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Evaluation of the Expectancy Challenge Alcohol Literacy Curriculum (ECALC) for High School Students
Title
Evaluation of the Expectancy Challenge Alcohol Literacy Curriculum (ECALC) for High School Students.
Creator
Boucher, Alyssa, Dunn, Michael, Renk, Kimberly, Dunn, Stacey, Linkovich Kyle, Tiffany, University of Central Florida
Abstract / Description
Prevention efforts targeted at children and adolescents are important because alcohol consumption contributes to the three leading causes of death in this among 12-20 year-olds: unintentional injury, homicide, and suicide. Research on the causes of alcohol misuse traditionally focused on pharmacological and genetic explanations, but models have expanded to include cognitive processes in the development of alcohol use patterns. Alcohol expectancies, or beliefs about the effects of alcohol, are...
Show morePrevention efforts targeted at children and adolescents are important because alcohol consumption contributes to the three leading causes of death in this among 12-20 year-olds: unintentional injury, homicide, and suicide. Research on the causes of alcohol misuse traditionally focused on pharmacological and genetic explanations, but models have expanded to include cognitive processes in the development of alcohol use patterns. Alcohol expectancies, or beliefs about the effects of alcohol, are an important influence on drinking behavior. Expectancies exist prior to the initial drinking experience, predict the onset of alcohol consumption, differentiate both children and adults in terms of light- and heavy-drinking patterns, mediate the influence of precursors on alcohol use, and when manipulated, result in significantly decreased alcohol consumption in heavy-drinking college students.The Expectancy Challenge Alcohol Literacy Curriculum (ECALC) is a web-based, interactive intervention that leverages technology in order to challenge students' expectancies through a media literacy presentation based on research findings. The 45-minute curriculum links exposure to alcohol media with expectancy beliefs and drinking decisions, and focuses on decreasing the positive reinforcing value of alcohol. The ECALC does not necessarily erase former expectations, but introduces new information about the physiological effects of alcohol that may compete with pre-existing positive expectations for influence over the individual's behavior. Though the ECALC has been validated with college students, the present study involved revising and evaluating the program to be appropriate for high school students. Results revealed changes in expectancy processes for students who reported alcohol use initiation and changes in mean BAC among females in this group.
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Date Issued
2016
Identifier
CFE0006294, ucf:51581
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006294
EXAMINING THE HYPOCRISY PARADIGM AS AN INTERVENTION FOR MODIFYING HIGH-RISK ALCOHOL USE BEHAVIORS AMONG COLLEGE STUDENTS
Title
EXAMINING THE HYPOCRISY PARADIGM AS AN INTERVENTION FOR MODIFYING HIGH-RISK ALCOHOL USE BEHAVIORS AMONG COLLEGE STUDENTS.
Creator
Hammons, Mary, Negy, Charles, University of Central Florida
Abstract / Description
The purpose of this study was to examine the hypocrisy paradigm as an experimental alcohol intervention to determine if participants who complete the hypocrisy paradigm will experience a significant reduction in the number of negative consequences associated with their alcohol use, quantity and frequency of alcohol use, and average and peak eBAC compared to college students in the control condition. Participants were 53 college students randomly assigned to an experimental hypocrisy paradigm...
Show moreThe purpose of this study was to examine the hypocrisy paradigm as an experimental alcohol intervention to determine if participants who complete the hypocrisy paradigm will experience a significant reduction in the number of negative consequences associated with their alcohol use, quantity and frequency of alcohol use, and average and peak eBAC compared to college students in the control condition. Participants were 53 college students randomly assigned to an experimental hypocrisy paradigm intervention or a control condition. Contrary to prediction, the hypocrisy paradigm was not found to be significantly different than the control condition. Exploratory analyses examining within-group differences were conducted. All outcome measures decreased from pre-intervention to follow-up within the hypocrisy paradigm condition. Future directions and implications are discussed.
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Date Issued
2010
Identifier
CFE0003237, ucf:48524
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0003237
Alcohol Pathology and the Triarchic Model of Psychopathy: The Role of Protective Behavioral Strategies and Impulsivity
Title
Alcohol Pathology and the Triarchic Model of Psychopathy: The Role of Protective Behavioral Strategies and Impulsivity.
