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Mental and Social Health Commons

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2015

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Articles 121 - 150 of 480

Full-Text Articles in Mental and Social Health

Understanding Bipolar Disorder, Tisha Perreira Jul 2015

Understanding Bipolar Disorder, Tisha Perreira

Nursing Student Class Projects (Formerly MSN)

According to McCance, Huether, and Brashers (2014), bipolar disorder is classified as bipolar I and bipolar II mood disorder. Bipolar I disorder, causes extreme mood swings of mania or hypomania (emotional highs) or emotional lows (depression). Manic disorder symptoms include: excessive risky activities, irritable mood, elevated mood, distractibility, excessive talking, inflated self-esteem, racing/crowded thoughts, decreased need for sleep, and increase in goal-directed activity. Symptoms of depression include: loss of interest/pleasure, weight gain or loss, fatigue/loss of energy, feeling of worthlessness or excessive guilt, depressed/irritable mood, recent thoughts of death/suicide, insomnia/or hypersomnia, poor concentration/indecisiveness, and psychomotor agitation. Bipolar II disorder has …


Post Traumatic Stress Disorder, Zachary Packard Jul 2015

Post Traumatic Stress Disorder, Zachary Packard

Nursing Student Class Projects (Formerly MSN)

Posttraumatic stress disorder (PTSD) can occur after witnessing or experiencing a terrifying event (Mayo Clinic, 2015). PTSD can manifest in a variety of symptoms including, nightmares, flashbacks, insomnia, irritability, and anger (Mayo Clinic, 2015). The extended combat engagement in Afghanistan and Iraq have caused many casualties for American service members, both physically and mentally. The Veterans Affairs (VA) stated that 476,515 people sought treatment for PTSD in 2011 alone (Veteran Affairs, 2014). The veterans returning home from combat require adequate services to support their transition to civilian life. Barriers may exist for those members with PTSD symptoms seeking treatment. The …


Ethnic Differences In Drinking Motives And Alcohol Use Among College Athletes, Diana M. Doumas, Aida Midgett Jul 2015

Ethnic Differences In Drinking Motives And Alcohol Use Among College Athletes, Diana M. Doumas, Aida Midgett

Counselor Education Faculty Publications and Presentations

This study examined drinking motives, alcohol use, and alcohol-related problems among White collegiate athletes and collegiate athletes of color (N = 113). Results indicated no differences in drinking motives between the two groups. Although White athletes reported higher levels of alcohol use, athletes of color reported higher levels of alcohol-related problems. Athletes of color with high levels of coping and conformity motives reported the highest level of alcohol-related problems.


Chhs July 2015 E-Newsletter,, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services Jul 2015

Chhs July 2015 E-Newsletter,, Dr. John Bonaguro, Dean, Vashon S. Wells, Editor, Wku College Of Health & Human Services

College of Health & Human Services Publications

No abstract provided.


Differences In Health-Related Behaviors And Attitudes Between Urban, Rural, And Isolated Households In Western West Virginia, Michael Newsome Phd, Tim Hazelett, Monika Sawhney Phd, Msw Jul 2015

Differences In Health-Related Behaviors And Attitudes Between Urban, Rural, And Isolated Households In Western West Virginia, Michael Newsome Phd, Tim Hazelett, Monika Sawhney Phd, Msw

Economics Faculty Research

This study uses data from a 2013 survey of 275 randomly sampled households across nine counties in western West Virginia to examine the significant differences between the health behaviors and attitudes of rural and isolated populations. The results show that age, education, and income are significant factors in explaining differences in health-related behaviors and attitudes for all urban, rural and isolated respondents. However, after controlling for socio-demographic differences, isolation is found to have only a few significant effects, and some of the effects run counter to stereotypes of isolated populations. Rural respondents are significantly more likely than isolated respondents to …


Disparities In Hospital Services Utilization Among Patients With Mental Health Issues: A Statewide Example Examining Insurance Status And Race Factors From 1999-2010, Viann N. Nguyen-Feng, Hind A. Beydoun, Michael K. Mcshane, James D. Blando Jul 2015

