Clinical Psychology Commons^™

Recovery Through Connection: The Role Of Positive Social Interactions In Early Alcohol And Opioid Recovery Outcomes, Hannah Avery Carlon

Psychology ETDs

Recovery from substance use disorder (SUD) is influenced by both positive emotional functioning and social connectedness. However, empirical research has yet to examine how these two protective factors interact to influence recovery. The present study aimed to address this gap by exploring positivity resonance, or the shared experience of positive emotions, in the first year of recovery. In Aim 1, we examined change trajectories of positivity resonance and recovery capital over the first year of recovery among adults with alcohol use disorder (AUD; n=470) and opioid use disorder (OUD; n=61), the associations between these change trajectories (1a), and …

The Process Of Alcohol-Involved Sexual Assault Disclosure: Examining Disclosure Content And Reactions From Informal Supports, Madison Elle Edwards

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Alcohol-involved sexual violence (SV), in which unwanted sexual contact is attempted or obtained without consent during or after the victim’s alcohol use is a major public health issue among young women. Research consistently shows that alcohol-involved SV can have particularly harmful mental and physical health consequences. Moreover, survivors who were drinking are more likely to receive negative reactions (e.g., blame, minimization) when they disclose their SV experiences to informal supports (e.g., friends, family). These negative reactions are consistently linked to negative psychosocial outcomes. However, little research on negative disclosure reactions has examined the content of survivors’ disclosures. The present study …

Substance Use Behaviors And Treatment Engagement In Individuals With Severe Psychopathology With And Without Comorbid Obesity, Rachel M. Madera-Arnold

Theses and Dissertations

Research has found significantly higher rates of both substance use and obesity among individuals with SMI compared to population samples which in turn can lead to worsening health outcomes. Despite this, there is limited research on the co-occurrence of obesity, substance use, and SMI and how these conditions may interact to affect patient outcomes. In addition, there are many gaps in the research regarding the relationship between substance use and body weight, appetite and/or eating behaviors. This study conducted a secondary analysis of the NSDUH 2021 survey that characterized substance use and disorders among individuals who had severe psychopathology, examined …

The Effects Of Coping Motives On Alcohol Use Consequences, Madisyn E. Feliciano, Samantha Pelfrey

Undergraduate Research Posters

The purpose of this study was to examine the difference in alcohol use consequences between those who drink to cope with anxiety or depression symptoms and those who do not. Our research aimed to expand on earlier studies by placing emphasis on how coping with anxiety and depression influences alcohol consequences using constructs aligned with DSM-V symptom criteria. Research has consistently shown that those who drink to regulate distressing emotions experience more harmful consequences, making this an imperative area for prevention efforts. It was hypothesized that coping motivated drinking would be associated with an increased amount of alcohol related consequences. …

Development Of The Simultaneous Alcohol And Cannabis Use Expectancy Questionnaire (Sac-Eq), Shane D. Marohnic

Graduate Studies Theses and Dissertations 2026

Background: Simultaneous alcohol and cannabis use (SAC/SAM), defined as using alcohol and cannabis at the same time so that their effects overlap, has been identified as a hazardous form of polysubstance use. Expectancies are a causal mechanism and can be changed with predictable reductions in substance use and associated consequences, yet only one measure has been developed to assess expectancies related to SAC. Due to limitations of the existing measure, this study sought to create a more comprehensive SAC expectancy scale. Method: Three phases of participants (Phase 1, N = 493; Phase 2, n = 4; Phase 3, n …

Identifying Alcohol Intervention-Relevant Constructs For Greek Life: Examining Across Greek Membership And Gender Among College Students, Emily Susan Renzoni

Psychology Theses & Dissertations

Among college populations, students who are members of social Greek life organizations (i.e., social fraternities and sororities) drink more and experience higher rates of negative alcohol-related consequences than their non-affiliated peers. Although there has been success of alcohol interventions in general college populations, research has shown that college drinking interventions that are delivered to students in Greek life are not efficacious in reducing alcohol consumption or related consequences. It is meaningful to investigate if the content commonly addressed in these interventions, although well-documented as being linked to drinking in the general college population, has the same associations for students who …

The Intersection Between Adverse Childhood Experiences And Alcohol Use In Rhode Island High Schoolers From Marginalized Backgrounds, Sydney Iacoi

