Medicine and Health Sciences Commons^™

A Person-Centered Approach To Understanding Negative Reinforcement Drinking Among First Year College Students [Post-Print], Laura Holt, Stephen Armeli, Howard Tennen, Carol S. Austad, Sarah Raskin, Carolyn Fallahi, Rebecca Wood, Rivkah I. Rosen, Meredith Ginley, Godfrey D. Pearlson

Faculty Scholarship

The current study used a person-centered approach (i.e. latent profile analysis) to identify distinct types of college student drinkers based on the predictions of motivational, social learning, and stress and coping theories of maladaptive drinking. A large sample (N = 844; 53% female) of first-year undergraduates from two institutions, public and private, who reported consuming one or more drinks in the last three months completed measures of depressive and anxiety symptoms, positive alcohol-outcome expectancies, negative life events, social support, drinking motives, drinking level and drinking-related problems. Latent profile analysis revealed a small subgroup of individuals (n = 81, …

The Influence Of Neurocognitive Impairment, Alcohol And Other Drug (Aod) Use, And Psychosocial Factors On Antiretroviral Treatment Adherence, Service Utilization And Viral Load Among Hiv-Seropositive Adults, Jennifer Attonito

FIU Electronic Theses and Dissertations

Among people living with HIV (PLWH), adherence to antiretroviral therapy (ART) can be affected by problems of neurocognitive (NC) impairment, stress, alcohol and other drug (AOD) abuse, and other barriers. The aims of this research were to: (1) examine factors associated with NC impairment, (2) explore relationships between psychosocial variables with ART adherence and viral load (VL), and (3) evaluate the efficacy of an evidence-based intervention in improving ART adherence, increasing service utilization, and decreasing VL.

The first study (n=370) was cross sectional and used structural equation modeling to test whether AOD use, years living with HIV, and time from …

Prenatal Development: Annotated Bibliography, Victoria J. Molfese, Amanda Prokasky, Kathleen Moritz Rudasill, Ibrahim H. Acar, Xiaoqing Tu, Kate Sirota, Brian Keiser

Department of Child, Youth, and Family Studies: Faculty Publications

For decades, researchers have investigated how events in the prenatal period impact women and their infants. These studies, particularly by researchers in the medical, neuroscience, and behavioral science fields, led to discoveries of important information regarding the prenatal events that were strongly associated with mortality (or death) and morbidity (or incidences of injury, pathology and abnormalities/anomalies, and neurobehavioral sequelae) in the neonatal and infancy periods. Among the many common findings from early research studies, two are particularly noteworthy. First, maternal and fetal risk conditions arising in the prenatal period do not do so in isolation. Sameroff and Chandler characterized this …

Generalizing Anxiety, Center For Public Service

SURGE

As she began reading the list of symptoms, I was making mental check marks next to the ones that applied to me.

Fear of interacting with strangers- check. Fear that others will notice that you look anxious- check. Avoiding doing things or talking to people out of fear of embarrassment- check. Fear of situations in which you may be judged- check. Anxiety that disrupts your daily routine, work or school activities- check, check, check. [excerpt]

Warren County, Kentucky Anti-Liquor Association (Sc 1121), Manuscripts & Folklife Archives

MSS Finding Aids

Finding aid only for Manuscripts Small Collection 1121. Minutes, correspondence, and research notes of the Warren County, Kentucky Anti-Liquor Association and the local option election held in Bowling Green, Kentucky on 24 September 1960.

From Kids, Through Kids, To Kids: Examining The Social Influence Strategies Used By Adolescents To Promote Prevention Among Peers, Janice L. Krieger, Samantha Coveleski, Michael L. Hecht, Michelle Miller-Day, John W. Graham, Jonathan Pettigrew, Allison Kootsikas

Communication Faculty Articles and Research

Recent technological advances have increased the interest and ability of lay audiences to create messages; however, the feasibility of incorporating lay multimedia messages into health campaigns has seldom been examined. Drawing on the principle of cultural grounding and narrative engagement theory, this article seeks to examine what types of messages adolescents believe are most effective in persuading their peers to resist substance use and to provide empirical data on the extent to which audience-generated intervention messages are consistent with the associated campaign philosophy and branding. Data for the current study are prevention messages created by students as part of a …

