: Retired Division I collegiate athletes (n=204), ages 18-22, who competed in football, women’s soccer, women’s volleyball, baseball, men’s and women’s track and field, men’s and …


Stressors And Time-To-Degree For Online Social Sciences Doctoral Programs, Brandy R. Nelson Jan 2018

Stressors And Time-To-Degree For Online Social Sciences Doctoral Programs, Brandy R. Nelson

Walden Dissertations and Doctoral Studies

U.S. doctoral program completion rates have remained persistently low in the humanities and biomedical sciences despite educators' efforts. A variety of factors, including stress and dissitation advisor-related issues, were associated with high attrition rates and extended time-to-degree for PhD candidates. The purpose of this correlational study was to examine relationships among life stressors, advisor-related factors, and time-to-degree for a convenience sample of 74 online social sciences doctoral degree holders. Holmes and Rahe's work on stress and Tinto's framework for education program attrition provided the framework for the study. Linear regression and Pearson's correlation statistics were used to examine the relationships …


Single Men's Experiences Of Coping With Financial Stress, Heath Downes Jan 2018

Single Men's Experiences Of Coping With Financial Stress, Heath Downes

Walden Dissertations and Doctoral Studies

Experiencing financial hardship is stressful and can lead to the development of psychological symptoms, including depression and anxiety. Although researchers have examined the broad categories of coping strategies that people employ when faced with financial hardship, little is known about the experiences of single men who were able to navigate stressful times without developing anxiety or anxiety-like symptoms. The purpose of this phenomenological study was to explore the successful coping experiences of single men with financial hardship (e.g., loss of job, home, finances). Bonanno's theory of resilience provided the framework for the study. Data were collected from interviews with 12 …


The Relationship Between Law Enforcement Agency Size And Police Stress, William Warner Jan 2018

The Relationship Between Law Enforcement Agency Size And Police Stress, William Warner

Walden Dissertations and Doctoral Studies

Researchers have found that law enforcement officers often experience stress. The purpose of this quantitative study was to determine if the size of the law enforcement agency (small, medium, or large) had any significant influence on how police officers perceive stress in their profession from a cognitive appraisal perspective with regards to Administrative/Organizational Pressure, Physical/Psychological Threats, and Lack of Support. Members of law enforcement (N = 144) from Utah and New York were surveyed utilizing Spielberger et al.'s Police Stress Survey. Archival data were provided by the National Police Suicide Foundation. Stress index scores were calculated manually for each survey …


Leadership: A Resource In The Workplace, Wyatt Edward Stahl Jan 2018

Leadership: A Resource In The Workplace, Wyatt Edward Stahl

Wayne State University Theses

Leadership is an organizational component that has seen considerable interest in the I/O psychology literature. The current study aimed to expand on this literature by investigating the extent to which the relation between leadership style and strain outcomes varies based on employee social class. Participants were asked to complete a survey assessing leadership style of their supervisor, indicators of stress, indicators of work-related strain, and components of social class. Results suggested that individuals of lower social class experience higher levels of stress and strain. Additionally, individuals with leaders who are more transformational experience lower levels of stress and work-related strain. …


Tissues And Trauma: Pain Neuroscience Education For Veterans With Post-Traumatic Stress And Low Back Pain, Timothy Mark Benedict Jan 2018

Tissues And Trauma: Pain Neuroscience Education For Veterans With Post-Traumatic Stress And Low Back Pain, Timothy Mark Benedict

Theses and Dissertations--Rehabilitation Sciences

Low back pain (LBP) is the top reason for Soldiers to seek medical care and one of the top reasons to be medically discharged. Mental health problems and psychosocial stressors have been increasing in Soldiers and are also top causes for medical discharge. Dysregulated stress has contributed to many Soldiers and Veterans to develop chronic LBP as well as mental health disorders like post-traumatic stress disorder (PTSD). Research suggests that psychosocial characteristics, as opposed to physical factors or tissue health, contribute to chronic pain the most. Focusing entirely on tissues for individuals seeking care for LBP can increase disability and …


Students Transitioning To College And Out Of Competitive Sport: Athletic Identity, Coping, And Stress, Alex Michael Russell, Michael Cottingham, Adam Barry, Don Lee, David Walsh Jan 2018

