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Behavior and Behavior Mechanisms Commons™
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Articles 1 - 30 of 54
Full-Text Articles in Behavior and Behavior Mechanisms
Feasibility And Acceptability Of Perioperative Application Of Biofeedback-Based Virtual Reality Vs Control For Pain And Anxiety In Children And Adolescents Undergoing Surgery: Pilot Randomized Controlled Trial, Anna Lin, Brenna Rachwal, Lindsey Asti, Zandantsetseg Orgil, Isabela Santiago, Lili Ding, Susmita Kashikar-Zuck, Christopher King, Sara Williams, William Black, Peter Minneci, Vanessa Olbrecht
Feasibility And Acceptability Of Perioperative Application Of Biofeedback-Based Virtual Reality Vs Control For Pain And Anxiety In Children And Adolescents Undergoing Surgery: Pilot Randomized Controlled Trial, Anna Lin, Brenna Rachwal, Lindsey Asti, Zandantsetseg Orgil, Isabela Santiago, Lili Ding, Susmita Kashikar-Zuck, Christopher King, Sara Williams, William Black, Peter Minneci, Vanessa Olbrecht
Department of Anesthesiology Faculty Papers
BACKGROUND: The impact of biofeedback-based virtual reality (VR-BF) on pain and anxiety in pediatric surgical patients remains unexplored.
OBJECTIVE: The objective of this study was to evaluate the feasibility and acceptability of perioperative VR-BF use in children and adolescents.
METHODS: We performed a single-blind, 2-arm, randomized pilot trial. Children aged 12 to 18 years undergoing surgery with expected moderate-to-severe postoperative pain and more than 1 overnight admission were randomized (1:1) to the intervention or control group. Participants in the intervention group received VR-BF using ForeVR (functional outcome response to engaging virtual reality [VR]), a novel, gamified digital intervention that integrates …
Coping Beyond Cancer: Exploring Fear Of Recurrence In Colorectal Cancer Survivors—A Pilot Investigation, Emily M. Su, Steve Paciorek, Erica L. Laipply, Anuja L. Sarode
Coping Beyond Cancer: Exploring Fear Of Recurrence In Colorectal Cancer Survivors—A Pilot Investigation, Emily M. Su, Steve Paciorek, Erica L. Laipply, Anuja L. Sarode
HCA Healthcare Journal of Medicine
Background
Evidence is limited on the fear of cancer recurrence (FCR) among colorectal cancer (CRC) survivors in the US, especially regarding patterns and trends of post-recovery coping mechanisms. This pilot mixed-methods study quantified FCR, examined its associations with Brief COPE domains, and contextualized coping through qualitative analysis.
Methods
Twenty-three patients who successfully underwent CRC surgery were included in this pilot study. Fear of cancer recurrence was measured using the FCR Inventory (FCRI) Short Form, and coping strategies were assessed with the Brief Coping Orientation to Problems Experienced (COPE) survey. Descriptive statistics summarized participant characteristics, FCR, and COPE scores. Spearman correlation …
Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik
Addressing Mental Health Issues And The Effectiveness Of Cognitive Behavioral Therapy And Mindfulness-Based Interventions Among Athletes, Shelby Jones-Stachnik
Dissertations
This literature review identifies mental health concerns among competitive athletes and evaluates psychological interventions to address these challenges. Specifically, the review explores the mental health concerns experienced by athletes engaged in high-level sport. It examines whether cognitive behavioral therapy and mindfulness-based interventions are effective approaches for improving psychological outcomes in this population. A systematic review of peer-reviewed research was conducted, and findings were synthesized to evaluate the effectiveness of cognitive behavioral therapy and mindfulness-based interventions. The review included randomized controlled trials, quasi-experimental studies, and meta-analyses examining psychological interventions in athletic populations. Findings across the literature indicate that both cognitive behavioral …
Affect Regulation In The Context Of Sexual And Gender Minority Stress: A Scoping Review Protocol, Daphne Y. Liu, Benjamin A. Swerdlow, Shao Yuan Chong, Nadia Kako, Alex Rubin, Nicholas S. Perry
Affect Regulation In The Context Of Sexual And Gender Minority Stress: A Scoping Review Protocol, Daphne Y. Liu, Benjamin A. Swerdlow, Shao Yuan Chong, Nadia Kako, Alex Rubin, Nicholas S. Perry
Psychology: Faculty Scholarship
Objective
To provide a broad, comprehensive picture of affect regulation in the context of sexual and gender minority stress, this scoping review aims to identify and synthesize methods, methodologies, and available evidence pertinent to emotion regulation and coping in the context of minority stress among sexual and gender minority (SGM) people.
