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Articles 2101 - 2130 of 33642
Full-Text Articles in Social and Behavioral Sciences
Feasibility Of A Peer-Facilitated Video-Based Mental Health And Substance Use Service-Learning Program, Mara Carmina A. Tamayo, King Filart, Maria Regina Hechanova
Feasibility Of A Peer-Facilitated Video-Based Mental Health And Substance Use Service-Learning Program, Mara Carmina A. Tamayo, King Filart, Maria Regina Hechanova
Journal of Community Engagement and Higher Education
This study examined the feasibility of implementing a peer-facilitated mental health and substance use video-based program delivered by psychology students as part of service learning. The program was delivered on-site and online. Findings reveal improvements in knowledge, attitudes, refusal self-efficacy, and adaptive coping among on-site participants. However, there was no effect on online participants given many implementation challenges. Recommendations include delivering the program on-site, strengthening training for facilitators, increasing program duration, and shortening the videos.
Teaching About Substance Use Recovery: The Pedagogical Power Of Community-Based Learning, Jumi Hayaki, Isabelle Jenkins
Teaching About Substance Use Recovery: The Pedagogical Power Of Community-Based Learning, Jumi Hayaki, Isabelle Jenkins
Journal of Community Engagement and Higher Education
Community-based learning (CBL) is a form of experiential learning that integrates academic theory and content with active service in an applied setting. CBL is especially well suited for teaching about complex social issues. We present the case study of a psychology course on substance use recovery that leverages CBL to dismantle stereotypes, humanize a highly stigmatized mental health problem facing society, and afford students the opportunity to consider their own privilege and positionality.
Sex-Specific Effects Of Early-Life Unpredictability On Hippocampal And Amygdala Responses To Novelty In Adolescents, Elysia Poggi Davis, Bianca T. Leonard, Robert J. Jirsaraie, David B. Keator, Steven L. Small, Curt A. Sandman, Victoria B. Risbrough, Hal S. Stern, Laura M. Glynn, Michael A. Yassa, Tallie Z. Baram, Jerod M. Rasmussen
Sex-Specific Effects Of Early-Life Unpredictability On Hippocampal And Amygdala Responses To Novelty In Adolescents, Elysia Poggi Davis, Bianca T. Leonard, Robert J. Jirsaraie, David B. Keator, Steven L. Small, Curt A. Sandman, Victoria B. Risbrough, Hal S. Stern, Laura M. Glynn, Michael A. Yassa, Tallie Z. Baram, Jerod M. Rasmussen
Psychology Faculty Articles and Research
Background
Unpredictable childhood experiences are an understudied form of early-life adversity that impact neurodevelopment. The neurobiological processes by which exposure to early-life unpredictability impact development and vulnerability to psychopathology remain poorly understood. In the current study, we investigated the sex-specific consequences of early-life unpredictability on the limbic network, focusing on the hippocampus and the amygdala.
Methods
Participants included 150 youths (54% female). Early-life unpredictability was assessed using the Questionnaire of Unpredictability in Childhood (QUIC). Participants engaged in 1 or more task–functional magnetic resonance imaging scans between the ages of 8 and 17 (223 total observations) measuring blood oxygen level–dependent (BOLD) …
Community Health Workers: Key To Decreasing Food Insecurity In Pregnant Individuals, Linda Waggener Dnp
Community Health Workers: Key To Decreasing Food Insecurity In Pregnant Individuals, Linda Waggener Dnp
Doctor of Nursing Practice Scholarly Projects
Objectives: Food insecurity (FI) in pregnant individuals (PI)s is a global threat to birthing individuals and fetuses with potential immediate and intergenerational impacts on family and community. Community Health Workers (CHWs) facilitate support including food resources for FIPIs. The Family Fresh Rx (FFRx) program, within Food as Medicine (FaM) model provides fresh fruits and vegetables, optimize nutrition, and mitigates threats to health. This Doctor of Nursing Practice (DNP) Quality Improvement (QI) project’s two objectives were CHWs’ FFRx program and referral process satisfaction evaluation through a pre, post, and four-week post refresher presentation (RP) modified System Usability Scale (mSUS) …
Exploring Buffering Effects Of Interpersonal Relationships On The Impacts Of Stress On Physical Health, Hadley Freedman, Sophie Forcier, Emma Slatnick, Keely Wright, Kevin M. Summers, Sarah Huff
Exploring Buffering Effects Of Interpersonal Relationships On The Impacts Of Stress On Physical Health, Hadley Freedman, Sophie Forcier, Emma Slatnick, Keely Wright, Kevin M. Summers, Sarah Huff
DU Undergraduate Research Journal Archive
