Integrating basic research with prevention/intervention to reduce risky substance use among college students

Too often basic research on etiological processes that contribute to substance use outcomes is disconnected from efforts to develop prevention and intervention programming. Substance use on college campuses is an area of concern where translational efforts that bring together basic scientists and prevention/intervention practitioners have potential for high impact. We describe an effort at a large, public, urban university in the United States to bring together researchers across the campus with expertise in college behavioral health with university administration and health/wellness practitioners to address college student substance use and mental health. The project “Spit for Science” examines how genetic and environmental influences contribute to behavioral health outcomes across the college years. We argue that findings coming out of basic research can be used to develop more tailored prevention and intervention programming that incorporates both biologically and psychosocially influenced risk factors. Examples of personalized programming suggest this may be a fruitful way to advance the field and reduce risky substance use

Performing toilets: putting matter into place

In this study, I place toilets and toilet practices center stage. Each chapter begins with and is compelled by a performance event in which a toilet plays a central role, such as the display of toilets in museum settings, a festival celebrating the building of public toilet blocks, and a Big Squat event, in which people gather en masse to squat collectively for one minute in recognition of the millions that lack access to toilets. By means of performance, the toilet is transferred from the backstage to center stage. Out of place, the toilet defamiliarizes and refunctions the body’s techniques, proprieties, and ceremonies of the body. I explore the body at the level of its practices and move from “body to self to society” (Frank 47), thus understanding the body as a bearer of social patterns and structures. By focusing on the performance of toilets, I associate the toilet with the artistic and generative possibilities of culture-making, aiming to refunction the toilet as an object that encourages productive communication rather than a taboo object that silences and represses interaction. Broadly, I am interested in how performing toilets might serve to counter disabling disciplinary norms, encourage collective action, and bring about generative change for people who desire it

Genetic strategies to detect genes involved in alcoholism and alcohol-related traits

Researchers are using a variety of sophisticated approaches to identify genes that contribute to the development of alcoholism in humans or influence other alcohol-related traits. These strategies include linkage approaches, which can identify broad chromosomal regions that are likely to contain genes predisposing to the disorder, and association approaches, which test the association between a particular marker allele and a specific outcome. Animal studies using diverse strategies can also help identify genes or DNA regions that influence alcohol-related traits in humans. The results of these analyses are likely to have implications for fields such as genetic counseling, gene therapy, and pharmacogenetics

Evaluation of a new trauma-related drinking to cope measure: Latent structure and heritability

Posttraumatic stress disorder (PTSD) and alcohol use disorder (AUD) commonly co-occur, share latent genetic risk, and are associated with many negative public health outcomes. Via a self-medication framework, trauma-related drinking to cope (TRD), an unexplored phenotype to date, may help explain why these two disorders co-occur, thus serving as an essential target for treatment and prevention efforts. This study sought to create a novel measure of TRD and to investigate its indirect influences on the association between PTSD and AUD, as well as its potential shared molecular genetic risk with PTSD in a genetically-informative study of college students. A sample of 1,896 undergraduate students with a history of trauma and alcohol use provided genotypic data and completed an online assessment battery. The psychometric properties of TRD and how it relates to relevant constructs were examined using descriptive statistics and structural equation modeling. Results of a correlated multiple mediator model indicated that, while accounting for the effects of generalized drinking motives, TRD partially mediated the relation between PTSD and alcohol use problems (β = 0.213, p \u3c .001), consistent with the self-medication hypothesis, and that this relationship was stronger for males (β = 0.804, p \u3c .001) than for females (β = 0.463, p \u3c .001). Results were substantiated using longitudinal data. Genotypic analyses to be presented will include univariate genome wide complex trait analyses (GCTA) to establish SNP-based heritability associated with TRD and PTSD, separately, as well as bivariate GCTA to examine potential overlap in heritability between TRD and PTSD.https://scholarscompass.vcu.edu/gradposters/1047/thumbnail.jp