Disparities In Hospital Services Utilization Among Patients With Mental Health Issues: A Statewide Example Examining Insurance Status And Race Factors From 1999-2010, Viann N. Nguyen-Feng, Hind A. Beydoun, Michael K. Mcshane, James D. Blando

Community & Environmental Health Faculty Publications

There exist many disconnects between the mental and general health care sectors. However, a goal of the Affordable Care Act (ACA) of 2010 is to change this by improving insurance access and the intersection of mental and general health care. As insurance status intersects with race, the present study examines how race, insurance status, and hospital mental health services utilization differ across groups within the state of New Jersey. The present study aims to determine trends in hospital mental health care utilization by insurance status and race from 1999 to 2010. The rate of self-pay for mental health disorders in …


Executive Function Predictors Of Children's Talk, Jacqlyne D. Weber Jul 2015

Executive Function Predictors Of Children's Talk, Jacqlyne D. Weber

Undergraduate Honors Theses

Relatively few studies have investigated the relationship between executive functioning (EF) and language development, and even fewer have researched hot and cool EF as a predictor language development. This study is an investigation into the relationship between EF and language development in preschool aged children. More specifically, the ability for hot or cool EF to predict language, this will be the focus of the study. It was found that hot EF was a better predictor of language development in preschool aged children.


Stay-At-Home-Fathers Navigating Depression: A Consensual Qualitative Research Study, William Douglas Meyers Caperton Jul 2015

Stay-At-Home-Fathers Navigating Depression: A Consensual Qualitative Research Study, William Douglas Meyers Caperton

Dissertations (1934 -)

Evidence suggests that the practices through which men are socialized to become masculine may serve both to restrict their potential in ways that lead to psychological distress, and also to restrict the ways in which they respond to such distress (Addis & Mahalik, 2003; Mahalik, Good, Tager, Levant, & Mackowiak, 2012; O’Neil, 2008). While we are beginning to understand masculine depression (Cochran & Rabinowitz, 2000; Magovcevic & Addis, 2008) and paternal depression (Paulson & Bazemore, 2010; Ramachandani & Psychogiou, 2009), almost nothing is known about how SAHFs experience depression, nor their experiences and beliefs regarding help-seeking and psychotherapy. The trend …


Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell Jul 2015

Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell

Student Works

The purpose of this study was to determine if parent adolescent attachment is correlated with adolescent hope and shame two years later with parent psychological control in the year in between as a mediator. Data at wave four, five, and six for 308 families from the Flourishing Families Project were used. In previous studies attachment has been shown to be important in adolescent development. This study found that the adolescent's perception of the relationship is negatively correlated with shame and positively correlated with hope in the adolescent. Additionally the adolescent's perception of their relationship with both mother and father was …


Tradtional Alcohol Use Among Rural Yi Minority In China: An Application Of Theory Of Planned Behavior, Yonghua Feng Jul 2015

Tradtional Alcohol Use Among Rural Yi Minority In China: An Application Of Theory Of Planned Behavior, Yonghua Feng

College of Education and Human Sciences: Dissertations, Theses, and Student Research

It is estimated that 25% of the alcohol consumed in China as traditional alcohol. This study explored the drinking patterns and the motives to use traditional alcohol among a sample of the Yi minority in southern China. The Theory of Planned Behavior was used to explore motives.

Based on initial fieldwork among the Yi a questionnaire was developed to provide data to describe traditional alcohol use and to assess the constructs of attitude, subjective norms and perceived behavioral control as expressed the Theory of Planned Behavior. The questionnaire was refined and the results served as an adequate measurement to explore …


The Challenges Of Afghanistan And Iraq Veterans’ Transition From Military To Civilian Life And Approaches To Reconnection, Jennifer Ahern, Miranda Worthen, Jackson Masters, Sherri Lippman, Emily Ozer, Rudolf Moos Jul 2015

The Challenges Of Afghanistan And Iraq Veterans’ Transition From Military To Civilian Life And Approaches To Reconnection, Jennifer Ahern, Miranda Worthen, Jackson Masters, Sherri Lippman, Emily Ozer, Rudolf Moos