Creator
Kramer, Matthew, Dvorak, Robert, Beidel, Deborah, Dunn, Michael, University of Central Florida
Abstract / Description
OVERVIEW: Psychopathy has been an area of growing interest in psychology for the last half century. Currently, the most common conceptualization of psychopathy breaks it down into two factors: primary and secondary psychopathy. More recently, psychopathy has been viewed through a more nuanced model, the Triarchic Model of Psychopathy. The present study examines the relationship between the three facets of the Triarchic Model and alcohol pathology via aspects of impulsivity and Protective...
Show moreOVERVIEW: Psychopathy has been an area of growing interest in psychology for the last half century. Currently, the most common conceptualization of psychopathy breaks it down into two factors: primary and secondary psychopathy. More recently, psychopathy has been viewed through a more nuanced model, the Triarchic Model of Psychopathy. The present study examines the relationship between the three facets of the Triarchic Model and alcohol pathology via aspects of impulsivity and Protective Behavioral Strategies (PBS). METHOD: A college student sample of n = 967 individuals who endorsed consuming alcohol completed surveys regarding the Triarchic Model, impulsivity, PBS use, and alcohol pathology. RESULTS: Our findings indicate that boldness and disinhibition are significant predictors of alcohol pathology. Boldness was partially mediated by conscientiousness, while disinhibition was partially mediated by both conscientiousness and PBS use. Meanness was not associated with higher levels of alcohol pathology. CONCLUSIONS: It seems that aspects of psychopathy related to disinhibition and boldness are predictive of alcohol pathology, while meanness, though similar to primary psychopathy, does not relate to alcohol pathology as hypothesized. This thesis not only adds to the literature between psychopathy and alcohol pathology but allows for a more exact insight regarding aspects of psychopathy and their relation to alcohol pathology.
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Date Issued
2018
Identifier
CFE0007211, ucf:52278
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007211
Classroom Based Substance Use Prevention Programs: A Meta-Analysis
Title
Classroom Based Substance Use Prevention Programs: A Meta-Analysis.
Creator
Boucher, Alyssa, ,, University of Central Florida
Abstract / Description
This paper reports on a meta-analysis performed on forty one studies evaluating classroom-based substance abuse primary prevention programs. Studies included were delivered in a classroom to the general student body, had a primary focus of substance abuse prevention, measured behavior change, and were published in peer-reviewed outlets between 2000 and 2011. Comprehensive Meta-Analysis was used to calculate a random effects Cohen's d and moderator analyses were conducted. Results indicated a...
Show moreThis paper reports on a meta-analysis performed on forty one studies evaluating classroom-based substance abuse primary prevention programs. Studies included were delivered in a classroom to the general student body, had a primary focus of substance abuse prevention, measured behavior change, and were published in peer-reviewed outlets between 2000 and 2011. Comprehensive Meta-Analysis was used to calculate a random effects Cohen's d and moderator analyses were conducted. Results indicated a significant effect for alcohol (d=0.10) and tobacco (d=0.09) in multi-target interventions. Specific program components and characteristics associated with more effective prevention programs are discussed. Despite the best efforts of those who develop and deliver intervention programs, as a whole, the impact is smaller than (")small.(") New or evolved programs should seek to incorporate the best predictors of effectiveness thereby improving efficacy.
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Date Issued
2012
Identifier
CFE0004360, ucf:49443
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004360
THE RELATIONSHIP BETWEEN SUBSTANCE USE AND SOCIAL CLASS AMONG COLLEGE STUDENTS
Title
THE RELATIONSHIP BETWEEN SUBSTANCE USE AND SOCIAL CLASS AMONG COLLEGE STUDENTS.
Creator
Little, Kelcey, Wright, Chrysalis L., University of Central Florida
Abstract / Description
Alcohol and substance use among a college population has become a norm for our society. Even more intriguing are the possible factors that may lead to use and abuse of alcohol and substances. The purpose of the current study was to examine the relationship between multiple participant characteristics (i.e., ethnicity, gender, year in college, socioeconomic status) and alcohol and substance use. A total of 902 participants from the University of Central Florida answered multiple questionnaires...