Introduction
SGM people face disproportionately high rates of mental health problems due to experiences of minority stress and lack of social safety. Theories and growing evidence suggest that affect regulation plays a critical role in SGM people’s well-being in the face of minority stress. Researchers have largely studied emotion …
Investigation Of Differences Between Perception Of Cell Phone Usage And Actual Cell Phone Usage Among Adolescents In Senior And Freshman Grade Levels, Benjamin Bouffard
Investigation Of Differences Between Perception Of Cell Phone Usage And Actual Cell Phone Usage Among Adolescents In Senior And Freshman Grade Levels, Benjamin Bouffard
UROP Posters
This study investigates the difference between the perception of cell phone usage and actual cell phone usage among teenagers in the ninth and twelfth grade levels. Existing literature focuses largely on the effect of screen usage on different aspects of health, including mental health and developmental changes in children. However, the relationship between the perception of screen time and actual screen time use has not been extensively studied. In this study, 111 freshmen and seniors at the Woodbridge Academy Magnet School in Woodbridge, New Jersey completed two online surveys. The first asked for their estimation of daily screen time over …
Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan
Exploring The Impact Of Inpatient Mental Health Care On Adolescents, Alexandria M. Mckahan
2025 Fall Honors Capstones Projects - Archive
Adolescent psychiatric hospitalizations continue to rise, yet there is limited research on which daily practices inside inpatient units genuinely support engagement and recovery. This project examined how structure, staff tone, and therapeutic programming influence adolescents’ participation and emotional stability within a real inpatient setting. The study focused on three questions: how structured routines affect recovery, what challenges staff face when supporting adolescents with complex needs, and how adolescents’ engagement patterns reflect their perception of care. Using a mixed-methods case study at Mesa Springs Behavioral Health Hospital, I conducted approximately twenty field observations, semi-structured staff interviews, and descriptive engagement tracking across …
From Theory To Practice: A True-Crime Podcast, Lauren V. Peckham
From Theory To Practice: A True-Crime Podcast, Lauren V. Peckham
Senior Honors Projects
The Criminal Element is an innovative, victim-centered podcast that bridges the gap between criminological theory and real-world criminal cases. The podcast is designed as an educational resource for undergraduate Criminology and Criminal Justice students, alongside general audience members interested in learning more about criminological theory. Through the lens of true crime, this podcast is an engaging exploration of foundational and advanced theories while avoiding sensationalism and exploitation, a prevalent problem among true crime media. Each episode connects criminological theoretical concepts – such as strain, social learning, and social disorganization – to contemporary and historical cases, providing listeners with accessible and …
Impact Of Acute Stress On Circadian Rhythm Regulation Of Locomotor Activity In Syrian Hamsters, Raquel A. Villarreal, Laura E. Garcia, Mario Gil
Impact Of Acute Stress On Circadian Rhythm Regulation Of Locomotor Activity In Syrian Hamsters, Raquel A. Villarreal, Laura E. Garcia, Mario Gil
Research Symposium
Background: Disruptions of circadian rhythms, caused by factors such as environmental changes or stress, are linked to health conditions, including metabolic disorders, cardiovascular diseases, and mood disorders. Circadian rhythm disturbances are particularly relevant for understanding the etiology of conditions like insomnia, depression, and anxiety. The circadian rhythm, primarily regulated by the suprachiasmatic nuclei (SCN) in the hypothalamus, coordinates biological processes to align with daily environmental cycles. Acute stress, especially when experienced immediately upon waking, has been shown to disrupt these rhythms, impair sleep regulation, and exacerbate mood dysregulation. Given the significant clinical implications, understanding how stress impacts circadian rhythms is …
Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick
Emotional Display Rules Of Deaf Culture, Nicholas M. Gala, Lawrence Pick
JADARA
