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Articles 721 - 750 of 4121
Full-Text Articles in Psychology
Non-Pharmacological Interventions For Alzheimer’S Disease Patients, Mariam Hanna
Non-Pharmacological Interventions For Alzheimer’S Disease Patients, Mariam Hanna
Loma Linda University Electronic Theses, Dissertations & Projects
Alzheimer’s Disease (AD) research often focuses on the pharmacological treatment and neurological basis of the disease. However, in the absence of disease-modifying treatments, interventions that target symptom reduction may improve quality of life and delay institutionalization. Given the limitations and risks associated with pharmacological AD treatments, this paper reviews non-pharmacological interventions to improve memory function and reduce symptoms of depression in patients with AD including music therapies, Cognitive Rehabilitation, and Bright Light Therapy.
Depression As A Mediator Between Combat Deployment And Substance Use Among Veterans, Brooke Kania Millham
Depression As A Mediator Between Combat Deployment And Substance Use Among Veterans, Brooke Kania Millham
Loma Linda University Electronic Theses, Dissertations & Projects
Individuals who deploy to combat zones often develop increased rates of substance use problems, which may be due to self-medication for depressive symptoms. This study used logistic simple mediation analyses with bootstrapping to test whether depression mediates the relationship between combat zone experience and substance dependence or abuse (alcohol, nicotine, marijuana, opioids, other illicit drugs, and concurrent substance misuse) among military veterans via secondary data analysis of the 2013 to 2018 National Survey on Drug Use and Health (NSDUH; N = 14,121; 87.9% male; 54.4% age 50+; 75.2% white; 34.5% with combat zone experience). Analysis revealed that depression was only …
Not Getting Laid: Consumer Acceptance Of Precision Fermentation Made Egg, Oscar Z. Thomas, Mark Chong, Angela K. Y. Leung, Tricia M. Fernandex, Shu Tian Ng
Not Getting Laid: Consumer Acceptance Of Precision Fermentation Made Egg, Oscar Z. Thomas, Mark Chong, Angela K. Y. Leung, Tricia M. Fernandex, Shu Tian Ng
Research Collection Lee Kong Chian School Of Business
Mounting concern over the negative externalities of industrialized animal agriculture, coupled with falling cost curves of novel food technologies have birthed the field of cellular agriculture: a new category of food technology seeking to reproduce the sensory experiences of animal protein, and promising a cleaner, more ethical way of enjoying animal proteins. This research examines consumer acceptance of precision fermentation (PF) made egg products in Germany, Singapore, and the USA. Using an online survey of 3,006 participants, the study examines demographic and dietary traits that predict willingness to try such products and identifies the reasons why consumers are most attracted …
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 …
Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe
Apoe Risk Disclosure: A Review Of Positive And Negative Outcome, Stacey Rowcliffe
Dissertations
Two of this century’s most significant healthcare challenges are Alzheimer’s disease and mild cognitive impairment, with 40 million people suffering from the diseases. In fact, a conservative estimate projects that both conditions will double every 20 years until 2050. Alzheimer’s disease involves memory impairment, disorientation, confusion, and various problematic behaviors. Presently, no prevention method or cure has been discovered for Alzheimer’s. Mild cognitive impairment typically includes problems with memory, language, thinking, and judgment beyond those typical of one’s age. Usually, these symptoms do not interfere with daily activities but do not improve and have been linked with a risk of …
Investigating The Differences Between Neuropsychological And Physiological Markers In A Ptsd-Only Group Among Vietnam Veterans, Ashtan Madsen
Investigating The Differences Between Neuropsychological And Physiological Markers In A Ptsd-Only Group Among Vietnam Veterans, Ashtan Madsen
Dissertations
Individuals diagnosed with posttraumatic stress disorder (PTSD) have demonstrated extinction-resistant symptoms and long-lasting impacts on the brain’s functional activity (Krystal et al., 2017; Stark et al., 2015). PTSD illustrates a strong relationship with cognitive functioning, and research has found lower parietal and hippocampal volume and deterioration in brain function and structure, resulting in executive dysfunction, attentional deficits, mood dysregulation, and memory difficulties (Krystal et al., 2017; Stark et al., 2015; Weiner et al. 2017). Sleep has been investigated to better understand its contribution to AD pathologies as well as its impact on PTSD treatment and prognosis. Although sleep’s functions are …
If You Don’T Live By The Sea, You Won’T Talk About Sailing: An Interpretative Phenomenological Approach Of The Polish Immigrant Experience In Chicago And The Acculturation Of Racial Beliefs, Monica Zabinski
Dissertations
