Drinking to Cope During COVID-19 Pandemic: The Role of External and Internal Factors in Coping Motive Pathways to Alcohol Use, Solitary Drinking, and Alcohol Problems
Drinking to Cope During COVID-19 Pandemic: The Role of External and Internal Factors in Coping Motive Pathways to Alcohol Use, Solitary Drinking, and Alcohol Problems
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DOI：
10.1111/acer.14425
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发表时间：
2020-09-01
期刊：
影响因子：
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通讯作者：
Keough, Matthew T.
中科院分区：
文献类型：
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作者：
Wardell, Jeffrey D.;Kempe, Tyler;Keough, Matthew T.
背景COVID-19大流行对社会、经济及日常生活造成严重干扰。一些人可能会转向酒精来科普大流行期间的压力，这可能会使他们面临大量饮酒和酒精相关危害的风险。需要进行研究，以确定在这些特殊情况下与应对动机饮酒相关的因素，以便为干预措施提供信息。这项研究提供了一个实证研究的应对动机途径，酒精问题在早期阶段的COVID-19大流行。参与者（N = 320; 54.7%男性;平均年龄32岁）是加拿大成年饮酒者，他们完成了一项在线调查，评估了过去30天内与工作和家庭相关的因素、心理因素以及与酒精相关的结果，涵盖了COVID-19应急响应启动后1个月内的时间段。结果理论知情路径模型的结果显示，至少有一个18岁以下的孩子，更大的抑郁和更低的社会联系每个预测过去30天应对动机的独特方差，这反过来又预测过去30天饮酒的增加（控制回顾性报告的COVID-19前饮酒）。收入损失与酒精使用增加有关，独居与单独饮酒增加有关（控制COVID-19前的水平），但这些关联并不受应对动机的影响。增加饮酒，增加单独饮酒，以及更大的饮酒应对动机都与过去30天的酒精问题独立相关，并且在家中有孩子，抑郁症，社会联系，收入损失和独自生活的酒精问题的间接途径都得到了支持。结论研究结果提供了对COVID-19大流行早期应对动机饮酒的深入了解，并强调了纵向研究的必要性，以确定饮酒的长期结果，以科普大流行期间。
Background The COVID-19 pandemic has resulted in massive disruptions to society, to the economy, and to daily life. Some people may turn to alcohol to cope with stress during the pandemic, which may put them at risk for heavy drinking and alcohol-related harms. Research is needed to identify factors that are relevant for coping-motivated drinking during these extraordinary circumstances to inform interventions. This study provides an empirical examination of coping motive pathways to alcohol problems during the early stages of the COVID-19 pandemic. Methods Participants (N = 320; 54.7% male; mean age of 32 years) were Canadian adult drinkers who completed an online survey assessing work- and home-related factors, psychological factors, and alcohol-related outcomes over the past 30 days, covering a time period beginning within 1 month of the initiation of the COVID-19 emergency response. Results The results of a theory-informed path model showed that having at least 1 child under the age of 18, greater depression, and lower social connectedness each predicted unique variance in past 30-day coping motives, which in turn predicted increased past 30-day alcohol use (controlling for pre-COVID-19 alcohol use reported retrospectively). Income loss was associated with increased alcohol use, and living alone was associated with increased solitary drinking (controlling for pre-COVID-19 levels), but these associations were not mediated by coping motives. Increased alcohol use, increased solitary drinking, and greater coping motives for drinking were all independently associated with past 30-day alcohol problems, and indirect paths to alcohol problems from having children at home, depression, social connectedness, income loss, and living alone were all supported. Conclusions Findings provide insight into coping-motivated drinking early in the COVID-19 pandemic and highlight the need for longitudinal research to establish longer term outcomes of drinking to cope during the pandemic.