Marijuana is the second most commonly used substance in the US. A growing literature suggests that socially anxious individuals use marijuana to manage their symptoms in social situations, which may explain why they are also more likely to experience problems. Unfortunately, the majority of the literature is based on research conducted with adult samples or the co-occurrence of diagnoses in adolescent samples. The proposed study sought to test the link between social anxiety (SA) and proxies for ‘real-time' marijuana use behaviors (i.e., use willingness) as well as use-related problems among adolescents. Participants were 69 adolescents (15-17; 55% female) recruited from the community reporting any lifetime marijuana use. Participants were randomly assigned to a novel social rejection or neutral laboratory task and completed measures of SA, marijuana use frequency, and related problems. Consistent with adult findings, main effects of SA and experimental condition on marijuana use willingness were expected to be qualified by an interaction in which the greatest marijuana use willingness would occur among high SA youth post-rejection (H1), SA would be positively related to marijuana use problems (H2), and among adolescents in the rejection condition, marijuana use willingness would be positively correlated with use problems (H3). Only H2 was …

Accurate assessment of sleep-wake patterns is important for sleep researchers and clinicians. Actigraphs are low-cost, non-intrusive, wrist-worn activity detectors used to estimate sleep-wake patterns in a natural environment for several nights. Although actigraphy shows good sensitivity (sleep detection), it has consistently demonstrated poor specificity (wakefulness detection while lying in bed relatively motionless). Because insomnia is characterized by wakefulness in bed, actigraphy may not be a valid objective measure of wakefulness for this group. It is possible that refinement of actigraphy software settings for sleep/wake algorithms might improve specificity. The current studies investigated this hypothesis by comparing wake parameters from 48 combinations of actigraphy settings to determine which sleep/wake algorithms best inform insomnia diagnosis and treatment. In the first study, none of the 48 actigraphy setting combinations consistently discriminated between adults with insomnia (n = 69) and non-insomnia (n = 80) on all three wake parameters, and no setting clearly discriminated between groups for the composite variable, total wake time. Similarly, in the second study, no setting combinations consistently discriminated between adults treated for insomnia (n = 18) and controls with untreated insomnia (n = 26) on all three wake parameters. Although two setting combinations discriminated between groups for the composite …

Suicide is a significant public health issue in the US. Despite national and international prioritization since 1996, little definitive progress has been made in terms of identification and intervention in cases of elevated suicide risk. Forty percent of those who died by suicide attended an emergency department within a year of death. Therefore, universal suicide risk screening in emergency departments could prove a vital component to a national suicide prevention strategy. The present study empirically evaluated the universal suicide risk screening program recently implemented at Parkland Health and Hospital System. The sample consisted of patients over 18 years of age (N=333,855; Mage=42.7, 32% male) screened as part of routine clinical care from May 4th, 2015, through November 3rd, 2015. The Parkland Algorithm for Suicide Screening (PASS) is part of a clinical decision support system for responses to Columbia - Suicide Severity Rating Scale Clinical Practice Screener (C-SSRS) items, leading to an automated clinical response via three suicide risk stratification levels: no action for no risk identified, psychiatric social worker assessment for moderate risk identified, and psychiatrist/psychologist interview for high risk identified. The present study used receiver operating characteristic (ROC) curve analysis, which found the PASS predicted disposition (z=30.46, p<.001, AUC=.78, …

Mental health stigma has been identified as a barrier to help-seeking in the United States. Research suggests that insecure attachment may contribute to higher mental health stigma and lower help-seeking behavior. This may be particularly salient in military personnel who tend to report higher mental health stigma than the general population. Evidence suggests that both supportive and destructive military leadership are related to service members' attitudes toward seeking help. In the current study, a sample of military service members and veterans (N = 232) completed an online survey regarding mental health stigma, military leadership experiences, attachment strategies, and mental health help-seeking behaviors. Findings indicated that destructive and supportive leadership experiences were significantly related to self and public stigma, and self-stigma mediated the relationship between destructive and supportive leadership experiences and likelihood to seek help. Attachment anxiety predicted higher self and public stigma, while attachment avoidance predicted high self-stigma but low public stigma, with high self-stigma partially mediating the relationship between attachment avoidance and help seeking.

The current study examined 236 undergraduate students in a week long twice-per-day ecological momentary assessment exploring the influence of baseline reward sensitivity and interactions between circadian variables (i.e., total sleep time, sleep quality) and daily measures of reward. Though primary study findings did not support reward sensitivity related moderation of sleep-reward pathways, a number of notable findings emerged. We found evidence of specific domains of reward sensitivity (anticipatory reward and reward responsiveness) which are uniquely related to daily experiences of reward. In addition, bidirectional circadian-reward pathways were found between sleep quality and daily rewards which suggests pathways towards reward-related engagement. Evidence also supported interactions between sleep quality and total sleep time on experience of daily reward, further highlighting the complexity of sleep-reward pathways and their relevance to mood symptoms.

Research on associations between online dating and later relationship and sexual satisfaction is limited. The purpose of this study is to examine the association between meeting a romantic partner online or in person and later relationship and sexual satisfaction for heterosexual males and females. Main analysis results suggest that men report higher relationship satisfaction when they met their partner online and women with a preoccupied and dismissing attachment style reported higher sexual satisfaction when they met their partner online. Overall, there were few differences in relationship and sexual satisfaction for heterosexual men and women who met their partner online or in person.