Show moreAlcohol and substance use among a college population has become a norm for our society. Even more intriguing are the possible factors that may lead to use and abuse of alcohol and substances. The purpose of the current study was to examine the relationship between multiple participant characteristics (i.e., ethnicity, gender, year in college, socioeconomic status) and alcohol and substance use. A total of 902 participants from the University of Central Florida answered multiple questionnaires via the Sona system. Items in the questionnaires included topics such as demographic variables, social class variables, and items regarding alcohol and substance use in the past thirty days. The majority of participants were white females with an average age of 21.58. This study hypothesized that participants who identify as white males, those classified as a junior or senior in class standing, as well as those in a higher socioeconomic status would be more likely to report alcohol and substance use when compared to other participants. The current study also sought to assess how these different factors combine to best predict alcohol and substance use among a college sample. Data in the study was analyzed using SPSS in which correlations, t-tests, and an ANOVA were used to determine how participant characteristics and alcohol and substance use among college students are related. Linear regression analyses were conducted as well to determine how different participant characteristics can combine to best predict alcohol and substance use among college students. Results indicated that those participants whom identify as being white males, participants in a higher socioeconomic status, and, participants in later years of college are more likely to partake in alcohol and substance use. Results also indicated that the main factors that predicted alcohol and substance use are social class and year in college.
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Date Issued
2016
Identifier
CFH2000019, ucf:45579
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFH2000019
Rethinking Drinking: A Paradigm Shift for Estimating Social and Behavioral Harm
Title
Rethinking Drinking: A Paradigm Shift for Estimating Social and Behavioral Harm.
Creator
Hall, Thomas, Wright, James, Gay, David, Cook, Ida, Dunn, Michael, University of Central Florida
Abstract / Description
This study challenges old saws about negative consequences attributed to alcohol use. Previous research findings associate negative social and behavioral consequences with alcohol consumption, as if college students only do regrettable things when they are drunk. Typical research related to negative consequences and alcohol use relies on retrospective self-reporting. Investigators often frame negative consequences as outcomes of problematic drinking or, as more commonly labeled, "binge...
Show moreThis study challenges old saws about negative consequences attributed to alcohol use. Previous research findings associate negative social and behavioral consequences with alcohol consumption, as if college students only do regrettable things when they are drunk. Typical research related to negative consequences and alcohol use relies on retrospective self-reporting. Investigators often frame negative consequences as outcomes of problematic drinking or, as more commonly labeled, "binge drinking." In the nomenclature of prevention, binge drinking is not a direct measure of alcohol use resulting in intoxication; it is a hypothetical tipping point, predicting an increased likelihood of the incidence of negative consequences at some (often unspecified) point in the path between (")sober(") and (")drunk(").It is obvious that social and behavioral distress and misbehavior are not limited to drinking. Students miss class, express regrets, say or do embarrassing things, and get injured while sober as well as while drinking. Contemporary measures of alcohol-related negative consequences do not typically control for the prevalence of negative consequences when respondents are sober as well as when they are drinking. Thus it is unclear if the association between drinking and negative consequences is exclusively attributable to alcohol consumption, as is frequently assumed. Self-reported alcohol-related negative consequences might reflect a priori attitudes, beliefs, and behaviors and be unrelated to drinking. The prevalence of social complications unassociated with drinking merits investigation. A better understanding of the overall prevalence of negative consequences is needed to test the notion that drinking, binge drinking in particular, leads to numerous negative consequences presently reported in the alcohol studies literature.
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Date Issued
2016
Identifier
CFE0006112, ucf:51196
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006112
Protective Behavioral Strategies and Alcohol-Related Sex Among College Students
Title
Protective Behavioral Strategies and Alcohol-Related Sex Among College Students.
Creator
Peterson, Roselyn, Dvorak, Robert, Newins, Amie, Dunn, Michael, University of Central Florida
Abstract / Description
Adverse sexual outcomes (e.g., sexual regret, sexual risk, and sexual assault) are a common experience among college students. In particular, regretted sex is reported by a third of college students and may result in psychological harm. Previous literature has found that alcohol is involved in approximately one third of regretted sex experienced by college students. A gap exists in the literature identifying who is more susceptible to experiencing a regretted sexual experience. Previous...
