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Although research has documented robust prospective relationships between externalizing symptomatology and subsequent binge drinking among adolescents, the extent to which internalizing symptoms increase risk for drinking remains controversial. In particular, the role of anxiety as a predictor of binge drinking remains unclear. Recent evidence suggests that one possible reason for

Although research has documented robust prospective relationships between externalizing symptomatology and subsequent binge drinking among adolescents, the extent to which internalizing symptoms increase risk for drinking remains controversial. In particular, the role of anxiety as a predictor of binge drinking remains unclear. Recent evidence suggests that one possible reason for these mixed findings is that separate dimensions of anxiety may differentially confer risk for alcohol use. The present study tested two dimensions of anxiety - worry and physiological anxiety -- as predictors of binge drinking in a longitudinal study of juvenile delinquents. Overall, results indicate that worry and physiological anxiety showed differential relations with drinking behavior. In general, worry was protective against alcohol use, whereas physiological anxiety conferred risk for binge drinking, but both effects were conditional on levels of offending. Implications for future research examining the role of anxiety in predicting drinking behavior among youth are discussed.
ContributorsNichter, Brandon (Author) / Chassin, Laurie (Thesis advisor) / Barrera, Manuel (Committee member) / Presson, Clark (Committee member) / Arizona State University (Publisher)
Created2014
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Mexican American adolescents report high rates of internalizing symptomatology and alcohol use. However, very little research has explored to what extent internalizing distress may contribute to alcohol use among this population. The current study utilized longitudinal data from a community sample of Mexican American adolescents (n=626, 51% female) to test

Mexican American adolescents report high rates of internalizing symptomatology and alcohol use. However, very little research has explored to what extent internalizing distress may contribute to alcohol use among this population. The current study utilized longitudinal data from a community sample of Mexican American adolescents (n=626, 51% female) to test a series of hypotheses about the role of internalizing distress on alcohol use and misuse. Specifically, this study used a bifactor modeling approach to investigate (1) whether different forms of internalizing distress are composed of common and unique components; (2) whether and to what extent such components confer risk for alcohol use; and (3) whether youth cultural orientation plays a role in these associations. Confirmatory factor analyses revealed that a bifactor model with a general factor and three specific factors (depressed mood, general worry, social anxiety) provided good fit to the data. The general distress factor was significantly associated with past month alcohol use but not binge drinking. However, these effects were conditional based on level of acculturation. Differential relations were found between the specific factors of internalizing distress and alcohol use. Depressed mood predicted past month alcohol use among girls; social anxiety negatively predicted past three month binge drinking among boys. Overall, results highlight the multidimensional nature of internalizing distress and suggest that both common and unique components of internalizing distress may be relevant to the etiology of alcohol use among Mexican-American adolescents. Findings underscore the importance of considering cultural orientation as a moderating factor when investigating substance use among Hispanic youth. Implications for future research examining the etiological relevance of the internalizing pathway to alcohol use among Hispanic adolescents are discussed.
ContributorsNichter, Brandon (Author) / Gonzales, Nancy (Thesis advisor) / Chassin, Laurie (Committee member) / Barrera, Manuel (Committee member) / Tein, Jenn (Committee member) / Arizona State University (Publisher)
Created2018
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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)

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
In Memory of an Emily is a piece of creative nonfiction and a short film that together detail the author’s experience with mental illness in the collegiate environment. In its 45 pages, Jackman begins to detail the realities of living with depression, anxiety, and anorexia nervosa. The piece includes five

