Matching Items (83)
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
Levels of heavy episodic drinking peak during emerging adulthood and contribute to the experience of negative consequences. Previous research has identified a number of trait-like personality characteristics that are associated with drinking. Studies of the Acquired Preparedness Model have supported positive expectancies, and to a lesser extent negative expectancies, as mediators of the relation between trait-like characteristics and alcohol outcomes. However, expectancies measured via self-report may reflect differences in learned expectancies in spite of similar alcohol-related responses, or they may reflect true individual differences in subjective responses to alcohol. The current study addressed this gap in the literature by assessing the relative roles of expectancies and subjective response as mediators within the APM in a sample of 236 emerging adults (74.7% male) participating in a placebo-controlled alcohol challenge study. The study tested four mediation models collapsed across beverage condition as well as eight separate mediation models with four models (2 beverage by 2 expectancy/subjective response) for each outcome (alcohol use and alcohol-related problems). Consistent with previous studies, SS was positively associated with alcohol outcomes in models collapsed across beverage condition. SS was also associated with positive subjective response in collapsed models and in the alcohol models. The hypothesized negative relation between SS and sedation was not significant. In contrast to previous studies, neither stimulation nor sedation predicted either weekly drinking or alcohol-related problems. While stimulation and alcohol use appeared to have a positive and significant association, this relation did not hold when controlling for SS, suggesting that SS and stimulation account for shared variability in drinking behavior. Failure to find this association in the placebo group suggests that, while explicit positive expectancies are related to alcohol use after controlling for levels of sensation seeking, implicit expectancies (at least as assessed by a placebo manipulation) are not. That the relation between SS and stimulation held only in the alcohol condition in analyses separate by beverage condition indicates that sensation seeking is a significant predictor of positive subjective response to alcohol (stimulation), potentially above and beyond expectancies.
ContributorsScott, Caitlin (Author) / Corbin, William (Thesis advisor) / Shiota, Michelle (Committee member) / Chassin, Laurie (Committee member) / Arizona State University (Publisher)
Created2012
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 current study examined the unique influence of emotional childhood abuse on positive and negative aspects of different types of social relationships (e.g., family, spouse/partner, and friends) in midlife and whether genetic variations of the oxytocin receptor gene (OXTR) moderated these associations. Genetic variations in OXTR are measured by single-nucleotide polymorphisms (SNPs), which have been the most substantially studied prospects for explaining individual differences in socio-behavioral phenotypes. Specifically, an SNP, rs53576, involving a guanine (G) to adenine (A) substitution located in the third intron of the OXTR has been associated with fundamental aspects of social processes and behaviors. Compared to A carriers, individuals homozygous for the G allele have enhanced social competencies and tend to elicit more positive responses from social partners, consequently increasing the overall quality of social relationships across the lifespan. However, the G allele of the OXTR has also been associated with greater social sensitivity. In the current study, conducted among a sample of 614 adults in midlife, it was shown that emotional childhood abuse was significantly associated with having less supportive and more strained relationships in midlife. Regarding supportive family relationships, the effect of emotional childhood abuse was moderated by the OXTR rs53576 polymorphism. Specifically, under conditions of more emotional abuse in childhood, individuals homozygous for the G allele had more supportive family relationships in midlife compared to A carriers. Overall, the findings suggest that genetic variations of OXTR rs53576 may be an important candidate in understanding the development of social relationship functioning within the context of negative early life experiences.