Open Access Master's Theses

Objective: Adverse childhood events (ACEs) are pervasive, affecting more than half the United States’ population. A large body of research has described an association between an increased number of ACEs and negative outcomes, including the development of a substance use disorder later in life. Further, ACEs are disproportionately experienced by individuals from historically marginalized groups. Thus, the interaction between ACEs and substance use may disproportionately impact individuals from historically marginalized groups (i.e., based on ethnicity and sex). The present study’s main aim was to examine the interaction of group differences, specifically based on sex and ethnicity, on the associations …

Examining Trauma And Substance Use Co-Morbidity In African Americans, Breanne Maray Sande Russell

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Childhood maltreatment (CM) is a profound public health crisis that significantly elevates the risk for substance use disorders (SUDs), including alcohol and opioid misuse. Adolescents exposed to CM are especially vulnerable, often turning to substances as maladaptive coping mechanisms during critical developmental periods. African American youth bear this disproportionate burden, yet research addressing their unique experiences remains strikingly limited. Furthermore, while the co-occurrence of trauma-related disorders and substance use is well documented, racial and ethnic minority groups continue to be underrepresented in this literature. Emotion regulation difficulties are increasingly recognized as a mechanism linking PTSD symptoms with substance use, yet …

Alcohol And The Resulting Consequences Of Delirium Tremens, Nicasio L. Santos

2024 Symposium

Alcohol is a depressant drug, inhibiting the function of the central nervous system (CNS) and neurons in the mind (Greenberg, 1953). This results in physiological effects that are typical of an inhibited CNS; slowing of the heartbeat and breathing, and decreasing blood pressure (Scorzelli & Chaudhry, 2009). However, this inhibition of both the CNS and the neural chemistry develops a tolerance, and in turn withdrawal symptoms (Polli et al., 2023). These withdrawal symptoms are the inverse of the inhibition caused by the depressant effects of alcohol (i.e., an overactive CNS, increased activity of neurons; Smith-Alnimer & Watford, 2004). In extreme …

An Investigation Into Loneliness And Solitary Drinking In A University Sample, Daniel C. Faraci

USF Tampa Graduate Theses and Dissertations

Alcohol consumption tends to occur in social contexts and has been shown to increase prosocial behaviors and facilitate social connection. Simultaneously, socially excluded drinkers tend to increase or continue problematic levels of alcohol consumption when alone, possibly consuming alcohol as a replacement for desired but unavailable social connection. This investigation attempted to examine the relationship between loneliness (i.e., lack of perceived social connection) and subsequent alcohol consumption in solitary versus social contexts using ecological momentary assessment (EMA) techniques. University students recruited through a research subject pool who drank at least once per week were asked to respond to 28 short …

Testing A Model Of Ethnic/Racial Discrimination, Ethnic Identity, And Adult Attachment In College Students, Kenneth L. Ayers

Psychology Theses & Dissertations

Ethnic/racial minoritized Americans encounter a disproportionate amount of discrimination throughout their lifetime that often has negative effects on their well-being and mental health. Although the impact of discrimination on symptoms of depression and substance use has been widely studied, understanding of the mechanisms through which these associations exist are still largely unknown. From the perspective of the Cultural Development and Psychopathology Framework, the effects of discrimination on psychopathology (i.e., depression symptoms and alcohol use) are likely mitigated by normative developmental processes. One such developmental outcome that has been determined to partially mediate the impact of cultural stressors (i.e., ethnic/racial discrimination) …

The Impact Of Social Stress And Alcohol Intoxication On Cognitive Processes Among College Students With Heavy Episodic Drinking, Caroline R. Scherzer

LSU Master's Theses

College students with high social anxiety and heavy episodic drinking appear to consume alcohol more frequently and at greater quantities, presumably because individuals with higher trait social anxiety may be more responsive to the stress-response dampening effects of alcohol in social contexts due to appraisal disruption and activation of implicit social cognitions. However, little work has tested this hypothesis within a controlled lab-based setting. The current study tested whether the sequence of alcohol intoxication and induction of an anticipatory social stressor interacts with trait social anxiety to predict changes in anticipatory social anxiety, craving, implicit drinking identity, and implicit self-esteem. …

