Health Psychology Commons^™

A Longitudinal Examination Of Multiple Forms Of Stigma On Minority Stress, Belongingness, And Problematic Alcohol Use, Akanksha Das, Rose Marie Ward, Lauren Haus, Jackson Heitt, Jeffrey Hunger

Health Behavior Research

College students who experience stigma report problematic alcohol use. However, the stigma-health link focuses on one form of stigma, thereby excluding the intersectional oppression of experiencing multiple forms of stigma. The present work has two primary aims: 1) evaluating whether additive intersectional minority stress confers greater problematic alcohol use among multiply-stigmatized college students one year later, and 2) whether that link can be explained by 1) lower belongingness and 2) greater drinking to cope motives. Students (N=427) ranging in stigmatized identities (14.3% zero; 46.4% one; 29.5% two; 9.8% three or more), participated in an annual health survey at two subsequent …

The Effect Of Minority Stress On Sexual Minority College Students' Mental Health: The Role Of General Social Support And Sexuality-Specific Social Support, Lee A. Golembiewski

Psychology Theses & Dissertations

Sexual minority (SM) college students continue to face greater mental health problems relative to their heterosexual peers (Woodford et al., 2014; Wilson & Liss, 2022). According to minority stress theory, SM individuals face distal (e.g., heterosexist discrimination) and proximal (e.g., expectations of rejection, internalized homophobia, and concealment) stressors related to their SM identity which can have negative effects on their mental health (Douglass & Conlin, 2020; Meyer, 2003). However, social support has been hypothesized to help protect against the effects of minority stress experienced by SM individuals (Cohen & Wills, 1985; Moody & Smith, 2013). Most of the existing research …

Factors Associated With College Students' Intention To Use Telehealth For Primary Care, Conor Duffy

Theses and Dissertations

College students are less likely than the general population to have a regular primary care provider and engage in routine health visits. Recent research provides evidence that telehealth is a convenient alternative to in-person primary care and that college students are comfortable using this technology, suggesting that telehealth has the potential to mitigate this disparity. However, little research has examined which factors are associated with college students’ intention to use telehealth and attitudes toward telehealth specifically in the primary care context. The overarching goal of this study was to address this gap in the literature and identify factors associated with …

Can We Predict Who Tries E-Cigarettes?, Samantha A. Fitzer, Joe Flores, James M. Henson

College of Health Sciences Posters

Background: Since the emergence of e-cigarettes in the United States in 2007, the aerosol-delivery devices have become the most commonly used tobacco product among U.S. youth. This trend puts decades of work deterring young people from cigarettes in jeopardy and increases the risk of exposing a new generation of young people to nicotine. Researchers need to know what behaviors to target and who is at greatest risk in order to act upon the U.S. surgeon general’s 2018 call to action.

Method: This study examined a variety of factors that have the potential to differentiate college students on their e-cigarette use. …

The Relationship Between Body Mass Index And Depression In College Students, Bryn Kable

CMC Senior Theses

College student mental health has seen a serious decline over the last decade (Esaki-Smith, 2022). One factor that has been linked to both physical and mental disorders is obesity. A common way to operationalize weight is through body mass index (BMI) (Ilman et al., 2015). There is evidence that BMI and depression are correlated linearly in that individuals with higher BMIs have higher levels of depression (Badillo et al., 2022; Simon et al., 2008). The exact mechanisms of this relationship are still generally unknown; thus, the goal of this study was to investigate the relationship between BMI and depression in …

Simultaneous Alcohol And Cannabis Use In College Students: Examining Context, Route Of Administration, Cognitive Factors, And Consequences Via Daily Diary, Jennifer Lynn Shipley

