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Articles 61 - 90 of 677
Full-Text Articles in Clinical Psychology
Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato
Using The Personal Health Inventory To Support Engagement In Mindfulness For Veterans With Ptsd: Mixed Methods Secondary Data Analysis, Emily M. Johnson, Mia R. Zappala, Jacob Scharer, Kyle Possemato
The Journal of Integrated Primary Care
Mindfulness has many potential benefits to physical and mental health but requires many hours of practice to attain the strongest benefits. Mindfulness interventions delivered within the context of primary care settings are often brief, so independent practice beyond the training context is important. Motivational factors are important predictors of sustained practice and different types of motivational factors are associated with different likelihood of sustained practice. The Personal Health Inventory (PHI) is a publicly available personal health planning tool that assesses motivational factors related to self-care behaviors like mindfulness. Our objective was to understand how the PHI can support patient engagement …
Caregiver Perceptions, Knowledge, And Likelihood To Intervene With Suicidal Youth, Amber L. Willwerth
Caregiver Perceptions, Knowledge, And Likelihood To Intervene With Suicidal Youth, Amber L. Willwerth
All-Inclusive List of Electronic Theses and Dissertations
This study utilized an online survey to target primary caregivers of a child aged 5-18. The survey highlighted factors regarding caregiver involvement in suicide prevention efforts, such as their knowledge, comfort and confidence intervening with a youth experiencing suicidality, and barriers to doing so. It was found that caregivers who had experienced suicide prevention training reported higher levels of comfort and confidence intervening with their own child and another child than those who had not, as well as lower levels of worry. Higher levels of education were also found to predict lower levels of worry, suggesting that further training and …
Mindfulness As A Protective Factor In Women’S Sexual Health, Shana Byerley
Mindfulness As A Protective Factor In Women’S Sexual Health, Shana Byerley
Electronic Theses and Dissertations
Many women who experience physical health complaints also report sexual dysfunction across a variety of domains including decreased arousal, desire and satisfaction. Although there are well-established connections between disease-specific populations and sexual dysfunction, less research has focused on women who experience somatic symptoms more broadly. Similarly, mindfulness as a treatment intervention has been applied across many facets of sexual functioning, but mindfulness as a trait characteristic has been less explored in its connections with generalized somatic complaints. Further, the within-domain interactions between facets of mindfulness and domains of sexual dysfunction have not been previously explored. Using data from an online …
Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn
Drinking To Compensate: Expanding Upon The Motivational Model Of Alcohol Use, Douglas J. Glenn
Psychology Theses & Dissertations
The motivational model of alcohol use identifies four key drinking motives – coping, conformity, social, and enhancement – as important proximal antecedents of problematic drinking. However, applications of this model have been inconsistent in explaining drinking outcomes. Specifically, it is unclear under which conditions each drinking motive can be a risky or benign indicator of drinking behaviors. The current study theorized that a problematic drinking to compensate behavior could emerge across all drinking motives when alcohol is used to counteract a psychosocial (i.e., nondrinking) deficit. It was hypothesized, at the cross-sectional and daily level, that the associations between each drinking …
Exploring The Relationship Between Cannabis Use Motives And Readiness To Change Among Young Adult College Students, Emma Kathryn Rawls
Exploring The Relationship Between Cannabis Use Motives And Readiness To Change Among Young Adult College Students, Emma Kathryn Rawls
Psychology Theses & Dissertations
Cannabis use among young adult college students has risen steadily over the past decade, raising concerns about the associated health, academic, and psychological consequences. While cannabis use motives and readiness to change have each been linked to use patterns and outcomes, limited research has examined how these factors interact. The current study investigated whether readiness to change, based on the Transtheoretical Model (TTM), moderates the relationship between cannabis use motives and cannabis-related consequences as well as past-30-day use frequency. A sample of 100 college students 18-25 years old (Mage = 20.08, SD = 2.12; 67% female; 55.0% Black or …
From Heroic Imagination To Belonging-Focused Healing: A Tribute To Philip Zimbardo, Agnieszka Wilczynska
From Heroic Imagination To Belonging-Focused Healing: A Tribute To Philip Zimbardo, Agnieszka Wilczynska
Heroism Science
