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Full-Text Articles in Social and Behavioral Sciences
Relations Between Adverse Childhood Experiences And Substance Use In Adolescents And Emerging Adults: The Moderating Role Of Exposure To Community Violence And Community Support And Community Recognition, Kiara Brown
Theses and Dissertations
Due to historical and current systemic racial inequities, African American adolescents and emerging adults living in low-income urban communities bear the burden of higher rates of adverse childhood experiences (ACEs) and exposure to community violence. Both exposure to ACEs and community violence are linked to higher levels of substance use. However, limited research exists on how exposure to community violence exacerbates the association between ACEs and higher frequencies of substance use in adolescence and emerging adulthood. There is also a need to understand how community-level protective factors may weaken the relations between ACEs and higher rates of substance use. The …
Associations Between Childhood Trauma And Tobacco Dependence Among Latine Adults: Testing The Protective Effects Of Compassion For Self And Others, Camila Tirado
Theses and Dissertations
Tobacco dependence has posed a significant public health challenge in the United States and disproportionately affects Latine adults' risk of developing a variety of adverse health conditions. Childhood trauma is a recognized risk factor for dependence, overall health, and mental health concerns. Still, the influence of compassion for self or compassion for others in this context remains unclear. This cross-sectional study investigated the moderating effects of self-compassion and compassion for others on the relationship between childhood trauma and cigarette dependence among Latine adults. Data was collected through questionnaires assessing childhood trauma, self-compassion, cultural values and factors, compassion for others, and …
The Effect Of Non-Offending Caregiver Substance Use On Posttraumatic Stress Symptoms In Survivors Of Child Sexual Abuse, Katelynn Robison Jones
The Effect Of Non-Offending Caregiver Substance Use On Posttraumatic Stress Symptoms In Survivors Of Child Sexual Abuse, Katelynn Robison Jones
Theses and Dissertations
Prevalence rates for child sexual abuse and substance use have often been difficult to determine. The Centers for Disease Control and Prevention (2022) estimated that one in four girls and one in thirteen boys experience childhood sexual abuse (CSA) in the United States. Similarly, the Substance Abuse and Mental Health Services Administration (2021) estimated that 58.7% of individuals over the age of 12 have used a substance in the last month. Despite the identification of both of these experiences as relatively common societal concerns, the impact of parental substance use on children and families has primarily been evaluated in a …
Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks
Examining Genetically-Informed Etiologic Models Of Co-Occurring Posttraumatic Stress Disorder And Recreational Cannabis Use Among College Students, Terrell A. Hicks
Theses and Dissertations
The college years encompass a period of increased risk recreational cannabis use (RCU), as well as a time of increased risk for trauma exposure and developing posttraumatic stress disorder (PTSD). Given the high co-occurrence between RCU and PTSD, and the potentially negative consequences of the two (e.g., worse academic outcomes), there is a need to understand the etiologic mechanisms of these commonly co-occurring conditions. Two primary phenotypic models exist: self-medication model (i.e., PTSD to RCU) and the high-risk model (i.e., RCU to PTSD). To date, there are two existing studies longitudinally examining the etiologic models proposed to explain co-occurring RCU …
Characterizing The Patterns, Predictors, And Processes Involved In Recovery From Substance Use Disorders, Rebecca L. Smith
Characterizing The Patterns, Predictors, And Processes Involved In Recovery From Substance Use Disorders, Rebecca L. Smith
Theses and Dissertations
Alcohol and drug use disorders are associated with significant cost to individuals, families, and society.Approximately 40-75% of affected individuals remit from alcohol use disorders (AUD). Although the development of AUD is well studied, recovery from AUD and factors that contribute to recovery are not as well characterized. With the definition of recovery evolving towards a process rather than an outcome, there is a need to better understand psychosocial functioning and quality of life among individuals at different points in their recovery journeys. Concurrently, additional research is needed to understand the interplay between sources of recovery capital, individual differences in risk …
Alcohol And Other Addictive Behaviors Among Bariatric Surgery Patients, Rachel M. Arnold
Alcohol And Other Addictive Behaviors Among Bariatric Surgery Patients, Rachel M. Arnold