We examined the potential moderating effects of interpersonal relationships on the association between stress and physical health. We hypothesized that there would be a significant main effect of stress on physical health, a significant main effect of relationships on physical health, and a significant interaction between stress and relationship quality on physical health, such that quality relationships provide a buffering effect, reducing the negative impacts of stress on physical health. Data was collected through a self-report Qualtrics survey on CloudResearch. We found a significant main effect of stress on physical health and a significant main effect of relationship quality on …
Conflicting Social Information And Its Impact On Sentence Comprehension In Young Adults With Dld: An Eye Tracking Study, Ansley Davis
Conflicting Social Information And Its Impact On Sentence Comprehension In Young Adults With Dld: An Eye Tracking Study, Ansley Davis
USF Tampa Graduate Theses and Dissertations
Individuals must recognize linguistic and non-linguistic social cues to resolve contextual ambiguities in their conversations. When the linguistic and social cues match, sentence processing is facilitated. However, conflicts between linguistic and social stimuli (i.e., incongruency) can lead to prediction errors which slow sentence processing. Limited research has explored the social cognition conflict resolution skills in individuals with Developmental Language Disorder (DLD) despite their documented emotion processing deficits. This study considers the role of social prediction processing in adults with DLD as they engage in a social cognition conflict resolution task.
Young adults with DLD (n=29) and typically developing (TD) peers …
Impact Of Race On Admission, Clinical Outcomes, And Disposition In Cholangiocarcinoma: Insights From The National Inpatient Database, Tijin A. Mathew, Teresa M. Varghese, Nithya Krishnakumaran, George M. Varghese, Khwaja S. Haq, Akshita Khosla, Rojymon Jacob, Gina Vaccaro
Impact Of Race On Admission, Clinical Outcomes, And Disposition In Cholangiocarcinoma: Insights From The National Inpatient Database, Tijin A. Mathew, Teresa M. Varghese, Nithya Krishnakumaran, George M. Varghese, Khwaja S. Haq, Akshita Khosla, Rojymon Jacob, Gina Vaccaro
School of Medicine Faculty Publications
BACKGROUND: Cholangiocarcinoma, malignancies arising from the intrahepatic and extrahepatic bile ducts, has increased in incidence in the United States over the past few decades. The reported incidence of cholangiocarcinomas is high, particularly in specific racial groups such as Asian and Pacific Islander patients. Race also significantly impacts disparities in healthcare utilization and clinical outcomes. Our study focused on the impact of race on admission, clinical outcomes, and disposition of cholangiocarcinoma. METHODS: We performed a retrospective analysis of cholangiocarcinoma-related hospital admissions, using the National Inpatient Sample for the year 2022. Patients were stratified according to race into the following groups: White, …
Blood Flow Occlusion Superimposed On Low-Volume, Low-Intensity Knee Extensions Does Not Evoke Hypoalgesia: A Pilot Study, Sophie-Jayne Morgan, Jenny Zhang, Neil Lemay, Neda Khaledi, Saied J. Aboodarda
Blood Flow Occlusion Superimposed On Low-Volume, Low-Intensity Knee Extensions Does Not Evoke Hypoalgesia: A Pilot Study, Sophie-Jayne Morgan, Jenny Zhang, Neil Lemay, Neda Khaledi, Saied J. Aboodarda
Topics in Exercise Science and Kinesiology
Topics in Exercise Science and Kinesiology Volume 6: Issue 1, Article 9, 2025. Exercise-induced hypoalgesia (EIH) is a transient decrease in pain perception that can be observed following various tasks, including low-intensity and high-intensity exercise. The application of blood flow occlusion (BFO) can help enhance exercise adaptations while being able to exercise at a low intensity, which has important implications for clinical and rehabilitative settings. Through descending inhibitory pathways, BFO-induced pain can potentially alleviate exercise-induced pain. This study aimed to assess whether the superimposition of BFO – and its associated augmented perceived responses – during low-intensity, low-volume resistance exercise could …
Artificial Intelligence Policies In Bioethics And Health Humanities: A Comparative Analysis Of Publishers And Journals, Christopher Bobier, Daniel Rodger, Daniel Hurst
Artificial Intelligence Policies In Bioethics And Health Humanities: A Comparative Analysis Of Publishers And Journals, Christopher Bobier, Daniel Rodger, Daniel Hurst
Rowan-Virtua School of Osteopathic Medicine Departmental Research
INTRODUCTION: Rapid advancements in artificial intelligence (AI) pose novel ethical and practical challenges for scholarly publishing. Although AI-related policies are emerging in many disciplines, little is known about the extent and clarity of AI guidance in bioethics and health humanities journals.