The Cognitive Processes Underlying Affective Decision-Making Predicting Adolescent Smoking Behaviors In A Longitudinal Study, C. Anderson Johnson, Lin Xiao, Gilly Koritzky, Antoine Bechara

CGU Faculty Publications and Research

This study investigates the relationship between three different cognitive processes underlying the Iowa Gambling Task (IGT) and adolescent smoking behaviors in a longitudinal study. We conducted a longitudinal study of 181 Chinese adolescents in Chengdu City, China. The participants were followed from 10th to 11th grade. When they were in the 10th grade (Time 1), we tested these adolescents’ decision-making using the IGT and working memory capacity using the Self-ordered Pointing Test (SOPT). Self-report questionnaires were used to assess school academic performance and smoking behaviors. The same questionnaires were completed again at the 1-year follow-up (Time 2). The Expectancy-Valence (EV) …

Narrative Means To Preventative Ends: A Narrative Engagement Framework For Designing Prevention Interventions, Michelle Miller-Day, Michael L. Hecht

Communication Faculty Articles and Research

This article describes a Narrative Engagement Framework (NEF) for guiding communication-based prevention efforts. This framework suggests that personal narratives have distinctive capabilities in prevention. The article discusses the concept of narrative, links narrative to prevention, and discusses the central role of youth in developing narrative interventions. As illustration, the authors describe how the NEF is applied in the keepin' it REAL adolescent drug prevention curriculum, pose theoretical directions, and offer suggestions for future work in prevention communication.

Randomized Clinical Trial Examining Duration Of Voucher-Based Reinforcement Therapy For Cocaine Abstinence., Kimberly C Kirby, Carolyn M Carpenedo, Karen L Dugosh, Beth J Rosenwasser, Lois A Benishek, Alicia Janik, Rachel Keashen, Elena Bresani, Kenneth Silverman

Faculty Scholarship for the College of Science & Mathematics

BACKGROUND: This is the first study to systematically manipulate duration of voucher-based reinforcement therapy (VBRT) to see if extending the duration increases abstinence during and following VBRT.

METHODS: We randomized cocaine-dependent methadone-maintained adults to Standard (12 weeks; n=62) or Extended (36 weeks; n=68) VBRT and provided escalating voucher amounts contingent upon urinalysis verification of cocaine abstinence. Urinalysis was scheduled at least every 2 weeks during the 48-week study and more frequently during VBRT (3/week) and 12 weeks of Aftercare (2/week).

RESULTS: Extended VBRT produced longer durations of continuous cocaine abstinence during weeks 1-24 (5.7 vs 2.7 weeks; p=0.003) and proportionally …

Research Brief: "Substance Use Among Military-Connected Youth: The California Healthy Kids Survey", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This research studies the correlation between youth with deployed family members in their lifetime and recent substance use in youth, and found substance use positively correlated with the number of family member deployments. Implications of these findings suggest that monitoring behavior could potentially lead to providing the emotional support necessary to prevent adolescents from turning to substance use, and policy should reflect this by implementing emotional support programs for adolescents with deployed family members. Future research in this area should investigate alternative coping mechanisms for youth dealing with the deployment of a family member, as well as the efficacy of …

Associations Of Smoking Status And Serious Psychological Distress With Chronic Obstructive Pulmonary Disease, Ke-Sheng Wang, Liang Wang, Shimin Zheng, Long-Yang Wu

ETSU Faculty Works

Background: Chronic obstructive pulmonary disease (COPD) has been a major public health problem due to its high prevalence, morbidity, and mortality. Smoking is a major risk factor for COPD, while serious psychological distress (SPD) is prevalent among COPD patients. However, no study focusing on the effect of SPD on COPD has been so far conducted, while few studies have focused on the associations of SPD and behavioral factors with COPD by smoking status.

Objectives: This study aimed to examine the associations of SPD and behavioral factors (such as smoking and physical activity) with COPD.

Materials and Methods: Weighted logistic regression …

Research Brief: "Mental Health Diagnosis And Occupational Functioning In National Guard/Reserve Veterans Returning From Iraq", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This brief is about the employment or enrollment in school of recently returned National Guard and Reserve OIF/OEF veterans who have a mental health diagnosis compared to those veterans without a mental health diagnosis. In policy and practice, the US military should implement pre- to post-deployment programs to help adjustment into work/school role functioning, and policymakers should partner with universities to help veterans cope with academic stress. Suggestions for future research include using a larger and more comprehensive sample of National Guard/Reserve OIF veterans and studying the effectiveness of programs and support for veterans.