Theses and Dissertations
Research has repeatedly highlighted a high rate of comorbidity of addictive behaviors in both clinical and non-clinical samples. While polydrug use has received significant attention in recent years, less is known about rates of comorbidity with behavioral addictions such as eating, work, exercise, or sex. Individuals with a history of bariatric surgery may provide a unique opportunity to examine the potential co-occurrence of addictive behaviors. High rates of food addiction symptoms and changes in alcohol use patterns post-surgically have highlighted a potential gap in our understanding of bariatric patients and their needs post-surgically. Using a composite measure of addictive behaviors, …
Oops I Drank It Again: Predictors Of Emerging Adults’ Unplanned Drinking, Ashley Rose Adams
Oops I Drank It Again: Predictors Of Emerging Adults’ Unplanned Drinking, Ashley Rose Adams
Theses and Dissertations
Heavy alcohol consumption in college increases risk for sexual assault, decreases academic performance, and can lead to future development of alcohol-related problems or negative developmental outcomes. Given these potential negative consequences, it is critical to investigate ways emerging adults at colleges are using and abusing alcohol. Previous research has shown that unplanned drinking is related to negative outcomes; therefore, examining predictors of unplanned drinking is important for determining at-risk groups. The current study investigated variables that are established predictors of alcohol use and misuse in emerging adults, including impulsivity, caregiver problem drinking, and age of onset alcohol use. These variables …
A Randomized Trial Of Cbt4cbt For Women In Residential Treatment For Substance Use Disorders, Sydney S. Kelpin
A Randomized Trial Of Cbt4cbt For Women In Residential Treatment For Substance Use Disorders, Sydney S. Kelpin
Theses and Dissertations
Women with substance use disorders (SUD) face unique barriers to substance use treatment, and as a result, are less likely than their male counterparts to seek treatment for the disorder. Cognitive behavioral therapy (CBT) is an evidence-based treatment known to reduce relapse rates by teaching clients to recognize and respond to their cues for substance use. Recent research suggests CBT may be particularly of benefit to women. Despite the effectiveness of CBT, its dissemination in clinical practice is limited due to a range of barriers (e.g., time, cost). Computer-based training for cognitive behavioral therapy (CBT4CBT) offers an opportunity to improve …
Assessing The Functions Of Prescription Stimulant Abuse Among College Students, Matthew J. Dwyer
Assessing The Functions Of Prescription Stimulant Abuse Among College Students, Matthew J. Dwyer
Theses and Dissertations
Non-medical prescription stimulant use (NMPSU), such as using medications like Ritalin, Adderall, and Concerta without a prescription or at a higher dosage than prescribed, is a rising trend in American adults. Use is most prevalent among college age adults (18-25 years old). Survey research among experienced users has identified several reasons college students are engaging in NMPSU, including enhancement of cognitive, athletic, and social performance, but less is known about how the relative reinforcing value differs based on the reasons of use. Behavioral economic drug purchase tasks have been used to capture reinforcer strength and motivation related to use of …
Changes In Self-Concept And Substance-Related Cognitions During Short-Term Residential Substance Use Treatment, Olivia Grace Larson
Changes In Self-Concept And Substance-Related Cognitions During Short-Term Residential Substance Use Treatment, Olivia Grace Larson
Theses and Dissertations
The United States is in the midst of an opioid crisis, with more than 130 people dying each day from an opioid overdose (Centers for Disease Control and Prevention [CDC], 2018a). Given the recent spike in overdose deaths associated with highly potent synthetic opioids (i.e., fentanyl), there are few signs of the crisis abating (CDC, 2018a). Compared to other age groups, the prevalence of both heroin and prescription opioid use is particularly elevated among young adults (Sharma, Bruner, Barnett, & Fishman, 2016). While there is a large body of evidence demonstrating the effectiveness of substance use treatment in general, only …
A Longitudinal Investigation Of Interpersonal Trauma Exposure, Posttraumatic Stress Disorder, And Cannabis Use Phenotypes Among College Students, Terrell A. Hicks
A Longitudinal Investigation Of Interpersonal Trauma Exposure, Posttraumatic Stress Disorder, And Cannabis Use Phenotypes Among College Students, Terrell A. Hicks
Theses and Dissertations
