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dc.contributor.authorCash, Annah R.en
dc.date.accessioned2023-02-07T13:25:25Zen
dc.date.available2023-02-07T13:25:25Zen
dc.date.issued2022-10-28en
dc.identifier.urihttp://hdl.handle.net/10919/113696en
dc.description.abstractEmerging adulthood is a developmental period associated with increased engagement in health risk behaviors, particularly in college students with attention-deficit/hyperactivity disorder (ADHD), a disorder characterized by low distress tolerance and significant difficulty managing emotions. However, research has not examined how these factors impact propensity to engage in health risk behaviors in college students with ADHD. Thus, this study examined the independent and joint effects of ADHD status, emotion regulation, and distress tolerance on the propensity of college students to engage in health risk behaviors (alcohol use, impulsive eating, and drug behaviors). Participants included 143 undergraduate students (81.8% female; 44.1% with ADHD) who completed an online questionnaire via REDCap. Individuals with ADHD reported significantly higher use of maladaptive emotion regulation strategies and lower levels of distress tolerance than the comparison sample. Moderation models using the PROCESS macro for SPSS examined whether the associations between emotion regulation abilities and distress tolerance with health risk behavior engagement were moderated by ADHD diagnostic history. The relation between distress tolerance and engagement in drug use behaviors was moderated by ADHD status, such that for individuals with ADHD, poorer distress tolerance was associated with more drug use. ADHD status also moderated the association between maladaptive emotion regulation strategies and cognitive restraint in eating. For individuals without ADHD, more maladaptive emotion regulation was marginally predictive of less engagement in cognitive restraint around food, but this relation, was not significantly for college students with ADHD. Findings from this study provide insight into intervention targets for college students with ADHD, ultimately resulting in significantly decreased societal and personal health costs.en
dc.format.mediumETDen
dc.format.mimetypeapplication/pdfen
dc.language.isoenen
dc.publisherVirginia Techen
dc.subjectADHDen
dc.subjectHealth Risk Behavioren
dc.subjectEmotion Regulationen
dc.subjectDistress Toleranceen
dc.titleThe Role of Distress Tolerance and Emotion Regulation in the Health Risk Behaviors of College Students with and without ADHDen
dc.typeThesisen
dc.contributor.departmentPsychologyen
dc.description.degreeM.S.en
thesis.degree.nameM.S.en
thesis.degree.levelmastersen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.disciplineClinicalen
dc.contributor.committeechairBreaux, Rosannaen
dc.contributor.committeememberDavy, Brenda M.en
dc.contributor.committeememberBickel, Warren K.en
dc.description.abstractgeneralEmerging adulthood is a developmental period associated with increased engagement in health risk behaviors, particularly in college students with attention-deficit/hyperactivity disorder (ADHD), a disorder characterized by low distress tolerance and significant difficulty managing emotions. However, research has not looked at how these factors impact odds of engaging in health risk behaviors in college students with ADHD. Thus, this study examined the independent and combined effects of ADHD status, emotion regulation, and distress tolerance on the propensity of college students to engage in health risk behaviors (alcohol use, impulsive eating, and drug behaviors). Participants included 143 undergraduate students (81.8% female; 44.1% with ADHD) who completed an online questionnaire via REDCap. Individuals with ADHD reported higher use of maladaptive emotion regulation strategies and decreased ability to tolerate distress than the comparison sample. The relation between distress tolerance and engagement in drug use behaviors was moderated by ADHD status, such that for individuals with ADHD, poorer ability to tolerate distress was associated with more drug use. ADHD status also moderated the association between maladaptive emotion regulation strategies and cognitive restraint in eating. For individuals without ADHD, more maladaptive emotion regulation was slightly predictive of less cognitive restraint around food, but this relation was not significant for college students with ADHD. Findings from this study provide insight into intervention targets for college students with ADHD, ultimately resulting in significantly decreased societal and personal health costs.en


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