Show moreAdverse sexual outcomes (e.g., sexual regret, sexual risk, and sexual assault) are a common experience among college students. In particular, regretted sex is reported by a third of college students and may result in psychological harm. Previous literature has found that alcohol is involved in approximately one third of regretted sex experienced by college students. A gap exists in the literature identifying who is more susceptible to experiencing a regretted sexual experience. Previous research has shown that students who implement protective behavioral strategies (PBS) while drinking are able to reduce alcohol-related negative consequences, including regretted sexual experiences. Three sub-types of PBS exist: Stopping/Limiting Drinking (SLD), Manner of Drinking (MD), and Serious Harm Reduction (SHR). The current study examines associations between regretted sexual experiences, alcohol use, and PBS. Participants were a sample of college students (n = 349) who completed a series of online surveys that assessed drinking habits, alcohol-related negative consequences (e.g., regretted sex), and PBS use. A multi-group path analysis (grouped by gender) found that alcohol use was positively associated with regretted sexual experiences. One of the three PBS sub-types, MD, was negatively associated with regretted sexual experiences. This association was mediated by alcohol use. A different PBS subtype, SHR, yielded a direct negative relationship with regretted sexual experiences for women, but not for men. Lastly, the interaction of SHR and alcohol use was significantly associated with regretted sexual experiences and varied by biological sex. Among women, low SHR potentiated the positive association between alcohol and regretted sex; in contrast, high SHR attenuated this association. In order to inform future interventions and subsequently decrease the number of alcohol-related negative consequences, further examination of differences in relationships between PBS subtypes, alcohol use, and regretted sex for men and women is warranted.
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Date Issued
2019
Identifier
CFE0007706, ucf:52448
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007706
IMPLEMENTATION AND EVALUATION OF A CLASSROOM-BASED APPROACH TO EXPECTANCY CHALLENGE FOR REDUCING ALCOHOL USE AMONG FIRST-YEAR COLLEGE STUDENTS
Title
IMPLEMENTATION AND EVALUATION OF A CLASSROOM-BASED APPROACH TO EXPECTANCY CHALLENGE FOR REDUCING ALCOHOL USE AMONG FIRST-YEAR COLLEGE STUDENTS.
Creator
Sivasithamparam, Janani, Dunn, Michael, University of Central Florida
Abstract / Description
There is a pervasive belief in the United States that the college experience typically includes frequent social activities characterized by widespread alcohol use. Unfortunately, awareness of the hundreds of deaths and wide variety of other harms experienced by college students as a result of alcohol use is much less pervasive. In an effort to increase awareness of the negative impact of alcohol use on college campuses, the NIAAA commissioned a panel composed of scientists and college...
Show moreThere is a pervasive belief in the United States that the college experience typically includes frequent social activities characterized by widespread alcohol use. Unfortunately, awareness of the hundreds of deaths and wide variety of other harms experienced by college students as a result of alcohol use is much less pervasive. In an effort to increase awareness of the negative impact of alcohol use on college campuses, the NIAAA commissioned a panel composed of scientists and college presidents to document alcohol-related harms and identify strategies that have been found to be effective in reducing risky alcohol use based on empirical evidence. The final report of this expert panel was released as a "Call to Action" for institutions nationwide in an effort to increase understanding of the severity and prevalence of risky alcohol use, and to provide descriptions of programs that were considered effective based on empirical evidence. Unfortunately, there were very few strategies found to be effective, and one of the effective approaches could only be implemented in specialized laboratories operated by scientists with expertise in expectancy challenge. Due to the severity and pervasiveness of the college alcohol problem and the limited number of strategies deemed effective, there is clearly a pressing need to develop and validate an expectancy challenge method that could be implemented by any institution without being limited by the need for a specialized laboratory and highly trained personnel. Achievement of these goals was the focus of the present project. To this end, an expectancy challenge curriculum designed for delivery in a college classroom was developed based on a laboratory delivered protocol previously found to be effective in reducing alcohol use among college students, and a classroom delivered curriculum previously found to be effective with high school students. The newly developed college classroom curriculum was implemented in a single session with groups of students during their regular class time in their usual classroom. Measures of alcohol use and associated harms were completed anonymously by each participant before completing the curriculum and for the month following completion of the curriculum. Analyses indicated significant reductions in alcohol consumption among males and females in comparison to students who were randomly assigned to a wait-list control condition. Unfortunately, significant reductions in alcohol-related harms were not found. The time periods for baseline and follow-up were only one month each, and that limitation in the number of opportunities to experience harms limits the likelihood of demonstrating a significant reduction in harms as well. Overall, this project represents an important advance in the development of alcohol use reduction strategies that are theory-based and effective in reducing alcohol use based on empirical evidence. In addition, the curriculum that was developed and validated in this project represents the first expectancy challenge method that can be readily implemented at any institution willing to devote one hour to reducing their students' risk for a long list of negative consequences associated with alcohol use on college campuses. Motivation and a typical classroom are all that is needed.