ContributorsEbbert, Ashley Marie (Author) / Infurna, Frank (Thesis advisor) / Corbin, William (Committee member) / Lemery, Kathryn (Committee member) / Luthar, Suniya (Committee member) / Arizona State University (Publisher)
Created2018
Description
Spousal loss is a common, significant life event that can negatively affect multiple facets of individual health and psychological adjustment. Social support is one factor that is shown to improve adjustment following spousal loss, but much less is known regarding which facet of social support is most predictive of positive adjustment outcomes following spousal loss. This study examined the course of changes in mental health and well-being following spousal loss and which facets of social support are associated with better outcomes following spousal loss. Latent growth curve modeling was applied to data from 265 widowed individuals, ages 65 and older, across four assessments (baseline, and 6-, 18-, and 48- months following spousal loss). I examined the following research questions: (1) adjustment following spousal loss will follow a trajectory of an increase in depressive symptoms and anxiety and decrease in well-being with a leveling-off over time, with between-person differences, and (2) emotional support and instrumental support given will lead to more positive adjustment outcomes over time. Depressive symptoms followed the hypothesized trajectory but anxiety and well-being showed relative stability before and after spousal loss. Instrumental support was the most beneficial facet of social support, such that receiving more instrumental support was associated with lower levels of depressive symptoms and anxiety 6-months following spousal loss. Giving more instrumental support led to an increase in well-being following spousal loss. Instrumental support given and received led to increases in well-being as a function of spousal loss. The discussion focuses on whether and how these findings can help to identify ways through which support and help can be given to individuals to improve adjustment to spousal loss and fully recover.
ContributorsSullivan, Colleen Elizabeth (Author) / Infurna, Frank (Thesis director) / Luthar, Suniya (Committee member) / Davis, Mary (Committee member) / Department of Psychology (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
The transition from high school to college is marked by many changes, one of the most significant being the increased accessibility of alcohol, putting college students at high risk for alcohol-related consequences. It is imperative to identify factors that can protect young adults against these risks during this critical period. Although peers become increasingly influential in college, extant literature has shown that parents still have an impact on their children's behavior during this time. While parents spend less time with their children after college matriculation, they may indirectly protect against risky drinking behaviors by instilling certain values into their children before they make this transition. Using data from a large sample of students during their senior year of high school and their freshman year of college, the current study sought to examine interactive effects of parental communication and parental knowledge and caring on drinking behavior, and the extent to which internalization of personal drinking values mediate these effects. The primary study hypotheses were tested using path analysis conducted in Mplus 7.0. Full information maximum likelihood (FIML) estimation was utilized to estimate missing data and bootstrapping was used to address non-normality in the data. Results showed that, for those whose parents were high in knowledge and caring, higher levels of communication were associated with lower risk for alcohol use and problems at wave 3 through less permissive drinking values at wave 1. This finding has important implications for prevention approaches designed to reduce risk for heavy drinking and related problems during the transition to college.
ContributorsHartman, Jessica Danielle (Author) / Corbin, William (Thesis director) / Knight, George (Committee member) / Chassin, Laurie (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
Research implemented by Luthar and colleagues over the past decade has revealed serious levels of maladjustment among youth growing up in affluent and upwardly mobile communities across the country. Contrary to what was previously believed, these youth often fare much worse on measures of both internalizing and externalizing problems when compared to their inner-city counterparts (Luthar, Barkin & Crossman, 2013). In an attempt to differentiate affluent youth with levels of maladjustment from their peers who are more well adjusted, the present study examines the relationship between internalizing problems and goal-setting, with analyses separated by gender. In a culture where there is such a focus on extrinsic goals, is it possible that goal-setting influences feelings of anxiety and depression? Multiple regression analyses were conducted with two goal-setting measures predicting to various internalizing dimensions of the Youth Self Report (Achenbach & Rescorla). The sample included 252 senior year high school students participating in the New England Study on Suburban Youth (NESSY). Statistically significant results supported our hypothesis that a higher ratio of extrinsic goals would predict to internalizing problems, for both males and females. Future research that implements an experimental design would be beneficial in understanding more fully whether changing one's goals and values decreases internalizing problems.