Emotional display rules refer to the expression of culturally prescribed and socially acceptable emotions across different people and situations (Wu & Schulz, 2020). The display rules among hearing adults across several cultures are well defined and depend on the type of emotion, the individuals involved in the exchange, and the situation. Regarding Deaf culture in the United States, this minoritized group may follow unique display rules (Hosie et al., 2000), but there has been almost no research conducted with this population and the existing studies have focused on youth. The present study explores perceived emotional expressions among a sample of …
Teacher Voices: Stress And Coping Mechanisms Among The Teaching Profession, Jasmine Suttles
Teacher Voices: Stress And Coping Mechanisms Among The Teaching Profession, Jasmine Suttles
Education | Master's Theses
Stress is a natural response that occurs in our body when we feel overwhelmed, and it can manifest in both positive and negative instances. The teaching profession is not exempt from this phenomenon, as it is unique in that educators have multiple roles to play and have to manage and interact with many students simultaneously. Teachers have been described as "exasperated by heavy loads of emotional labor in the classroom" (Ferguson et al., 2022). This "heavy load" can place the teaching profession at risk of stress and burnout if self-care is not addressed or mental health resources are not offered. …
Multiple Timescales Of Temporal Context In Risky Choice: Behavioral Identification And Relationships To Physiological Arousal, Hayley R. Brooks, Peter Sokol-Hessner
Multiple Timescales Of Temporal Context In Risky Choice: Behavioral Identification And Relationships To Physiological Arousal, Hayley R. Brooks, Peter Sokol-Hessner
Psychology: Faculty Scholarship
Context-dependence is fundamental to risky monetary decision-making. A growing body of evidence suggests that temporal context, or recent events, alters risk-taking at a minimum of three timescales: immediate (e.g. trial-by-trial), neighborhood (e.g. a group of consecutive trials), and global (e.g. task-level). To examine context effects, we created a novel monetary choice set with intentional temporal structure in which option values shifted between multiple levels of value magnitude ("contexts") several times over the course of the task. This structure allowed us to examine whether effects of each timescale were simultaneously present in risky choice behavior and the potential mechanistic role of …
Achievement Motivation And Body Competence As Predictors For Nonhypnotic Suggestibility, Ethan Cohen
Achievement Motivation And Body Competence As Predictors For Nonhypnotic Suggestibility, Ethan Cohen
Honors Projects in Applied Psychology
The present study aims to discover relationships between suggestibility and two predictor variables identified as achievement motivation, and body consciousness. The significance of this study is immense in placebo research due to the studied relationship of suggestibility as a predictor for placebo susceptibility. Relationships between both predictor variables and placebo susceptibility have also been established through research, but there remains a gap in the connection between these variables and suggestibility. The present study administered a survey to participants (N=103), using the Shortened Suggestibility Scale (SSS), Body Consciousness Questionnaire (BCQ), and the Achievement Motives Scale (AMS-R) as the measure of suggestibility, …
Regaining Effort-Based Food Motivation: The Drug Methylphenidate Reverses The Depressive Effects Of Tetrabenazine In Female Rats, Deanna Pietrorazio
Regaining Effort-Based Food Motivation: The Drug Methylphenidate Reverses The Depressive Effects Of Tetrabenazine In Female Rats, Deanna Pietrorazio
Honors Scholar Theses
Tetrabenazine (TBZ), a vesicular monoamine transporter type 2 (VMAT-2) inhibitor, depletes dopamine and induces motivational deficits and other depressive symptoms in humans. Methylphenidate (MPH) is a dopamine transport blocker that is used to enhance motivational function. Previous studies have shown that in male rats, TBZ induces a shift in effort-related choice such that a low-effort bias is induced. In male rats this occurs at a dose range of 0.75-1.0 mg/kg TBZ, and this effect is reversible with co-administration of MPH. Recent studies have shown that females need a higher dose of TBZ (2.0 mg/kg) to show the low-effort bias. The …
Gender Roles And How They Promote Rape Culture, Janelle Isaacs
Gender Roles And How They Promote Rape Culture, Janelle Isaacs
Honors Projects in Applied Psychology
This study investigated the relationship between gender roles and rape culture in society in order to promote awareness of the harmful impacts that promoting gender stereotypes can have on society. A survey that was presented to 143 adults over the age of 18 was conducted to highlight the aforementioned relationship. The survey addressed the extent to which respondents feel they have been taught/exposed to these gender stereotypes, as well as gauged their opinions on factors related to sexual assault. The data did not indicate a correlation between gender roles and rape culture, however, it did present some key findings. The …