Research Brief: "Employment Status Of Veterans Receiving Substance Abuse Treatment From The U.S. Department Of Veterans Affairs", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study investigates how the severity of PTSD symptoms relates to employment and earnings, it found that Veterans with more severe symptoms of PTSD, were more likely to work part-time or not at all rather than have full time work. In practice, treating PTSD, even if some symptoms remain, could result in better employment outcomes for veterans. In policy, Policy makers should consider providing previously successful programs for veterans with PTSD for individuals with other mental health conditions. Suggestions for future research include A large, controlled, longitudinal survey would allow researchers to investigate more thoroughly how PTSD symptoms relate to …

Alcohol In The Life Narratives Of Women: Commonalities And Differences By Sexual Orientation, Laurie A. Drabble, K. Trocki

Faculty Publications

Aim: The aim of this study was to explore social representations of alcohol use among women, with a focus on possible differences between sexual minority and heterosexual women. Methods: This qualitative study was part of a larger study examining mediators of heavier drinking among sexual minority women (lesbian identified, bisexual identified, and heterosexual identified with same sex partners) compared to heterosexual women based on the National Alcohol Survey. Qualitative in-depth life history interviews were conducted over the telephone with 48 women who had participated in the 2009–2010 National Alcohol Survey, including respondents representing different sexual orientation groups. Questions explored the …

Assessing The Efficacy Of A Modified Therapeutic Community On The Reduction Of Institutional Write-Ups In A Medium Security Prison, Lee Wayne Maglinger, Aaron W. Hughey, Monica Galloway Burke

Counseling & Student Affairs Faculty Publications

This study explored the impact a modified TC (Therapeutic Community) had on reducing institutional disorder as documented by institutional write-ups. The number of institutional write-ups exhibited by clients participating in a modified TC was compared with the number of write-ups exhibited by inmates in five non-treatment units over a four-year period. ANOVA (analysis of variance) revealed that the number of write-ups exhibited by clients in the TC was significantly lower than the number exhibited by inmates in the other five dorms (F_{(4, 24)} = 5.61, p < 0.002).Further, when examined by category of offense (major/minor), it was found that the write-ups of clients in the TC generally were not as severe as those exhibited by inmates in the general prison population. The implications of these findings for corrections administrators are discussed and specific recommendations are provided.

Self-Medication Practices Of Undergraduate College Students: Non-Medical Prescriptive Stimulant Use, Kim M. Vo

Honors Scholar Theses

Purpose: The purpose of this study was to determine self-medication practices of undergraduate students enrolled at the University of Connecticut in attempt to inform future educational efforts on drug misconceptions in order to encourage safe medication practices among incoming undergraduate students.

Background: Non-medical use of stimulants prescribed for attention-deficit/hyperactivity disorder (ADHD) treatment has gained attention due to non-medical prevalence rates in U.S. colleges. Current literature investigates circumstances, demographics and motives in sample populations that increase student misuse of these prescription medications.

Methods:

Design: Multi-method research strategy investigating the perceived focus group coded data to the actual self-reported Adhere Tx Know …

The Cost Of Alcohol And Drug Abuse In Maine, 2010, Anne L. Rogers, Marcella H. Sorg, Jamie A. Wren

Anthropology Faculty Scholarship

Summary findings

• In 2010, the total estimated cost of substance abuse in Maine was $1.403 billion.

• This $1.403 billion translates into a cost equaling $1,057 for every resident of Maine.

• This was a 56.2% increase from 2005.

• Substance abuse treatment ($47.0 million) comprised the smallest proportion of total cost (3.4%), while mortality, $409.6 million, comprised the largest proportion of costs (24.8%).