This article offers a reflective account of the Polish adaptation of the Heroic Imagination Project (HIP), a global educational initiative founded by Philip Zimbardo to promote everyday heroism through psychological awareness. As HIP took root in Poland, we developed a robust infrastructure of certified trainers, academic collaborators, and educational centers, reaching over 250 schools and 800 educators. Grounded in core psychological principles -- such as the bystander effect, social conformity, and prejudice -- the program empowered participants to resist negative social influences and cultivate moral courage. The experience also gave rise to Belonging Focus Therapy (BFT), a psychobiological and sociocultural …
Computational Thinking As A Novel Framework For Enhancing Cognitive Organization In Older Adults With Cognitive Frailty (Letter To The Editor), Daisuke Akiba
Publications and Research
As aging populations grow, especially in high-income nations, the burden of dementia-related care continues to escalate both economically and socially. In response, this article introduces Computational Thinking (CT) as a novel, non-pharmacological framework to support cognitive organization in older adults experiencing cognitive frailty. Though CT has gained traction in fields like PK-16 education, including special education, for enhancing executive function and problem-solving, it has not yet been applied to geriatric- or memory-care contexts. This perspective proposes that CT’s core components (i.e., decomposition, pattern recognition, abstraction, and algorithmic thinking) may align with residual cognitive strengths in mild-to-moderate dementia, offering a strengths-based, …
The Relationship Between Perceived Stress, Psychological Distress And Thwarted Belongingness Among Military Service Members, Isaac Greenblatt
The Relationship Between Perceived Stress, Psychological Distress And Thwarted Belongingness Among Military Service Members, Isaac Greenblatt
University Honors Theses
Suicide remains a leading cause of death among members of the military, with psychological distress, perceived stress and thwarted belongingness emerging as key variables which impact this behavior. This thesis aimed to investigate the relationship between perceived stress, psychological distress and thwarted belongingness in a population of Active Duty Army Service Members (ADASM) at baseline and longitudinally. The Resilience-Supportive Leadership Training (RESULT) dataset was originally collected to assess the effectiveness of an intervention in the military. However, this thesis is a secondary data analysis of this dataset, including 273 ADASM participants. The K6 psychological distress test was used to measure …
Do Resiliency And Coping Skills Moderate The Relationship Between Mood Disorders And Parenting Styles Due To Parental Relationship Distress?, Tiffany Burks
Electronic Theses and Dissertations
Parental relationship dynamics such as intimate partner violence (IPV), interpersonal distress (IPD), and parental alienation (PA) can significantly affect both mental health and parenting practices. This study examined whether personal strengths, specifically resilience and problem-focused coping, could help buffer these negative outcomes. Correlational analyses showed that IPV, IPD, and PA were positively associated with symptoms of depression and anxiety. IPV and PA were also negatively associated with the use of an authoritative parenting style. In contrast, resilience and problem-focused coping were linked to fewer mood-related symptoms and greater use of authoritative parenting. Multiple regression analyses revealed that IPV significantly predicted …
Mindfulness As A Buffer Against Death Anxiety: Implications For End-Of-Life Care, Chad Alexander
Mindfulness As A Buffer Against Death Anxiety: Implications For End-Of-Life Care, Chad Alexander
University Honors Theses
Death anxiety, defined as the distress associated with the awareness of mortality, has profound psychological and cultural impacts. Western societies often respond to death salience through avoidance and medicalization, reinforcing defensive strategies described by Terror Management Theory. This project aimed to investigate whether mindfulness can serve as a buffer against death anxiety. A structured literature review was conducted using PsycINFO, PubMed, the Portland State University Library, and Google Scholar between January 2025 and April 2025. One study found that mindfulness moderated the effects of death anxiety on health-related quality of life in people living with HIV. Two experiments linked mindfulness …
The Role Of Somatization In Predicting Health-Related Quality Of Life Among Racial And Ethnic Minorities: Examining The Mediating Effects Of Perceived Injustice And Symptom Catastrophizing, Kimi Han Hashimoto
Clinical Psychology Dissertations
There is a pressing need to address the significant health disparities of underrepresented groups such as racial and ethnic minorities (Mills et al., 2020). As of 2019, individuals identifying as a racial or ethnic minority make up 40% of the U.S population as of 2019, yet they fare significantly worse across many health-related measures (Hill et al., 2022). Given these disparities in healthcare and health outcomes, racial and ethnic minorities represent an important group to investigate somatization and health-related quality of life (HRQOL). Cognitive appraisals, such as perceived injustice and symptom catastrophizing, may mediate this relationship, influencing how somatization translates …
Fear Of Pain In Migraine: Psychological Factors In Perceptions Of Headache Triggers, Sarah Basha, Todd Smitherman
Fear Of Pain In Migraine: Psychological Factors In Perceptions Of Headache Triggers, Sarah Basha, Todd Smitherman