College students have an increased risk for cannabis use, trauma exposure, and posttraumatic stress disorder (PTSD). Cannabis use disorder (CUD) and PTSD comorbidity is high, and given the negative consequences of the comorbidity (e.g., poor academic outcomes), there is a need to understand comorbid CUD-PTSD etiology. Two primary etiologic models exist: self-medication (i.e., PTSD à CUD) and high-risk (i.e., CUD à PTSD) hypotheses. This study 1) examined the prevalence and predictors of cannabis use and interpersonal trauma (IPT) exposure; 2) investigated the relationship between cannabis use and IPT; and 3) examined cannabis use, IPT, and PTSD through mediational self-medication and …
Longitudinal Relations Between Adhd Symptoms And Substance Use Across The Transition To College And Evaluation Of Promotive And Protective Factors, Melissa R. Dvorsky
Longitudinal Relations Between Adhd Symptoms And Substance Use Across The Transition To College And Evaluation Of Promotive And Protective Factors, Melissa R. Dvorsky
Theses and Dissertations
The prevalence of substance use and related problems increases during adolescence and peaks in young adulthood with substantial increases during the transition from high school to college (Johnston et al., 2018). However, these increases are not universal for all students (White et al., 2006), and there is substantial variation in rates of substance use during the first year of college (Borasri et al., 2007; Frisher et al., 2007). It is important to identify the individual and environmental factors that serve as risk factors for substance use as well as factors that may promote or protect against use during the high …
The Influence Of Family Composition On Adolescent Problem Behavior: The Moderating Roles Of Gender And Adult Support, Jasmine Coleman
The Influence Of Family Composition On Adolescent Problem Behavior: The Moderating Roles Of Gender And Adult Support, Jasmine Coleman
Theses and Dissertations
There is convincing support for the link between family composition and adolescents’ problem behaviors. What is less clear is the extent to which these relations exist for African-American adolescents. Previous studies have demonstrated that this relation varies by gender. However, there is limited evidence to suggest the potential moderating influence of adult support. The purpose of this study was to examine the influence of family composition on adolescents’ physical aggression, delinquency, and substance use. The study comes from secondary analyses of a larger study that evaluated the effectiveness of a violence prevention program. The current study included 1,116 African-American middle …
Identifying Misconceptions Associated With Inaccurate Survey Reporting In The Combined Use Of Caffeine And Alcohol, Kathryn Polak
Identifying Misconceptions Associated With Inaccurate Survey Reporting In The Combined Use Of Caffeine And Alcohol, Kathryn Polak
Theses and Dissertations
Research on college student use of caffeine combined with alcohol (CAC) and public health concern over such use has been hampered by the absence of psychometrically sound measures of caffeine and CAC use. The present study examined agreement between survey (CAS) and interview (TLFB) methods for collecting data on caffeine, alcohol and CAC use. Participants were N=50 college students randomized to complete CAS followed by TLFB or the reverse. Qualitative follow-up interviews with N=15 participants were used to identify factors contributing to CAS-TLFB discrepancies. Responses varied by method of administration, with largest discrepancy magnitudes found for CAC, followed …
Representativeness Of Patients Enrolled In A Primary Care Clinical Trial For Substance Use Disorders, Sydney S. Kelpin
Representativeness Of Patients Enrolled In A Primary Care Clinical Trial For Substance Use Disorders, Sydney S. Kelpin
Theses and Dissertations
Understanding the characteristics of research participants is crucial to ensuring sample representativeness and generalizability of findings to broader patient groups with substance use disorders. Using anonymous computer-administered health survey data, the present study had a unique opportunity to compare patients who chose to participate in an RCT for heavy/problem drinking or drug use (N=713; consenters) with those that chose not to participate (N=625; non-consenters). The sample was 40% male, 76% African American, and had a mean age of 45.2 years. Using multivariate regression, the most parsimonious model found older age, unemployment, prescription misuse, positive screen for drug problems (CAGE), having …
The Effects Of Family Functioning And Tangible Support On Treatment Outcomes In An Opioid Addicted Population, Nathasha N. Cole
The Effects Of Family Functioning And Tangible Support On Treatment Outcomes In An Opioid Addicted Population, Nathasha N. Cole
Theses and Dissertations
