A study of data from 85 undergraduate and graduate students involved in church youth groups revealed a significant relationship between degree of religious belief and drug using behavior and attitudes. Highly religious subjects disapproved of drinking alcoholic beverages and used cigarettes and alcohol less than subjects professing lower religiosity. Protestant subjects had more negative attitudes and less personal use of tobacco and alcohol than Catholics. Similar findings pertaining to drug using behavior and attitudes were reported between groups for all other substances.

The goal of the present study was to examine the relationships between college students with prior therapy and psychotropic drug experience and total number of therapy sessions. This study also investigated specific types of medications students were taking and total number of therapy sessions attended. The first hypothesis under investigation was that students who have received therapy prior to beginning treatment would remain in therapy significantly longer than participants who have received no prior therapy. It was also hypothesized that students who were prescribed psychotropic medications prior to beginning therapy will remain in therapy significantly longer than students who were taking no psychotropic medications. Lastly, it was hypothesized that students who reported taking anti-anxiety or anti-depressant medications would stay in therapy longer than students taking other types of psychotropic medications will. Participants (n = 279) were collected from a pre-existing database and included students who received therapeutic services from a Southern university whose population comprised 18,485 students. The first two hypotheses were evaluated using a 2 (Prior Therapy: Yes vs. No) x 2 (Prior Medication: Yes vs. No) Analysis of Variance (ANOVA). The third hypothesis was analyzed using a 2 (Antidepressant Medication: Yes vs. No) x 2 (Anxiolytic Medication: Yes vs. No) x 2 (Other Psychotropic Medications: Yes vs. No) ANOVA. Results supported hypothesis 1: students who have previously attended therapy will stay in therapy significantly longer than students with no prior therapy experience F (1, 275) = 6.65, p = .01). However, findings did not support either hypotheses 2 or 3: students who were taking psychotropic medications prior to entering therapy did not stay in therapy significantly longer than students who were not taking psychotropic medications prior to therapy, regardless of type of medication. Results of the present study are important, as they provide a basis for future research examining prior college student therapy and psychotropic medication experience and duration of treatment at campus counseling centers. Additionally, results suggest that students with prior exposure to therapy stay in therapy longer than students with no prior exposure to therapy. One explanation for this finding is that students with prior therapy experience are likely more familiar, and more comfortable, with the therapy process than those with no prior experience. In turn, they stay in treatment longer. Universities and campus counseling centers may consider providing students with information about mental health and therapy, as this finding and research suggests that students with personal experience or prior knowledge of mental illness or therapy have more favorable attitudes about therapy than those with no prior knowledge or experience. It is also feasible that students who continue therapy while attending college have more severe mental health problems or disorders and require further treatment. This finding is significant for universities and campus counseling centers, also, as many counseling centers use a brief model of therapy, which may not prove beneficial for students with more severe problems. However, definitive information is not available, as the current data set lacks important information, such as the previous duration of treatment, student diagnoses, time of semester that the students entered therapy, and improvement in symptoms following current therapy. Thus, results should be interpreted with caution. Other limitations and suggestions for further research are also discussed.