ContributorsLauer, Emma Miller (Author) / Luthar, Suniya (Thesis director) / Knight, George (Committee member) / Meier, Madeline (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / Department of English (Contributor)
Created2014-12
Description
Recent evidence suggests that youth from affluent and upper-middle-class, white collar families are at high risk for maladaptive behaviors, such as aggression, rule breaking, and substance use. A major hypothesized underlying factor is lax parental discipline that involves low repercussions for errant behaviors such as substance use—also known as perceived parents’ “containment” of such behaviors. In this study, the focus is on multiple dimensions of perceived containment among parents and school authorities, in relation to both externalizing problems and drug use behaviors. These associations are examined in four different schools: two boarding schools and two day schools. Results show much stronger links with maladjustment for perceived containment by parents as opposed to perceived containment by school. The largest significant effects within the containment indices were found to be between parent containment of drug use and the levels of substance use behaviors reported by students. These effects were found across gender and all schools, indicating robust links. Overall, the most robust index studied was the perceived parental monitoring variables; monitoring effects were stronger than effects from any containment variables. Students who perceived the highest levels of parental monitoring exhibited the least amount of externalizing behaviors across all schools and genders. A possible explanation includes students perceiving that their parents monitor their behavior due to caring on the behalf of the parent, which then leads to fewer externalizing outcomes. These results suggest that the most effective means of decreasing substance use levels seem to lie within the parents of the students and not the schools.
ContributorsHudson, Johnny (Author) / Luthar, Suniya (Thesis director) / Glenberg, Arthur (Committee member) / Cavanaugh Toft, Carolyn (Committee member) / School of Molecular Sciences (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
Alcohol use remains a large part of collegiate life and is a major public health concern. Alcohol use generally peaks during the early twenties and declines with age. These declines, referred to as "maturing out," are presumed to be the result of the acquisition of adult roles (e.g. marriage, parenthood, employment) incompatible with alcohol use. Recent empirical evidence suggests that variables other than role transitions (e.g. personality) during emerging adulthood may also be important in understanding this process. Conceptually, changes in identity that occur during emerging adulthood may also be linked to the process of maturing out of heavy drinking, though no studies have yet addressed this possibility. Utilizing data from a large sample of graduating college students during senior year and the two following years (N = 907), the current study examined relations between aspects of emerging adult identity development (identity exploration, instability, self-focus, feeling in-between, and experimentation/possibilities) and drinking outcomes (alcohol use and problems). Using multiple regression, changes in emerging adult identity development accounted for significant variability in alcohol use over and above relationship and employment status. Decreases in experimentation/possibilities significantly predicted decreases in alcohol use. Conversely, increases in feeling in-between significantly predicted decreases in alcohol use. The findings have important implications for both theories of "maturing out" and the development of prevention and early intervention efforts targeting alcohol abuse during this high-risk developmental period.
ContributorsGates, Jonathan Ryan (Author) / Corbin, William (Thesis director) / Glenberg, Arthur (Committee member) / Doane, Leah (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2013-12
Description
Recent research on alcohol use among LGB young adults indicates that sexual minority youth are at increased risk relative to their heterosexual peers. One possible contributing factor is that religiosity fails to provide the significant protection for LGB youth that it has been demonstrated to provide in general population samples. Although recent studies provide some support for this hypothesis, there is little research seeking to understand the reasons that religiosity may fail to protect against heavy drinking among LGB youth. The current study attempted to address this gap by examining relations among religiosity, age of self-identification, and alcohol use in a sample of 103 young adults self identified as lesbian, gay, or bisexual. Using multiple regression, we found that religiosity had an indirect effect on alcohol use operating through age of identification as LGB. Higher religiosity was associated with a later age of self-identification, which in turn, predicted greater increases in alcohol use among LGB youth during the transition from high school through college. Exploratory analyses found that gender significantly moderated the influence of age of self-identification on alcohol use such that a later age of self-identification was a risk factor for increased drinking for women, but not for men. The findings have important implications for understanding complex relations between religiosity and alcohol use among LGB youth. In addition, the findings may inform the development of religious support groups for LGB youth that will allow them to experience the benefits of religious involvement that heterosexual youth experience.
ContributorsOng, Thai Quang (Author) / Corbin, William (Thesis director) / Glenberg, Arthur (Committee member) / Grzanka, Patrick (Committee member) / Barrett, The Honors College (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor) / Department of Psychology (Contributor)
Created2013-12