The effects of family functioning and tangible support from family members are examined in an opiate addicted population. The study specifically assessed drug use, self-efficacy, and quality of life as treatment outcomes of interest. There have been mixed findings in the literature in regards to how families influence rehabilitation from substance use. Specially, previous research has shown that families can further patients’ recovery, while other findings have shown that families can impede patients’ recovery from substance use. The aim of this study was to analyze potentially contributing factors related to the family system, to gain a stronger understanding of how …
Parent-Child Communication About Substance Use: Experiences Of Latino Emerging Adults, Kathryn Reid-Quiñones
Parent-Child Communication About Substance Use: Experiences Of Latino Emerging Adults, Kathryn Reid-Quiñones
Theses and Dissertations
The purpose of the current studies was to identify messages that Latino parents communicate to their offspring about the use of legal and illegal drugs and to determine associations between parental messages and substance use outcomes. Previous research has identified parent-child communication as protective against tobacco, alcohol, and other drug use. However, most of these studies have failed to examine the specific messages communicated and those that have focused almost exclusively on non-Hispanic Caucasians. Study 1 identified messages that Latino parents communicate to their offspring regarding legal and illegal drugs through two focus groups with Latino college students (N = …
A Qualitative Analysis Of Messages Conveyed In Parent-Adolescent Communication About Substance Use: Variations Along Dimensions Of Maternal And Familial History Of Substance Abuse, Nikola Zaharakis
Theses and Dissertations
Little research has examined the content of parent-adolescent communication about substance use and variables that may influence it. Using a grounded theory approach for secondary data analysis, qualitative data were drawn from a longitudinal study of coping and substance use in a sample of urban African American adolescents (N=132; M= 13.77 years) and their mothers in Richmond, VA. Transcripts of interviews with participants’ mothers regarding their conversations with their adolescent about alcohol, tobacco or other drugs were microanalyzed by two coders in three sets according to the youth participant’s maternal and familial history of substance abuse. Findings revealed considerable similarity …
Disordered Eating And Substance Use: A Multivariate Longitudinal Twin Desigh, Jessica Baker
Disordered Eating And Substance Use: A Multivariate Longitudinal Twin Desigh, Jessica Baker
Theses and Dissertations
Eating disorders and substance use disorders both exhibit a clear sex-difference in prevalence. Eating disorders are more common in females while substance use disorders are more common in males. Previous research has also established a strong association between these two disorders, especially within females. Much less research has examined comorbity in males. The etiology and reasons for these sex-differences and for the comorbidity of eating and substance use disorders remain unclear. The present report aimed to examine disordered eating (DE), substance use (SU), and their comorbidity further, in both sexes, using disorder eating attitudes and behaviors and substance use rather …
Eating And Substance Use: A Comparison Of Latter-Day Saint And Non-Latter-Day Saint College Females, Monika Sandberg
Eating And Substance Use: A Comparison Of Latter-Day Saint And Non-Latter-Day Saint College Females, Monika Sandberg
Theses and Dissertations
This study examined differences between Latter-Day Saint (LDS) and non-Latter-Day Saint (non-LDS) females across six universities in the United States regarding desire to engage in substance use and eating behaviors in response to negative emotion. Additionally, this study explored differences between LDS and non-LDS females regarding body image, as well as body image differences between LDS females residing inside Utah and outside Utah. Findings suggested that non-LDS females were more likely to experience increased urges to use substances in response to negative emotion than LDS females, consistent with LDS doctrine teaching the avoidance of substance use. LDS females also did …
The Influence Of Parental Monitoring And Peer Deviance On Substance Use Among Middle School Students, Sally Ann Mays
The Influence Of Parental Monitoring And Peer Deviance On Substance Use Among Middle School Students, Sally Ann Mays
Theses and Dissertations
Substance use is a significant problem among middle school students in the United States. Research indicates that the early use of substances increases the likelihood of negative outcomes including long-term use and abuse. Both parenting and peer variables exert strong influences on children's decisions to use or abstain from substances. As children age, peers begin to exert a stronger influence, but parenting practices can significantly reduce peers' harmful influences. In this study, three waves of data (collected at the end of 6th grade, and the beginning and end of 7th grade) from a large multi-site study were used to examine …