Religious Commitment And Depression During Pregnancy, Tifani R. Fletcher, Andrea D. Clements, Lana Mcgrady, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Is Brain-Derived Neurotrophic Factor A Possible Mechanism Underlying Risperidone Sensitization In Adolescent Rats?, Qing Shu, Gang Hu, Ming Li

Department of Psychology: Faculty Publications

Risperidone is one of the most widely used atypical antipsychotic drugs and is approved for the treatment of mental disorders (eg. schizophrenia, autism) in children and adolescents. The present study investigated the repeated treatment effect of risperidone and associated neurotropic mechanism in the phencyclidine (PCP)-induced hyperlocomotion model in adolescent rats. We examined whether repeated risperidone treatment would cause a sensitized inhibition of PCP-induced hyperlocomotion in adolescent rats, and whether such a sensitization effect was mediated by risperidone-induced alterations in Brain-Derived Neurotrophic Factor (BDNF), an important biomarker which plays a role in neuropathology of schizophrenia and action of antipsychotic medications. Male …

Marital Status And Religious Commitment Predict Prenatal Tobacco, Alcohol, And Illicit Substance Use In Southern Appalachia, Andrea D. Clements, Tifani R. Fletcher, Lana Mcgrady, Beth A. Bailey

ETSU Faculty Works

Abstract available through the Annals of Behavioral Medicine.

Patient And Provider Comfort Discussing Substance Use, Moira Ray, Mary Catherine Beach, Christina Nicolaidis, Dongseok Choi, Somnath Saha, P. Todd Korthuis

School of Social Work Faculty Publications and Presentations

BACKGROUND AND OBJECTIVES: Substance use is a prevalent issue in primary care with wide-reaching implications, particularly for the care of HIV-infected patients. This analysis identified patient and provider characteristics associated with high comfort discussing substance use in HIV primary care clinics using multivariable logistic regression.

METHODS: A total of 413 patients and 44 providers completed surveys on their comfort discussing substance use. Additional independent variables from surveys included demographics, drug and alcohol use, self-efficacy, and activation for patients. Providerlevel data included demographics, training, practice descriptors, and stress levels.

RESULTS: The majority of patients (76%) and providers (73%) reported high comfort. …

Mindfulness-Based Relapse Prevention For Substance Craving., Katie Witkiewitz, Sarah Bowen, Haley Douglas, Sharon H Hsu

Articles, Abstracts, and Reports

Craving, defined as the subjective experience of an urge or desire to use substances, has been identified in clinical, laboratory, and preclinical studies as a significant predictor of substance use, substance use disorder, and relapse following treatment for a substance use disorder. Various models of craving have been proposed from biological, cognitive, and/or affective perspectives, and, collectively, these models of craving have informed the research and treatment of addictive behaviors. In this article we discuss craving from a mindfulness perspective, and specifically how mindfulness-based relapse prevention (MBRP) may be effective in reducing substance craving. We present secondary analyses of data …

The Health And Well-Being Of Indigenous Drug And Alcohol Workers: Results From A National Australian Survey, Ann M. Roche, Vinita Duraisingam, Allan Trifonoff, Amanda Tovell

Aboriginal Policy Research Consortium International (APRCi)

The increasing demand for alcohol and other drug (AOD) treatment services among the Australian Indigenous population, complex organisational challenges and limitations, and high unemployment rates are likely to negatively impact Indigenous AOD workers' health and well-being. Building the capacity of Indigenous AOD workers is vital, as they play a crucial role in the delivery of treatment services and offer essential support to their communities. A national online survey was conducted to examine organisational, workplace and individual factors that might contribute to levels of stress and well-being among workers who provide services to Indigenous clients. A total of 294 eligible surveys …

Ethnicity And Gender Comparisons Of Health Consequences In Adults With Alcohol Dependence, Karen G. Chartier, Michie N. Hesselbrock, Victor M. Hesselbrock

Social Work Publications

The moderating effects of ethnicity and gender on factors associated with physical health consequences in adults with alcohol dependence was examined using data from the 2001–2002 U.S. National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Black and White respondents with a lifetime diagnosis of DSM-IV alcohol dependence were selected for the study (n = 3,852). A multiple-group structural equation model tested ethnicity, gender, and intervening variables as predictors of physical health status in alcohol dependent men and women. Study findings offer implications for clinical practice with alcohol dependent individuals by identifying likely target groups and problems for intervention.

