ASU Electronic Theses and Dissertations
This collection includes most of the ASU Theses and Dissertations from 2011 to present. ASU Theses and Dissertations are available in downloadable PDF format; however, a small percentage of items are under embargo. Information about the dissertations/theses includes degree information, committee members, an abstract, supporting data or media.
In addition to the electronic theses found in the ASU Digital Repository, ASU Theses and Dissertations can be found in the ASU Library Catalog.
Dissertations and Theses granted by Arizona State University are archived and made available through a joint effort of the ASU Graduate College and the ASU Libraries. For more information or questions about this collection contact or visit the Digital Repository ETD Library Guide or contact the ASU Graduate College at gradformat@asu.edu.
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- Creators: Chassin, Laurie
Description
Anxiety disorder diagnosis is a risk factor for alcohol use disorders (AUDs), but mechanisms of risk are not well understood. Studies show that anxious individuals receive greater negative reinforcement from alcohol when consumed prior to a stressor, but few studies have examined whether anxious individuals receive greater negative (or positive) reinforcement from alcohol in a general drinking context (i.e., no imminent stressor). Previous studies have also failed to examine possible moderating effects of specific drinking contexts (e.g., drinking in a group or alone). Finally, no studies have investigated mediating variables that might explain the relationship between anxiety and reinforcement from alcohol, such as physiological response to alcohol (e.g., cortisol response). Data for this study were drawn from a large alcohol administration study (N = 447) wherein participants were randomized to receive alcohol (target peak BAC: .08 g%) or placebo in one of four contexts: group simulated bar, solitary simulated bar, group sterile laboratory, solitary sterile laboratory. It was hypothesized that anxiety would be associated with positive subjective response (SR) under alcohol (above and beyond placebo), indicating stronger reinforcement from alcohol. It was also hypothesized that social and physical drinking context would moderate this relationship. Finally, it was hypothesized that anxiety would be associated with a blunted cortisol response to alcohol (compared to placebo) and this blunted cortisol response would be associated with stronger positive SR and weaker negative SR. Results showed that anxiety was not associated with positive SR in the full sample, but drinking context did moderate the anxiety/SR relationship in most cases (e.g., anxiety was significantly associated with positive SR (stimulation) under placebo in solitary contexts only). There was no evidence that cortisol response to alcohol mediated the relationship between anxiety and SR. This study provides evidence that anxious drinkers expect stronger positive reinforcement from alcohol in solitary contexts, which has implications for intervention (e.g., modification of existing interventions like expectancy challenge). Null findings regarding cortisol response suggest alcohol’s effect on cortisol response to stress (rather than cortisol response to alcohol consumption) may be more relevant for SR and drinking behavior among anxious individuals.
ContributorsMenary, Kyle Robert (Author) / Corbin, William (Thesis advisor) / Chassin, Laurie (Committee member) / Meier, Madeline (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2018
Description
The present study aimed to test the effect of role socialization processes on declines in drinking after marriage. Role socialization as it relates to marriage theorizes that after occupying a role, individuals are likely to change their behaviors to conform to role expectations of marriage, such as reductions in drinking (Yamaguchi & Kandel, 1985). Previous literature has examined declines in drinking behaviors after marriage and inferred that role socialization was the underlying process. This study is the first to directly test whether beliefs that alcohol is harmful to the marital role predicted declines in frequency of drunkenness after marriage. Ordered probit regression was used to test the effect of marriage-related motives to limit drinking on declines in frequency of drunkenness from before marriage to after marriage. Analyses revealed that marriage-related motives to limit drinking were not significantly predictive of declines in frequency of drunkenness after marriage. Only partner drinking emerged as a significant predictor of declines in frequency of drunkenness after marriage. These results highlight the need for a reliable and valid measure of role socialization processes as they relate to the marital role. Furthermore, future studies should consider studying participants at different time points after marriage and consider measuring commitment to the marital role as a moderator. Such studies will help to better understand the results of this study as well as better understand the marriage effect on drinking.
ContributorsSternberg, Ariel (Author) / Chassin, Laurie (Thesis advisor) / Grimm, Kevin (Committee member) / Corbin, Will (Committee member) / Arizona State University (Publisher)
Created2016
Description
There is a growing trend among community samples of young, adult women to initiate drug use for weight loss (Boys, Marsden, & Strang, 2001; Mendieta-Tan, Hulbert-Williams, & Nicholls, 2013). Research has suggested that consequential weight loss may maintain drug use (Cohen, et al., 2010; Ersche, Stochl, Woodward, & Fletcher, 2013; Sirles, 2002), which is compounded by women's perception that drugs are convenient and guarantee weight loss (Mendieta-Tan, et al., 2013). Stimulants, including cocaine, amphetamine, methamphetamine, and ecstasy, are notable drugs of use among college students (Johnston, et al., 2014; Teter, McCabe, LaGrange, Cranford, & Boyd, 2006). With known appetitive and metabolic effects, stimulants may be particularly attractive to college women, who are at elevated risk for increased body dissatisfaction and experimenting with extreme weight loss techniques (Grunewald, 1985; National Eating Disorder Association, 2013). A preliminary epidemiological study of 130 college women between 16- and 24-years old (Mage = 18.76, SDage = 1.09) was conducted to begin to investigate this phenomenon. Results showed women who reported use for weight control (n = 19, 14.6 %) predominantly used stimulants (68.4%), and this subgroup was severely elevated on global and subscales of eating pathology compared with college norms. Moreover, the odds of stimulant use were doubled when women engaged in a compensatory behavior, such as excessive exercise, self-induced vomiting, and laxative use. Although preliminary, these results suggest that a desire for weight control may be associated with stimulant use among college women. Women engaging in more extreme weight loss behaviors are at high risk for initiating and maintaining illicit stimulant use for weight-related reasons.