The illicit use of prescription stimulants (IUPS) is a critical Public Health problem in the college population that represents a unique form of substance use. Namely, the primary motives for IUPS by college students are academic in nature (e.g., Teter, McCabe, LaGrange, Cranford, & Boyd, 2006), which may explain why usage rates as high as 43% have been reported on college campuses (Advokat, Guidry, & Martino, 2008). As the field of IUPS is in its infancy, the IUPS-literature lacks 1) a consistent definition of "illicit use of prescription stimulants", 2) an instrument designed to assess the multiple influences on IUPS behavior, and 3) a theoretical lens (Bavarian, 2010a). Accordingly, the goal of this study was to address these research gaps by examining IUPS at one university located in the Pacific Northwest using the theory of triadic influence (TTI; Flay & Petraitis, 1994; Flay, Snyder, & Petraitis, 2009), an integrated, ecological approach to explaining and predicting health behaviors. The study included five phases of research. The first phase began with a systematic approach to measurement development resulting in a 97-item preliminary instrument, the Behaviors, Expectancies, Attitudes and College Health Questionnaire (BEACH-Q). The measure was reviewed by the dissertation committee, leading to revisions in content and structure. During phase II, the BEACH-Q was evaluated by a convenience sample of five health and measurement professionals, and results suggested good content validity of the instrument (i.e. 35 of the 37 TTI-based covariates received a median rating between "agree" and "strongly agree", and 34 received a mean rating between "agree" and "strongly agree"). In phase III (instrument review by a convenience sample of six undergraduates), all 37 covariates received a median and mean rating between "agree" and "strongly agree", confirming good face validity. In phase IV, one undergraduate classroom was selected to participate in a pilot test of the BEACH-Q, using test-retest methodology. Results from the pilot (N = 39) showed that the instrument had moderate to high internal consistency reliability and modest to high stability reliability. In phase V, the final 96-item version of the BEACH-Q was administered throughout campus using one-stage cluster sampling, with classrooms as the sampling unit and students as the observation unit (N = 520 students in 20 classrooms, eligible student response rate = 96.30%). The prevalence of IUPS during college self-reported by the phase V sample was 25.58%, and the probability of engaging in IUPS did not differ between classrooms (Median Odds Ratio = 1.00). In crude logistic regressions, 24 out of 37 hypothesized theoretical covariates were significantly associated with IUPS in the expected direction, suggesting predictive validity of the BEACH-Q. Nested logistic regression analyses illustrated that, for the full multivariate model including ultimate, distal, and proximal covariates, the following measures in the intrapersonal stream were significantly associated with IUPS during college: race/ethnicity, year in school, academic concern, academic grades, diagnosis with Attention Deficit Disorder, and IUPS avoidance self-efficacy. Significant social situation/context stream covariates in the full model included: residence, varsity sports participation, perceptions of IUPS by friends, family, and faculty, endorsement of IUPS by friends, and perceived prevalence of IUPS among friends. With respect to the sociocultural environment stream, in the full multivariate model, the following covariates were found to be significantly associated with IUPS: financial-related stress, participation in religious activities, positive IUPS expectancies, prescription stimulant knowledge and perceived costs/benefits of IUPS. Lastly, intention to engage in IUPS (an immediate precursor) was positively associated with IUPS. Structural equation modeling was used to test models of IUPS for each of the three streams, as well as one integrated model that included covariates from each stream. The models all demonstrated good model fit, and provided insight into the factors that influence (and suggest the mechanisms of causation) intentions to engage in, and ultimately the behavior of, IUPS. In the intrapersonal stream model, inattention was positively associated with academic concern and inversely associated with avoidance self-efficacy, and avoidance self-efficacy was inversely associated with intentions to engage in IUPS. Moreover, intentions to engage in IUPS and avoidance self-efficacy were both significantly associated with IUPS. In the social situation/context stream model, living on-campus was negatively associated with friends' endorsement of IUPS which was positively associated with perceived prevalence of IUPS among friends, and perceived prevalence was positively associated with intentions to engage in IUPS; all of the direct paths to IUPS, excepting the path from perceived prevalence of IUPS among friends, were significant. In the sociocultural environment model, perception of course demand was significantly associated with both the perception that professors give the most attention to top academic students and attitudes about the impact of prescription stimulants on academics, and these attitudes had a positive association with intentions to engage in IUPS. Moreover, the direct paths from attitudes and intentions to IUPS were significant. The mixed model, including participation in religious activities (sociocultural environment stream), friends' endorsement of IUPS (social situation/context stream), and avoidance self-efficacy (intrapersonal stream), also had significant paths from ultimate to distal to proximal to immediate precursor, and significant direct paths to IUPS. This study successfully achieved its goals. First, the instrument developed was theory-driven, broadly defined IUPS, and was psychometrically strong. The cross-sectional study illustrated that IUPS was prevalent on the campus under investigation, as one in four students had engaged in the behavior during college. Associations of use with theoretical correlates were tested for, and structural equation modeling was used to support one premise of the TTI (i.e. that behavior is multifaceted, and covariates from different streams may interact to influence behavior). The findings also suggest that prevention and intervention plans should be multifaceted in nature. Given that this study's cross-sectional nature limited the ability to make causal inferences, future research involving the BEACH-Q should use longitudinal designs. / Graduation date: 2012

