Drinking to Cope During COVID-19 Pandemic: The Role of External and Internal Factors in Coping Motive Pathways to Alcohol Use, Solitary Drinking, and Alcohol Problems.


Journal

Alcoholism, clinical and experimental research
ISSN: 1530-0277
Titre abrégé: Alcohol Clin Exp Res
Pays: England
ID NLM: 7707242

Informations de publication

Date de publication:
10 2020
Historique:
received: 12 06 2020
accepted: 24 07 2020
pubmed: 2 9 2020
medline: 17 12 2020
entrez: 2 9 2020
Statut: ppublish

Résumé

The COVID-19 pandemic has resulted in massive disruptions to society, to the economy, and to daily life. Some people may turn to alcohol to cope with stress during the pandemic, which may put them at risk for heavy drinking and alcohol-related harms. Research is needed to identify factors that are relevant for coping-motivated drinking during these extraordinary circumstances to inform interventions. This study provides an empirical examination of coping motive pathways to alcohol problems during the early stages of the COVID-19 pandemic. Participants (N = 320; 54.7% male; mean age of 32 years) were Canadian adult drinkers who completed an online survey assessing work- and home-related factors, psychological factors, and alcohol-related outcomes over the past 30 days, covering a time period beginning within 1 month of the initiation of the COVID-19 emergency response. The results of a theory-informed path model showed that having at least 1 child under the age of 18, greater depression, and lower social connectedness each predicted unique variance in past 30-day coping motives, which in turn predicted increased past 30-day alcohol use (controlling for pre-COVID-19 alcohol use reported retrospectively). Income loss was associated with increased alcohol use, and living alone was associated with increased solitary drinking (controlling for pre-COVID-19 levels), but these associations were not mediated by coping motives. Increased alcohol use, increased solitary drinking, and greater coping motives for drinking were all independently associated with past 30-day alcohol problems, and indirect paths to alcohol problems from having children at home, depression, social connectedness, income loss, and living alone were all supported. Findings provide insight into coping-motivated drinking early in the COVID-19 pandemic and highlight the need for longitudinal research to establish longer term outcomes of drinking to cope during the pandemic.

Sections du résumé

BACKGROUND
The COVID-19 pandemic has resulted in massive disruptions to society, to the economy, and to daily life. Some people may turn to alcohol to cope with stress during the pandemic, which may put them at risk for heavy drinking and alcohol-related harms. Research is needed to identify factors that are relevant for coping-motivated drinking during these extraordinary circumstances to inform interventions. This study provides an empirical examination of coping motive pathways to alcohol problems during the early stages of the COVID-19 pandemic.
METHODS
Participants (N = 320; 54.7% male; mean age of 32 years) were Canadian adult drinkers who completed an online survey assessing work- and home-related factors, psychological factors, and alcohol-related outcomes over the past 30 days, covering a time period beginning within 1 month of the initiation of the COVID-19 emergency response.
RESULTS
The results of a theory-informed path model showed that having at least 1 child under the age of 18, greater depression, and lower social connectedness each predicted unique variance in past 30-day coping motives, which in turn predicted increased past 30-day alcohol use (controlling for pre-COVID-19 alcohol use reported retrospectively). Income loss was associated with increased alcohol use, and living alone was associated with increased solitary drinking (controlling for pre-COVID-19 levels), but these associations were not mediated by coping motives. Increased alcohol use, increased solitary drinking, and greater coping motives for drinking were all independently associated with past 30-day alcohol problems, and indirect paths to alcohol problems from having children at home, depression, social connectedness, income loss, and living alone were all supported.
CONCLUSIONS
Findings provide insight into coping-motivated drinking early in the COVID-19 pandemic and highlight the need for longitudinal research to establish longer term outcomes of drinking to cope during the pandemic.

Identifiants

pubmed: 32870516
doi: 10.1111/acer.14425
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

2073-2083

Subventions

Organisme : York University
Pays : International

Informations de copyright

© 2020 by the Research Society on Alcoholism.

