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Predictors of Short-Term Alcohol Drinking in Patients with Alcohol Use Disorders during the Third Wave of the COVID-19 Pandemic: Prospective Study in Three Addiction Outpatient Centers in France

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  • Aymery Constant

    (Department of Behavioral Sciences, EHESP School of Public Health, 35043 Rennes, France
    INRAE, INSERM, Nutrition Metabolisms and Cancer Institute, University of Rennes1, 35000 Rennes, France)

  • Marlène Sanz

    (CH de Saint Malo, Service D’addictologie, 35400 Saint Malo, France)

  • Romain Moirand

    (INRAE, INSERM, Nutrition Metabolisms and Cancer Institute, University of Rennes1, 35000 Rennes, France
    CHU de Rennes, Unité D’addictologie, 35000 Rennes, France)

Abstract

The present study investigates the extent to which the COVID-19 crisis disturbed different life domains of patients with alcohol use disorder (AUD) and assessed the associations between these disturbances and the risk of short-term alcohol drinking. All patients aged >18 years receiving outpatient care at three addiction treatment facilities from 15 April to 30 May 2021 were eligible for inclusion in the study. A trained resident assessed the extent to which the COVID-19 crisis affected their professional activity, social life, access to healthcare, and drinking problems, together with craving, drinking behavior, psychological distress, physical/mental health, and sociodemographic and clinical data. The same investigator assessed alcohol drinking 1 month after their visit. Nearly half of the patients felt that the COVID-19 crisis had a serious impact on their drinking problems, despite minor disruptions in access to healthcare. These disturbances significantly influenced short-term alcohol drinking in univariate analysis, together with psychological distress, craving, and drinking problems. Only craving predicted alcohol drinking in multivariate analyses, suggesting that psychological and drinking problems, as well as COVID-19 disturbances, increased the risk of alcohol drinking by increasing craving. Craving should be systematically investigated in patients with AUD to establish adapted social support systems during pandemics.

Suggested Citation

  • Aymery Constant & Marlène Sanz & Romain Moirand, 2022. "Predictors of Short-Term Alcohol Drinking in Patients with Alcohol Use Disorders during the Third Wave of the COVID-19 Pandemic: Prospective Study in Three Addiction Outpatient Centers in France," IJERPH, MDPI, vol. 19(4), pages 1-9, February.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:1948-:d:745742
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    References listed on IDEAS

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    1. Åkerlind, Ingemar & Hörnquist, Jan Olof, 1992. "Loneliness and alcohol abuse: A review of evidences of an interplay," Social Science & Medicine, Elsevier, vol. 34(4), pages 405-414, February.
    2. Debanjan Banerjee & Mayank Rai, 2020. "Social isolation in Covid-19: The impact of loneliness," International Journal of Social Psychiatry, , vol. 66(6), pages 525-527, September.
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