Psychology Theses & Dissertations

Cannabis and alcohol use are pervasive among college students. Simultaneous alcohol and cannabis (commonly referred to as simultaneous alcohol and marijuana [SAM]) use (i.e., effects overlap) is more prevalent than concurrent alcohol and cannabis (commonly referred to as concurrent alcohol and marijuana [CAM]) use (i.e., effects do not overlap). Consequences of SAM use are often greater than CAM or single substance use. Research has explored cognitions (motives, expectancies) and contexts (environmental, social) as predictors of SAM use among adolescents, young adults, and adults; however, research is needed among college students specifically. Limited research has examined type of alcohol and route …

Sleepless In College Town: Causes And Effects Of Poor Sleep In College Students, Isabella E. Pandolfo

The Review: A Journal of Undergraduate Student Research

This article is an examination of the various causes and effects of sleep deprivation and poor sleep quality in college students. Using various studies and articles as evidence, this review explores the causes of sleep deprivation in college students, and addresses the ways in which other parts of one's well-being may suffer as a result of sleep deprivation. The nature of life as a college student is not conducive to good quality sleep or sufficient amount of sleep, and the various detrimental factors to sleep quality, such as napping, technology, and social factors contribute to problems in other areas. According …

Depressive Symptoms And Marijuana Outcomes In College Students: The Mediating Role Of Protective Behavioral Strategies For Marijuana, Nicholas Militello

Master's Theses

The present study evaluated the sequentially mediating role of protective behavioral strategies for marijuana (PBSM) and marijuana use frequency on the relationships depressive symptoms had with hazardous marijuana use and marijuana-related negative consequences in college students Participants were 338 (50.3% male) undergraduate college students age 18 to 25 (M = 22.10; SD = 1.97) who reported marijuana use in the past 30 days. Participants reported their gender and completed measures of depressive symptoms, PBSM use, marijuana use frequency, marijuana-related negative consequences, and hazardous marijuana use through an online survey from a 2018 project. Depressive symptoms were positively associated with …

How Covid19 Has Impacted Students Nutrition And Eating Habits With The Abrupt Closure Of Restaurants And Campuses, Chloe Sermet

Student Scholar Symposium Abstracts and Posters

With the ongoing COVID-19 pandemic causing college campuses, restaurants, and businesses to shut down, many college students found themselves having to return home or find alternative food resources. Due to these factors, it was imperative to examine how college student’s eating habits have changed throughout the pandemic, dealing with lots of stressors, and whether having prior education on nutrition influenced those eating habits. To examine those effects, 17 nutrition minors and 126 non-nutrition minors participated in the current study in which they took the College Students Eating Habit survey and the Perception of Peer Pressure Scale. The outcome of the …

The Mediating Effects Of Drinking Refusal Self-Efficacy On The Associations Between Alcohol Protective Behavioral Strategies And Alcohol Use Outcomes, Kray Scully

Dissertations

Alcohol use continues to pose a serious public health problem at universities across the U.S., largely due to the extent of consumption and frequency of negative consequences experienced among college students. Alcohol protective behavioral strategies (PBS-A) are an empirically supported repertoire of safe drinking behaviors college students can use to monitor and control their alcohol consumption as well as limit harm while drinking. However, there remains a need to better understand how cognitive mechanisms, such as drinking refusal self-efficacy (DRSE), help explain college student safe alcohol use behaviors to enhance evidenced-based intervention and prevention efforts. Recently, studies that examined the …

Examination Of Sleep Disturbance, Anxiety Sensitivity, And Depression In An Undergraduate Sample, Dasha Grace

Honors Theses

Sleep contributes to overall well-being, mental health, and daily functioning. Sleep disturbances negatively affect psychological, physiological, and biological processing, and the quality of sleep is similarly affected by these processes. The effects of sleep disturbance call for a greater understanding of depression and anxiety sensitivity among college students. Studies have found that sleep disturbance affects nearly 90% of the college student population. The aims of the current study were to examine: 1) types and rates of sleep disturbance among a sample of college students, 2) associations between sleep disturbance, AS, and depression symptoms, and 3) AS and depression symptoms by …

“Is Therapy For Me?” Perceptions Of Therapy Inclusivity And Willingness To Seek Help Among Black Emerging Adults, Randl B. Dent