Honors Theses
Migraine is a debilitating neurological disorder affecting millions worldwide, with substantial societal and personal burdens. Psychological factors, particularly fear of pain, may influence migraine experience by impacting perceptions of headache triggers. This study investigates the relationship between fear of pain and perceived triggers in individuals with migraine. A sample of 2,959 young adults meeting diagnostic criteria for migraine completed a structured diagnostic interview and self-report measures of fear of pain, headache-related disability, and beliefs about headache triggers (which stimuli triggered headache, most important triggers, and likelihood of developing a headache upon exposure to the most important trigger [trigger potency]). Linear …
An Adaptive Paradox: Improvised Drama Therapy And Dialectical Behavior For Eating Disorders In Teens, Krystany Taylor
An Adaptive Paradox: Improvised Drama Therapy And Dialectical Behavior For Eating Disorders In Teens, Krystany Taylor
Expressive Therapies Theses
The complexity of treating eating disorders compels professionals to investigate collaborative and integrative approaches to address psychological rigidity and emotional aversion in affected individuals. Mindfulness within Dialectical Behavior Therapy (DBT) and improvisational theater techniques may contribute to advancing emotional flexibility. This thesis study explored spontaneity in expressive therapy and gauged budding adaptive skills related to emotion regulation in minors with eating disorders. At a behavioral health center in Southern California, I held a dual role as a group facilitator and trainee drama therapist; I therein joined DBT and improvised drama therapy methods into a group treatment setting for ages 14 …
Healthy Dietary Patterns’ Impact On Depressive Symptoms: A Meta-Analysis Of Randomized Controlled Trials, Angela Encardone
Healthy Dietary Patterns’ Impact On Depressive Symptoms: A Meta-Analysis Of Randomized Controlled Trials, Angela Encardone
All Theses
As the search for innovative mental health treatments expands, dietary interventions have emerged as a promising approach for alleviating depressive symptoms. This thesis presents a meta-analysis of randomized controlled trials (RCTs) examining the efficacy of whole-of-diet nutritional interventions in reducing depression symptoms among adults. Grounded in Bronfenbrenner’s Bioecological Model and Engel’s Biopsychosocial Model, this study explores the intersection of biological, psychological, and social factors that influence mental health outcomes. A systematic review identified six eligible RCTs assessing the impact of healthy dietary patterns, including the Mediterranean diet and other plant-based interventions, on depression symptoms. A random-effects meta-analysis revealed a significant …
Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni
Exploring Predictors Of Treatment Dropout In Primary Care Behavioral Health Using Andersen’S Behavioral Model Of Health Services, Mara W. Sindoni
Electronic Theses and Dissertations
A recent meta-analysis indicated a 19.7% dropout rate from outpatient mental health care. Andersen’s Behavioral Model of Health Services identifies predisposing, enabling, and need factors as potential predictors of treatment dropout. The Primary Care Behavioral Health (PCBH) model aims to improve accessibility of mental health care but research on dropout in this setting is lacking. This study examined bivariate relationships between Andersen's factors and dropout in PCBH, and interviewed participants about their intentions to attend subsequent PCBH visits. No statistically significant bivariate relationships were found, likely due to small sample size (n = 15). Reflexive Thematic Analysis identified two themes …
Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta
Useful Measures Of Adult Attachment And Object Relations In Psychotherapy, Matilde A. Torallas Huerta
Dissertations
This is a literature review of objective and projective measures of attachment and object relations in adults, with the objective of reviewing outstanding research to identify the key factors for adult attachment assessment considered within attachment and object relations theories, what measures of adult attachment styles and dysfunction work best, and to provide key themes of assistance in the measurement of attachment and object relations in adult clients in psychotherapy. Theoretical foundations of attachment and object relations theory are reviewed as well as objective and projective instruments grouped by format. The 10 themes found to be useful in the assessment …
Eos Wellness Center: Circadian Rhythm & Mental Health Facility Design, Emily Simms
Eos Wellness Center: Circadian Rhythm & Mental Health Facility Design, Emily Simms
Symposium of Student Scholars
The design of mental health facilities significantly impacts patient outcomes, especially for individuals with depression. Environmental factors such as lighting, thermal comfort, and access to nature influence mental health. This research explores how architectural design can reduce self-harm incidents and enhance recovery outcomes for patients with depression. The project hypothesizes that synchronizing light patterns and thermal comfort with patients' circadian rhythms will reduce self-harm incidents and improve recovery.