High Hiv Incidence Among Male Injection Drug Users In Delhi, India, Waimar Tun, Lopamudra Saraswati, Mary Philip Sebastian, Vartika Sharma, Amita Yadav, Ira Madan, Ibou Thior, Avina Sarna

HIV and AIDS

India has a large injection drug user (IDU) population estimated at 177,000. The overall national HIV prevalence is around 7.2 percent in this group, the highest among all key populations in the country. There is limited HIV incidence data among IDUs in India. In collaboration with Arise—Enhancing HIV Prevention Programs for At-Risk Populations, the Population Council initiated a prospective cohort study at five centers in Delhi to examine HIV incidence and behavior change both pre-introduction and post-introduction of HIV prevention services among IDUs. HIV transmission risk remains high among IDUs in Delhi despite targeted prevention interventions. Despite the widespread availability …

Random Assignment Of Schools To Groups In The Drug Resistance Strategies Rural Project: Some New Methodological Twists, John W. Graham, Jonathan Pettigrew, Michelle Miller-Day, Janice L. Krieger, Jiangxiu Zhou, Michael L. Hecht

Communication Faculty Articles and Research

Random assignment to groups is the foundation for scientifically rigorous clinical trials. But assignment is challenging in group randomized trials when only a few units (schools) are assigned to each condition. In the DRSR project, we assigned 39 rural Pennsylvania and Ohio schools to three conditions (rural, classic, control). But even with 13 schools per condition, achieving pretest equivalence on important variables is not guaranteed. We collected data on six important school-level variables: rurality, number of grades in the school, enrollment per grade, percent white, percent receiving free/assisted lunch, and test scores. Key to our procedure was the inclusion of …

The Conceptualization And Communication Of Risk Among Rural Appalachian Adolescents, Jennifer J. Moreland, Janice L. Krieger, Michael L. Hecht, Michelle Miller-Day

Communication Faculty Articles and Research

This study employs a meta-theoretical perspective for examining risk perceptions and behavior in the rural, Appalachian cultural context, an area that remains largely unexplored. In-depth interviews were conducted with 113 rural adolescents to describe how youth conceptualize risk and how risk is communicated in the rural environment. Analyses revealed adolescents viewed behavior as risky when they had personal or vicarious experiences resulting in a loss of control or physical harm. Elements of the rural Appalachian culture including activities, familism, and community ties can both prevent and promote adolescent risk-taking in various forms. This study demonstrates the conceptualization of risk and …

Advancing Trauma-Informed Systems Change In A Family Drug Treatment Court Context, Laurie Drabble, Shelby Jones, Vivian Brown

Faculty Publications

A growing body of literature documents the importance of trauma-informed and trauma-specific services and systems change in both addiction treatment and child welfare fields. The overall aim of this qualitative study was to explore barriers, benefits, and facilitating factors associated with a trauma-informed systems assessment and improvement initiative conducted in the context of a family drug treatment court (FDTC). Semistructured in-depth interviews with 12 key informants and historical analyses of project documents over a 4-year time span were conducted. Results underscore the relevance of trauma-informed systems change in collaborative contexts designed to address the complex needs of children and families.

Effects Of Restraint Stress And Allopregnanolone Inhibition On Amphetamine Locomotor Sensitivity, Kelly Abuali, Laurel M. Pritchard

McNair Poster Presentations

The chronic, recurring nature of addiction remains a worldwide problem. Even after apparently successful clinical treatment and long term abstinence, individuals may still relapse many months or years later. Although many individual differences exist among substance abusers, relapse tends to occur during periods of high stress (Sinha et al., 2006). Behavioral training and therapy can help cope during these high stress times, but pharmacological interventions have not been shown to be effective (Ross & Peselow, 2009). Although some therapeutic options decrease relapse rates, more effective treatments for relapse need further consideration.

The effect of stress on use of and relapse …

Papanicoloau Smear Uptake Among Substance-Using Mothers In Western Australia, Sadie Geraghty, Sara J. Bayes, Renate Mclaurin, Angela O'Connor

Research outputs 2013

Background: Papanicoloau (Pap) smear screening has helped to reduce cervical cancer rates significantly through the detection of premalignant cells (Bray et al, 2005). Uptake among women who use alcohol and other drugs (AOD) is known to be low (Chau et al, 2002) so they are at increased risk of being under-represented in the adequately screened population. AOD-using women experience disproportionately increased morbidity and mortality from cervical dysplasia and cancer (Nogara et al, 2013). Pregnancy may provide the midwife an opportunity to offer this vital screening test. Objective: The audit investigated Pap smear uptake and results among AOD-using pregnant women. Setting: …