Theses and Dissertations

Mental health issues are prevalent among Black emerging adults; however, they tend to underutilize mental healthcare services. The goals of the current study were to examine whether: (1) perceived therapy inclusivity would predict willingness to utilize mental healthcare services and (2) the relationship between perceived therapy inclusivity and willingness would be moderated by two indices of racial identity (i.e., centrality and private regard). Results provide evidence that greater perceptions of therapy inclusivity are associated with greater willingness to seek mental health services even after controlling for factors, such as gender, self-stigma, and previous mental healthcare utilization. Additionally, there was no …

Evaluation Of A Brief Online Alcohol Intervention For College Students: The Role Of Race-Specific Normative Feedback, Racial/Ethnic Identity, And Readiness To Change, Jacob Scharer

Dissertations

Brief online interventions are effective for reducing alcohol use among college students. However, some research has suggested that these interventions may be less effective for African American students. This study evaluated the acceptability and efficacy of a widely available brief online alcohol intervention in a sample of African American and Caucasian college students through a randomized controlled trial. The aims of this study were to determine if providing race-specific normative feedback impacted treatment efficacy for African American students, and if this effect was moderated by racial/ethnic identity and readiness to change. Participants were 310 heavy drinking African American and Caucasian …

Construction And Validation Of A Non-Medical Use Of Prescription Opioids Outcome Expectancies Scale Among College Students In China, Cheuk Chi Tam

Theses and Dissertations

Background:Non-medical use of prescription opioids (NMUPO) has become a clear threat to public health. Young adults (aged 18 to 25) have a high risk of NMUPO. My prior work on Chinese undergraduates indicates a high prevalence of lifetime NMUPO (49.2%). Health behavior theories propose that outcome expectancies are robust psychosocial determinants of substance use. Literature has identified the influence of outcome expectancies on alcohol and drug use. However, the role of outcome expectancies in NMUPO in China is unknown, and a scarcity of a valid measures for NMUPO outcome expectancies may be a barrier. Our previous research also found …

Social Jetlag, Depressive Symptoms, And Longitudinal Outcomes In College Students, Morgan P. Reid

Theses and Dissertations

Social jetlag refers to the chronic shift in sleep timing between work and free days and has been associated with a variety of negative physical and psychological outcomes. Existing research on social jetlag has relied heavily on cross-sectional studies, preventing researchers and practitioners from assessing the effects of social jetlag over time. The current study used longitudinal data to explore the directionality of the association between social jetlag and depressive symptoms as well as the longitudinal associations between social jetlag, academic performance, and wellbeing in college students. Gender and race were also assessed as potential moderators of these associations. Cross-lagged …

Masculine Norms, Psychological Symptom Severity, And Intentions To Seek Formal Help In Male College Students, Zahra S. Shine

Cal Poly Humboldt theses and projects

Research has consistently found men to be less likely than women to seek help for mental health symptoms. Additionally, greater symptom severity is related to higher levels of help seeking, although this relationship is less clear among men. Greater conformity to masculine norms may help to explain the relationship between symptom severity and help seeking among men. The present study aimed to further research on men’s help-seeking by examining whether conformity to masculine norms would moderate the relationship between symptom severity and help-seeking intentions in male college students (N = 89). A multiple regression analysis was conducted with all …

Posttraumatic Stress And Hazardous Alcohol Use In College Students: The Moderating Role Of Alcohol Protective Behavioral Strategies, Hallie R. Jordan

Master's Theses

The present study evaluated the moderating role of alcohol protective behavioral strategy subtypes (Al-PBS; Serious Harm Reduction [SHR], Manner of Drinking [MOD], Stopping/Limiting Drinking [SLD]) and gender on the relationships between traumatic stress symptoms and both hazardous drinking and alcohol-related negative consequences. Participants were 915 traditional age (18 to 25 years old) college students from nine universities in the United States who reported drinking in the past. All participants reported their gender and completed measures of traumatic stress symptoms, Al-PBS use, hazardous drinking, and alcohol-related negative consequences through an online survey. Experiencing greater traumatic stress symptoms was associated with both …

