Psychological factors associated with substance use initiation during the COVID-19 pandemic

•COVID-19 psychological factors may be risk factors for substance use initiation.•COVID-19-related worry is specifically related to using substances to cope during the pandemic.•COVID-19-related psychological factors may require specific clinical attention. The 2019 outbreak of the novel coronavirus...

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Vydané v:Psychiatry research Ročník 293; s. 113407
Hlavní autori: Rogers, Andrew H., Shepherd, Justin M., Garey, Lorra, Zvolensky, Michael J.
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Ireland Elsevier B.V 01.11.2020
Predmet:
Adaptation, Psychological
Adult
Anxiety - epidemiology
Anxiety - psychology
Coping motives
COVID-19
Fear - psychology
Female
Humans
Male
Mental Health
Motivation
Quarantine - psychology
SARS-CoV-2
Substance use
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
COVID-19
Substance use
Coping motives
Mental health
ISSN:0165-1781, 1872-7123, 1872-7123
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Shrnutí:•COVID-19 psychological factors may be risk factors for substance use initiation.•COVID-19-related worry is specifically related to using substances to cope during the pandemic.•COVID-19-related psychological factors may require specific clinical attention. The 2019 outbreak of the novel coronavirus (COVID-19) has had a devastating impact. Given the on-going nature of the outbreak, the deleterious toll on mental health, including substance use, is unknown. Negative reinforcement models of substance use posit that elevations in stress from the COVID-19 pandemic will elicit a corresponding motivation to downregulate COVID-19-related stress reactivity via substance use for a subset of the population. The current study sought to evaluate: (1) if COVID-19-related worry and fear were associated with substance use coping motives; and (2) how levels of COVID-19-related worry and fear differ between pre-COVID-19 substance users, COVID-19 substance initiators, and abstainers. Participants were 160 adults recruited nationally between April-May 2020 for an online study. Results indicated that COVID-19-related worry was associated with substance use coping motives. Additionally, compared to abstainers, pre-COVID-19 substance users and COVID-19 substance initiators demonstrated the highest levels of worry and fear. Examination of differences suggested that the COVID-19 substance initiators had the highest COVID-19-related worry and fear for all substances except for opioids, with effect size estimates ranging from small to medium. The results of this study suggest that COVID-19-specific psychological factors appear to be involved in substance use behavior.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0165-1781
1872-7123
1872-7123
DOI:10.1016/j.psychres.2020.113407