There has been a steady increase in research and focus on defining and understanding racism and the role it plays in the ongoing inequality and inequity between individuals of White descent and individuals who are Black, indigenous, or people of color (BIPOC). However, little research has focused on what changes with racial beliefs when individuals immigrate between various countries where racism, discrimination, and racial beliefs may appear differently. Our objective was to increase our understanding of how the acculturation process may impact or change racial beliefs over time. Our research sought participants of Polish descent in the Chicagoland area and …
Examinations Of The Close Relationship Processes And Health Framework Among Adult And Adolescent Sexual Minority Men, Trey Victor Dellucci
Examinations Of The Close Relationship Processes And Health Framework Among Adult And Adolescent Sexual Minority Men, Trey Victor Dellucci
Dissertations, Theses, and Capstone Projects
Despite advancements in biomedical preventions for HIV, sexual minority males continue to be disproportionately affected by HIV. Previous research has estimated that up to two thirds of HIV incidence among sexual minority male adults occur between main partners. In the past decade, a growing number of studies and intervention trials have focused on main relationships as a context for HIV. Much of this work has focused on adult relationships and has been grounded in interdependence theory and highlighted the importance of relationship functioning in facilitating the decisions couples make around condom use. Fewer studies, however, have examined the association between …
Burnout And Depression In Teachers And Members Of Other Occupational Groups: A Systematic Review And Meta-Analyses On Potentially Overlapping Conditions, Gail Swingler
Dissertations, Theses, and Capstone Projects
Burnout has long been recognized as a workplace issue among teachers, and other occupational groups. Burnout has potentially been increasing during the Covid-19 pandemic. Researchers tend to regard burnout as a distinct syndrome comprising emotional exhaustion (EE), depersonalization (DP), and reduced personal accomplishment (rPA). Recent evidence suggests that burnout (as a tripartite syndrome) lacks discriminant validity vis-à-vis depression. The overlap between burnout and depression was examined through two meta-analytic studies.
The first study (K = 13) examined the relationship between burnout and depression in teachers with burnout assessed using the MBI. The findings indicated that exhaustion (EE), and depression …
Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis
Illness Intrusiveness And Psychosocial Adjustment Among Older Adults With Multimorbidity, Irina Mindlis
Dissertations, Theses, and Capstone Projects
Given the high prevalence of multimorbidity (MM) among older adults and the exponential growth of the older adult U.S. population, identifying factors that can lessen depressive symptoms and improve quality of life (QOL) in this population is timely and important. While it is well established that MM is associated with greater depressive symptoms and poorer QOL (Li et al., 2016; Makovski et al., 2019; Marengoni et al., 2011; Read et al., 2017), the mechanisms underlying these relationships remain understudied. The illness intrusiveness model (Devins et al., 1984) proposes that stressors posed by diseases (disease-related factors) and their treatments (treatment-related factors) …
Abuse Victimization And Impulsivity In Incarcerated Males: Examining The Roles Of Affective Instability And Trauma Symptoms, Jacqueline K. Douglas
Abuse Victimization And Impulsivity In Incarcerated Males: Examining The Roles Of Affective Instability And Trauma Symptoms, Jacqueline K. Douglas
Dissertations, Theses, and Capstone Projects
Incarcerated individuals with a history of physical and/or sexual abuse have been found to exhibit increased levels of impulsivity compared to those with no abuse history (Carli et al., 2014; Davis et al., 2017; Sergentanis et al., 2014). Given that impulsivity is a risk factor for criminal delinquency (Carroll et al., 2006; Kamaluddin et al., 2015; Zimmerman, 2010), it is important to gain a thorough understanding of psychological factors that may contribute to higher levels of impulsivity in incarcerated populations. The present study examined the mechanisms underlying the relationship of physical and/or sexual abuse history to impulsivity in a sample …
Understanding The Experiences And Associated Symptomology Of Disclosers And Non-Disclosers Of Sexual Victimization, Kaitlin Carson
Understanding The Experiences And Associated Symptomology Of Disclosers And Non-Disclosers Of Sexual Victimization, Kaitlin Carson
Dissertations, Theses, and Capstone Projects
ABSTRACT
According to the Center for Disease Control and Prevention, as many as 43% of women report experiencing some form of sexual victimization, with the highest rates occurring in emerging adulthood. It is estimated that 75% of survivors disclose this experience to someone else; the remainder of survivors keep the experience to themselves. While disclosure can be therapeutic, there are multiple factors that can complicate the disclosure process for sexual victimization survivors. There is limited research investigating why some women choose to disclose sexual victimization experiences and how their reasons may relate to psychopathology. Additionally, extant research primarily focuses on …