The Relationship Between Social Media Use And Depression And Anxiety Symptoms During Covid-19, Tene'sha L. Crews, Christina Sheerin
The Relationship Between Social Media Use And Depression And Anxiety Symptoms During Covid-19, Tene'sha L. Crews, Christina Sheerin
UROP Posters
The rise of the coronavirus (COVID-19) pandemic has caused a global surge in exposure to disaster and crisis-related media. Increases in poor mental health outcomes such as anxiety and depression, are associated with increased exposure to such media content (Abbas et al., 2021; Riehm et al., 2020; Zhao & Zhou, 2020). In recent years, social media has become one of the most widely used sources for news; approximately 48% of adult Americans receive their news from social media (Pew Research Center, 2021). During the COVID-19 pandemic, there has been an increase in social media use due to social distancing and …
The Criterion Collection, Mackenna Finley
The Criterion Collection, Mackenna Finley
Honors Projects
The Criterion Collection is an examination of truth in fiction and poetry. The goal of this project is not to create truth that is absolute, but instead to allow for the experience of its subjectivity. The interplay between fiction and poetry, reader and author illuminates the subtle warping of truth through human experience.
It Is In The Cards: An Analysis Of Greeting Card Selection Through Identity And Personality, Emily Topilow
It Is In The Cards: An Analysis Of Greeting Card Selection Through Identity And Personality, Emily Topilow
Honors Projects
In this exploratory study, personal and social identity were analyzed for their effect on how consumers choose greeting cards. Factors, including personality, relationships, and identity will be qualitatively analyzed to understand people’s buying habits. Certain factors, including gender, personality, relationships, type of card, and frequency of receiving and giving cards, will be qualitatively analyzed for frequency. The two theories analyzed were the Social Identity Theory (SIT) and the Identity Theory (IT).
525 college-aged students were surveyed to examine their purchasing habits of greeting cards. The results showed that the identity of the card giver and the identity of the card …
Measuring Neural Time Series Data In A Sensory Deprivation Tank, Jackson Gregory, Tian Lan, Uri Maoz, Amir Raz
Measuring Neural Time Series Data In A Sensory Deprivation Tank, Jackson Gregory, Tian Lan, Uri Maoz, Amir Raz
Student Scholar Symposium Abstracts and Posters
We are interested in studying the neurological and physiological effects of the float pod, also known as REST therapy, or sensory deprivation tank. Float pods rely on the concept of depriving most senses (from sound and light to temperature and proprioception) in a pool filled with buoyant salt water at body temperature. While float pods are most commonly used in spa environments, we intend to look at the potential benefits of floating under the empirical lens. In this study, we aim to measure neural activity using electroencephalography (EEG). We intend to look at the different levels of relaxation and the …
Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati
Examining Sleep And Family Functioning In Pediatric Craniopharyngioma Using Ecological Momentary Assessment, Nour Al Ghriwati
Theses and Dissertations
Craniopharyngiomas are among the most common brain tumors in children and are associated with greater rates of sleep problems compared to other pediatric cancers. However, research examining sleep among youth with craniopharyngioma has been limited by a reliance on retrospective reports or sleep studies. Families also play a crucial role in children’s adjustment following a pediatric cancer diagnosis, yet remarkably little is known about transactional associations between family functioning and sleep in pediatric cancer. This study examined cross-sectional and daily associations among family functioning, affect, and sleep difficulties for youth with pediatric craniopharyngioma using retrospective reports and ecological momentary assessment …
An Examination Of The Relationships Between Attributional Style, Reappraisal, And Depression Risk In Arab Americans, Khadeja Najjar
An Examination Of The Relationships Between Attributional Style, Reappraisal, And Depression Risk In Arab Americans, Khadeja Najjar
ETD Archive