Students Transitioning To College And Out Of Competitive Sport: Athletic Identity, Coping, And Stress, Alex Michael Russell, Michael Cottingham, Adam Barry, Don Lee, David Walsh

Journal of Applied Sport Management

High-school athletes who transition into higher education as non-athlete students encounter several social and emotional difficulties. The purpose of this study is to investigate the influences of aforementioned participants’ athletic identities on their utilization of coping strategies and resulting perceptions of stress. A structural model was developed and empirically tested using a 48-item questionnaire. The sample population consisted of undergraduate students enrolled in freshman-level courses at three public southwestern universities. Structural equation modeling (SEM) indicated a strong model fit, including a significant correlation between various factors of athletic identity and coping, as well as a significant correlation between coping and …


Psychosocial Interventions For Individuals With Infertility, Margaret Bach Jan 2018

Psychosocial Interventions For Individuals With Infertility, Margaret Bach

All Graduate Theses, Dissertations, and Other Capstone Projects

Over one-fifth of individuals diagnosed with infertility or undergoing infertility treatment show symptoms of depression, anxiety, distress, and relationship discord. Psychosocial interventions are often offered to these individuals. This literature review was conducted to determine if psychosocial interventions have an impact on anxiety, depression, and relationships in individuals with infertility. An electronic search was performed using keywords in relevant search engines. Studies were identified based on their titles and abstracts and then further reviewed for inclusion. Studies were included if they had a sample population of infertile individuals or couples, men and/or women, and where outcomes of psychosocial interventions or …


The Effects Of Career Related Stress On Faculty Work-Life Balance: A Quantitative Analysis, Kelly A. Yordy Jan 2018

The Effects Of Career Related Stress On Faculty Work-Life Balance: A Quantitative Analysis, Kelly A. Yordy

All-Inclusive List of Electronic Theses and Dissertations

The purpose of this quantitative study was to examine the effects of career related stress on higher Education faculty members achievement of a healthy balance between their personal lives and professional lives. Data from the 2013-2014 HERI Faculty Survey were analyzed to determine if any of the eight independent variables—lack of personal time, self-imposed high expectations, teaching load, committee work, research or publishing demands, institutional procedures/red tape, colleagues, and students—significantly predicted work-life balance, the dependent variable. Seven control variables—gender, race, marital status, children, tenure status, institutional class, and institutional status—were also factored into the analysis. This study ultimately sought to …


By What Mechanism Does Stress Affect Ovulation?, Chana Minkowicz Jan 2018

By What Mechanism Does Stress Affect Ovulation?, Chana Minkowicz

The Science Journal of the Lander College of Arts and Sciences

This paper explores the many mechanisms of how stress influences ovulation. For ovulation to occur, there needs to be a series of hormones released in a specific order, and in a specific amount. This paper will discuss the various type of stress a person can experience, and which specific reproductive hormone each different type of stress disrupts. This paper will also bring proof as to how each hormone is disturbed, and by which mechanism it is disrupted. There has not been one main mechanism that has been found thus far, therefore, it is important to take into consideration the various …


Are Biofeedback Techniques Effective In Reducing Stress In The Workplace?, Ryan Field Jan 2018

Are Biofeedback Techniques Effective In Reducing Stress In The Workplace?, Ryan Field

PCOM Physician Assistant Studies Student Scholarship

Objective: The objective of this selective EBM review is to determine whether or not biofeedback techniques are effective in reducing stress in the workplace.

Study Design: A systematic review of three randomized controlled trials (RCTs), one containing a 28 day trial extension, published in peer reviewed journals from 2011-2012, all in the English language.

Data Sources: All studies were found using PubMed. Outcomes measured: All three studies measured stress reduction through biofeedback techniques using subjective patient questionnaires.