Références

Allan NP, Albanese BJ, Norr AM, Zvolensky MJ, Schmidt NB (2015) Effects of anxiety sensitivity on alcohol problems: evaluating chained mediation through generalized anxiety, depression and drinking motives. Addiction 110:260-268.
Arpin SN, Mohr CD, Brannan D (2015) Having friends and feeling lonely: a daily process examination of transient loneliness, socialization, and drinking behavior. Pers Soc Psychol Bull 41:615-628.
Asmundson GJ, Taylor S (2020) How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. J Anxiety Disord 71:102211.
BACtrack (2020) Coronavirus is causing a dramatic shift in the drinking habits of Americans on lockdown [Web site]. 2020. Available from: https://www.bactrack.com/pages/coronavirus-covid-19-causing-dramatic-shift-alcohol-drinking-habits-americans-lockdown. Accessed June 5, 2020.
Benzie R (2020) LCBO reporting its sales have gone up during the COVID-19 crisis. Toronto Star [newspaper online]. April 23, 2020. Available at: https://www.thestar.com/politics/provincial/2020/04/23/lcbo-reporting-its-sales-have-gone-up-during-the-covid-19-crisis.html. Accessed June 5, 2020.
Bonin MF, McCreary DR, Sadava SW (2000) Problem drinking behavior in two community-based samples of adults: Influence of gender, coping, loneliness, and depression. Psychol Addict Behav 14:151-161.
Brown RL, Richman JA (2012) Sex differences in mediating and moderating processes linking economic stressors, psychological distress, and drinking. J Stud Alcohol Drugs 73:811-819.
Canadian Centre on Substance Use and Addiction (2020) Canadians under 54 drinking more while at home due to COVID-19 pandemic [Web site]. April 15, 2020. Available at: https://ccsa.ca/canadians-under-54-drinking-more-while-home-due-covid-19-pandemic. Accessed June 5, 2020.
Carey A (2020) Coronavirus: CBA report reveals what we’re buying during pandemic. News.com.au [newspaper online]. March 31, 2020. Available at: https://www.news.com.au/finance/business/retail/coronavirus-cba-report-reveals-what-were-buying-during-pandemic/news-story/5004b6810d69cdbcc73ac7789e24460d. Accessed June 11, 2020.
Centers for Disease Control and Prevention (2020) Mental health household pulse survey [Web site]. June 10, 2020. Available at: https://www.cdc.gov/nchs/covid19/pulse/mental-health.htm. Accessed June 10, 2020.
Centre for Addiction and Mental Health (2020) COVID-19 national survey dashboard [Web site]. 2020. Available at: https://www.camh.ca/en/health-info/mental-health-and-covid-19/covid-19-national-survey. Accessed June 8, 2020.
Cooper ML (1994) Motivations for alcohol use among adolescents: development and validation of a four-factor model. Psychol Assess 6:117-128.
Cooper ML, Frone MR, Russell M, Mudar P (1995) Drinking to regulate positive and negative emotions: a motivational model of alcohol use. J Pers Soc Psychol 69:990-1005.
Cooper ML, Kuntsche E, Levitt A, Barber LL, Wolf S (2016) Motivational models of substance use: a review of theory and research on motives for using alcohol, marijuana, and tobacco, in The Oxford Handbook of Substance Use and Substance Use Disorders, Vol 1 (Sher KJ ed), pp 375-421. Oxford University Press, Oxford.
de Goeij MC, Suhrcke M, Toffolutti V, van de Mheen D, Schoenmakers TM, Kunst AE (2015) How economic crises affect alcohol consumption and alcohol-related health problems: a realist systematic review. Soc Sci Med 131:131-146.
DeMartini KS, Carey KB (2011) The role of anxiety sensitivity and drinking motives in predicting alcohol use: a critical review. Clin Psychol Rev 31:169-177.
Frone MR (1999) Work stress and alcohol use. Alcohol Res Health 23:284-291.
Government of Canada (2020a) Coronavirus disease 2019 (COVID-19): Epidemiology update [Web site]. June 9, 2020. Available at: https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html#a2. Accessed June 10, 2020.
