A longitudinal investigation of the impact of emotional reactivity and COVID-19 stress exposure on substance use during the pandemic.
A longitudinal investigation of the impact of emotional reactivity and COVID-19 stress exposure on substance use during the pandemic.
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DOI：
10.1016/j.jadr.2021.100284
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发表时间：
2021-12
影响因子：
--
通讯作者：
Sadeh N
中科院分区：
文献类型：
--
作者：
Bounoua N;Sadeh N
在新冠肺炎大流行期间，药物使用激增，突显出对大流行相关压力的反应与药物使用参与度增加之间的潜在联系。利用人群水平对一种新的环境应激源的暴露，目前的研究调查了在大流行之前测量的情绪反应是否可以预测与COVID相关的应激对大流行期间未来物质使用的影响程度。参与者包括240名不同社会经济背景的成年人(M/SDage=33.47/9.39岁)，他们是从受疫情影响不成比例的社区招募的，新冠肺炎的阳性率和失业率高于全国平均水平。所有参与者都在大流行开始前完成了一项研究，其中90名参与者被随机挑选出来，在大流行大约六个月后完成后续研究。平均而言，样本报告了他们特别归因于新冠肺炎大流行的高水平压力源。结果显示，特质情绪反应缓和了大流行造成的压力源对未来物质使用的影响，因此，对于倾向于长时间体验负面情绪的个人来说，与COVID相关的压力暴露与物质使用的增加有关。这项研究的局限性在于，数据是在新冠肺炎大流行的固定时间框架内收集的，并且只使用自我报告的衡量标准。本研究的纵向设计通过强调情绪反应性在预测物质使用应对行为中的潜在作用，扩展了当前的文献。研究结果表明，在受疫情严重影响的个人中，情绪反应可能是一个有用的干预目标。
Substance use has spiked during the COVID-19 pandemic, highlighting potential links between reactivity to pandemic-related stress and increases in substance use engagement. Leveraging population-level exposure to a novel environmental stressor, the current study investigated whether emotion reactivity measured prior to the pandemic predicts the degree to which COVID-related stress impacts future substance use during the pandemic. Participants included 240 socioeconomically diverse adults (M/SDage=33.47/9.39 years old) who were recruited from communities disproportionately impacted by the pandemic, with COVID-19 positivity and unemployment rates higher than the national average. All participants completed a research study prior to the start of the pandemic, and 90 of those participants were randomly selected to complete a follow-up study approximately six months into the pandemic. On average, the sample reported high levels of stressors that they attributed specifically to the COVID-19 pandemic. Results revealed that trait emotional reactivity moderated the impact of pandemic-inflicted stressors on future substance use, such that COVID-related stress exposure was associated with an increase in substance use for individuals who tend to experience negative emotions for prolonged periods of time. Limitations of the study are that the data were collected in a fixed timeframe of the COVID-19 pandemic and the exclusive use of self-report measures. The longitudinal design of the present study extends the current literature by highlighting the potential role of emotional reactivity in predicting substance use coping behaviors. Findings suggest that emotion reactivity may be a useful intervention target among individuals highly impacted by the pandemic.