Health Psychology Commons^™

Finding Success In Failure: Using Latent Profile Analysis To Examine Heterogeneity In Psychosocial Functioning Among Heavy Drinkers Following Treatment, Adam D. Wilson, Adrian J. Bravo, Matthew R. Pearson, Katie Witkiewitz

Psychology Faculty Publications

Aims- To estimate differences in post-treatment psychosocial functioning among treatment failures' (i.e. heavy drinkers, defined as 4+/5+ drinks for women/men) from two large multi-site clinical trials and to compare these levels of functioning to those of the purported treatment successes' (i.e. non-heavy drinkers).

Design- Separate latent profile analyses of data from two of the largest alcohol clinical trials conducted in the United States, COMBINE (Combined Pharmacotherapies and Behavioral Interventions) and Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), comparing psychosocial outcomes across derived classes of heterogeneous treatment responders.

Setting- Eleven US academic sites in COMBINE, 27US treatment sites local to …

Identifying Patterns Of Situational Antecedents To Heavy Drinking Among College Students, Cathy Lau-Barraco, Ashley N. Linden-Carmichael, Abby L. Braitman, Amy L. Stamates

Psychology Faculty Publications

Background- Emerging adults have the highest prevalence of heavy drinking as compared to all other age groups. Given the negative consequences associated with such drinking, additional research efforts focused on at-risk consumption are warranted. The current study sought to identify patterns of situational antecedents to drinking and to examine their associations with drinking motivations, alcohol involvement, and mental health functioning in a sample of heavy drinking college students.

Method- Participants were 549 (65.8% women) college student drinkers.

Results- Latent profile analysis identified three classes based on likelihood of heavy drinking across eight situational precipitants. The High Situational Endorsement' group reported …

Molly Users Versus Non-Users In A Sample Of College Alcohol Drinkers: Differences In Substance-Related Harms And Sensation Seeking, Ashley N. Linden-Carmichael, Amy L. Stamates, Brynn E. Sheehan, Cathy Lau-Barraco

Psychology Faculty Publications

Background: Molly is one form of MDMA (3,4-methylenedioxymethamphetamine) that is touted to be more pure and potentially less harmful than other forms, such as ecstasy. Media reports and case studies suggest that this drug is popular among college students and is related to adverse health problems. The current study sought to address the knowledge gaps about Molly by examining whether users differ in substance use outcomes and sensation seeking than nonusers. Specifically, this study tested whether Molly users engaged in heavier use of other substances and experienced more substance-related harms in general than nonusers. Further, the current study investigated whether …

Personalized Boosters For A Computerized Intervention Targeting College Drinking: The Influence Of Protective Behavioral Strategies, Abby L. Braitman, James M. Henson

Psychology Faculty Publications

Objective: Computerized interventions are cost-effective and can quickly deliver individual feedback to many students. However, in-person interventions are more efficacious. The current study sought to improve the efficacy of a popular online intervention via e-mailed boosters with personalized feedback.

Participants: Participants were 213 student drinkers at a southeastern public university, ages 18-24. Methods: Students were randomized into (1) intervention only, or (2) intervention plus booster. Alcohol consumption and related problems were assessed at baseline, 2weeks post, and 4weeks post.

Results: Boosters yielded reductions in drinking, but not alcohol-related problems. Boosters were associated with significant reductions for drinking frequency, heavy drinking …

Title: Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Dissertations and Doctoral Studies

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …

Experiences Of Victimization And Health Care Access Among Non-Metropolitan Lgbtq+ Individuals, Ashley-Ann Marcotte

Theses and Dissertations (Comprehensive)

Lesbian, gay, bisexual, trans, and queer (LGBTQ+) individuals report substantial rates of violence, discrimination, and negative life events due to homophobia and transphobia and these experiences impact access to health care services and programs (Bauer et al, 2009; Grant, Mottet, Tanis, Harrison, & Keisling, 2010) These experiences result in LGBTQ+ communities needing services, programs, and social supports to provide safer spaces. Although it is well recognized that health care services are not a major determinant of health outcomes and yet use more than 60% of health spending (Canadian Institute for Health Information, 2014; Muzyka, Hodgson, & Prada, 2012). As such, …

Motivating Parents Of Kids With Asthma To Quit Smoking: The Effect Of The Teachable Moment And Increasing Intervention Intensity Using A Longitudinal Randomized Trial Design, Belinda Borrelli, Erin M. Tooley

Arts & Sciences Faculty Publications

Aims—We tested two aims: 1) The Teachable Moment (TM): whether second hand smoke exposure (SHSe) feedback motivates cessation in parents of children with asthma vs. parents of healthy children (HC) and 2) whether greater intervention intensity (Enhanced-PAM) produces greater cessation than a previously tested intervention (Precaution Adoption Model; PAM).