ContributorsBruening, Amanda B (Author) / Perez, Marisol (Thesis advisor) / Grimm, Kevin (Committee member) / Chassin, Laurie (Committee member) / Arizona State University (Publisher)
Created2016
Description
Both subjective response to alcohol and acute tolerance possess unique biphasic relations with the blood alcohol concentration curve. However, prior work has generally failed to examine shared relations between the two constructs and has yet to consider the full valence by arousal affective space of subjective response, nor individual differences in metabolism or peak levels of subjective intoxication. As such, the present study sought to characterize acute tolerance to subjective response in addition to examining relations between acute tolerance, subjective response, and related outcomes. Participants (N=258) were randomly assigned to receive alcohol (target blood alcohol concentration = .08 g%) as part of a large placebo-controlled alcohol administration study. Participant family history of alcohol use problems and personal history of alcohol use were collected at baseline. Subjective response to alcohol was assessed across the full valence by arousal affective space at equivalent points on the ascending and descending limbs of the blood alcohol concentration curve. Latent change scores were calculated to characterize the development of acute tolerance, and path analyses tested relations between acute tolerance to subjective response, concurrent patterns of alcohol use, and negative alcohol-related consequences. Age, sex, race/ethnicity, and drinking context were included as covariates. Acute tolerance to low arousal positive (i.e., relaxed, mellow) effects were found to be inversely related to negative consequences such that a maintenance of low arousal positive effects was associated with more negative consequences. The amount of time elapsed between measurements was found to be significantly related to the development of acute tolerance to high arousal positive (i.e., talkative, stimulated) effects, such that more time between measurements was related to a greater decrease in high arousal positive effects. Peak high arousal positive effects were found to be related to increased drinking and indirectly related to more negative consequences via drinking, whereas high arousal negative was protective against increased drinking and negative consequences. Results suggest that a maintenance of negatively reinforcing effects across the blood alcohol concentration curve may confer risk for negative consequences. Results also suggest that considering individual differences in alcohol metabolism may be useful in understanding alcohol’s rewarding, stimulating effects.
ContributorsKing, Scott Edward (Author) / Corbin, William R. (Thesis advisor) / Chassin, Laurie (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2022
Description
Alcohol use disorder (AUD) causes immense global burden and has a significant impact on economic and societal functioning. Efficacious treatments for AUDs have been well-established within the literature, however the most commonly accessed treatments for AUD are alcohol-related services, such as self-help groups, outpatient clinics, and detoxification centers. Though studies suggest these services are effective at treating AUDs, there are numerous differences between individuals who receive alcohol-related services and individuals who do not, causing selection bias. Furthermore, current studies of alcohol-related services frequently define recovery outcomes as abstinence, which reduces variability in viable recovery outcomes, such as reduction of drinking behaviors. In addition, reduction in drinking and alcohol-related problems should theoretically have an impact on broader aspects of functioning, such as familial functioning. Improved familial context may reduce risk to family members, who are otherwise at heightened risk for emotional and behavioral problems when living with a family member with AUD. The current study investigated the effect of alcohol-related services on binary and continuous drinking outcomes after eliminating selection bias using multiple propensity score approaches, to identify the best methodology for a high-risk community sample of individuals with AUD. Propensity scores were created using logistic regression approaches and boosted regression trees. Matching, weighting, and subclassification were used, and matching was performed both using greedy and global approaches. Results suggested subclassification was the most successful method for real world alcohol-related services samples with moderate sample size. Moreover, findings demonstrated that boosted regression approaches were less successful than logistic regression approaches at minimizing the effects of selection bias on known confounding variables that are highly related to group selection. In addition, after removing the effects of selection bias, there were no significant difference between participants who received alcohol-related services and the comparison control group on drinking or family functioning, though both groups reduced drinking from pre- to post-alcohol-related services receipt. Findings suggest careful selection of quasi-experimental methods is warranted in real-world samples, to ensure optimal removal of selection bias. Moreover, future studies should continue to clarify the profile of individual that benefits from alcohol-related services to inform intervention efforts.
ContributorsSternberg, Ariel (Author) / Chassin, Laurie (Thesis advisor) / Corbin, William (Committee member) / Meier, Madeline (Committee member) / Grimm, Kevin (Committee member) / Arizona State University (Publisher)
Created2021