The purpose of this study was to analyze factors that predict marijuana use and grade point average among undergraduate college students using the Core Institute national database. The Core Alcohol and Drug Survey was used to collect data on students’ attitudes, beliefs, and experiences related to substance use in college. The sample used in this study was delimited to include only full-time undergraduate students (N =111,664) and data were collected from 2011 to 2015. Six research questions provided the foundation of the study, which was operationalized by Astin’s (1993) input environment outcome model (IEO). Descriptive analysis was conducted to describe the sample in terms of individual and institutional characteristics, campus experiences, and substance use. Comparative analyses including one-way analysis of variance and two-way analysis of variance were conducted to determine statistical significance of differences between groups for gender, ethnic origin, marijuana use, and grade point average. Effect sizes were calculated for each ANOVA to determine the magnitude of the effect and practical significance for the population. Finally, inferential analyses using hierarchical, multiple regression were conducted to predict marijuana use. The regression model was also used to explore factors predicting medical marijuana and recreational marijuana use among students in the 2015 cohort. Statistically significant results were reported for each regression model. Statistically significant at p < .001, the factors that explained 42.2% of the variance in the final model included: gender, ethnic origin, age, institutional control, campus locale, intercollegiate athletics, social fraternities and sororities, music and performing arts, alcohol use, illegal drug use change, perceived risk of harm from trying marijuana once or twice, and perceived risk of harm from smoking marijuana regularly. Implications for policy, practice, and future research regarding marijuana use and academic performance are included. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2017. / FAU Electronic Theses and Dissertations Collection

The problem of this study concerned illicit psychoactive drug use among community college students. A non-experimental design methodology, a survey, was used in this study. The population consisted of 149 students at 14 randomly selected public community college institutions throughout the United States. Three waves of mailings took place to increase response rate. Community college students appear to be knowledgeable regarding the deleterious physical and mental impact upon those who use drugs. Community college students appear to have a negative attitude toward drug use and toward those who use them. Community college students have an aversion to actual drug use. The illicit psychoactive drug of choice among community college students is marijuana.

The goal of this study was to determine the extent, motivations, and justifications of nonmedical prescription stimulant use among the population at a large public university in the North Texas region. Participants consisted of 526 undergraduate students enrolled at the studied university during the spring and summer 2014 semesters. The findings of the study suggest that the nonmedical use by students was higher than the findings in much of the current literature, but was within the parameters established in the literature. The primary motivation for nonmedical use was academic in nature and was justified by moderation of nonmedical use to strategic academic times.

University attendance includes various activities and experiences that can have a unique impact on psychosocial development and adult health behaviors, and can influence life course outcomes such as short- and long-term health and quality of life. College attendance and health are cyclical and reinforcing factors. Healthier students do better while at college, which allows them to effectively progress through university. College graduation is closely associated with improved health status in later life. In addition, students' personal development as part of their transition to adulthood during college, which includes psychosocial and interpersonal growth, is associated with greater gains in health and personal success in later life. Identifying the factors associated with enhanced health status while in college would ensure that a greater number of the overall population has access to the potential health benefits of progressing through and graduating from an institution of higher education. Because health behaviors can have a significant impact on how well a student progresses through college, as well as future quality of life, colleges and universities should recognize the role health is playing in the student experience. This study explored the connection of how factors such as student sub-group participation, health behaviors, and particular negative experiences affect the health status of college students attending a large, urban, top-tier university. It investigated which students were at an increased risk for negative mental health symptoms and overall lower general health and how students' participation in various groups (student athletes, students who are members of sororities and fraternities, and students who volunteer) is associated with health behavior (alcohol and other drug use, sexual behavior, and sleep), negative experiences (bias/discrimination and interpersonal violence), and health outcomes. In addition, the study analyzed how personal development at college mediates those relationships. This study is based on non-experimental cross-sectional survey data from the National College Health Assessment that was collected in collaboration with the American College Health Association at Columbia University (CU). All enrolled undergraduate students at CU in Columbia College or the School of Engineering and Applied Sciences in the spring semester of 2009 (n=5708) were invited to participate in the survey, and 31.8% of the sample responded. This research used the Baron and Kenny model to examine the mediation effects of personal development on general health and mental health via a series of bivariate and regression analyses. While the overall general and mental health of respondents was good, particular groups were less likely to report overall excellent or very good general health and more likely to report mental health symptoms. Negative experiences and health behaviors varied significantly between student sub-groups. Health behaviors and negative experiences were predictive of overall general health and mental health symptoms. Sleep, drug use, and experiences of bias/discrimination and interpersonal violence (IPV) were most predictive of health. Personal development was found to partially mediate the relationship between IPV, sleep and overall general health. In addition, personal development was found to partially mediate the relationship between IPV, drug use other than or in addition to marijuana, and sleep and mental health symptoms. The findings from this study suggest that college and university administrators should consider directing resources into targeting particular groups of students for focused health promotion interventions related to specific topics as a method for improving overall general health and reducing mental health symptoms of students. College and university administrators are encouraged to consider the role of personal development as a unique factor in improving student health.