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Date Issued
2008
Identifier
CFE0002307, ucf:47854
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0002307
Stepping Outside of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, and Relationship Satisfaction
Title
Stepping Outside of Yourself: Social Anxiety, Dissociation, Alcohol Consequences, and Relationship Satisfaction.
Creator
Cook, Matthew, Newins, Amie, Beidel, Deborah, Dvorak, Robert, University of Central Florida
Abstract / Description
OVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the...
Show moreOVERVIEW: Social anxiety disorder is the third most prevalent psychiatric disorder in the United States. Dissociation can arise during acute daily social stressors in individuals with social anxiety. This study examined the relationship between social anxiety and functional outcomes (i.e., alcohol-related consequences and relationship satisfaction) as moderated by levels of dissociation (i.e., depersonalization/derealization). It was hypothesized that dissociation would moderate the relationships between social anxiety and alcohol-related consequences and between social anxiety and relationship satisfaction. METHOD: College students who endorsed alcohol use within the past 30 days (n = 320) and college students who reported having been in a romantic relationship lasting 30 or more days (n = 364) were recruited through the Psychology Department's Sona system. All participants completed measures of social anxiety, dissociation, alcohol use motives, alcohol-related consequences, and relationship satisfaction as part of an online questionnaire. RESULTS: Findings indicated no moderation effect in either model; both social anxiety and dissociation predicted alcohol-related consequences via coping-motivated alcohol use. Additionally, there was a negative association between dissociation and relationship satisfaction. CONCLUSIONS: Future research should include longitudinal research designs or ecological momentary assessment designs and should examine these relationships in clinical samples.
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Date Issued
2019
Identifier
CFE0007445, ucf:52725
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0007445
The Longitudinal Relationship between Moderate Alcohol Use and Cognitive Aging among Older Adults.
Title
The Longitudinal Relationship between Moderate Alcohol Use and Cognitive Aging among Older Adults.
Creator
Herring, Danielle, Paulson, Daniel, Renk, Kimberly, Lighthall, Nichole, University of Central Florida
Abstract / Description
Cognitive aging appears inconsistent across cognitive domains, indicating that domains may not all decline at the same rate across individuals. Individual trajectories of cognitive aging can vary widely and are affected by numerous lifestyle and health factors. Alcohol use among older adults is known to confer both health risks, typically related to excessive use, and protective effects, often associated with moderate consumption. Moderate alcohol use has been linked with better cognitive...
