Patterns of Alcohol Consumption Among Individuals With Alcohol Use Disorder During the COVID-19 Pandemic and Lockdowns in Germany

被引：13

作者：

Deeken, Friederike ^{[1
]}

Reichert, Markus ^{[2
,3
,4
]}

Zech, Hilmar ^{[5
]}

Wenzel, Julia ^{[6
,7
,8
]}

Wedemeyer, Friederike ^{[9
]}

Aguilera, Alvaro ^{[10
]}

Aslan, Acelya ^{[11
]}

Bach, Patrick ^{[11
]}

Bahr, Nadja S. ^{[6
,7
,8
]}

Ebrahimi, Claudia ^{[6
,7
,8
]}

Fischbach, Pascale C. ^{[5
]}

Ganz, Marvin ^{[2
]}

Garbusow, Maria ^{[6
,7
,8
]}

Grosskopf, Charlotte M. ^{[5
]}

Heigert, Marie ^{[6
,7
,8
]}

Hentschel, Angela ^{[5
]}

Karl, Damian ^{[11
]}

Pelz, Patricia ^{[6
,7
,8
]}

Pinger, Mathieu ^{[12
]}

Riemerschmid, Carlotta ^{[6
,7
,8
]}

Rosenthal, Annika ^{[6
,7
,8
]}

Steffen, Johannes ^{[5
]}

Strehle, Jens ^{[10
]}

Weiss, Franziska ^{[12
]}

Wieder, Gesine ^{[10
]}

Wieland, Alfred ^{[11
]}

Zaiser, Judith ^{[11
]}

Zimmermann, Sina ^{[11
]}

Walter, Henrik ^{[6
,7
,8
]}

Lenz, Bernd ^{[11
]}

Deserno, Lorenz ^{[5
,13
,14
]}

Smolka, Michael N. ^{[5
]}

Liu, Shuyan ^{[6
,7
,8
]}

Ebner-Priemer, Ulrich W. ^{[2
,3
]}

Heinz, Andreas ^{[6
,7
,8
]}

Rapp, Michael A. ^{[1
]}

机构：

[1] Univ Potsdam, Dept Social & Prevent Med, Neuen Palais 10, D-14469 Potsdam, Germany

[2] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Dept Psychiat & Psychotherapy, Mannheim, Germany

[3] Karlsruhe Inst Technol, Dept Sports & Sports Sci, Mental mHlth Lab, Karlsruhe, Germany

[4] Ruhr Univ Bochum, Fac Sports Sci, Dept eHlth & Sports Analyt, Bochum, Germany

[5] Tech Univ Dresden, Dept Psychiat, Dresden, Germany

[6] Charite Univ Med Berlin, Dept Psychiat & Neurosci, Berlin, Germany

[7] FreieUniv Berlin, Berlin, Germany

[8] Humboldt Univ, Berlin, Germany

[9] Epilepsy Ctr Berlin Brandenburg, Epilepsy Clin Tabor, Bernau, Germany

[10] Tech Univ Dresden, Ctr Informat Serv & High Performance Comp, Dresden, Germany

[11] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Dept Addict Behav & Addict Med, Mannheim, Germany

[12] Heidelberg Univ, Med Fac Mannheim, Cent Inst Mental Hlth, Dept Clin Psychol, Mannheim, Germany

[13] Univ Wurzburg, Dept Child & Adolescent Psychiat Psychotherapy &, Wurzburg, Germany