Effectiveness Of A Peer-Supported Digital Brief Intervention: Reducing Alcohol Use & Related Harms In Young Adults With Histories Of Interpersonal Trauma, Caitlin Mcgettrick

Masters Theses & Specialist Projects

Alcohol is the most frequently used substance in the United States, and young adults ages 18-25 have the highest rates of heavy alcohol use. Heavy and persistent alcohol use is associated with a host of negative outcomes in young adults, including poor mental health, lower life satisfaction, cognitive impairments, poor academic performance, increased risk for motor vehicle accidents, and substance use disorders. Brief interventions (BI) are low-resource, short-term interventions designed to reduce problematic substance use and mitigate the substantial harms posed by heavy and persistent use of substances such as alcohol. BIs have limited effectiveness in trauma survivors despite trauma …

Examining The Role Of Executive Functions On The Intention-Behavior Gap Of Alcohol Harm Reduction Strategy Use, Becky K. Gius

USF Tampa Graduate Theses and Dissertations

Alcohol harm reduction strategies are health behaviors that aim to minimize the likelihood or severity of consequences associated with alcohol use. Despite the demonstrated usefulness of harm reduction strategies, there is variability in who and when the strategies are used, leading to the question “if they work, why not use them all the time?” One potential explanation is a discrepancy between the intention to drink safely and actually drinking safely, termed the intention-behavior gap. It is unclear to what extent college drinkers plan on engaging in safe drinking behaviors but fail to follow through. It is plausible some drinkers have …

Understanding The Impact Of Social-Environmental Context On The Relationship Between Drinking Motives And Drinking Frequency, Janiah Henderson, Ian A. Mcnamara, Ryan Carpenter

Undergraduate Research Symposium

Several studies have shown that drinking motives are a common and proximal pathway to alcohol use, which is in turn linked to long-term health risks such as chronic disease and cancer. The present study builds on earlier research by examining how drinking alone modifies the relationship between drinking motives and frequency of alcohol consumption. Cross-sectional data were collected from undergraduate students (n = 153) at the University of Missouri - St. Louis through an online Qualtrics survey. Participants (mage = 24.42) were largely female (71.9%) and white (71.9%). Linear regression was conducted in RStudio 4.2. RESULTS: In univariate models coping-anxiety, …

“Finding The Positive” In Recovery: Psychometric Properties Of A Measure Of Human Flourishing In An Alcohol Use Disorder Recovery Sample, Hannah A. Carlon

Psychology ETDs

The fields of alcohol use disorder (AUD) recovery and positive psychology have both rapidly grown in recent years, are paralleled in their philosophy and goals, but have scarcely overlapped. An important first step to applying positive psychology to addiction treatment and recovery is quantifying the extent that treatment-as-usual encourages human flourishing (i.e., holistic well-being and adequate functioning). The PERMA Profiler is a measure based on the PERMA model of flourishing, captured across five positive psychology domains (i.e., Positive Emotions, Engagement, Relationships, Meaning, and Accomplishments), and has been validated in a wide variety of samples. The …

Perfectionism, Alcohol Intoxication, And Deliberate Self-Harm In Men And Women, Lissa N. Mandell

Theses and Dissertations

Previous research has demonstrated associations between deliberate self-harm (DSH) and perfectionism, although most of that research used retrospective self-report measures of DSH, which are prone to various cognitive biases. Although perfectionism has been associated with alcohol abuse, no research has examined how alcohol intoxication may moderate the relation between perfectionism and DSH. The aims of this experimental study were to determine if perfectionism is associated with a laboratory analogue of DSH (the Self-Aggression Paradigm) and examine the role of alcohol intoxication as a potential moderator. Using archival data, blood alcohol content (BAC) was manipulated by randomly assigning participants to reach …

Examining The Associations Between Experiences Of Perceived Racism And Drug And Alcohol Use In Aboriginal Australians, Victoria Gentile, Adrian Carter, Laura Jobson

Journal of the Australian Indigenous HealthInfoNet

Objective
This study aimed to explore the relationships between experiences of perceived racism, mental health and drug and alcohol use among Aboriginal Australians.