In Memory of an Emily is a piece of creative nonfiction and a short film that together detail the author’s experience with mental illness in the collegiate environment. In its 45 pages, Jackman begins to detail the realities of living with depression, anxiety, and anorexia nervosa. The piece includes five sections of writing, including a preface and four portions describing freshman to senior year. Each section endeavors to explore simplistic and purposefully cliché events common in young adult/collegiate life and juxtapose the banal nature of these events with the experience of the mentally ill. Her story endeavors to explore the emotional truths of pain and suffering, revealing that beneath her tender façade lies a very different existence, one tangled in eating disorders, panic attacks, and overwhelming sadness. While maintaining a story-like quality traditional to creative non-fiction, Jackman ventures to warn with a cautionary tale of pathologizing abnormality and exploring the long lasting effects of childhood trauma. Weaving careful storytelling into an exploration of the mentally ill mind, Jackman keeps the reader both terrifyingly close and far away, whispering painful secrets and then desperately running away with the truth. She speaks frankly of all aspects of life, ranging from far more mundane events, such as break ups and college rejection letters, to complicated issues, such as the suicide of her grandfather and her admission into an eating disorder facility. The author attempts to establish a balanced rapport with the reader, recognizing the need to maintain distance and elicit emotion simultaneously. Jackman writes In Memory of an Emily as a heartbreaking but authentic tale, playing with stream of consciousness and paralyzing emotional description. She opens the door and invites the reader into her mind so as to share in the physical and emotional discomfort of the storyteller, but then promptly slams the door once inside.
ContributorsJackman, Emily Deprey (Author) / Soares, Rebecca (Thesis director) / Barca, Lisa (Committee member) / Economics Program in CLAS (Contributor) / Department of Psychology (Contributor) / School of Mathematical and Statistical Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
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The application of Toni Morrison’s Beloved as a lens through which one can analyze intergenerational trauma on an individual and communal level results in a blueprint towards a remedial process. The characters and their experiences in her novel are representative of a myriad of ways in which trauma is manifested.

The application of Toni Morrison’s Beloved as a lens through which one can analyze intergenerational trauma on an individual and communal level results in a blueprint towards a remedial process. The characters and their experiences in her novel are representative of a myriad of ways in which trauma is manifested. I have broken down the concept of intergenerational trauma into the idea that it can be seen as the state where one is both simultaneously “falling” and “fallen” at the same time. Used here, the term “falling” refers to the consistent, individual trauma that one is experiencing. On the other hand, the term “fallen” refers to the trauma that a community as a whole has experienced and internalized. This framework that I establish based off of Beloved is a launching point for the conversation surrounding the topic of remedial actions in relation to intergenerational trauma that resulted from slavery. Using it as a basis of knowledge allows one to truly gather the weight of the situation regarding trauma postbellum. Considering the current climate surrounding any meaningful dialogue, knowledge is one of the most important aspects. Along with the concepts of “falling”/”fallen,” I also coined the term productive memory, which refers to the act of confrontation as well as the remembering of intergenerational trauma. The use of productive memory is imperative in addressing the prior ideas presented regarding intergenerational trauma and the possible pathways to move forward.

ContributorsCampbell, Hugh Fitz (Author) / Soares, Rebecca (Thesis director) / Agruss, David (Committee member) / School of Politics and Global Studies (Contributor) / Economics Program in CLAS (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Reasons to Stay Alive is a short story that follows the protagonist, Corinne Larson, and her experiences with depression and anxiety as well as self-harm and suicidal ideations. It is meant to act as an antithesis to media that romanticizes suicide, such as the television show 13 Reasons Why (2017),

Reasons to Stay Alive is a short story that follows the protagonist, Corinne Larson, and her experiences with depression and anxiety as well as self-harm and suicidal ideations. It is meant to act as an antithesis to media that romanticizes suicide, such as the television show 13 Reasons Why (2017), and instead glorify growth and healing. Specifically, it focuses on the importance of social support in the healing process. The story is separated into three different formats: narrative, letter, and free-verse poetry. It is prefaced by a poem titled ‘death by suicide’ that discusses the stigma around suicide and the reason why the phrase ‘commit suicide’ was changed to ‘death by suicide’. The story then starts with a letter written by Corinne to her future self during a time she was really struggling with depression and self-harm and suicidal ideations. It is a plea with her future self to tell her everything will be alright. The rest of the story is broken into four parts, each about a specific and important person in Corinne’s life. Each part starts off as a first person narrative from Corinne’s point of view and is a memorable experience she had with each person and ends with a short letter addressed directly to each person. The letters are a chance for Corinne to tell each person how important they are to her, how they made an impact in her life, and how they gave her a reason to stay alive. Between each part is a poem that deals with different themes relating to depression or anxiety. The story ends with a letter written by Corinne to her future self that goes back and addresses the first letter. It gives past Corinne some words of advice and tells her that her reasons to stay alive are the important people in life as well as herself and the person she will become.

ContributorsNosan, Kate (Author) / Soares, Rebecca (Thesis director) / Casey, Hayden (Committee member) / Barrett, The Honors College (Contributor) / School of International Letters and Cultures (Contributor) / Department of Psychology (Contributor)
Created2021-12