The Moderating Role Of Pbs In The Relationship Between Positive Expectancies And Alcohol-Related Negative Consequences, Kray Scully

Master's Theses

Hazardous drinking college students have become an increasingly focused upon group within alcohol research, especially considering the extent of negative consequences they experience. Recently, increased positive expectancies has been identified as an influential contributor to increased hazardous drinking and alcohol-related negative consequences. However, more comprehensive evaluation of the domains of positive expectancies (e.g., sociability, tension reduction, sexual enhancement, liquid courage) is warranted to ascertain which types are more salient in predicting hazardous drinking and alcohol-related negative consequences. Further, research has yet to explore how protective behavioral strategies (PBS) affect the strength of the associations between specific positive expectancies and alcohol-related …

Changes In Mindfulness, Well-Being, And Sleep Quality In College Students Through Taijiquan Courses: A Cohort Control Study, Karen Caldwell, Lisa Emery, Mandy Harrison, Jeffrey M. Greeson

Jeffrey M. Greeson

Objectives: This study sought to determine whether participants in taijiquan classes would report increases in mindfulness greater than that of a comparison group, and whether changes in mindfulness were associated with improvements in mood, perceived stress, self-regulatory self-efficacy, and sleep quality. Design: The study design was quasi-experimental with repeated measures. Settings/location: The study was set in a midsized public university. Subjects: Students aged 18–48 years old enrolled in 15-week courses of either taijiquan (n = 76) or special recreation (control group, n = 132). Intervention: Chen-style taijiquan classes were offered 2 times per week for 50 minutes each time. Outcome …

Examining The Relationship Between Self-Efficacy And Health Behaviors Among College Students, Brent D. Fisk

Doctor of Psychology (PsyD)

Adolescents’ transition into adulthood often coincides with significant developmental change processes. Behavioral patterns established during this period can determine risk and quality of life trajectories (Ben-Shlomo & Kuh, 2002, Halfon & Hochstein, 2002). Social support facilitates health behavior change and college students have ready access to peers with shared goals. In addition to social support, self-efficacy has also been associated with student health as a protective and predictive factor of healthy behaviors (Von Ah, Ebert, Ngamvitroj, Park, & Kang, 2004). Research indicates a strong relationship between self-efficacy and health behaviors; however, the direction of causality is unclear and there is …

Examining Health Behaviors In College Students With And Without Chronic Conditions, Duc-Thi J. Barsell

Theses and Dissertations

Many college students are in a developmental period in which they are transitioning from pediatric to adult health care. This time period can be challenging for all college students and especially for students with a chronic condition. The current study investigated the association between various health-related factors (health locus of control [HLOC], health literacy, health self-efficacy, and health-related quality of life [HRQOL]) and health behaviors in college students, as well as the moderating effect of having a chronic condition on those associations. These health behaviors were further operationalized as healthy lifestyle behaviors (preventative and wellness behaviors, dietary behaviors, physical activity) …

The Relationship Between Self-Compassion, Sleep Quality, And Perceived Stress Among Undergraduate And Graduate Students, Michael Unger

PCOM Psychology Dissertations

Research has indicated that sleep problems are prevalent in college students. Current studies show that over half of college students report that they are poor-quality sleepers. The consequences of poor sleep quality include increased stress, substance use, and mental health issues. Poor sleep hygiene is one of the many factors that contribute to poor sleep quality in college students. Although research has identified contributing factors and consequences of sleep problems in college students, less attention has been given to factors that may serve as a buffer against the effects of poor sleep quality. This study introduces and discusses self-compassion as …

A Preliminary Investigation Of Caffeinated Alcohol Use During Spring Break, Ashley N. Linden-Carmichael, Cathy Lau-Barraco

Psychology Faculty Publications

Background: Caffeinated alcoholic beverages (e.g., Red Bull and vodka) are popular but associated with negative consequences. CABs may be particularly popular during Spring Break, a potentially risky social event.