Method
Sixty-two Aboriginal Australians, ranging in age from 19-64 years (M_age = 33.71, SD = 12.47) and residing in Victoria completed an online questionnaire containing measures of perceived racism, alcohol use, substance use and mental health.

Results
First, 66% of the sample reported experiencing interpersonal racism, with the highest proportion of reported experiences occurring in health settings, educational/academic settings and by staff of government agencies. Second, perceived racism was significantly associated with poorer mental health …

Experiential-Based Feedback During Alcohol Intoxication And Its Effect On Drinkers’ Risk Awareness, Alexandra R. Kelly

Theses and Dissertations--Psychology

The prevalence of alcohol-impaired driving injuries and fatalities has not decreased for over a decade despite strategies to reduce and prevent driving under the influence of alcohol (DUI). In 2019, 10,142 people died in alcohol-impaired driving crashes in the United States, which totaled to 28% of all traffic fatalities for the year. DUI interventions have been found to have moderate effects on reducing DUI recidivism. Prevention research has identified a lack of risk awareness in DUI offenders and this could be a target to motivate behavioral change. However, the training to increase levels of risk awareness needs to occur in …

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, …

Childhood Adhd, Impulsivity, And Alcohol-Related Impairment Among Diverse College Students, Mariely Hernandez

Dissertations, Theses, and Capstone Projects

Aims: We examined (1) if students with high childhood ADHD symptoms, and at high risk for alcohol use disorder (AUD) reported greater alcohol-related impairment (ARI) than their low childhood ADHD peers who had comparable rates of alcohol use; and (2) whether alcohol-related problems were more severe for those with high childhood ADHD and high AUD risk when their trait impulsivity was high.

Method: 18-to 25-year-old (N=81), racially/ethnically diverse, college students completed a two-part study. An online survey assessed childhood ADHD symptoms (Wender Utah Rating Scale) and past-year alcohol use (Alcohol Use Disorders Identification Test). Laboratory assessment comprised neuropsychological and self-report …

A Re-Examination Of The Motivations For Using Substances Questionnaire: Motives For Alcohol And Simultaneous Alcohol And Marijuana Use, Taylor Altenberger

Dissertations

The growing body of research examining simultaneous alcohol and marijuana (SAM) use suggests motivations for alcohol-only, marijuana-only, and SAM use, especially among college-aged people, warrant further examination to ultimately tailor interventions to not only specific substances but also the underlying motivations for using those substances. Thus, the purpose of the present study was to test the measurement invariance of a novel broadband motives measure, the Motivations for Using Substances Questionnaire (MUSQ), across alcohol-only, marijuana-only, and SAM users and further test motivations’ relationships to use-related problems. However, due to insufficient sample sizes of marijuana-only users (n = 175), the MUSQ …

Acceptance Versus Distraction As Coping Strategies For Acute Pain And Pain-Induced Alcohol Urge And Approach Inclinations, Dezarie Jade Moskal

Dissertations - ALL

Excessive alcohol use is a leading cause of preventable death and disproportionately affects people with pain. Experimental research has identified pain as a determinant of alcohol use proxies that has its influence via negative affect (i.e. mediation effect). Although experimental research has shown that acceptance coping reduces pain-related negative affect, such effects have not been examined within the context of the pain and alcohol relationship. The purpose of this study was to test acceptance coping (vs. distraction) as a moderator of the previously established mediation model. Based on a randomized 2x2 between-subjects repeated-measures experimental design, pain-free hazardous drinkers (N = …

Negative Urgency's Influence On State-Level, Emotion-Based Changes In Alcohol-Related Cognitions, Noah Wolkowicz

Graduate Theses and Dissertations

This project expanded on the Acquired Preparedness Model of Risk (APMR) by examining how Negative Urgency (NU), the tendency to act rashly in negative emotional states, affects emotion-based changes in alcohol cognitions to produce risk for alcohol use. The APMR prioritizes the role of outcome expectancies as the means through which traits such as NU, convey alcohol use risk. However, this model treats these cognitions as static and often fails to assess their valence; further, alcohol-cognitions fluctuate in response to negative emotions and may become more salient during these states. Therefore, this study examined: 1) how NU impacts negative emotion-based, …

School Violence And Suicidal Ideation: The Mediating Roles Of Perceived School Safety And Substance Use Among Adolescents, Jordan Skalisky