Results: All studies showed that biofeedback techniques were effective in reducing workplace stress compared to the control. Manocha et al. made a further …


The Freshman Weight Gain Phenomenon: Does It Apply To Lebanese Students?, Suzan A. Haidar, Nanne K. De Vries, Dimitrios Papandreou, Rana Rizk, Mirey Karavetian Jan 2018

The Freshman Weight Gain Phenomenon: Does It Apply To Lebanese Students?, Suzan A. Haidar, Nanne K. De Vries, Dimitrios Papandreou, Rana Rizk, Mirey Karavetian

All Works

© 2018 Suzan A. Haidar, Nanne de Vries, Dimitrios Papandreou, Rana Rizk, Mirey Karavetian. BACKGROUND: When transitioning from high school to university, students tend to gain weight. AIM: The study aimed to identify whether Lebanese students experience weight changes during the transition and to identify predisposing factors. METHODS: Eighty freshman students from four campuses in Lebanon were recruited in October 2015. Students were assessed anthropometrically and biochemically at two-time points, seven months apart. Students filled out questionnaires assessing demographic and lifestyle habits, physical activity levels, nutrition knowledge, sleep quality, and stress. RESULTS: The students gained approximately 4.19 lbs. (1.90 kg). …


Impact Of Stress On Dentists' Clinical Performance. A Systematic Review, A. Plessas, M. B. Delgado, M. Nasser, Y. Hanoch, D. R. Moles Jan 2018

Impact Of Stress On Dentists' Clinical Performance. A Systematic Review, A. Plessas, M. B. Delgado, M. Nasser, Y. Hanoch, D. R. Moles

More Faculty of Health Research

No abstract provided.


Who's Distressed? A Comparison Of Diabetes-Related Distress By Type Of Diabetes And Medication, Jana L. Wardian Phd, Joshua Tate, Irene Folaron, Sky Graybill, Mark True, Tom Sauerwein Jan 2018

Who's Distressed? A Comparison Of Diabetes-Related Distress By Type Of Diabetes And Medication, Jana L. Wardian Phd, Joshua Tate, Irene Folaron, Sky Graybill, Mark True, Tom Sauerwein

Journal Articles: Hospital Medicine

OBJECTIVE: We hypothesized that diabetes-related distress would vary by type of diabetes and medication regimen [Type 1 diabetes (T1DM), Type 2 diabetes with insulin use (T2DM-i), Type 2 diabetes without insulin use (T2DM)]. Thus, the aim of this study was to identify groups with elevated diabetes-related distress.

METHODS: We administered the 17-item Diabetes-related Distress Scale (DDS-17) to 585 patients. We collected demographics, medications, and lab results from patient records.

RESULTS: Patients were categorized by type of diabetes and medication: T1DM (n = 149); T2DM-i (n = 333); and T2DM (n = 103). ANOVA revealed significant differences in sample characteristics. ANCOVA …


Exploring The Influence Of Meditation Experience On Stress Responses And Empathy: The Mediating Role Of Self-Expansion, Jennifer N. Baumgartner Jan 2018

Exploring The Influence Of Meditation Experience On Stress Responses And Empathy: The Mediating Role Of Self-Expansion, Jennifer N. Baumgartner

Browse all Theses and Dissertations

The purpose of the present research was to examine the influence of meditation experience on biopsychosocial responses to stress, empathy, and sense of self. An expanded sense of self was examined as a pathway through which meditation experience influences appraisals, affect, and empathy. It was expected that meditation experience would predict greater challenge stressor appraisals in response to an acute psychosocial stressor and associated affective, behavioral, and psychophysiological stress outcomes. In addition, it was expected that greater meditation experience would predict higher trait empathy and empathic accuracy. Participants (N = 110) included experienced meditators from a variety of practices and …


The Performance Implication Of Obsessive Work Passion: Unpacking The Moderating And Mediating Mechanisms From A Conservation Of Resources Perspective, Dejun Tony Kong, Violet T. Ho Jan 2018

The Performance Implication Of Obsessive Work Passion: Unpacking The Moderating And Mediating Mechanisms From A Conservation Of Resources Perspective, Dejun Tony Kong, Violet T. Ho

Management Faculty Publications

Work passion is an important determinant of work performance. While harmonious work passion (HWP) shows its consistent predictive value, obsessive work passion (OWP) appears to have a mixed relationship with work performance. To address this puzzle, we integrate research on OWP and emotional exhaustion with conservation of resources (COR) theory. Specifically, we argue that OWP determines emotional exhaustion, whose relationship with work performance is attenuated by leader-member exchange (LMX). By conducting a field study with a sample of 262 U.S. employees, we found supportive evidence, even when controlling for psychological detachment from work. The findings somewhat reconcile the inconsistent results …