Faculty Publications

Afghanistan and Iraq veterans experienced traumas during deployment, and disrupted connections with friends and family. In this context, it is critical to understand the nature of veterans’ transition to civilian life, the challenges navigated, and approaches to reconnection. We investigated these issues in a qualitative study, framed by homecoming theory, that comprised in-depth interviews with 24 veterans. Using an inductive thematic analysis approach, we developed three overarching themes. Military as family explored how many veterans experienced the military environment as a “family” that took care of them and provided structure. Normal is alien encompassed many veterans experiences of disconnection from …


Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck Jul 2015

Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck

Student Works

This longitudinal study examined the relationship between husband and wife shame and husband and wife sexual satisfaction one year later with husband and wife relational aggression as mediating variables. The sample included 353 heterosexual married couples who participated in the Flourishing Families Research Project, a longitudinal study of daily family life. Results showed that husband and wife shame was negatively related with husband and wife sexual satisfaction, respectively. Husband love withdrawal was negatively related with both husband and wife sexual satisfaction, while wife love withdrawal was negatively related with only husband sexual satisfaction. Each partner's use of social sabotage was …


A Step By Step Methodological Approach To Appraise The Quality Of Written Feedback Using Comment Analysis, Lubna Ghazal, Raisa B. Gul, Amina Aijaz Khowaja Jul 2015

A Step By Step Methodological Approach To Appraise The Quality Of Written Feedback Using Comment Analysis, Lubna Ghazal, Raisa B. Gul, Amina Aijaz Khowaja

School of Nursing & Midwifery

Several studies have been conducted to analyze the quality of written feedback given by teachers on students’ written assignments. However, it has been observed that there is no clear existing method or tool to facilitate the analysis of teachers’ written feedback. This paper aims to document a step by step methodological approach to analyze teachers’ comments and appraise the quality of feedback on students’ written assignments. A self-initiated tool was developed from the comment analysis process which revealed the use of various formats and modes employed to provide written feedback to the students. In addition, this tool helped to determine …


Individual Personality And Emotional Readiness Characteristics Associated With Marriage Preparation Outcomes Of Perceived Helpfulness And Change, Megan Ann Rogers Jul 2015

Individual Personality And Emotional Readiness Characteristics Associated With Marriage Preparation Outcomes Of Perceived Helpfulness And Change, Megan Ann Rogers

Theses and Dissertations

Little is known about the role that personality and emotional readiness factors may play in participation and outcomes of premarital education programs in varying formats. Data collected via the RELATionship Evaluation Questionnaire (RELATE: Busby et al., 2001) was used to analyze how personality and emotional readiness factors affect perceived change and helpfulness in self-directed and workshop formats of premarital education for 384 individuals who participated in such interventions. Depression was significantly and negatively related to participant perception of positive change and helpfulness in a workshop setting. Kindness was positively and significantly related to perceived positive change in both workshop and …


Is The Geriatric Impact Ipad Test A Valid Measurement Of Cognitive Function In Older Adults?, Heather Elise O'Dell Jul 2015

Is The Geriatric Impact Ipad Test A Valid Measurement Of Cognitive Function In Older Adults?, Heather Elise O'Dell

Graduate Theses and Dissertations

The number of older adults will rapidly increase within the next generation (Brookmeyer, Johnson, Ziegler-Graham, & Arrighi, 2007). Alzheimer’s disease risk increases with age, especially after age 60 (NIA, n.d.). Aging leads to a decrease in functional independence, and this side effect is exacerbated by cognitive decline (Johnson, Lui, & Yaffe, 2007). Executive function is a predictor of Alzheimer’s disease onset and progression (Zhang, Han, Verhaeghen, & Nilsson, 2007). The Geriatric ImPACTTM test is a potential new and more convenient testing methods than traditional methods used. The purpose of this research is to validate the Geriatric ImPACTTM test by comparing …


Effects Of Interparental Conflict On Taiwanese Adolescents’ Depression And Externalizing Problem Behavior: A Longitudinal Study, Chih Han Hsieh Jul 2015

Effects Of Interparental Conflict On Taiwanese Adolescents’ Depression And Externalizing Problem Behavior: A Longitudinal Study, Chih Han Hsieh