While depression is a cross-cultural phenomenon, much of the literature that examines risk factors and mechanisms for its occurrence is examined from a Western perspective. As cultural background and level of acculturation to the host culture is known to shape the expression of depressive disorders, as well as their risk factors, this study examined whether cultural factors influence the relationship between two cognitive emotion regulation processes and depression symptoms. Specifically, this study examined whether the relationship between internal, stable, and global causal attributions for negative events (negative attributional style) and depression is mediated by one’s tendency to reframe the meaning …
He Repercussions Of Childhood Trauma On Posttraumatic Stress: The Mediating Effects Of Dissociation And Emotion Dysregulation, Jessica A. Ward
He Repercussions Of Childhood Trauma On Posttraumatic Stress: The Mediating Effects Of Dissociation And Emotion Dysregulation, Jessica A. Ward
ETD Archive
The present study explored the mediating effects of dissociation and emotion dysregulation on the relationship between different types of childhood trauma and symptoms of posttraumatic stress. Participants were 181 undergraduate students at Cleveland State University, who competed measures of childhood trauma (emotional abuse, physical abuse, sexual abuse, and general trauma), posttraumatic stress symptoms, dissociation, and emotion dysregulation. Multiple mediation analyses were conducted to examine the model proposed in this study. The results of this study revealed that all trauma types significantly predicted adulthood posttraumatic stress. The relationship between emotional abuse and posttraumatic stress was mediated through both dissociation and emotion …
The Interrelations Between Spiritual Well-Being, Pain Interference And Depressive Symptoms In Patients With Multiple Sclerosis, Sheri A. Nsamenang, Jameson K. Hirsch, Raluca Topciu, Andrew D. Goodman, Paul R. Duberstein
The Interrelations Between Spiritual Well-Being, Pain Interference And Depressive Symptoms In Patients With Multiple Sclerosis, Sheri A. Nsamenang, Jameson K. Hirsch, Raluca Topciu, Andrew D. Goodman, Paul R. Duberstein
ETSU Faculty Works
Depressive symptoms are common in individuals with multiple sclerosis (MS), and are frequently exacerbated by pain; however, spiritual well-being may allow persons with MS to more effectively cope with pain-related deficits in physical and role functioning. We explored the associations between spiritual well-being, pain interference and depressive symptoms, assessing each as a potential mediator, in eighty-one patients being treated for MS, who completed self-report measures: Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale, Pain Effects Scale, and Center for Epidemiologic Studies Depression Scale Revised. At the bivariate level, spiritual well-being and its subscale of meaning and peace were negatively associated …
Trait Hope And Preparation For Future Care Needs Among Older Adult Primary Care Patients, Jodi L. Southerland, Deborah L. Slawson, Robert Pack, Silvia Sörensen, Jeffrey M. Lyness, Jameson K. Hirsch
Trait Hope And Preparation For Future Care Needs Among Older Adult Primary Care Patients, Jodi L. Southerland, Deborah L. Slawson, Robert Pack, Silvia Sörensen, Jeffrey M. Lyness, Jameson K. Hirsch
ETSU Faculty Works
We examined associations between trait hope and preparation for future care needs (PFCN) among 66 older adult primary care patients in western New York. Participants completed a questionnaire assessing PFCN (awareness, information gathering, decision-making, concrete planning, and avoidance), and the Adult Trait Hope Scale. In multivariate regressions, lower hope, particularly less agency, was associated with more awareness of needing care, whereas higher hopefulness, particularly pathways thinking, was associated with increased decision-making and concrete planning. Greater hopefulness appears to be linked to goal-directed planning behaviors, although those with lower hope may actually be more aware of the need for planning. Evidence-based …
Perceptions Of Harm And Addiction Among Dual Users Of Cigarettes And E-Cigarettes, Julia S. Rozman
Perceptions Of Harm And Addiction Among Dual Users Of Cigarettes And E-Cigarettes, Julia S. Rozman
UROP Posters
Background: Tobacco harm perceptions are important factors in why individuals may initiate, substitute, and/or engage in dual or poly-tobacco use patterns. Identifying correlates of these perceptions is important for understanding why these cognitions may exist and help provide intervention targets. The purpose of the current study was to examine perceptions of harm and addiction among a sample of cigarette and electronic cigarette (e-cigarette) users and examine whether these perceptions differ by demographics, other substance use, and tobacco use history.