The future of returning genetic test results for psychiatric conditions

Background: Genome-wide association studies are rapidly advancing our understanding of the genetic architecture of complex psychiatric conditions. In order to use findings from these studies for enhanced clinical prediction, we need to gain a better understanding of the issues surrounding the return of complex genetic results. Methods: We review the current literature on genetic literacy in the population, the public’s interest in receiving genetic test results for psychiatric conditions, how individuals react to and interpret their genetic results for psychiatric conditions, and gaps in our knowledge that will be critical to address before returning genetic results for psychiatric conditions. Results: We find that in hypothetical scenarios genetic test results indicating increased risk for a psychiatric condition lowers an individual’s confidence to control behavior, reduces self-agency, and negatively impacts affect. Individuals may believe that a change in behavior is important, but there is little evidence that genetic test results indicating increased risk for a psychiatric condition are associated with behavior change. The negative impact of results indicating an increased risk may stem from common misconceptions of complex disorders that exist in approximately 25% to 35% of individuals studied. Conclusions: Individuals with these misunderstandings about the role of genetic factors in complex disorders may have a belief in genetic determinism, the idea that behaviors and characteristics are determined solely by one’s genetic information. Regardless of one’s genetic knowledge, a majority of people are interested in receiving genetic feedback for psychiatric conditions, highlighting a need for effective communication of these genetic test results.https://scholarscompass.vcu.edu/gradposters/1069/thumbnail.jp

THE ASSOCIATIONS BETWEEN SEXUAL VICTIMIZATION AND HEALTH OUTCOMES AMONG LGBQA COLLEGE STUDENTS: EXAMINING THE MODERATING ROLE OF SOCIAL SUPPORT

Sexual victimization is a prevailing public health concern that differentially impacts sexual minority populations (i.e., people who identify as lesbian, gay, bisexual, asexual, or queer) compared with their heterosexual and cisgender counterparts (McCauley et al., 2018). Studies have shown that sexual violence is associated with depressive symptoms, post-traumatic stress disorder symptoms, and alcohol use (Aosved et al., 2011; Bedard-Gilligan et al, 2011; Carey et al., 2018) among heterosexual college students. However, we know less about the potential effects of sexual victimization on health outcomes among sexual minority college students. Understanding these relations are especially important because sexual minority college students often experience unique challenges and are at increased risk of sexual victimization in comparison to their counterparts (Cantor et al., 2015; Edwards et al., 2015). Moreover, few studies to date have examined the moderating role of social support in buffering the links between sexual victimization and health outcomes. Guided by the minority stress framework (Meyer, 2003), the current study examined the extent to which sexual victimization influences health outcomes (i.e., depressive symptoms, post-traumatic stress disorder symptoms, and alcohol use disorder) among sexual minority college students. Furthermore, we examined whether social support moderated the association between sexual victimization and each health outcome. The current study included 234 students who identified as being part of the Queer community (e.g., Gay, Lesbian, Asexual, and Queer) from a larger university-wide study (i.e., Spit for Science; Dick et al., 2014). The participants in the present study were 18-22 years old (M = 18.46, SD = .412) and majority female (i.e., 74%). Fifty-six percent of the participants self- identified as White, 16% as Black or African American, 13% as Asian, and 15% as American Indian, Latinx, Pacific Islander, or Multiracial. Students provided online self-reports of their sexual victimization experiences (Blake et al., 1990), social support (Hays et al., 1995), depressive symptoms (Derogatis et al., 1973), post-traumatic stress disorder symptoms (Weathers et al., 2013) and alcohol use (DSM-V). We used a series of regression models in Mplus v 7.2 (Muthén & Muthén, 1998–2014) to test our research questions, with multiple imputation to handle missing data. Findings indicated that sexual victimization was positively related to depressive symptoms (b = .21, p = .00), post- traumatic stress disorder symptoms (b = .43, p = .00), and alcohol use disorder (b = .45, p = .00). Furthermore, social support significantly moderated the association between sexual victimization and depressive symptoms, however, in a direction contrary to hypotheses. Specifically, greater sexual victimization was associated with greater depressive symptoms among sexual minority college students with higher levels of social support (b = .29, p = .00), and the association was not significant for sexual minority college students with lower levels of social support (b = .13, p = .26; Figure 1). Discussion will center on the detrimental effects of sexual victimization on health outcomes among sexual minority college students, as well as providing potential explanations and future directions for the nuanced ways social support functions in the lives of sexual minority college students.https://scholarscompass.vcu.edu/gradposters/1079/thumbnail.jp