METHODS: A search of publicly available journal lists from the American Society for Bioethics and Humanities, Health Humanities Consortium, and Association for Medical Humanities was supplemented with Google Scholar's top 20 bioethics journals ranked by h5-index. This yielded 54 unique journals, of which 50 remained after excluding those without a functional website or recent publications. AI policies were reviewed …
A Systematic Review Of Flotation-Restricted Environmental Stimulation Therapy (Rest), Elnaz Lashgari, Emma Chen, Jackson Gregory, Uri Maoz
A Systematic Review Of Flotation-Restricted Environmental Stimulation Therapy (Rest), Elnaz Lashgari, Emma Chen, Jackson Gregory, Uri Maoz
Psychology Faculty Articles and Research
Background
Restricted Environmental Stimulation Therapy (REST) is a therapeutic technique that involves immersing an individual in an environment with minimal sensory input or stimulation. The goal of REST is to induce a state of relaxation that is deeper than what can be achieved through other forms of relaxation techniques. Research suggests that REST can help reduce anxiety, alleviate chronic pain, improve sleep, and enhance creativity and cognitive function. Flotation-REST is a popular type of REST that utilizes an enclosed tank filled with buoyant saltwater to facilitate relaxation. This study aimed to synthesize the evidence on studies that investigate the effects …
External Challenges For Individuals Who Need Or Use Aac Who Are Learning Language: Lived Experiences, Key Research Findings, And Future Directions, Christine Holyfield, Janice Light, Dana Nieder, Jamie Preece
External Challenges For Individuals Who Need Or Use Aac Who Are Learning Language: Lived Experiences, Key Research Findings, And Future Directions, Christine Holyfield, Janice Light, Dana Nieder, Jamie Preece
Communication Disorders and Occupational Therapy Faculty Publications and Presentations
Language skills are essential to effective communication, but learning language is by no means a simple process for individuals with developmental disabilities who cannot rely on speech alone to be heard and understood. Research demonstrates that augmentative and alternative communication (AAC) interventions positively impact development across language domains (e.g., pragmatics, semantics, morphosyntax) and may also benefit speech production. However, these gains can only be realized if people have timely access to effective AAC and have meaningful opportunities to interact with others. This paper integrates the lived experiences of individuals who need or use AAC and their families with key research …
Community Engagement In Music Therapy: Reflections From The Field, Jess Rushing, Denise M. Cumberland
Community Engagement In Music Therapy: Reflections From The Field, Jess Rushing, Denise M. Cumberland
Journal of Community Engagement and Higher Education
This paper reflects on a music therapy community engagement project that incorporates clinical training, service learning, and community music therapy. Two faculty members and a practicum student in a Midwestern university engaged community members connected to Parkinson’s disease to create a music-based program. We offer a conceptual framework that connects approaches situated within community music therapy (CoMT) qualities and community-based participatory research (CBPR) principles. We share project processes, findings, and recommendations, emphasizing all as equal stakeholders.
Positively Impacting Traffic Safety Culture For Indigenous Youth: A Heritage-Focused Approach, Jacob Steven Pehrson, Ahmed Abdel-Rahim, Logan Prescott
Positively Impacting Traffic Safety Culture For Indigenous Youth: A Heritage-Focused Approach, Jacob Steven Pehrson, Ahmed Abdel-Rahim, Logan Prescott
Journal of Community Engagement and Higher Education
This paper presents the development of heritage-focused outreach materials with the objectives of positively impacting traffic safety culture for Indigenous youth to reduce the number and severity of traffic crashes impacting these communities. The approach presented in this paper includes involving local community leaders in traffic safety education and incorporating culturally based material in outreach education. This could empower Tribal communities to preserve their cultural identities while acquiring the expertise needed to promote traffic safety.