Theses and Dissertations

The link between interparental conflict and adolescents’ maladjustment has been well established among European Americans; however, relatively few studies examine these relationships in Chinese societies. This study used longitudinal data from the Taiwan Youth Project (TYP), an on-going longitudinal panel research project focused on adolescent development, in order to examine the relationship between interparental conflict and depressive symptoms and externalizing problem behaviors of adolescents. In addition, this study examined parental warmth as a mediating variable for the relationship between interparental conflict and adolescents’ maladjustment. The results showed that interparental conflict predicted depressive symptoms among adolescents two years later. Mediation analysis …


Effects Of Cocaine Sensitization On Drug Self-Administration, Mesocorticolimbic Sapap Levels, And Prefrontal Ionotropic Glutamate Receptors, Kyle Christopher Summers Jul 2015

Effects Of Cocaine Sensitization On Drug Self-Administration, Mesocorticolimbic Sapap Levels, And Prefrontal Ionotropic Glutamate Receptors, Kyle Christopher Summers

Theses and Dissertations (ETD)

Towards the goal of improving the knowledge base of how drugs of abuse function to create addicts and using currently uninvestigated areas of this knowledge base, we focused our research studies the male albino rat, and strived to explain how cocaine sensitization alters particular molecular mechanisms in the mesocorticolimbic system related to glutamate receptors, SAPAPs, and affects drug self-administration. Taking all the previously discussed research studies into consideration, we hypothesized that low-dose cocaine self-administration would yield a significant elevation in drug seeking behavior for psychostimulant sensitized animals. For specific changes at the PSD, we hypothesized that acute cocaine exposure and/or …


Size And Power Of Tests Of Hypotheses On Survival Parameters From The Lindley Distribution With Covariates, Macaulay Okwuokenye, Karl E. Peace Jul 2015

Size And Power Of Tests Of Hypotheses On Survival Parameters From The Lindley Distribution With Covariates, Macaulay Okwuokenye, Karl E. Peace

Biostatistics: Faculty Publications

The Lindley model is considered as an alternative model facilitating analyses of time-to-event data with covariates. Covariate information is incorporated using the Cox’s proportional hazard model with the Lindley model at the timedependent component. Simulation studies are performed to assess the size and power of tests of hypotheses on parameters arising from maximum likelihood estimators of parameters in the Lindley model. Results are contrasted with that arising from Cox’s partial maximum likelihood estimator. The Linley model is used to analyze a publicly available data set and contrasted with other models.


Joint Modeling Of Treatment Effect On Time-To-Event Endpoint And Safety Covariates In Control Clinical Trial Data Analysis, Kao-Tai Tsai, Karl E. Peace Jul 2015

Joint Modeling Of Treatment Effect On Time-To-Event Endpoint And Safety Covariates In Control Clinical Trial Data Analysis, Kao-Tai Tsai, Karl E. Peace

Biostatistics: Faculty Publications

It is a common practice to perform a separate analysis of efficacy and safety data from clinical trials to estimate the benefit and risk aspects of a particular treatment regimen. However, by doing so, one is likely to miss the complete picture of the treatment effect given that these data are generated from the same study subjects and therefore most likely will be correlated. Therefore, it is desirable to analyze these data jointly to obtain a more complete profile of the treatment regimen. A substantial number of statistical methodologies have been proposed in the last decade to model the time-to-event …


Ptsd Symptom Severity And Neurocognitive Performance As A Function Of Combined Tms And Imaginal Exposure In Oif/Oef Combat Veterans With Treatment Resistant Ptsd, Katharine Seagly Jul 2015

Ptsd Symptom Severity And Neurocognitive Performance As A Function Of Combined Tms And Imaginal Exposure In Oif/Oef Combat Veterans With Treatment Resistant Ptsd, Katharine Seagly

Psychology Theses & Dissertations

Posttraumatic Stress Disorder (PTSD) is a commonly occurring mental health diagnosis, and is particularly prevalent in combat veterans. Although there has been some success treating PTSD with various forms of therapy, many cases remain refractory to the current standard of care. This pilot study combines transcranial magnetic stimulation (TMS) to the right dorsolateral prefrontal cortex (DLPFC) and the supplementary motor area (SMA) with a standardized exposure protocol for the treatment of chronic, treatment-resistant PTSD. The aims are to (1) determine if the treatment is safe and well tolerated, (2) determine if PTSD and concomitant depression and anxiety symptoms improve, and …