Methods: The current sample consisted of 29 individuals who consented to participate in a clinical laboratory study of dual cigarette and …
The G. Stanley Hall Papers, Granville Stanley Hall
The G. Stanley Hall Papers, Granville Stanley Hall
Finding Aids
The papers of Granville Stanley Hall, Clark University's first president, include family and professional correspondence, official University correspondence, and correspondence with former students of Hall's.
The Effects Of Alcohol On The Interpretation Of Social And Emotional Cues: A Field Study Of College Student Drinking, Emotion Recognition, And Perceptions Of A Hypothetical Sexual Assault, Alexander James Melkonian
The Effects Of Alcohol On The Interpretation Of Social And Emotional Cues: A Field Study Of College Student Drinking, Emotion Recognition, And Perceptions Of A Hypothetical Sexual Assault, Alexander James Melkonian
Graduate Theses and Dissertations
Alcohol use and abuse among emerging adults is highly correlated with increased risk for sexual victimization. Alcohol myopia theory has been used to explain impairments in Social information processing resulting in decreased attention to environmental Social cues including risk factors for sexual assault as well as facial emotional recognition. Those with deficits in Social information processing may be at particular risk for the misperception of salient risk factors for sexual assault by victims, perpetrators, and bystanders when intoxicated. In this naturalistic field study, participants who had been consuming alcohol were recruited to engage in tasks of facial emotion recognition and …
Gratitude And Kindness: Just What The Doctor Ordered, Kathleen E. Glynn
Gratitude And Kindness: Just What The Doctor Ordered, Kathleen E. Glynn
Theses and Dissertations - UTB/UTPA
In recent years, the positive psychology movement has grown and researchers have become interested in studying overall well-being and the predictors of happiness. Previous studies have indicated that biology plays a role in determining an individual’s happiness, but this is not the only contributing factor. Thought patterns and behaviors play a key role in one’s overall wellbeing. The current study evaluated the relationship that a practice of gratitude and performing acts of kindness had on participants’ scores on happiness, gratitude and social support scales. It was predicted that individuals who performed acts of kindness and practice gratitude for one week …
Failure To Launch? Understanding Variations In Emerging Adult Flight Patterns, Christina Ashley Williams
Failure To Launch? Understanding Variations In Emerging Adult Flight Patterns, Christina Ashley Williams
Graduate Theses and Dissertations
What does the transition to adulthood look like for emerging adults? This study proposes that popular cultural ideas like "failure to launch" imply an oversimplified dichotomy that does not account for the multiple "flight patterns" into adulthood. Focusing on the narratives of six interview cases selected from the larger sample of interviewees from Wave 4 of the National Study of Youth and Religion and drawing on the quantitative data from the broader survey sample, this mixed-methods approach examines in-depth, narrative experiences and the ways structural barriers vary between upper-middle, lower-middle, and working class emerging adults. We find that emerging adulthood …
Handling Human Hacking: Creating A Comprehensive Defensive Strategy Against Modern Social Engineering, Charles Snyder
Handling Human Hacking: Creating A Comprehensive Defensive Strategy Against Modern Social Engineering, Charles Snyder
Senior Honors Theses
Social engineering is one of the most devastating threats to any company or business. Rather than relying upon technical flaws in order to break into computer networks, social engineers utilize a suave personality in order to deceive individuals through clever conversation. These devious conversations frequently provide the attacker with sufficient information to compromise the company’s computer network. Unlike common technical attacks, social engineering attacks cannot be prevented by security tools and software. Instead of attacking a network directly, a social engineer exploits human psychology in order to coerce the victim to inadvertently divulge sensitive information. Further complicating the issue, the …
Smoking Patterns Among Vcu Students, Jasmine Saini
Smoking Patterns Among Vcu Students, Jasmine Saini
UROP Posters
For some individuals, college can be a high risk time for the development of problems associated with alcohol use and other substances. The purpose of this study is to examine these initiation and use patterns as they relate to nicotine use among college students 18 years of age and older enrolled in Spit for Science: The VCU Student Survey. The Spit for Science research project evaluates how genetic and environmental factors contribute to substance use and emotional health among college students at VCU. This study uses data from the Spit for Science 2011 cohort (n=2007) to investigate smoking patterns among …