Impacts of the COVID-19 public health restrictions on substance use, mental health, and psychosocial functioning among individuals with alcohol use disorder.
Impacts of the COVID-19 public health restrictions on substance use, mental health, and psychosocial functioning among individuals with alcohol use disorder.
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COVID-19 公共卫生限制对酒精使用障碍患者的药物使用、心理健康和社会心理功能的影响。
DOI：
10.1080/00952990.2022.2134021
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
MacKillop,James
中科院分区：
文献类型：
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作者：
González-Roz,Alba;Haik,AmandaK;Rahman,Liah;Todi,AkshitiA;Kane,Claire;Walji,Alyna;Dickerman,SarahR;Scarfe,Molly;Levitt,EmilyE;Belisario,Kyla;Kelly,JohnF;MacKillop,James
背景：新冠肺炎大流行一直与重大的心理社会破坏有关，患有物质使用障碍的个人尤其受到关注。目的：本研究描述了大流行对寻求酒精使用障碍(AUD)康复的个人的心理社会和经验影响，包括大流行对自我报告的饮酒、酗酒、烟草、大麻和兴奋剂使用的影响。方法：参与者为125名AUD+个人(%男性：57.60；MAGE= 49.11，SD = 12.13)2020年1月1日至3月24日(大流行前)和自在家订单开始以来，2020年3月24日至6月28日(大流行期间)的药物使用报告。研究人员检查了受试者内部的变化，并进行了潜在特征分析，以确定受疫情影响的不同亚组。结果：很大比例的人报告了新冠肺炎的心理社会影响，但饮酒和其他物质的使用没有显示出显著的变化。潜伏期资料分析显示两个亚组：资料1(n = 41/125，“中度影响”)和资料2(n = 84/125，“严重影响”)。与大流行前相比，受大流行中度影响的人群在大流行期间大量饮酒的天数显著减少(p= .02)，但其他物质的使用没有变化。表现出严重流行影响的人群在酒精或其他药物使用方面没有表现出变化，但表现出更严重的焦虑和抑郁(PS<； .001)。结论：我们在澳大利亚疾病恢复期患者中发现了与大流行相关的影响的不同亚型。有必要向这一特定人群提供心理社会支持，并进一步监测药物使用和精神健康。
Background:The COVID-19 pandemic has been associated with major psychosocial disruptions and there is particular concern for individuals with substance use disorders.Objectives:This study characterized the psychosocial and experiential impacts of the pandemic on individuals seeking alcohol use disorder (AUD) recovery, including pandemic impacts on self-reported drinking, heavy drinking, tobacco, cannabis, and stimulant use.Methods:Participants were 125 AUD+ individuals (% males: 57.60; Mage= 49.11, SD = 12.13) reporting on substance use from January 1st–24thMarch, 2020 (pre-pandemic) and since the stay-at-home orders commenced, 24thMarch–June 28th2020 (intra-pandemic). Within-subjects changes were examined and a latent profile analysis was performed to identify subgroups differentially impacted by the pandemic.Results:Large proportions reported psychosocial impacts of COVID-19, but drinking and other substance use did not reveal significant changes. Latent profile analyses revealed two subgroups: Profile 1 (n = 41/125), “Moderately Impacted”) and Profile 2 (n = 84/125), “Severely Impacted”). Compared to the pre-pandemic period, the group that was moderately impacted by the pandemic exhibited significantly fewer heavy drinking days (p= .02) during the intra-pandemic period, but no other substance use changes. The group showing severe pandemic impacts did not exhibit changes in alcohol or other drug use but evidenced more severe anxiety and depression (ps< .001).Conclusions:We found heterogeneous subtypes of pandemic-related impacts in AUD recovery patients. There is need to provide psychosocial support to this particular population and further monitoring substance use and mental health.