A Phenomenological Investigation Of Wellness And Wellness Promotion In Counselor Education Programs, Brett Kyle Gleason Jul 2015

A Phenomenological Investigation Of Wellness And Wellness Promotion In Counselor Education Programs, Brett Kyle Gleason

Counseling & Human Services Theses & Dissertations

This phenomenological investigation explored the lived wellness experiences and perceptions of wellness promotion of doctoral level counseling trainees enrolled in CACREP-accredited programs. Participants included a national heterogeneous sample of 12 doctoral level counselor trainees currently enrolled in CACREP-accredited counseling programs. Semi-structured individual interviews were conducted to provide a textural-structural description of doctoral students' lived wellness experiences and perceptions of wellness promotion while enrolled in a CACREP-accredited counseling program. Three structural codes includingcomponents of wellness, program culture, and recommendations were identified along with 13 textural codes throughout participant interviews. The findings of this study provide insight into wellness …


Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck Jul 2015

Shame, Relational Aggression, And Sexual Satisfaction: A Longitudinal Study, Austin Ray Beck

Theses and Dissertations

This longitudinal study examined the relationship between husband and wife shame and husband and wife sexual satisfaction one year later with husband and wife relational aggression as mediating variables. The sample included 353 heterosexual married couples who participated in the Flourishing Families Research Project, a longitudinal study of daily family life. Results showed that husband and wife shame was negatively related with husband and wife sexual satisfaction, respectively. Husband love withdrawal was negatively related with both husband and wife sexual satisfaction, while wife love withdrawal was negatively related with only husband sexual satisfaction. Each partner's use of social sabotage was …


Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell Jul 2015

Parent And Adolescent Attachment And Adolescent Shame And Hope With Psychological Control As A Mediator, Natasha K. Bell

Theses and Dissertations

The purpose of this study was to determine if parent adolescent attachment is correlated with adolescent hope and shame two years later with parent psychological control in the year in between as a mediator. Data at wave four, five, and six for 308 families from the Flourishing Families Project were used. In previous studies attachment has been shown to be important in adolescent development. This study found that the adolescent's perception of the relationship is negatively correlated with shame and positively correlated with hope in the adolescent. Additionally the adolescent's perception of their relationship with both mother and father was …


The Moderating Effect Of Attachment Behaviors On The Association Between Video Game Use, Time Together As A Problem, And Relationship Quality, Stella Christine Dobry Jul 2015

The Moderating Effect Of Attachment Behaviors On The Association Between Video Game Use, Time Together As A Problem, And Relationship Quality, Stella Christine Dobry

Theses and Dissertations

The purpose of this study was to test whether video game use is associated with more problems with spending time together among married couples, whether problems with time together are associated with relationship quality, and whether attachment behaviors can moderate the association between time together as a problem and relationship quality. Previous studies have found a negative association between excessive video game use and couple relationship outcomes. Excessive video game use may negatively impact relationships by taking away from time spent on shared leisure and relationship maintenance activities. The Double ABCx model provided a theoretical framework for understanding how attachment …


Obstetrician-Gynecologists’ Knowledge Of Health Disparities And Barriers Among American Indian/Alaska Native Women In Washington State, Katherine M. Jones, Greta B. Raglan, Sophia M. Lannon, Jay Schulkin Jun 2015

Obstetrician-Gynecologists’ Knowledge Of Health Disparities And Barriers Among American Indian/Alaska Native Women In Washington State, Katherine M. Jones, Greta B. Raglan, Sophia M. Lannon, Jay Schulkin

Journal of Health Disparities Research and Practice

Background: Health disparities between American Indian/Alaska Native (AI/AN) women and other races/ethnicities have long been noted. Obstetricians-Gynecologists (Ob-Gyn) play a significant role in well-woman care and are often the first and most frequent point of medical contact for women, particularly among minority and low-income women.

Objective: This study aimed to assess Ob-Gyns’ knowledge, beliefs, and practices related to health disparities among AI/AN women.