Show moreCognitive aging appears inconsistent across cognitive domains, indicating that domains may not all decline at the same rate across individuals. Individual trajectories of cognitive aging can vary widely and are affected by numerous lifestyle and health factors. Alcohol use among older adults is known to confer both health risks, typically related to excessive use, and protective effects, often associated with moderate consumption. Moderate alcohol use has been linked with better cognitive functioning as well as a decrease in cardiovascular mortality and systemic inflammation, as compared to heavy or abstinent users. Given that extant research has identified C-reactive protein (CRP) as a mediator between the relationship of moderate alcohol use and cardiovascular disease mortality, this study examined the potential mediating role of CRP between moderate alcohol use and cognitive performance in later life. Therefore, the primary goals of this thesis were to: (1) examine the relationship between moderate alcohol use and cognitive aging over time in a demographically representative, longitudinal survey of Americans over the age of 65, and (2) examine a potential biological mechanisms by which this putative relationship functions. The sample utilized for this study consisted of the ADAMS sample of the Health and Retirement Study (HRS), a longitudinal, cohort-style study on health, retirement, and aging conducted by the University of Michigan and supported by the National Institute of Aging. In order to assess the effect of moderate alcohol use as related to the rate of change in cognitive performance over time, a series of slope-intercept models were run. Logistic regressions and Kaplan-Meier survival analysis were used to examine predictors of dementia risk and time-to-diagnosis. Results indicated that moderate alcohol use was significantly associated with better baseline functioning across cognitive measures (p ?.05), but had no significant effect on rate of change over time. Next, structural equation models were employed to examine the effect of alcohol use on cognitive performance as mediated by CRP within each domain. Ultimately, results from this study did not support the hypothesized models. Following this, a logistic regression and survival analysis were conducted in order to assess the effect of moderate alcohol use on dementia diagnosis. Results of these analyses indicated that moderate users of alcohol develop dementia at lower rates, and later in life, than do abstinent older adults. Lastly, a structural equation model was run to evaluate the effect of alcohol use on dementia diagnosis as mediated by CRP. Primary findings did not support the hypothesized model. Overall, findings from this study suggest that moderate alcohol use is associated with better cognitive functioning among community-dwelling older adults, and these relative benefits appear to persist throughout later life. Moderate alcohol use may also be related to a slower rate and onset of dementia development. Future research should investigate alternate biological mechanisms relating moderate alcohol use and cognitive functioning in later life.
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Date Issued
2016
Identifier
CFE0006460, ucf:51432
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0006460
Psychopathology and Functional Impairment in Adolescents with Social Anxiety Disorder
Title
Psychopathology and Functional Impairment in Adolescents with Social Anxiety Disorder.
Creator
Mesa, Franklin, Beidel, Deborah, Cassisi, Jeffrey, Neer, Sandra, University of Central Florida
Abstract / Description
Although social anxiety disorder is most often diagnosed during adolescence, few investigations have examined the clinical presentation of this disorder exclusively in adolescents. Prior studies have demonstrated that some clinical features of SAD in adolescents are unique relative to younger children with the condition. Furthermore, the extant literature on daily functional impairment in this population is limited. In this investigation, multiple areas of functioning were examined in...
Show moreAlthough social anxiety disorder is most often diagnosed during adolescence, few investigations have examined the clinical presentation of this disorder exclusively in adolescents. Prior studies have demonstrated that some clinical features of SAD in adolescents are unique relative to younger children with the condition. Furthermore, the extant literature on daily functional impairment in this population is limited. In this investigation, multiple areas of functioning were examined in adolescents with SAD (n = 16) and normal control adolescents (n = 14): specific social skills, subjective distress and physiological reactivity during one speech performance task and one social interaction task; alcohol use and expectancies; subjective and objective quality of sleep; and daily distressing social activities. No differences were observed in sleep actigraphy, self-reported sleep difficulties, alcohol use, or alcohol expectancies. Adolescents with SAD reported greater distress during both analogue tasks relative to NC adolescents. During the speech task, adolescents with SAD exhibited significantly greater speech latency (4.42 seconds vs. 1.75 seconds) and spoke significantly less (83.09 seconds vs. 167.75 seconds) than NC adolescents. Additionally, SAD participants manifested greater skin conductance during the speech task. During the social interaction, adolescents with SAD asked significantly fewer questions (2.20 vs. 7.07) and required significantly more confederate prompts (2.33 vs. 1.14) to stimulate interaction. Finally, adolescents with SAD reported more frequent anxiety-provoking situations in their daily lives and greater avoidance of these situations, including answering questions in class, assertive communication, and interacting with a group. The findings are discussed with respect to the current understanding of alcohol use, quality of sleep, and social functioning in adolescents with SAD.
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Date Issued
2013
Identifier
CFE0004891, ucf:49648
Format
Document (PDF)
PURL
http://purl.flvc.org/ucf/fd/CFE0004891