ALDH2*2 and peer drinking in East Asian college students

Background: The ALDH2*2 allele (A-allele) at rs671 is more commonly carried by Asians and is associated with alcohol-related flushing, a strong adverse reaction to alcohol that is protective against drinking. Social factors, such as having friends who binge drink, also contribute to drinking in Asian youth. Objectives: This study examined the interplay between ALDH2*2, peer drinking, and alcohol consumption in college students. We hypothesized that the relationship between ALDH2*2 and standard grams of ethanol per month would vary based on the level of peer drinking. Methods: Subjects (N = 318, 63.25% female) were East Asian college students in the United States who reported drinking alcohol. Data were from the freshman year of a university survey that included a saliva DNA sample. ALDH2*2 status was coded ALDH2*2(+) (A/G and A/A genotypes) and ALDH2*2(−) (G/G genotype). Peer drinking was students’ perception of how many of their friends “got drunk”. Results: Main effects of ALDH2*2(−) and having more friends who got drunk were associated with greater alcohol consumption. The ALDH2*2 × peer drunkenness interaction showed a stronger positive association with alcohol consumption for ALDH2*2(−) versus ALDH2*2(+) at increasing levels of peer drunkenness. Follow-up comparisons within each peer drunkenness level identified significantly higher alcohol consumption for ALDH2*2(−) compared to ALDH2*2(+) at the all friends got drunk level. Conclusion: There was evidence of a stronger effect for ALDH2*2(−) compared to ALDH2*2(+) with greater alcohol use when students were more exposed to peer drinking. Findings contribute to a growing literature on the interrelationships between genetic influences and more permissive environments for alcohol consumption

Incorporating Genetics into Your Studies: A Guide for Social Scientists

There has been a surge of interest in recent years in incorporating genetic components into on-going longitudinal, developmental studies and related psychological studies. While this represents an exciting new direction in developmental science, much of the research on genetic topics in developmental science does not reflect the most current practice in genetics. This is likely due, in part, to the rapidly changing landscape of the field of genetics, and the difficulty this presents for developmental scientists who are trying to learn this new area. In this review, we present an overview of the paradigm shifts that have occurred in genetics and we introduce the reader to basic genetic methodologies. We present our view of the current stage of research ongoing at the intersection of genetics and social science, and we provide recommendations for how we could do better. We also address a number of issues that social scientists face as they integrate genetics into their projects, including choice of a study design (candidate gene versus genome-wide association versus sequencing), different methods of DNA collection, and special considerations involved in the analysis of genotypic data. Through this review, we hope to equip social scientists with a deeper understanding of the many considerations that go into genetics research, in an effort to foster more meaningful cross-disciplinary initiatives

The Relationship Between Exercise and Depression and Anxiety in College Students

The literature shows an inverse association between exercise and mental disorders. The aim of this study is to further elaborate on this association with regards to exercise and its relationship with anxiety and depression in a college sample. The subject group focused on seniors in the Spit for Science data set which incorporated a total of 821 students. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ) to estimate the overall metabolic equivalents (MET’s) each student spent in walking, moderate, or vigorous activity levels in the previous week. Sum scores were used to measure depression and anxiety. Overall,the data showed that students 124 students had a walking or low activity level, 255 had a moderate activity level, and 442 had a vigorous or high activity level. There is a significant mean difference in anxiety and depression sum scores between moderate compared to vigorous and moderate compared to low exercise classifications, however no significant mean differences were found between vigorous compared to low exercise groups. Tests showed the correlation between overall MET’s per week compared to anxiety and depression was significant, with an inverse association between the two. This inverse relationship showed that as the overall MET’s increased, the sum score of depression and anxiety both decrease and vice versa. Regression analyses are underway, and covariates are being assessed, for further analyses to determine the relationship between exercise and depression and anxiety. The results of this study can lead to understanding the link between how much exercise is needed to derive a mental benefit as well as where the threshold amount of exercise needed to reverse detrimental effects of inactivity is.https://scholarscompass.vcu.edu/uresposters/1221/thumbnail.jp