Does The Apoe-Ε4 Allele Differentially Influence Cognition: A Longitudinal Investigation In Healthy Older Adults At Risk For Alzheimer’S Disease, Aditya Kulkarni
Does The Apoe-Ε4 Allele Differentially Influence Cognition: A Longitudinal Investigation In Healthy Older Adults At Risk For Alzheimer’S Disease, Aditya Kulkarni
Dissertations, Theses, and Capstone Projects
Background: The apolipoprotein E (APOE) ε4 allele is the strongest susceptibility factor for sporadic, late-onset, Alzheimer’s disease (AD). However, not all persons who carry the ε4 allele show significant cognitive decline, and thus do not progress to dementia. The impact of the ε4 allele on memory decline has been documented primarily in populations already demonstrating cognitive impairment (i.e., those with mild cognitive impairment or dementia), with fewer investigations completed in baseline healthy older adults. Investigations of the ε4 allele and its influence on non-memory domains are also sparse in the literature. Furthermore, these cognitive investigations are typically cross-sectional and …
How Smoking Became A Moral Issue: A Complex Systems Perspective On Moralization, Matthew Vanaman
How Smoking Became A Moral Issue: A Complex Systems Perspective On Moralization, Matthew Vanaman
Dissertations, Theses, and Capstone Projects
When something is morally wrong, it is in the moral domain; when something becomes morally wrong, it is moralized. But how do we know when something is in the moral domain, and how can we tell whether something is becoming moralized? The empirical study of morality, or a given person’s judgment of what constitutes moral virtue or vice, has historically approached these questions through one of three theoretical perspectives: cognitivism, which argues that people primarily or mostly use effortful thought to judge right from wrong; emotivism, which sees these judgments as flowing from emotion; and dual-process models, which …
The Neural Correlates Of Bodily Self-Consciousness In Virtual Worlds, Evan A. Owens
The Neural Correlates Of Bodily Self-Consciousness In Virtual Worlds, Evan A. Owens
Dissertations, Theses, and Capstone Projects
Bodily Self-Consciousness (BSC) is the cumulative integration of multiple sensory modalities that contribute to our sense of self. Sensory modalities, which include proprioception, vestibulation, vision, and touch are updated dynamically to map the specific, local representation of ourselves in space. BSC is closely associated with bottom-up and top-down aspects of consciousness. Recently, virtual- and augmented-reality technology have been used to explore perceptions of BSC. These recent achievements are partly attributed to advances in modern technology, and partly due to the rise of virtual and augmented reality markets. Virtual reality head-mounted displays can alter aspects of perception and consciousness unlike ever …
Health Care Providers' Attributions Of Blame For Unintended Pregnancy And Hiv Acquisition Among Cisgender Women, Alison J. Goldberg
Health Care Providers' Attributions Of Blame For Unintended Pregnancy And Hiv Acquisition Among Cisgender Women, Alison J. Goldberg
Dissertations, Theses, and Capstone Projects
Unintended pregnancy and HIV are both possible but preventable outcomes of vaginal sex, and both can be prevented in similar ways (condoms, daily oral medication, etc.). Despite these similarities, providers more readily prescribe contraception to cisgender women, compared to PrEP (Guttmacher Institute, 2021; Raifman et al., 2019). Providers’ differential willingness to prescribe each medication cannot be attributed merely to differences in women’s need for pregnancy prevention vs. HIV prevention, as women account for nearly 20% of new HIV infections (CDC, 2021). Through three studies, I examined whether perceivers’ support for harm reduction (i.e., prescribing PrEP/contraception) and behavior reduction (i.e., discouraging …
Bargaining In The Shadow Of The Truth: How Client Assertion, Perception Of Guilt, And Predictive Inaccuracy Influence Plea Recommendations, Anna D. Vaynman
Bargaining In The Shadow Of The Truth: How Client Assertion, Perception Of Guilt, And Predictive Inaccuracy Influence Plea Recommendations, Anna D. Vaynman
Dissertations, Theses, and Capstone Projects
Over the past few decades, the largely hidden, secretive, and widely used system of plea bargaining has caught the fervent attention of scholars. The Shadow of the Trial model has been central to much of the plea-bargaining literature, despite significant critiques about its oversimplification. The model posits that defendants and their attorneys make plea decisions based largely on the estimated probability of conviction and the severity of the sentence to which the defendant could be exposed at trial.