Interprofessional Collaboration To Address Social Isolation And Facilitate Intergenerational Service Learning Within Graduate Education, Angela Lavery, Erin Knight, Stephanie Cole, Stacie Metz
Interprofessional Collaboration To Address Social Isolation And Facilitate Intergenerational Service Learning Within Graduate Education, Angela Lavery, Erin Knight, Stephanie Cole, Stacie Metz
Journal of Community Engagement and Higher Education
This article presents an interdisciplinary collaboration to address the needs of older adults at risk of social isolation exacerbated by the COVID-19 pandemic. An intergenerational service-learning program developed by the Pennsylvania Department of Aging was offered to several universities across the state of Pennsylvania. The authors share their experience and lessons learned from pairing older adults with graduate students studying in the fields of Gerontology, Public Health, and Social Work.
The Effectiveness Of Myofascial Massage Of The Gastrocnemius Muscle On The Threshold And Pain Tolerance., Karolina Pawlikowska, Aleksandra Jażdżewska, Jakub Kortas
The Effectiveness Of Myofascial Massage Of The Gastrocnemius Muscle On The Threshold And Pain Tolerance., Karolina Pawlikowska, Aleksandra Jażdżewska, Jakub Kortas
Baltic Journal of Health and Physical Activity
Background: The aim of the study was to assess the effectiveness of the myofascial self-massage technique of the gastrocnemius muscle in determining the possibility of increasing pain tolerance and individual pain threshold, which could increase exercise efficiency, allow for greater training loads and accelerate post-exercise regeneration, as well as to determine the subjective assessment of pain intensity using the VAS scale. Material and Methods: 85 students at Gdansk University of Physical Education and Sport took part in the research, including 37 women and 48 men aged 19–25 years. (M = 20.7; SD = 1.07). The test consisted of applying pressure …
Evaluation Of The Feasibility And Effectiveness Of Trauma-Focused Cognitive Behavioural Therapy For Children And Youth In Ukraine During The War, Elisa Pfeiffer, Maike Garbade, Renee Beer, Anette Birgersson, Natalie Cabrera, Judith A Cohen, Esther Deblinger, Rafaela Gjini, Veronica Kirsch, Zlatina Kostova, Michael Larsson, Anthony Mannarino, Gavin Moffitt, Marja Onsjö, Tale Ostensjo, Anna Vikgren, Hanna Weyler, Vitalii Klymchuk, Cedric Sachser
Evaluation Of The Feasibility And Effectiveness Of Trauma-Focused Cognitive Behavioural Therapy For Children And Youth In Ukraine During The War, Elisa Pfeiffer, Maike Garbade, Renee Beer, Anette Birgersson, Natalie Cabrera, Judith A Cohen, Esther Deblinger, Rafaela Gjini, Veronica Kirsch, Zlatina Kostova, Michael Larsson, Anthony Mannarino, Gavin Moffitt, Marja Onsjö, Tale Ostensjo, Anna Vikgren, Hanna Weyler, Vitalii Klymchuk, Cedric Sachser
Rowan-Virtua School of Osteopathic Medicine Departmental Research
BACKGROUND: The large-scale Russian invasion of Ukraine in early 2022 resulted in a humanitarian crisis with hundreds of thousands of children exposed to traumatic events. To date, trauma-focused evidence-based treatments (EBTs) for children and youth have not been systematically evaluated and implemented in Ukraine. This study aims at evaluating 1) the feasibility of a training program for Ukrainian therapists on Trauma-Focused Cognitive Behavioural Therapy (TF-CBT) and 2) the feasibility and effectiveness of the treatment for children, youth, and their families in and from Ukraine during the ongoing war.
METHODS: The project "TF-CBT Ukraine" was implemented between March 2022 and May …
Himmelfarb Library Liaison Letter - July 2025, The George Washington University, Himmelfarb Health Sciences Library
Himmelfarb Library Liaison Letter - July 2025, The George Washington University, Himmelfarb Health Sciences Library
Himmelfarb Library Liaison Letters
No abstract provided.