Objectives: We aimed to identify the prevalence of Spring Break caffeinated alcohol use, determine how caffeinated alcohol use Spring Break drinking habits differ from usual, and examine the association between Spring Break caffeinated alcohol use and alcohol-related problems.

Methods: Data were collected from 95 college students during March of 2013 and 2014. Students completed questionnaires of their alcohol and caffeinated alcohol use before and during Spring Break and Spring Break alcohol-related …

Racial And Socioeconomic Disparities In Body Mass Index Among College Students: Understanding The Role Of Early Life Adversity, David S. Curtis, Thomas E. Fuller-Rowell, Stacey N. Doan, Aleksandra E. Zgierska, Carol D. Ryff

CMC Faculty Publications and Research

The role of early life adversity (ELA) in the development of health disparities has not received adequate attention. The current study examined differential exposure and differential vulnerability to ELA as explanations for socioeconomic and racial disparities in body mass index (BMI). Data were derived from a sample of 150 college students (Mage = 18.8, SD = 1.0; 45 % African American; 55 % European American) who reported on parents’ education and income as well as on exposure to 21 early adverse experiences. Body measurements were directly assessed to determine BMI. In adjusted models, African American students had higher …

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 …

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 …

Shu Team Collaborates On Body-Image Research Published In Journal Of American College Health, Debbie Danowski

Debbie Danowski

In its May issue, the Journal of American College Health has published a paper authored by a team of Sacred Heart University professors and personnel, including Debbie Danowski, including a chart of body types that could change the way body-image studies are conducted.

Use And Perspectives Of A Social Marketing Campaign To Improve Fruit And Vegetable Intake, Allison Palmberg

Theses and Dissertations

The current study evaluated the development and acceptability of a social marketing campaign to improve emerging adults’ fruit and vegetable (FV) intake. A social marketing campaign was developed through focus groups with 24 college students. Materials were implemented in two dining locations at Virginia Commonwealth University. Sales of carrots, apples, and chips were collected in three phases: baseline, implementation of the campaign, and washout. In addition, surveys were collected from 303 diners across all phases and locations. Results indicated an increase in carrot sales, decrease in sales of chips sold with a meal, and mixed findings regarding sales of apples …

Clarifying Observed Relationships Between Protective Behavioral Strategies And Alcohol Outcomes: The Importance Of Response Options, Abby L. Braitman, James M. Henson, Kate B. Carey

Psychology Faculty Publications

Protective behavioral strategies (PBS), or harm-reduction behaviors that can potentially reduce alcohol consumption or associated problems, have been assessed in varied ways throughout the literature. Existing scales vary in focus (i.e., broad vs. narrow), and importantly, in response options (i.e., absolute frequency vs. contingent frequency). Absolute frequency conflates PBS use with number of drinking occasions, resulting in inconsistencies in the relationship between PBS use and alcohol outcomes, whereas contingent frequency is less precise, which could reduce power. The current study proposes the use of absolute frequencies to maximize precision, with an adjustment for number of drinking days to extricate PBS …

Discrepant Alcohol Use, Intimate Partner Violence, And Relationship Adjustment Among Lesbian Women And Their Same-Sex Intimate Partners, Michelle L. Kelley, Robin J. Lewis, Tyler B. Mason

Psychology Faculty Publications

This study examined the association between relationship adjustment and discrepant alcohol use among lesbian women and their same-sex intimate partners after controlling for verbal and physical aggression. Lesbian women (N = 819) who were members of online marketing research panels completed an online survey in which they reported both their own and same-sex intimate partner's alcohol use, their relationship adjustment, and their own and their partner's physical aggression and psychological aggression (i.e., verbal aggression and dominance/isolation). Partners' alcohol use was moderately correlated. Discrepancy in alcohol use was associated with poorer relationship adjustment after controlling for psychological aggression and physical aggression. …