Adverse Life Events And The Onset Of Anxiety Disorders., B Miloyan, O Joseph Bienvenu, B Brilot, Ww Eaton Jan 2018

Adverse Life Events And The Onset Of Anxiety Disorders., B Miloyan, O Joseph Bienvenu, B Brilot, Ww Eaton

School of Psychology

This study tested the hypothesis that adverse events are associated with increased risk of onset of anxiety disorders. Data from Waves 1 (N = 43,093; 2001-2002) and 2 (N = 34,653; 2004-2005) of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC) were used to assess whether adverse events at baseline are associated with increased risk of anxiety disorder onset over three years of follow up. Sixty-six percent (SE: 1.0) of respondents with an anxiety disorder in the intervening period between Waves 1 and 2 had experienced an adverse life event in the year prior to the Wave 1 …


Effect Of Occupational Demands On Driving Safety In Surgical Residents, Benjamin Mcmanus Jan 2018

Effect Of Occupational Demands On Driving Safety In Surgical Residents, Benjamin Mcmanus

All ETDs from UAB

The Accreditation Council for Graduate Medical Examination recently revised and implemented duty hour standards that increased maximum duty hours for first year medical residents and reduced the minimal amount of time off between duty periods for all medical residents. The new standards were introduced largely without consideration of empirical research on objectively measured occupational health and safety factors for medical residents, particularly in contexts where their safety may be at-risk such as driving. Little work has examined driving performance in medical residents at multiple periods surrounding duty, including in reference to off-duty driving performance as a baseline. Certain work-related factors …


Leading Schools Under Pressure: Considerations Of Systems Theory And Schoolwide Positive Behavior Support Efforts During School Actions, Hank Bohanon, Ashley Wahnschaff, Paul Flaherty, Kelly Ferguson Jan 2018

Leading Schools Under Pressure: Considerations Of Systems Theory And Schoolwide Positive Behavior Support Efforts During School Actions, Hank Bohanon, Ashley Wahnschaff, Paul Flaherty, Kelly Ferguson

Education: School of Education Faculty Publications and Other Works

This study analyzes the implementation of schoolwide positive behavior interventions and supports (SWPBIS) for the staff of one middle school that implemented SWPBIS during a districtwide strike and school merger. The researchers developed a qualitative case study based on focus groups and interviews with the staff who remained at the school following the merger. Analysis focuses on the nuances of supporting a school implementing SWPBIS during a season of anxiety-producing events. Systems theory is used both to identify the possible benefits of implementing SWPBIS during challenging seasons and to describe nuances for coaching schools during the SWPBIS process. Results indicate …


Food For Thought: The Effects Of Past And Present Food Insecurity On Subjective Well-Being And Child Behavior, Jena C. Styka Jan 2018

Food For Thought: The Effects Of Past And Present Food Insecurity On Subjective Well-Being And Child Behavior, Jena C. Styka

Senior Independent Study Theses

Food insecurity arises when one does not have physical, social, or economic access to safe, sufficient, and nutritious food. According to the United States Department of Agriculture (2016), food insecurity affects 15.6 million U.S. households. Its effects go beyond the physical consequences that might arise from not having adequate nutrition, influencing subjective well-being and behavior in both adults and children. This 2 x 2 quasi-experiment investigated how current and prior food insecurity influenced depression, anxiety, stress, life satisfaction, and happiness in parents, as well as how it influenced child behavior. Results indicated that prior experiences of food insecurity resulted in …


Measuring Sexual Minority Stressors In Lesbians Women's Daily Lives: Initial Scale Development, Kristin Heron, Abby L. Braitman, Robin J. Lewis, Alexander T. Shappie, Phoebe T. Hitson Jan 2018

Measuring Sexual Minority Stressors In Lesbians Women's Daily Lives: Initial Scale Development, Kristin Heron, Abby L. Braitman, Robin J. Lewis, Alexander T. Shappie, Phoebe T. Hitson

Psychology Faculty Publications

Lesbian women face unique sexual minority stressors (SMS) because of their stigmatized and marginalized status in society. Existing studies of SMS are primarily cross-sectional and use global measures of SMS. The goal of the present study was to develop a brief daily measure of SMS for use in daily diary or ecological momentary assessment studies. Existing retrospective measures of SMS were reviewed, resulting in an initial pool of 29 items. Thirty-eight lesbian women (Mage = 24.3 years, range: 19–30 years) completed a daily web-based survey including the SMS items for 12 days. Two response scales were tested; participants were randomized …


