Changes in Substance Use Following COVID-19: Harnessing Digital Phenotyping

新冠肺炎疫情是全球和国家的重大卫生紧急事件，虽然没有必要指出这一点，但有些地方还没有人相信，这使得紧急情况变得更加可怕。在美国各地，新冠肺炎对有色人种社区、低收入人群和缺乏稳定住房的人群的影响不成比例。新冠肺炎大流行还与一种先前存在的和正在进行的大流行相撞：物质使用障碍(SUDS)。肥皂症患者特别容易受到Covid-19对健康、社会和经济的影响，并且随着新冠肺炎的经济和心理压力，肥皂症患者的数量可能会增加。 这个项目的目的是1)在研究开始时调查新冠肺炎大流行对患有和不患有肥皂症的人的药物使用、药物相关行为和药物使用的后果的影响；2)在有或出现肥皂症的人中调查新冠肺炎大流行和获得/坚持治疗之间的双向影响；以及3)改进日常生活行为标记物的检测方法，包括(A)运动模式、(B)社会互动、支持和疏远、(C)物质使用、(D)复原力和幸福感，以及(E)心理问题(包括大流行特有的问题)。

The Covid-19 pandemic is a major global and national health emergencyand although it should be unnecessary to point that out, there are places where it is not yet believed, making the emergency all the more dire. Across the US, Covid-19 is disproportionately impacting communities of color, people with lower incomes, and people who lack stable housing. The Covid-19 pandemic is also colliding with a preexisting and ongoing pandemic: substance use disorders (SUDs). People with SUDs are particularly vulnerable to the health, social, and economic impacts of Covid-19and the number of people with SUDs is likely to increase with the economic and psychological stress of Covid-19. The aims of this project are to 1) investigate the effects of the Covid-19 pandemic on drug use, drug-related behaviors, and consequences of drug use, in people with and without SUDs at the start of the study; 2) investigate bidirectional effects between the Covid-19 pandemic and access/adherence to treatment, in people who have or develop SUDs; and 3) improve methodology for detection of daily-life behavioral markers of (a) movement patterns, (b) social interactions, support, and distancing, (c) substance use, (d) resilience and wellbeing, and (e) psychological problems (including pandemic-specific problems).