The Physiological And Psychological Effects Of Stress On Undergraduate Students, Leah Cutright, My-Linh Nguyen, Brady Carson, Ariana Howell, Chi Ajinwo, Dhanashree Rane, Samantha Giordano-Mooga
The Physiological And Psychological Effects Of Stress On Undergraduate Students, Leah Cutright, My-Linh Nguyen, Brady Carson, Ariana Howell, Chi Ajinwo, Dhanashree Rane, Samantha Giordano-Mooga
Expo Student Presentations
2025 Summer Expo Oral Presentation
- Health Sciences & Health Professions
- Social & Behavioral Sciences
La Salud Intercultural Aymara En El Contexto De La Muerte Y La Unidad De Cuidado Paliativo En El Hospital Regional De Arica, Chile, Phoebe Dennison
La Salud Intercultural Aymara En El Contexto De La Muerte Y La Unidad De Cuidado Paliativo En El Hospital Regional De Arica, Chile, Phoebe Dennison
Chile: Public Health, Traditional Medicine, and Community Empowerment
Chile’s health system requires the inlcusion of intercultural health for indigenous populations. This includes palliative care. Indigenous patients come from different belief backgrounds that shape their understanding of death and health practices. Indigenous patients should be given culturally relevant end of life care that respects their beliefs. Intercultural health can be difficult to implement at any point in the patient’s life. Northern Chile has a significant population of Aymara people, an indigenous group. The Aymara people have a cosmovision that is intertwined with the natural world and believes death is the spirit’s journey to the next life. In the region …
Nsu Kpcom Link - Summer 2025 - Volume 4.2, Nova Southeastern University
Nsu Kpcom Link - Summer 2025 - Volume 4.2, Nova Southeastern University
NSU Florida Link Newsletter
No abstract provided.
The Formation Mechanism Of Irrational Online Comments From The Perspective Of Dual Systems Theory, Xuefen Wang, Lei Guo, Liyan Chang, Zejiao Jiang
The Formation Mechanism Of Irrational Online Comments From The Perspective Of Dual Systems Theory, Xuefen Wang, Lei Guo, Liyan Chang, Zejiao Jiang
Journal of Scientific Information Research
[Purpose/significance] To explore the internal formation mechanism of unplanned irrational online comments is of great significance to promote the governance of cyberspace and the control of user behavior.
[Method/process] Based on the dual-system theory, the study constructed a model for the formation mechanism of irrational online comments, and revealed how online disinhibition and the spiral of silence affect individual internal states to stimulate irrational comments through empirical analysis.
[Result/conclusion] Research reveals that: compared to mild irrational comments, aggressive irrational comments are more likely to be unplanned behaviors, the cognitive-emotional preoccupation with online comments is the main driving factor for irrational …
A Link Prediction Model For Knowledge Graph Completion Of Traditional Chinese Medicine Cases, Qifeng Lou, Dongmei Mu, Shutong Wang, Lili Huang
A Link Prediction Model For Knowledge Graph Completion Of Traditional Chinese Medicine Cases, Qifeng Lou, Dongmei Mu, Shutong Wang, Lili Huang
Journal of Scientific Information Research
[Purpose/significance] To propose a link prediction model for completing the knowledge graph of Chinese medicine cases, aiming to fill in the missing information in the knowledge graph,reveal the potential unknown associations,and promote the construction of a more comprehensive and detailed knowledge graph of Chinese medicine cases.
[Method/process] Medical cases in the field of TCM asthma were collected and integrated to construct a knowledge graph of TCM asthma diagnosis and treatment. By introducing Dropout regularization and Batch Normalization techniques into the RotatE model, an improved ERDBN model is proposed and applied to the task of refining the asthma diagnosis and treatment …
Full Issue, Volume 13, Number 1, Donna J. Peterson, Scott Cummings, Elizabeth Gregory North
Full Issue, Volume 13, Number 1, Donna J. Peterson, Scott Cummings, Elizabeth Gregory North
Journal of Human Sciences and Extension
No abstract provided.
A Word From The Writing Team (July 2025), Pam Walter, Mfa
A Word From The Writing Team (July 2025), Pam Walter, Mfa
A Word From the Writing Team (Newsletter)
This issue includes:
- Publications Spotlight
- Join the Summer Writing Warriors
- Two Ways to Fund Open Access Fees
- Check out the Instructional Design Team’s Podcast, The Learning Curve!