Using Functional Infrared Thermal Imaging To Measure Stress Responses, Julia Tenaya Kandus Jan 2018

Using Functional Infrared Thermal Imaging To Measure Stress Responses, Julia Tenaya Kandus

Cal Poly Humboldt theses and projects

The stress response reflects a coordinated pattern of physiological changes that serves the adaptive function of increasing an organism’s ability to cope with situations that require action or defense. The changes in blood flow associated with the stress response may be detectable using the relatively new research technique of functional infrared thermal imaging (fITI). The present study was designed to determine the time-course and topography of temperature changes in human faces during the experience of a stressor. Infrared images were taken from 29 female participants while they completed the mental arithmetic component of the Trier Social Stress Test (TSST). Continuously …


Attachment, Stress, And Self-Efficacy While Parenting Children On The Autism Spectrum, Angela Maire Galioto Jan 2018

Attachment, Stress, And Self-Efficacy While Parenting Children On The Autism Spectrum, Angela Maire Galioto

Cal Poly Humboldt theses and projects

The current study explored the relationship between parental perceptions of stress, self-efficacy, attachment, and child functioning level. Participants were parents of children with ASD enrolled in The Special Beginnings Program (SBP, N = 44) or receiving treatment as usual (TAU, N = 39). Hypotheses included that parental perceptions of child functioning level will be negatively correlated with stress and positively correlated with self-efficacy and attachment. In addition, that parental perceptions of stress will decrease and perceptions of attachment and self-efficacy would increase after Project ImPACT training and at follow-up more so for the parents in the SBP group compared to …


A Laboratory Study Of Stress Reactions To Witnessing A Police Killing Of An Unarmed Black Man: Discrimination, Distress Tolerance, Ethnic Identity, And Risk-Taking, Michael A. Trujillo Jan 2018

A Laboratory Study Of Stress Reactions To Witnessing A Police Killing Of An Unarmed Black Man: Discrimination, Distress Tolerance, Ethnic Identity, And Risk-Taking, Michael A. Trujillo

Theses and Dissertations

Black individuals have been disproportionately targeted by law enforcement, most notably in shooting deaths at the hands of police, and has contributed to a general distrust of law enforcement. A rise in citizen journalism has helped document excessive use of force by police on video; however, little is known how individuals respond to viewing this type of media. A history of race-based stress is likely to contribute to an expectation of racism and may impact how individuals respond to videos of the treatment of unarmed Black men at the hands of police, with some evidence suggesting ethnic identity may moderate …


School Stress In Young Children With Learning Disorders: Implications For Psychological Well-Being, Caitlin Herring Jan 2018

School Stress In Young Children With Learning Disorders: Implications For Psychological Well-Being, Caitlin Herring

Antioch University Dissertations & Theses

Children with learning disorders (LDs) are a vulnerable population likely to encounter a myriad of challenges throughout their lives. Research, literature, and interventions focus overwhelmingly on addressing the academic ramifications of LDs while ignoring the psychological impact of school stress. Chronic stressors have far-reaching implications for behavior, emotional development, social skills, academic performance, and development of psychopathology. In this study, five children with LDs and five children without LDs were interviewed using the Pictorial Measure of School Stress and Wellbeing (PMSSW). Interpretative Phenomenological Analysis (IPA) was used to review the interview transcripts. Results suggested that young children with LDs are …


Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley Jan 2018

Knitting As An Adjunctive Treatment For Substance Use Disorder: A Mixed Methods Multiple Case Study, Aubriana M. Teeley

Antioch University Dissertations & Theses

Substance abuse disorder is a characterized by the presence of cognitive, behavioral, and physiological symptoms from substance use with continued use despite these consequences. It has serious individual and societal implications, such as negative health effects, overdose, poor work and school performance, negative impacts on relationships, and even death. Economic effects include more frequent use of emergency and hospital services as compared to peers without substance use disorder. A variety of treatments for substance use are available, including inpatient and outpatient programs accompanied by behavioral interventions, individual or group psychotherapy, or 12-step programs. However, there is no one treatment that …