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
Past literature has indicated that the majority of people with alcohol problems never seek treatment and that this is especially true of women. Relatively few studies have investigated how different types of alcohol-related consequences longitudinally predict men and women's perceived need for treatment and their utilization of treatment services. The current study sought to expand the literature by examining whether gender moderates the links between four frequently endorsed types of consequences and perceived need for or actual utilization of treatment. Two-hundred thirty-seven adults ages 21-36 completed a battery of questionnaires at two time points five years apart. Results indicated that there were four broad types of consequences endorsed by both men and women. Multiple-group models and Wald chi square tests indicated that there were no significant relationships between consequences and treatment outcomes. No gender moderation was found but post-hoc power analyses indicated that the study was underpowered to detect moderation. Researchers need to continue to study factors that predict utilization of alcohol treatment services and the process of recovery so that treatment providers can better address the needs of people with alcohol-related consequences in the areas of referral procedures, clinical assessment, and treatment service provision and planning.
ContributorsBeltran Gonzalez, Iris (Author) / Chassin, Laurie (Thesis advisor) / Tein, Jenn-Yun (Committee member) / Corbin, William (Committee member) / Barrera, Jr., Manuel (Committee member) / Arizona State University (Publisher)
Created2013
Description
With the growing popularity of medical cannabis, and high rates of cannabis use disorder (CUD) among medical cannabis users, it is more important than ever to accurately identify the proximal antecedents and subjective effects of medical cannabis use. Subjective antecedents and effects have been proposed as key mechanisms underlying the transition from cannabis use to CUD, but little research has examined medical cannabis users’ experiences in real-time, real-world settings. The current study of 86 young-adult medical cannabis users ages 18-30 (32.6% female) used ecological momentary assessment (EMA) to characterize the antecedents and effects of medical cannabis use, and to examine whether these antecedents and effects vary as a function of CUD severity. Higher craving, pain, and withdrawal symptoms predicted greater odds of cannabis use at the next report, and lower subjective ‘high’ predicted greater odds of cannabis use at the next report. Use of medical cannabis was associated with increases in positive affect, stimulation, relaxation, and subjective ‘high’, decreases in negative affect, withdrawal symptoms, craving, and pain, and increases in cognitive problems, psychotic-like experiences, and adverse bodily effects. Further, following cannabis use, medical users with more CUD symptoms reported greater relief from craving, attenuated increases in stimulation and relaxation, and enhanced increases in sluggishness, cognitive problems, psychotic-like symptoms, and bodily symptoms. Results suggest that medical cannabis use, like recreational use, is associated with a wide range of subjective antecedents and effects, and that relief from cannabis craving may play an important role in the maintenance of CUD among medical users.
ContributorsJones, Connor (Author) / Meier, Madeline H (Thesis advisor) / Chassin, Laurie (Committee member) / Grimm, Kevin J (Committee member) / Corbin, William (Committee member) / Arizona State University (Publisher)
Created2022
Description
The present study tested the respective mediating effects of sensation seeking and initial level of response (LR) to negative, sedative alcohol effects on the relation between the density of familial history of alcoholism and adolescent alcohol use. Additionally, the present study tested the direct effect of LR to negative, sedative alcohol effects on adolescent drinking over and above the effects of sensation seeking; and also tested the moderating effect of sensation seeking on the relation between level of response negative, sedative alcohol effects and adolescent drinking. Specifically, OLS regression models first estimated the effects of sensation seeking, LR to negative, sedative alcohol effects, and their interaction on alcohol outcomes, over and above the influence of covariates. Indirect effects were then tested using the PRODCLIN method through RMediation. Analyses failed to support sensation seeking as a mediator in the relation between familial history of alcoholism and adolescent drinking, and as a moderator of the relation between LR and adolescent drinking. However, analyses did support a robust direct effect of LR to negative, sedative alcohol effects on adolescent alcohol involvement. A significant mediating effect of initial LR to negative, sedative alcohol effects on the relation between familial alcoholism and adolescent drinking was found, however failed to maintain significance in post-hoc analyses attenuating the downward bias of the measure of initial LR. Initial LR to negative, sedative alcohol effects continued to predict adolescent drinking after attenuating measure bias. These findings strengthen research on initial LR to negative, sedative alcohol effects as a risk for greater alcohol involvement in adolescence, and underscore the complexity of studying the familial transmission of alcoholism in adolescent populations
ContributorsPandika, Danielle (Author) / Chassin, Laurie (Thesis advisor) / Corbin, William (Committee member) / Aiken, Leona (Committee member) / Arizona State University (Publisher)
Created2015
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
Description
Negative Urgency and Positive Urgency are important subfacets of a propensity to rash action. There is currently limited research on parental antecedents of Negative Urgency and Positive Urgency. The current study investigated whether parent personality and parenting behaviors predict adolescent Negative Urgency and Positive Urgency. Data were taken from a community sample with parent personality, positive parenting behaviors, and child Negative Urgency and Positive Urgency measured at separate timepoints. Structural equation models were used to examine whether parent personality predicted adolescent Negative Urgency and Positive Urgency and whether positive parenting mediated this relationship. There was no evidence for a relationship between parent personality and children’s Negative Urgency and Positive Urgency. In addition, there was no relationship between parenting behaviors and child Negative and Positive Urgency in cross-reporter models, but child-reported parenting predicted later adolescent-reported Negative and Positive Urgency. Greater positive parenting, as perceived by children, was related to less Negative and Positive Urgency when they were adolescents. More research is needed to understand whether the current results are due to reporter bias or whether child-perceived parenting behaviors influence the development of adolescent Negative and Positive Urgency.
ContributorsBui, Leena (Author) / Chassin, Laurie (Thesis advisor) / Corbin, William (Committee member) / Lemery-Chalfant, Kathryn (Committee member) / McNeish, Daniel (Committee member) / Arizona State University (Publisher)
Created2022