Graduate School Blog - July 2025 Volume 1, Cynthia Haynes
Graduate School Blog - July 2025 Volume 1, Cynthia Haynes
UofM Grad School Blog
The July 2025 UofM Graduate School Blog – Volume 1 continues the Cost of Graduate School Guide with a deep dive into hidden and variable expenses such as residency-based tuition differences, program-specific fees, and differential tuition. The blog provides practical tips for prospective students on how to ask the right financial questions when comparing programs. It also features a student spotlight on Billy Brooks, a dual MHA/MBA candidate motivated to transform healthcare access and equity. Upcoming events include a Virtual Fall 2025 Open House with Financial Aid and USBS, a Dissertation Writers Retreat, and both in-person and virtual Graduate Student …
Use Of High-Throughput Phenomics With And Without Fungicide As A Wheat Breeding Tool, Gerardo Ivan Rivera Collazo
Use Of High-Throughput Phenomics With And Without Fungicide As A Wheat Breeding Tool, Gerardo Ivan Rivera Collazo
Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–
Wheat (Triticum aestivum) is an important food staple for many countries around the world and current consumption and production data demonstrate a production deficit. Breeders are challenged to help close this gap in production by selecting better cultivars with improved yields. Several methods aim to accelerate the breeding process to reduce the time required for releasing an elite variety. One of the main breeding bottlenecks is the lack of fast and reliable phenotypic data acquisition that could dissect physiological and morphological plant data. High-throughput remote sensing could have the potential to reduce this bottleneck by streamlining data acquisition, …
Author Reply: Investment Case For Mental Health, Cyprian Mostert
Author Reply: Investment Case For Mental Health, Cyprian Mostert
Population Health, East Africa
No abstract provided.
The New Professional: Reimagining Rapport: Innovative Ways Dental Teams Connect With Patients, Amrita Patel Dds
The New Professional: Reimagining Rapport: Innovative Ways Dental Teams Connect With Patients, Amrita Patel Dds
The Journal of the Michigan Dental Association
This article explores innovative communication strategies for dental practices to enhance patient interaction. It highlights the importance of digital onboarding for streamlined intake, two-way text messaging for efficient appointments, and personalized video messages to foster connection. Practices are adopting multilingual communication and AI tools like chatbots for 24/7 inquiry handling, integrating them with patient records for tailored responses. Interactive platforms with 3D visuals and video tutorials are used for patient education, empowering them in oral health decisions. The article also emphasizes leveraging social media for engagement, capturing real-time patient feedback, and maintaining empathy-driven human interaction despite technological advancements
News You Need July 2025
The Journal of the Michigan Dental Association
News You Need for July 2025 includes a listing of MDA members who have completed service on committees; a link to recent MDA Board actions; news about two dental journalism awards won by the MDA Journal; how younger patients are negatively influenced by social media; a letter to the editor regarding dental insurance; information about MDA Foundation scholarships; members receiving awards; a calendar of events; a patient fact sheet; and more.
Sociodemographic Influences On Substance Use In Psychosis In An African Cohort, Megan L. Campbell, Raymond Odokonyero, Dickens Akena, Melkam Alemayehu, Lukoye Atwoli, Lori B. Chibnik, Bizu Gelaye, Stella Gichuru, Symon M. Kariuki, Karestan C. Koenen
Sociodemographic Influences On Substance Use In Psychosis In An African Cohort, Megan L. Campbell, Raymond Odokonyero, Dickens Akena, Melkam Alemayehu, Lukoye Atwoli, Lori B. Chibnik, Bizu Gelaye, Stella Gichuru, Symon M. Kariuki, Karestan C. Koenen
Internal Medicine, East Africa
Background: Substance use is common among individuals with psychotic disorders, but limited research exists on the variations in substance use across countries in Africa. This study aims to investigate the frequency of alcohol, tobacco, cannabis, and khat consumption in individuals with bipolar disorder (BD) and schizophrenia (SCZ) across four African countries: South Africa, Ethiopia, Kenya, and Uganda.
Methods: We utilized data from the Neuropsychiatric Genetics of African Populations-Psychosis project, a large case-control study which will soon have genetic data on over 42,000 participants, half with psychosis. Information on substance use was collected using the Alcohol, Smoking and Substance Involvement Screening …