The model, however, assumes that all actors are rational, equally risk averse, have no competing interests, and possess high predictive accuracy. It …
Wanting Under Surveillance: A Critical Analysis Of Young Women’S Sexual Desire, Jennifer Chmielewski
Wanting Under Surveillance: A Critical Analysis Of Young Women’S Sexual Desire, Jennifer Chmielewski
Dissertations, Theses, and Capstone Projects
The negotiation of sexual desire is argued to be a vital part of the development of women’s sense of agency and well-being. Whereas desire is a concept that is widely used, measured, and diagnosed, women’s experiences of desire are poorly understood. Heeding the calls of feminist psychologists for conceptual analysis, and the need to examine desire within the multiple intimate and sociopolitical contexts in which sexuality develops, my dissertation is a critical feminist analysis of young women’s desire, centered on their subjective and embodied experiences. Moving beyond questions of what women desire or how much desire they have, I explore …
Epistemic Virtue And Receptivity To Science In Policing, Braden L. Campbell
Epistemic Virtue And Receptivity To Science In Policing, Braden L. Campbell
Dissertations, Theses, and Capstone Projects
This dissertation investigates the underexplored relationship between character epistemology and its potential to explain behavior, decision-making, and culture within the criminal justice system, particularly the police. Building on the existing theoretical framework of evidence-based policing (EBP) and the recognized gap in understanding police receptivity to science, this study hypothesized that intellectual character at personal and collective levels positively correlates with science receptivity.
Epistemic character was defined through the aggregation of four traits: open-mindedness, defensiveness, insouciance, and groupthink. Science receptivity was measured by openness to change, desire to learn, reliance on intuition, and mistrust of science. Data were collected through surveys …
Avoiding Success: How Does Fear Of Success Impact Today's Workforce?, Bradley E. Gray
Avoiding Success: How Does Fear Of Success Impact Today's Workforce?, Bradley E. Gray
Dissertations, Theses, and Capstone Projects
Fear of success refers to the anxiety experienced by individuals as they come close to accomplishing a goal, ambivalent and even paralyzed over choosing to accept or avoid success. Success fearers are more likely to avoid success, choosing to forego their goal to avoid the assumed negative repercussions that will accompany the success (Canavan, 1989). Though interest in fear of success has waned since its introduction in the 1970’s, evidence of fear of success still exists today. However, original theories of fear of success cannot explain its impact on both men and women, and little is known about how it …
Confronting The Doppelganger: Mapping The Ontological Terrain Of An Afro-Caribbean Woman As She Rebrands Diasporic, Feminine Identity Politics: An Autoethnography, Aysha E. Todd-Stone
Confronting The Doppelganger: Mapping The Ontological Terrain Of An Afro-Caribbean Woman As She Rebrands Diasporic, Feminine Identity Politics: An Autoethnography, Aysha E. Todd-Stone
Dissertations, Theses, and Capstone Projects
This thesis seeks to interrogate the intricacies governing the intra-racial\ intra-gendered relationship of an Afro-Trinidadian woman as she commandeers professional spaces in North America. The intent is to challenge the instrument of Black sisterhood deeming it as an incomplete, social instrument, and to prove using an auto-ethnographic approach how Diasporic, feminine trauma leads to psychically induced, episodic violence that is highly suggestive but subtle to the naked eye which in turn irretrievably damages intra-interpersonal relations. Quantitative studies have produced a composite from the white\black perspective (Goosby et al., 2015, Sims et al., 2012) and others dealing with gender (Braithwaite., 1981, …
Typologies Of Battering: Uncovering Patterns Of Coercive Tactics Used By Abusive Men In A Mixed Methods Study, Abbie L. Tuller
Typologies Of Battering: Uncovering Patterns Of Coercive Tactics Used By Abusive Men In A Mixed Methods Study, Abbie L. Tuller
Dissertations, Theses, and Capstone Projects
Coercive control provides a current day feminist understanding of intimate partner violence (IPV). Recent research has demonstrated the significance of coercive control and suggests it provides a more accurate understanding of IPV than using physical violence alone. Utilizing a feminist lens, this study’s first aim was to explore if typologies based on coercive control could be developed. The second and third aims were to explore if demographic differences and differences in masculinity exist across typologies. The final aim of this study was to continue the feminist understanding of IPV using the moral emotions of shame and guilt as an extension …