Government of Canada (2020b) Canada emergency response benefit statistics [Web site]. June 8, 2020. Available at: https://www.canada.ca/en/services/benefits/ei/claims-report.html. Accessed June 10, 2020.
Hasin DS, Grant BF (2015) The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings. Soc Psychiatr Epidemiol 50:1609-1640.
Hedman E, Lekander M, Ljótsson B, Lindefors N, Rück C, Andersson G, Andersson E (2015) Optimal cut-off points on the health anxiety inventory, illness attitude scales and whiteley index to identify severe health anxiety. PLoS One 10:e0123412.
Holahan CJ, Moos RH, Holahan CK, Cronkite RC, Randall PK (2003) Drinking to cope and alcohol use and abuse in unipolar depression: a 10-year model. J Abnorm Psychol 112:159-165.
Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, Ballard C, Christensen H, Silver RC, Everall I (2020) Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry 7:547-560.
Hu L-T, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model 6:1-55.
Kellner R (1987) Abridged Manual of the Illness Attitude Scales. University of New Mexico, Albuquerque, NM.
Kenney S, Jones RN, Barnett NP (2015) Gender differences in the effect of depressive symptoms on prospective alcohol expectancies, coping motives, and alcohol outcomes in the first year of college. J Youth Adolesc 44:1884-1897.
Keough MT, Battista SR, O'Connor RM, Sherry SB, Stewart SH (2016) Getting the party started-alone: solitary predrinking mediates the effect of social anxiety on alcohol-related problems. Addict Behav 55:19-24.
Keough MT, O'Connor RM, Sherry SB, Stewart SH (2015) Context counts: solitary drinking explains the association between depressive symptoms and alcohol-related problems in undergraduates. Addict Behav 42:216-221.
Kim HS, Hodgins DC (2017) Reliability and validity of data obtained from alcohol, cannabis, and gambling populations on Amazon's Mechanical Turk. Psychol Addict Behav 31:85-94.
Kroenke K, Spitzer RL, Williams JB (2001) The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med 16:606-613.
Kuntsche E, Knibbe R, Gmel G, Engels R (2005) Why do young people drink? A review of drinking motives. Clin Psychol Rev 25:841-861.
Kuntsche E, Kuntsche S (2009) Development and validation of the drinking motive questionnaire revised short form (DMQ-R SF). J Clin Child Adolesc Psychol 38:899-908.
Lambe L, Mackinnon SP, Stewart SH (2015) Dyadic conflict, drinking to cope, and alcohol-related problems: a psychometric study and longitudinal actor-partner interdependence model. J Fam Psychol 29:697-707.
Lee RM, Draper M, Lee S (2001) Social connectedness, dysfunctional interpersonal behaviors, and psychological distress: testing a mediator model. J Couns Psychol 48:310-318.
Merrill JE, Wardell JD, Read JP (2014) Drinking motives in the prospective prediction of unique alcohol-related consequences in college students. J Stud Alcohol Drugs 75:93-102.
Miller WR, Tonigan JS, Longabaugh R (1995) The Drinker's Inventory of Consequences (DrInC): An Instrument for Assessing Adverse Consequences of Alcohol Abuse. NIH Publication, 95-3911. National Institute of Alcohol Abuse and Alcoholism, Rockville, MD.
Muthén LK, Muthén BO (2012) Mplus User's Guide, 7th edn. Muthén & Muthén, Los Angeles, CA.
OHS Canada (2020) A provincial guide to what’s being done to fight COVID-19 [Web site]. April 13, 2020. Available at: https://www.ohscanada.com/provincial-guide-whats-done-fight-covid-19/. Accessed June 2, 2020.
Orui K, Frohlich JR, Stewart SH, Sherry SB, Keough MT (2020) Examining subgroups of depression and alcohol misuse in emerging adults during university: a replication and extension study. Int J Ment Health Ad. [Epub ahead of print]. https://doi.org/10.1007/s11469-020-00325-w
Palan S, Schitter C (2018) Prolific. ac-a subject pool for online experiments. J Behav Exp Finance 17:22-27.