The problem established in the research is that disruptions to circadian rhythms increase the risk of depression, PTSD, and anxiety by 30% (Burns et al., 2022). Suicide is also the second leading …
Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano
Psychological Treatment Behind The Walls:Insights From The Inside, Rogelio Serrano
Psychology Division Scholarship
Repeated eras of mass incarceration, criminalization of marginalized communities, and substance use policies have created a revolving door of justice involved populations. The ever-increasing prison population has repeatedly become the largest contingency of mental health clientele for an overburdened mental health system. Those who work with formerly incarcerated individuals in the community often don’t know the unique set of challenges faced by practitioners within the system. Increased understanding and coordination of care can offer opportunities for sustained recovery and reduced levels of recidivism. In this presentation participants will learn about the unique insights on mental health treatment that can be …
Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray, Dr. Michael Bordieri, Phd
Bending But Not Breaking: An Investigation Of The Relationship Between Psychological Flexibility And Suicidality In Individuals With Chronic Pain, Adalyn Mcmurray, Dr. Michael Bordieri, Phd
Scholars Week
Chronic pain is a burdensome condition that has been found to be associated with increased suicide risk, yet the mechanisms underlying this relationship remain unclear (Domenichiello & Ramsden, 2019). The present study aimed to examine the role of pain interference and psychological inflexibility in predicting past two-week suicidal thoughts among individuals with chronic pain, with psychological inflexibility explored as a potential moderator. This study also sought to replicate and extend McCracken et al. (2018) and enhance the understanding of suicidality in chronic pain populations by using the Multidimensional Psychological Flexibility Inventory (Rolffs et al., 2018b), a more psychometrically sound measure …
The Athletes’ Plate: Understanding Influences Of Athletes’ Eating Attitudes, Exercise Behaviors, And Body Image Satisfaction, Delanie Patterson, Brooklynn Raacke, Ryssa Schlaefli
The Athletes’ Plate: Understanding Influences Of Athletes’ Eating Attitudes, Exercise Behaviors, And Body Image Satisfaction, Delanie Patterson, Brooklynn Raacke, Ryssa Schlaefli
SACAD: Scholarly Activities
Delanie Patterson1, Brooklynn Raacke1, and Ryssa Schlaefli2
1Department of Psychology, Fort Hays State University
2Department of Health and Human Performance, Fort Hays State University
Faculty Sponsors: Brooke Mann1, Ph.D. and Jessica Phelan2, Ph.D.