Tongues Out Of Place: Narratives Of Hereness And Images Of Be(Long)Ing, Christopher Hoffman
Tongues Out Of Place: Narratives Of Hereness And Images Of Be(Long)Ing, Christopher Hoffman
Dissertations, Theses, and Capstone Projects
What is the role of the psychologist during times of gentrification, climate change, and inequity? Using Hall & Massey’s (2010) term conjunctural crisis, or the overlapping of multiple disasters that bleed into each other, I argue that psychologists have a responsibility to combat social inequity and work towards tangible strategies in collaboration with communities to dismantle structures of oppression. In times of gentrification and climate change, I argue that psychologists must play a role in promoting public science, a praxis of research committed to applying social science with communities in order to work towards social justice and build a more …
You Hurt My Feelings: Autonomic And Behavioral Responses To Social Exclusion And The Moderating Effect Of Psychopathic Traits, Liat Kofler
Dissertations, Theses, and Capstone Projects
Humans have a fundamental need to form and maintain social connections, and thus experiencing social exclusion is extremely distressing as it threatens this basic human need. Individuals who are socially excluded often respond aggressively, not only towards their ostracizers but also towards innocent bystanders, with ostracism being implicated in extreme acts of violence such as school shootings. However, individual differences in behavior exist within the context of social exclusion as not everyone responds aggressively after being ostracized. Identifying risk factors for retaliatory aggressive behavior following experiences of social exclusion may facilitate the development of targeted interventions aimed at mitigating such …
The Effects Of Isolated Affordances On Preschool Counting Improvement When Using A Digital Coloring App, Katherine Papazian
The Effects Of Isolated Affordances On Preschool Counting Improvement When Using A Digital Coloring App, Katherine Papazian
Dissertations, Theses, and Capstone Projects
Counting is an important preschool math skill that is necessary for building a strong foundation in mathematics. Previous research has demonstrated that guided counting activities can improve counting ability in preschoolers and that drawing on paper while learning can deepen processing, but research has not included digital drawing as a potential means of deepening processing while children count. This study developed a novel touch-screen app, which used a guided coloring activity to encourage effective counting skills and serve as a home numeracy tool that could be employed by all parents, including those with math anxiety. To evaluate the benefits of …
Observers' Perceptions Of Rapport In Accusatorial Interrogations, Gabriela Rico
Observers' Perceptions Of Rapport In Accusatorial Interrogations, Gabriela Rico
Dissertations, Theses, and Capstone Projects
Rapport is widely regarded as a necessary precondition for interrogations and is thought to lay the foundation for the success of later interrogation techniques. In accusatorial contexts in which suspects are often resistant to disclose potentially self-incriminating information, rapport enables interrogators to gain the suspect’s trust, respect, and cooperation. Although the specific psychological mechanisms by which rapport achieves these effects are largely understudied, rapport-building techniques resemble principles of social influence (Goodman-Delahunty & Howes, 2014), specifically persuasion. Techniques such as establishing common ground, engaging in active listening, demonstrating empathy, and disclosing personal information may serve as impression management strategies, which allow …
An Affective Technology Of Heimat: Whiteness, Nation Building And Social Media In Germany, Friederike Windel
An Affective Technology Of Heimat: Whiteness, Nation Building And Social Media In Germany, Friederike Windel
Dissertations, Theses, and Capstone Projects
This dissertation examined the patterns of attachments and affective investments in Whiteness, objectifications, and exclusions entrenched in the construct of Heimat, which is broadly defined as “homeland” in German-speaking contexts. It used computational social science and discourse analytical methods to analyze how Heimat was discussed, embodied, and made sense of in affective ways. Sitting at the intersections of critical psychology, critical race and feminist theory, and Heimat scholarship, this research asked how Heimat functions affectively to (re)produce and maintain ideologies like white supremacy and nationalism.