The problem addressed in this study is how selected universities in the South and Southwest recognize and attempt to deal with alcohol use and other drug use among students. The purpose of the study was to determine current practices and policies concerning student alcohol and drug use among the 20 selected universities. The data were obtained by means of a descriptive survey questionnaire which was mailed to 20 selected universities under the jurisdiction of the Southern Regional Accrediting Board. The instrument was designed to identify practices and programs concerning student alcohol and drug use. A copy of each institution's alcohol and drug policy was requested. The content and procedures of the programs implemented by the responding institutions were reviewed, in order to evaluate the extent and degree to which they provide for the recognition, education, intervention, and treatment for students with alcohol- or drug-use problems. Results are presented in tabular form. Of the 20 major state-supported universities which were mailed questionnaires, 75% returned usable instruments. All responding institutions felt they have an alcohol or drug problem of some magnitude, and all either have, or believe they have, some kind of policy to deal with substance use by students. All of the responding institutions also indicate that they have various programs in operation which deal with student substance use and abuse. Since this was a regional study the results are not necessarily generalizable. On the basis of the literature reviewed and the survey responses received, an authentic problem with student alcohol and drug use exists on campus. The institutions surveyed appear to recognize a problem; however, the results of this study reveal that most have yet to develop an effective or coordinated strategy to combat student alcohol and drug abuse.

Alcohol and other drug use continue to be a major issue on college and university campuses. Few studies have examined alcohol and other drug related issues for a graduate or professional student population. This study examines attitudes, incidents, and consequences of alcohol and other drug use among students enrolled at an academic heath science center. This study incorporated a descriptive research design and utilized the CORE Alcohol and Drug Survey for the collection of data. The data were then analyzed using descriptive statistics and represented in tables as frequencies and percentages. The survey was mailed to all students enrolled in didactic course work at the University of North Texas Health Science Center (UNTHSC) during the fall 2001 semester. This included master's students in physician assistant studies, master's and doctoral students in the biomedical sciences, master's and doctoral students in public health, as well as first and second year medical students. Of the 565 students enrolled in didactic course work, 321 responded to the survey for a return rate of 56.8 %. Statistically significant findings are reported for students at UNTHSC in relation to perceptions of use, actual use, reasons for use, and consequences for use. Similar findings are shown relative to age, gender, marital status, ethnicity, and academic program. Additionally, the UNTHSC students reported statistically significant lower levels of alcohol and drug use, as well as consequences of use than the students represented in the CORE Institutes 2000 national data set. This study identifies the need to investigate alcohol and drug related attitudes, behaviors, and consequences among students studying for professions in health related fields. However, the findings are only relevant to UNTHSC and cannot be generalized to any other population. The study provides personnel at UNTHSC a guide for the development of prevention and intervention programs.

In response to a NCAA ruling, North Texas State University (NTSU) launched a comprehensive drug testing, drug education and counseling program for its athletes effective August 1, 1986. This study assessed and compared NTSU student-athlete and student alcohol and drug use. In addition, attitudes toward a variety of sports-related drug topics, including mandatory athletic drug testing, were assessed and compared. The study revealed significant differences between student-athletes and students in drug use of the following: steroids, marijuana, cocaine, psychedelics, and amphetamines. Both groups favored mandatory drug testing of athletes.