1Department of Psychology, Fort Hays State University
2Department of Health and Human Performance, Fort Hays State University
Hays, Kansas
Introduction: Disordered eating (DE), compulsive exercise (CE), and body image satisfaction (BIS) negatively affect male and female athletes. These variables each have a core symptomology but continue to evolve with the increased usage of social …
Exploring Global Research Trends On Smoking And Mental Health: A Bibliometric Analysis, Martaria Rizky Rinaldi, Jelang Hardika
Exploring Global Research Trends On Smoking And Mental Health: A Bibliometric Analysis, Martaria Rizky Rinaldi, Jelang Hardika
Jurnal Ekonomi Kependudukan dan Keluarga
This bibliometric analysis explores global trends, author productivity, institutional and country contributions, citation patterns, and thematic relationships in the literature linking smoking and mental health. Data from the Scopus database were retrieved using specific keyword combinations related to smoking and mental health, resulting in 1,782 eligible articles after filtering for research quality. The study examines publication trends, identifies high-impact studies, and maps thematic clusters in the field. Results indicate a notable increase in publications after 2000, driven by growing recognition of smoking's impact on mental well-being and the integration of mental health considerations in tobacco control policies. Thematic mapping reveals …
Prospective Receptivity And Acceptability Of Brief Alcohol Interventions Among Women And Racial/Ethnic Minority Veterans In Primary Care, Jacob L. Scharer, Robyn Shepardson, Brandi Roelk, Julie C. Gass, Laura Wray, Stephen A. Maisto, Jennifer Funderburk
Prospective Receptivity And Acceptability Of Brief Alcohol Interventions Among Women And Racial/Ethnic Minority Veterans In Primary Care, Jacob L. Scharer, Robyn Shepardson, Brandi Roelk, Julie C. Gass, Laura Wray, Stephen A. Maisto, Jennifer Funderburk
The Journal of Integrated Primary Care
Brief alcohol interventions (BAIs) are an evidence-based practice for addressing hazardous drinking among primary care patients, yet implementation of BAIs in practice has been difficult and disparities have been identified regarding implementing BAIs with women and racial/ethnic minority patients. Further, patient engagement is a commonly identified barrier to BAI implementation. This mixed methods study aimed to assess acceptability of BAIs among women and racial/ethnic minority primary care patients and to identify factors that may impact their receptivity to engaging in a BAI. Qualitative interviews were conducted with 17 patients who had screened positive for hazardous alcohol use. Patients reported neutral …
Examining The Impact Of A Mobile-Delivered Brief Intervention On Substance Coping Motives Among A Sample Of Interpersonal Trauma Survivors With Heavy Alcohol Use, Lily Milam
Masters Theses & Specialist Projects
Brief interventions (BIs) aim to reduce risky alcohol use but show limited effectiveness for interpersonal trauma (IPT) survivors, who may use alcohol to cope with trauma-related issues. BIs typically do not target coping-related motivations or include effective emotion regulation strategies, which may improve outcomes for at-risk groups like IPT survivors. Additionally, digital interventions often struggle with low engagement. This study examined a trauma-informed and peer-supported BI to reduce coping-related drinking motives in heavy drinking young adults and assess its effectiveness compared to a standard BI and assessment only condition. Participants (N=133, 79.2% Female, 91.2% White, M age=19.77) with a lifetime …
Personality And How It Relates To Coping Flexibility, Rebecca Kearns
Personality And How It Relates To Coping Flexibility, Rebecca Kearns
Masters Theses & Specialist Projects
Stressful events, negative emotions, and negative events are all a normal part of life. How we react and cope with these events can reduce the damage stress can have on our mental health and well-being. There are many ways to cope with situations, but not all are considered to be beneficial. The ability to alternate between different coping strategies within a given situation is called coping flexibility. Having high coping flexibility is considered to be healthy and adaptive, but not everyone possesses the ability to flexibly cope with situations. Personality may explain individual differences among coping flexibility. The big five …
Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña
Racial Health Disparities Among Pregnant Women Of Color In New York City: Biological And Systemic Impacts, Kaylin Peña
Pitzer Senior Theses
Racial Health Disparities Among Pregnant Women of Color in New York City: Biological and Systemic Impacts
Abstract
This thesis aims to explore how racial health disparities, underrepresentation in gynecology, and socioeconomic barriers contribute to adverse pregnancy outcomes among women of color in New York City. Through an interdisciplinary approach that combines resources from medical anthropology and human biology, this research will examine the biological implications of chronic stress, specifically HPA axis dysregulation, and its role in maternal health outcomes. With the idea of intersectionality, as conceptualized by Kimberlé Crenshaw, the study analyzes the various effects of systemic inequities and social …