Peer E, Brandimarte L, Samat S, Acquisti A (2017) Beyond the Turk: alternative platforms for crowdsourcing behavioral research. J Exp Soc Psychol 70:153-163.
Peirce RS, Frone MR, Russell M, Cooper ML, Mudar P (2000) A longitudinal model of social contact, social support, depression, and alcohol use. Health Psychol 19:28-38.
Pelham WE Jr, Lang AR (1999) Can your children drive you to drink?: stress and parenting in adults interacting with children with ADHD. Alcohol Res Health 23:292-298.
Peltier MR, Verplaetse TL, Mineur YS, Petrakis IL, Cosgrove KP, Picciotto MR, McKee SA (2019) Sex differences in stress-related alcohol use. Neurobiol Stress 10:100149.
Prolific Team (2020). Using attention checks as a measure of data quality [Web stie]. May 19, 2020. Available from: https://researcher-help.prolific.co/hc/en-gb/articles/360009223553-Using-attention-checks-as-a-measure-of-data-quality. Accessed June 11, 2020.
Rehm J, Kilian C, Ferreira-Borges C, Jernigan D, Monteiro M, Parry CD, Sanchez ZM, Manthey J (2020) Alcohol use in times of the COVID 19: implications for monitoring and policy. Drug Alcohol Rev 39:301-304.
Sadava S, Thompson M (1986) Loneliness, social drinking, and vulnerability to alcohol problems. Can J Behav Sci 18:133-139.
Sherry SB, Hewitt PL, Stewart SH, Mackinnon AL, Mushquash AR, Flett GL, Sherry DL (2012) Social disconnection and hazardous drinking mediate the link between perfectionistic attitudes and depressive symptoms. J Psychopathol Behav Assess 34:370-381.
Sirri L, Grandi S, Fava GA (2008) The illness attitude scales: a clinimetric index for assessing hypochondriacal fears and beliefs. Psychother Psychosom 77:337-350.
Skrzynski CJ, Creswell KG (2020) Associations between solitary drinking and increased alcohol consumption, alcohol problems, and drinking to cope motives in adolescents and young adults: a systematic review and meta-analysis. Addiction. [Epub ahead of print]. https://doi.org/10.1111/add.15055
Statistics Canada (2020) Labour Force Survey, April 2020 [Web site]. May 8, 2020. Available at: https://www150.statcan.gc.ca/n1/daily-quotidien/200508/dq200508a-eng.htm. Accessed June 5, 2020.
Stevenson BL, Dvorak RD, Kramer MP, Peterson RS, Dunn ME, Leary AV, Pinto D (2019) Within-and between-person associations from mood to alcohol consequences: the mediating role of enhancement and coping drinking motives. J Abnorm Psychol 128:813-822.
Tabachnick BG, Fidell LS (2007) Using Multivariate Statistics. Vol. 5. Pearson, Boston, MA.
Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, Ho RC (2020) Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 17. https://doi.org/10.3390/ijerph17051729
World Health Organization (2020) Rolling updates on coronavirus disease COVID-19 [Web site]. June 1, 2020. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen. Accessed June 10, 2020.

Auteurs

Jeffrey D Wardell (JD)

From the Department of Psychology, York University, Toronto, ON, Canada.
Institute for Mental Health Policy Research and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.

Tyler Kempe (T)

Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.

Karli K Rapinda (KK)

Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.

Alanna Single (A)

Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.

Elena Bilevicius (E)

Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.

Jona R Frohlich (JR)

Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.

Christian S Hendershot (CS)

Institute for Mental Health Policy Research and Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, ON, Canada.
Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Department of Psychology, University of Toronto, Toronto, ON, Canada.
Department of Pharmacology and Toxicology, University of Toronto, Toronto, ON, Canada.

Matthew T Keough (MT)

From the Department of Psychology, York University, Toronto, ON, Canada.

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