Using Structural Topic Modeling on a big Twitter dataset (611,609), I estimated a model …
Breaking Down Bias: A Comparative Analysis Of General Public And Police Officer Attitudes Toward Mental Illness And Officer Decision-Making In Mental Health Crises, Therese L. Todd
Dissertations, Theses, and Capstone Projects
Police responses to persons with mental illness (PMIs) compared to those without appear to be more likely to result in negative outcomes, underscoring the importance of understanding these interactions and the factors that may influence them. Relatively little research has examined officer attitudes toward mental illness, and no study has examined implicit bias toward mental illness among police officers or how police culture may impact outcomes in mental health crises. The present study sought to: 1) measure explicit and implicit bias toward PMIs among the general public and police officers to understand how these constructs may vary among these populations; …
Protective Factors In The Relationship Between Perceived Discrimination And Risky Drinking Among American Indian Adolescent, Ying Guo, Randall C. Swaim, W. Alex Mason
Protective Factors In The Relationship Between Perceived Discrimination And Risky Drinking Among American Indian Adolescent, Ying Guo, Randall C. Swaim, W. Alex Mason
Department of Child, Youth, and Family Studies: Faculty Publications
Introduction: The relationship between perceived discrimination and risky drinking among American Indian (AI) youth is understudied, and the potential protective factors that may buffer this association are unknown. Therefore, the objective of this study was to examine protective factors across individual, family, school, peer, and cultural domains of the social ecology that might attenuate the relationship between perceived discrimination and risky drinking among AI adolescents.
Method: Data were from the Substance Use Among American Indian Youth Study (Swaim and Stanley, 2018, 2021). AI youth who have used alcohol in their lifetime (n = 2516 within 62 schools) …
Deficiencies With Cage-Aid Questionnaire In Identifying Nonmedical Opioid Use-A Report Of Two Cases, Jaya Amaram-Davila, Patricia Bramati, Laura Gammon, Tarun Mallipeddi, Olivia Jastrzemski, Matthew D Clark, Joseph Arthur, Akhila Reddy, Eduardo Bruera
Deficiencies With Cage-Aid Questionnaire In Identifying Nonmedical Opioid Use-A Report Of Two Cases, Jaya Amaram-Davila, Patricia Bramati, Laura Gammon, Tarun Mallipeddi, Olivia Jastrzemski, Matthew D Clark, Joseph Arthur, Akhila Reddy, Eduardo Bruera
Faculty, Staff and Students Publications
Background: The CAGE-AID questionnaire (Cut-down, Annoyed, Guilty, Eye-opener scale Adapted to Include Drugs) is used to screen patients for substance use disorder and nonmedical opioid use (NMOU). Major pain guidelines encourage using such screening tools for all patients including cancer patients before initiating opioids. We present two cases where the CAGE-AID results did not accurately identify the risk for NMOU.
Case description: Patient 1 is a male in his 60s with metastatic prostate cancer was admitted for uncontrolled pain. Imaging revealed extensive spinal metastasis, needing initiation of methadone and hydromorphone. The CAGE-AID score was positive, placing him at risk for …