Talking About Cancer And Tobacco (Tact) Study With Lgbtq Patients And Their Care Providers, William Bowling
Talking About Cancer And Tobacco (Tact) Study With Lgbtq Patients And Their Care Providers, William Bowling
Theses and Dissertations--Psychology
Due to multilevel factors, including a high prevalence of tobacco use, the burden of some cancers is disproportionately higher in the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community than the general population. Evidence-based tobacco treatment delivery with high rates of tobacco cessation would be a powerful tool for secondary cancer prevention in the LGBTQ community, yet few studies have explored this issue. The current study aimed to 1) uncover both positive and negative aspects related to the lived experience and treatment of LGBTQ cancer survivors who use tobacco, 2) elucidate barriers and facilitators of tobacco treatment and cessation, and …
Navigating Online Dating: Exploring The Intersection Of Attachment Styles, Parental Attachments, And Sociosexuality In Online Dating Among College Students, Jensley Velez-Lozada
Navigating Online Dating: Exploring The Intersection Of Attachment Styles, Parental Attachments, And Sociosexuality In Online Dating Among College Students, Jensley Velez-Lozada
Honors Undergraduate Theses
The aim of this thesis is to explore the connection between attachment styles, parental attachment, and sociosexuality as predictors of online dating attitudes among college students. As society navigates this new digital era of online dating, how does it continue to transform young adults as they form romantic and sexual connections? It becomes increasingly important to understand the psychological mechanisms that influence these behaviors. This study examined how anxious and avoidant attachment styles, parental attachment, and sociosexuality may have contributed to online hookup attempts and outcomes behaviors. It also examined how these variables interacted and influenced both the likelihood of …
Stem Vs. Non-Stem Students’ Stimulant Misuse For Academic Advantages, Camille H. Allie
Stem Vs. Non-Stem Students’ Stimulant Misuse For Academic Advantages, Camille H. Allie
Honors Undergraduate Theses
This study aimed to explore the relationship between academic discipline, caffeine consumption, reported perception of stimulant misuse behaviors, and reported academic stress at the University of Central Florida. Participants were categorized as either STEM or non-STEM majors and reported whether they had misused stimulants in the past 12 months and their daily average caffeine consumption. Due to the low number of participants who reported stimulant misuse, caffeine consumption was incorporated, grouping participants as either “above median” caffeine consumption or “below median” caffeine consumption. Two 2 (Caffeine Consumption: High vs. Low) x 2 (Major: STEM vs. Non-STEM) between-subjects ANOVAs were conducted …
Interpersonal Theory Of Suicide In A Mild Traumatic Brain Injury Sample, Janelle Wee
Interpersonal Theory Of Suicide In A Mild Traumatic Brain Injury Sample, Janelle Wee
Clinical Psychology Dissertations
Mild traumatic brain injury (mTBI) is associated with cognitive and emotional changes that may increase suicide risk. This study, grounded in the Interpersonal Theory of Suicide (IPTS), examined whether premorbid functioning moderates the relationship between cognitive functioning (working memory and processing speed) and suicidal desire (thwarted belongingness and perceived burdensomeness) in individuals with mTBI. Participants (n = 54) were drawn from a clinical neuropsychological sample and completed the WAIS-IV, TOPF, BDI-II, and Interpersonal Needs Questionnaire (INQ). Hierarchical moderated regression analyses were conducted across 100 multiply imputed datasets. Depressive symptoms were included as a covariate. Results showed that depressive symptoms …
Examining The Complex Interplay Of Stress, Social Support, And Drinking Motives On Alcohol Use Behaviors: A Moderated Mediation Model Among College Students, Sabrina Perrin
Dissertations and Theses
College student alcohol use remains a public health concern, yet the psychological and social mechanisms that contribute to high-risk drinking patterns are not fully understood. Guided by the motivational model of alcohol use and stress-buffering theory, this study tested a moderated mediation model to examine how perceived stress, coping motives for drinking, and perceived social support interact to influence alcohol use behaviors. A sample of over 1,100 diverse urban college students completed measures of stress, social support, drinking motives, and four alcohol-related outcomes: binge drinking, frequency of alcoholic drinks consumed, negative drinking consequences, and use of protective behavioral strategies (PBS) …