Depression, Environmental Reward, Coping Motives and Alcohol Consumption During the COVID-19 Pandemic.
Depression, Environmental Reward, Coping Motives and Alcohol Consumption During the COVID-19 Pandemic.
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DOI：
10.3389/fpsyt.2020.574676
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发表时间：
2020
影响因子：
4.7
通讯作者：
Hendershot CS
中科院分区：
文献类型：
--
作者：
McPhee MD;Keough MT;Rundle S;Heath LM;Wardell JD;Hendershot CS
背景：已经预测到2019冠状病毒病大流行期间心理困扰和酒精使用的发生率会增加。抑郁症的行为理论和酒精自我药物治疗理论表明，在COVID-19期间，更大的社会/环境约束和更大的心理困扰可能导致抑郁症和饮酒增加，以应对负面影响。目前的研究有两个目标：(1)在引入COVID-19社交距离要求后，检查自我报告的酒精使用变化和相关结果；(2)检验假设的中介模型，以解释COVID-19大流行最初几周自我报告的抑郁和酒精使用变化的个体差异。方法：参与者（n = 833）为美国居民，被招募参与一项在线调查。横断面调查包括评估环境奖励、抑郁、与covid -19相关的痛苦、饮酒动机和酒精使用结果的问题。在单次调查中，通过回顾性自我报告对两个时间框架的结果进行了评估：国家规定的社会距离之前的30天（“社会距离前”）和国家规定的社会距离开始后的30天（“社会距离后”）。结果：社交距离后，抑郁严重程度、应对动机和某些酒精消费指标（如酗酒频率和单独饮酒频率）明显高于社交距离前。相反，环境奖励和其他饮酒动机（社交性、增强性和从众性）在保持社交距离后明显低于保持社交距离前。行为经济指数（酒精需求）在变化方面是可变的。中介分析表明，饮酒量/频率降低环境奖励通过增加抑郁症状和应对动机产生显著的间接影响，饮酒量/频率通过饮酒应对动机产生显著的间接影响。讨论：研究结果为COVID-19大流行早期几周内饮酒和应对动机与环境奖励、抑郁和COVID-19相关心理困扰的关系提供了早期横断面证据。结果在很大程度上与抑郁症和酒精自我药物框架的行为理论的预测一致。未来的研究需要研究这些结果之间的前瞻性关联。
Background: Increases in the incidence of psychological distress and alcohol use during the COVID-19 pandemic have been predicted. Behavioral theories of depression and alcohol self-medication theories suggest that greater social/environmental constraints and increased psychological distress during COVID-19 could result in increases in depression and drinking to cope with negative affect. The current study had two goals: (1) to examine self-reported changes in alcohol use and related outcomes after the introduction of COVID-19 social distancing requirements, and; (2) to test hypothesized mediation models to explain individual differences in self-reported changes in depression and alcohol use during the early weeks of the COVID-19 pandemic. Methods: Participants (n = 833) were U.S. residents recruited for participation in a single online survey. The cross-sectional survey included questions assessing environmental reward, depression, COVID-19-related distress, drinking motives, and alcohol use outcomes. Outcomes were assessed via retrospective self-report for two timeframes in the single survey: the 30 days prior to state-mandated social distancing (“pre-social-distancing”), and the 30 days after the start of state-mandated social distancing (“post-social-distancing”). Results: Depression severity, coping motives, and some indices of alcohol consumption (e.g., frequency of binge drinking, and frequency of solitary drinking) were significantly greater post-social-distancing relative to pre-social-distancing. Conversely, environmental reward and other drinking motives (social, enhancement, and conformity) were significantly lower post-social distancing compared to pre-social-distancing. Behavioral economic indices (alcohol demand) were variable with regard to change. Mediation analyses suggested a significant indirect effect of reduced environmental reward with drinking quantity/frequency via increased depressive symptoms and coping motives, and a significant indirect effect of COVID-related distress with alcohol quantity/frequency via coping motives for drinking. Discussion: Results provide early cross-sectional evidence regarding the relation of environmental reward, depression, and COVID-19-related psychological distress with alcohol consumption and coping motives during the early weeks of the COVID-19 pandemic. Results are largely consistent with predictions from behavioral theories of depression and alcohol self-medication frameworks. Future research is needed to study prospective associations among these outcomes.
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影响因子：
11.8
作者：
Hawryluck L;Gold WL;Robinson S;Pogorski S;Galea S;Styra R
通讯作者：
Styra R
DOI：
10.1037/tra0000924
发表时间：
2020-08-01
影响因子：
6.3
作者：
Fitzpatrick, Kevin M.;Harris, Casey;Drawve, Grant
通讯作者：
Drawve, Grant
影响因子：
3.7
作者：
Carvalho, John P.;Gawrysiak, Michael J.;Hopko, Derek R.
通讯作者：
Hopko, Derek R.
影响因子：
4.6
作者：
Cooper, M. Lynne;Krull, Jennifer L.;Jackson, Maudette
通讯作者：
Jackson, Maudette
DOI：
10.1111/acer.14382
发表时间：
2020-07
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Acuff SF;Soltis KE;Murphy JG
通讯作者：
Murphy JG