Clinical Psychology Dissertations

Substance use and suicidal ideation are prevalent among adolescents. An adolescent’s school environment, such as threatening or violence-related experiences at school, may influence their perceived sense of safety, thus influencing their substance use and potentially increasing suicidal ideation. The current study examined the mediating roles of perceived school safety and substance use (alcohol use, binge alcohol use, cannabis use, and vaping) on the relationship between experienced weapon threat/violence at school and suicidal ideation. Data was used from the 2019 Youth Risk Behavior Surveillance Survey and participants were 13206 adolescents attending high school in the United States. Preliminary analyses indicated significant …

Solitary Alcohol And Cannabis Use Among College Students During The Covid-19 Epidemic: Concurrent Social And Affective Correlates And Substance-Related Consequences, Amelia Victoria Wedel

Theses - ALL

Alcohol and cannabis use are remarkably prevalent among college students, with 60% reporting past-month alcohol use and 25% reporting past-month cannabis use. Emerging evidence suggests that a considerable portion of college students use alcohol or cannabis alone, and that rates of solitary use may be higher for cannabis than for alcohol. However, despite substantial evidence connecting solitary alcohol use with a number of affective and substance-related correlates, research on similar associations for solitary cannabis use remains lacking. Furthermore, no college studies to date have assessed solitary use of both alcohol and cannabis and consequently little is known about differences between …

Influencing Motivation For Alcohol Through Social Bonding, Bryan Benitez

USF Tampa Graduate Theses and Dissertations

Human survival depends upon the ability to cooperate by forming affiliative social bonds. Social bonding should therefore be a powerful motivating force in practically all human decision making. Past research demonstrates that social bonding and motivation for alcohol consumption share similar psychological and neurobiological pathways. In this study, we attempted to reduce alcohol motivation by enhancing perceptions of social bonding prior to and during the hours and days when alcohol consumption was most likely. In a predominantly female college student sample, we found mixed support for our hypotheses that a novel social bonding manipulation delivered through mobile technology would satiate …

Solitary Alcohol And Cannabis Use Among College Students During The Covid-19 Epidemic: Concurrent Social And Affective Correlates And Substance-Related Consequences, Amelia Victoria Wedel

Theses - ALL

Alcohol and cannabis use are remarkably prevalent among college students, with 60% reporting past-month alcohol use and 25% reporting past-month cannabis use. Emerging evidence suggests that a considerable portion of college students use alcohol or cannabis alone, and that rates of solitary use may be higher for cannabis than for alcohol. However, despite substantial evidence connecting solitary alcohol use with a number of affective and substance-related correlates, research on similar associations for solitary cannabis use remains lacking. Furthermore, no college studies to date have assessed solitary use of both alcohol and cannabis and consequently little is known about differences between …

Cultural And Psychosocial Moderators Of The Association Between Adverse Childhood Experiences And Alcohol And Marijuana Use Among Latinx College Students On The U.S./Mexico Border, Claudia J. Woloshchuk

Open Access Theses & Dissertations

Adverse childhood experiences (ACEs) have been historically associated with negative life outcomes among the general population. There has been no research, to the author's knowledge, on psychosocial and/or cultural moderators of the associations between ACEs and substance use among Latinx college students living on the U.S./Mexico border. This study assessed how specific constructs within the socioecological framework moderate the association between ACEs and alcohol and marijuana use. Participants (Females: N = 283, Mage = 20.86, SD = 3.71, Males: N = 111, Mage = 20.65, SD = 3.13) completed an online survey which included: demographics, the Center for Youth Wellness …

Genetics And Alcohol Interventions In Youth, Zoe E. Neale

Theses and Dissertations

Alcohol is the most commonly used substance among youth, and risky alcohol use is associated with harmful consequences such as accidents, academic consequences, and physical and emotional health problems. Alcohol use disorders are approximately 50% heritable, yet most efforts to prevent and intervene upon youth alcohol use focus only on environmental factors. Furthermore, current prevention and intervention programs tend to have modest effects and are not uniformly effective for all individuals. Gene-by-intervention (GxI) studies offer an opportunity to expand current understanding of interventions by examining whether underlying genetic risk may contribute to differential program effects. Much of the current GxI …