Method: A self-administered questionnaire, consisting of questions about knowledge, beliefs, and practices of health disparities among AI/AN women, was mailed to 722 members of The American College of Obstetricians and Gynecologists (ACOG) practicing in the state of …


Disparities In Hospital Services Utilization Among Patients With Mental Health Issues: A Statewide Example Examining Insurance Status And Race Factors From 1999-2010, Viann N. Nguyen-Feng, Hind A. Beydoun, Michael K. Mcshane, James D. Blando Jun 2015

Disparities In Hospital Services Utilization Among Patients With Mental Health Issues: A Statewide Example Examining Insurance Status And Race Factors From 1999-2010, Viann N. Nguyen-Feng, Hind A. Beydoun, Michael K. Mcshane, James D. Blando

Journal of Health Disparities Research and Practice

There exist many disconnects between the mental and general health care sectors. However, a goal of the Affordable Care Act (ACA) of 2010 is to change this by improving insurance access and the intersection of mental and general health care. As insurance status intersects with race, the present study examines how race, insurance status, and hospital mental health services utilization differ across groups within the state of New Jersey. The present study aims to determine trends in hospital mental health care utilization by insurance status and race from 1999 to 2010. The rate of self-pay for mental health disorders in …


Sexism And How It Mediates The Relationship Between Gender And Rape Myth Acceptance, Caroline Feinberg Jun 2015

Sexism And How It Mediates The Relationship Between Gender And Rape Myth Acceptance, Caroline Feinberg

Theses and Dissertations

Rape is a significant social and health problem in the United States with around 17.7 million women being forcibly raped at some time in their lives. While a rape-supportive culture and victim blame are concepts that aid in explaining rape, understanding societal held ideas about rape and traditional gender role beliefs can explain. Therefore, the present study focuses on how ambivalent sexist belief structures mediate the relationship between gender and rape myth acceptance. It was hypothesized that ambivalent sexism (AS) when divided into its four separate concepts: hostile (HS), protective paternalism (PP), complementary gender differentiation (CGD), and heterosexual intimacy (HI), …


Understanding Factors Contributing To Risky Sexual Activity In The Study Abroad Environment, Tiffany Marcantonio Jun 2015

Understanding Factors Contributing To Risky Sexual Activity In The Study Abroad Environment, Tiffany Marcantonio

Theses and Dissertations

Researchers suggest that study abroad students may be an un-identified high risk group for risky sexual activity. The goal of this study was to determine whether factors predictive of risky sexual activity at home (sexual sensation seeking, alcohol and sex expectancies, alcohol consumption and previous risky behaviors) may also influence such behavior while abroad. Data was collected longitudinally with a pre and post survey that assessed the above constructs. Twenty-four study abroad students completed the pre survey and six completed the post survey. Two Independent samples t-tests were conducted to clarify differences between gender and students who completed the pre-survey …


The Effects Of Family Responsibilities And Gender On Seeking Substance-Abuse Treatment, Holly Weiss Jun 2015

The Effects Of Family Responsibilities And Gender On Seeking Substance-Abuse Treatment, Holly Weiss

Theses and Dissertations

It is evident in the media, from news reports to published research, that substance use is a serious and extensive problem (SAMHSA, 2012). The problem with drug use is not a new issue, but with a changing society the substance abuse issue is changing as well. With substance abuse at its highest in about ten years, it would be expected that treatment admissions would be at the highest levels as well, yet the numbers have remained constant (SAHMSA, 2012). The changing society has helped foster increased drug use, but it has also assisted in developing new difficulties that those affected …


Effects Of Violent Video Games On Sexual Aggression In Males, Elizabeth Ealer Jun 2015

Effects Of Violent Video Games On Sexual Aggression In Males, Elizabeth Ealer

Theses and Dissertations

The purpose of this research was to investigate the link between short-term violent video game play and engagement in sexually aggressive behaviors. In this study, participants were randomly assigned to play 15 minutes of Grand Theft Auto (experimental group) or Tetris Evolution (control group) on an Xbox. After game play, participants engaged in a joke telling paradigm, in which participants were given 10 sexually aggressive jokes, and were instructed to tell between 0-10 of the jokes to a female confederate. The number of jokes told is related to sexually aggressive behaviors outside of the laboratory. The researchers of this study …