Design and interventions—Aim 1: Two home visits (asthma education or child wellness), and cessation induction using Motivational Interviewing and SHSe feedback. Aim 2: Post home-visits, parents with asthmatic children were randomized to PAM (n=171; 6 asthma education calls) or Enhanced-PAM (n=170; 6 asthma education/smoking cessation calls + repeat SHSe …

Prevalence, Reasons For Use, And Risk Perception Of Electronic Cigarettes Among Post-Acute Coronary Syndrome Smokers, Andrew M. Busch, Erin M. Tooley

Arts & Sciences Faculty Publications

Purpose—The use of electronic cigarettes (e-cigarettes) has risen dramatically in recent years. However, there is currently no published data on use of e-cigarettes among cardiac patients. The current study reports on the prevalence, reasons for use, and perceived risks of e-cigarettes among post-Acute Coronary Syndrome (ACS) patients. The relationship between e-cigarette use and post- ACS tobacco smoking cessation is also explored.

Methods—Participants were drawn from a randomized trial of smoking cessation treatments following hospitalization for ACS. The current study focuses on 49 participants that completed e- cigarette questions at 24 weeks post-ACS.

Results—51.0% of participants reported ever …

Do Placement And Repetition Of Information In Pictorials Affect Comprehension And Memory Of Medication Instructions?, Jessica Le

College of Graduate Studies: Theses & Dissertations

The purpose of this study was to examine how text and picture pairings affected comprehension and memory for medication instructions. Participants viewed instructions on how to prepare a mock oral suspension drug. These instructions either had the picture repeat the information in the text, or complement information in the text. The text instructions were also either integrated into the pictures, or were separated from the pictures. Next, participants were assessed on their comprehension and memory including memory for the order of the steps and their belief in their ability to carry out this task effectively. The results indicated that participants …

Motivation, Athletic Identity, And Commitment To Sport In Division I Varsity Athletes And Collegiate Club Level Athletes: A Qualitative Analysis, Emily C. Karoblis

College of Graduate Studies: Theses & Dissertations

Motivation, athletic identity, and commitment are constructs that have previously been addressed and researched in regards to their impact upon athletes. Each of these constructs has previously been addressed alongside one other construct but all three have not been addressed. In addition to this, research is lacking information regarding collegiate club sport athletes. The purpose of this study was to examine the thoughts of club level athletes and Division I Varsity level athletes as they relate to motivation, athletic identity and commitment to sport. The participants included 12 athletes, 6 at the club level and 6 at the Varsity level. …

Environmental Influences On Elite Sport Athletes Well Being: From Gold, Silver, And Bronze To Blue Green And Gold, Aoife Donnelly, Tadhg Macintyre, Nollaig O'Sullivan, Giles Warrington, Andrew Harrison, Eric Igou, Marc Jones, Chris Gidlow, Noel Brick, Ian Lahart, Andrew Lane

Articles

This paper considers the environmental impact on well-being and performance in elite athletes during Olympic competition. The benefits of exercising in natural environments are recognized, but less is known about the effects on performance and health in elite athletes. Although some Olympic events take place in natural environments, the majority occur in the host city, usually a large densely populated area where low exposure to natural environments is compounded by exposure to high levels of air, water, and noise pollution in the ambient environment. By combining methods and expertise from diverse but inter-related disciplines including environmental psychology, exercise physiology, biomechanics, …

A Preliminary Investigation Into Worry About Mental Health: Development Of The Mental Health Anxiety Inventory, Della Commons, Kenneth M. Greenwood, Rebecca A. Anderson

Research outputs 2014 to 2021

Background:

Worry about physical health is broadly referred to as health anxiety and can range from mild concern to severe or persistent anxiety such as that found in DSM-IV hypochondriasis. While much is known about anxiety regarding physical health, little is known about anxiety regarding mental health. However, recent conceptualizations of health anxiety propose that individuals can experience severe and problematic worry about mental health in similar ways to how people experience extreme worry about physical health.

Aims:

Given the paucity of research in this area, the aim of the current study was to explore anxiety regarding mental health through …

Factors Predicting African American Renal Patients’ Completion Of The Medical Evaluation Process For Kidney Transplantation, Camilla W. Nonterah

Theses and Dissertations

African Americans (AA) are more susceptible to end-stage renal disease (ESRD) for several reasons. Treatment options for patients with ESRD include dialysis therapy and transplantation, with the latter typically producing better outcomes. AA are less likely to complete the medical evaluation process, which requires patients to consult with doctors and undergo a series of tests and examinations. This study sought to determine the factors that predict completion of the medical evaluation for AA ESRD patients using a mixed methods design. Participants consisted of transplant professionals (N=23) recruited from nine transplant centers in the Mid-Atlantic, Mid-Western and Southeastern parts …

Non-Medical Use Of Prescription Stimulants For Weight Loss: Predictors, Consequences, And Implications For Intervention In A National Young Adult Sample, Amy J. Jeffers

Theses and Dissertations

The non-medical use of prescription drugs is an important public health concern. Non-medical use of prescription stimulants (NMUPS), specifically medications used to treat Attention Deficit Hyperactivity Disorder (ADHD), is particularly concerning. One timely concern regarding NMUPS, especially among young adults, is their role in appetite suppression/weight loss. Indeed, some individuals are motivated to misuse such drugs for the purpose of losing weight. Engaging in NMUPS for weight loss has been examined only minimally in the research literature. However, extant data demonstrate that this behavior is associated with other unhealthy behaviors and poor psychosocial health. Limitations of prior research include the …