[14] Max Planck Inst Human Cognit & Brain Sci, Leipzig, Germany

来源：

JAMA NETWORK OPEN | 2022年 / 5卷 / 08期

关键词：

D O I：

10.1001/jamanetworkopen.2022.24641

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

IMPORTANCE Alcohol consumption (AC) leads to death and disability worldwide. Ongoing discussions on potential negative effects of the COVID-19 pandemic on AC need to be informed by real-world evidence. OBJECTIVE To examine whether lockdown measures are associated with AC and consumption-related temporal and psychological within-person mechanisms. DESIGN, SETTING, AND PARTICIPANTS This quantitative, intensive, longitudinal cohort study recruited 1743 participants from 3 sites from February 20, 2020, to February 28, 2021. Data were provided before and within the second lockdown of the COVID-19 pandemic in Germany: before lockdown (October 2 to November 1, 2020); light lockdown (November 2 to December 15, 2020); and hard lockdown (December 16, 2020, to February 28, 2021). MAIN OUTCOMES AND MEASURES Daily ratings of AC (main outcome) captured during 3 lockdown phases (main variable) and temporal (weekends and holidays) and psychological (social isolation and drinking intention) correlates. RESULTS Of the 1743 screened participants, 189 (119 [63.0%] male; median [IQI2] age, 37 [27.5-52.0] years) with at least 2 alcohol use disorder (AUD) criteria according to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) yet without the need for medically supervised alcohol withdrawal were included. These individuals provided 14 694 smartphone ratings from October 2020 through February 2021. Multilevel modeling revealed significantly higher AC (grams of alcohol per day) on weekend days vs weekdays (beta = 11.39; 95% CI, 10.00-12.77; P < .001). Alcohol consumption was above the overall average on Christmas (beta = 26.82; 95% CI, 21.87-31.77: P < .001) and New Year's Eve (beta = 66.88; 95% CI, 59.22-74.54; P < .001). During the hard lockdown, perceived social isolation was significantly higher (beta = 0.12; 95% CI, 0.06-0.15; P < .001), but AC was significantly lower (beta = -5.45; 95% CI, -8.00 to -2.90; P = .001). Independent of lockdown, intention to drink less alcohol was associated with lower AC (beta = -11.10; 95% CI, -13.63 to -8.58; P < .001). Notably, differences in AC between weekend and weekdays decreased both during the hard lockdown (beta = -6.14; 95% CI, -9.96 to -2.31; P = .002) and in participants with severe AUD (beta = -6.26: 95% CI, -10.18 to -2.34; P = .002). CONCLUSIONS AND RELEVANCE This 5-month cohort study found no immediate negative associations of lockdown measures with overall AC. Rather, weekend-weekday and holiday AC patterns exceeded lockdown effects. Differences in AC between weekend days and weekdays evinced that weekend drinking cycles decreased as a function of AUD severity and lockdown measures, indicating a potential mechanism of losing and regaining control. This finding suggests that temporal patterns and drinking intention constitute promising targets for prevention and intervention, even in high-risk individuals.

引用

页数：11

共 30 条

[1]

APA, 1980, Diagnostic and statistical manual of mental disorders

[2]

Bolger N., 2013, Methodology in the Social Sciences

[3]

Bundesregierung, COR DIES REG GELT AB

[4]

Bundesregierung, LOCKD DIES REG GELT

[5]

Calina Daniela, 2021, Toxicol Rep, V8, P529, DOI 10.1016/j.toxrep.2021.03.005

[6] Risk and Protective Factors for Alcohol Use Disorders Across the Lifespan [J].

Deeken, Friederike ;

Banaschewski, Tobias ;

Kluge, Ulrike ;

Rapp, Michael A. .

CURRENT ADDICTION REPORTS, 2020, 7 (03) :245-251

[7] Sustaining Health-Protective Behaviors Such as Physical Activity and Healthy Eating [J].

Dunton, Genevieve F. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2018, 320 (07) :639-640

[8]

Fydrich T., 2007, Fragebogen Zu Sozialen Untersttzung, V1

[9]

Griswold MG, 2018, LANCET, V392, P1015, DOI [10.1016/S0140-6736(18)31310-2, 10.1016/s0140-6736(18)31310-2]

[10] Alcohol Consumption during the COVID-19 Pandemic: A Cross-Sectional Survey of US Adults [J].

Grossman, Elyse R. ;

Benjamin-Neelon, Sara E. ;

Sonnenschein, Susan .

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2020, 17 (24) :1-10

← 1 2 3 →