COVID-19 Lockdown and Consumption Patterns among Substance Use Disorder Outpatients: A Multicentre Study

Grau-López, Lara; Daigre, Constanza; Palma-Álvarez, Raúl Felipe; Sorribes, Marta; Serrano-Pérez, Pedro; Quesada, Manuel; Segura, Lídia; Coronado, Marta; Ramos-Quiroga, Josep Antoni; Colom, Joan

doi:10.1159/000521425

Cited by 17 publications

(19 citation statements)

References 56 publications

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“…In contrast, Schmits ( 27 ) reported an increase in anxiety and depression ( N = 2871 adults, 79.0% females) but without any gender effect. Finally, three studies were in line with these results by showing an increase in substance consumption and psychological distress but without any gender effect ( 28 – 30 ).…”

Section: Discussionsupporting

confidence: 66%

Psychoactive substance use, internet use and mental health changes during the COVID-19 lockdown in a French population: A study of gender effect

et al. 2022

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IntroductionCOVID-19 has enormous impacts on each individual. The goals of our study were (1) to assess the rate of internet and psychoactive substance use, clinical depression and anxiety in a French population during the lockdown (2) to study the role of clinical and socio-demographic variables (especially, gender).Materials and methodsDuring lockdown, an online anonymous questionnaire was used to assess socio-demographic and health data, previous psychiatric history, anterior and current internet and psychoactive substance use, current anxiety, depression and suicidal ideation. The associations of socio-demographic, clinical variables with anxiety, depression, internet or psychoactive substance use were examined.ResultsThe study included 263 participants (aged 38.1 ± 15.3−197 males and 64 females). During the lockdown, internet use increased in 14.4% of cases, alcohol use in 20.2%, and tobacco use in 6.8%. In contrast, more participants reported a decrease in alcohol, tobacco or illicit drug use (25.9, 24, and 27.8% respectively). Anxiety was reported in 62.4% and depression in 20.2% of cases; 29.7% of participants reported an increase in anxiety and 25.5% an increase in depression. Depression was associated with an increase in internet and tobacco use. Tobacco and alcohol use were positively associated and an increase in use was more frequent in previous users of both substances. Maintaining a daily routine and relationships with family, being self-employed were associated to lower risks of depression and anxiety.ConclusionHigher rates of internet use, as well as depression and anxiety, were observed during the lockdown. Gender was not a significant associated factor.

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Section: Discussionsupporting

confidence: 66%

Psychoactive substance use, internet use and mental health changes during the COVID-19 lockdown in a French population: A study of gender effect

et al. 2022

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“…Not all the PUD had access to residential services or access to housing, food and hygiene, issues that were one of the main concerns of the HR professionals during the pandemic [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on harm reduction services in Catalonia: the experience of people who use drugs and harm reduction professionals

Bosch-Arís

Gasulla²,

Gispert³

et al. 2022

Harm Reduct J

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Background Harm reduction services and professionals have had to reorganise and adapt to COVID-19 prevention measures while still ensuring health and social services for people who use drugs (PUD). Objective To assess the impact of the COVID-19 pandemic on PUD and on the professionals who provide harm reduction services. Methods A qualitative, exploratory, multicentre design was used. Two focus groups were held with harm reduction professionals, and 40 individual semi-structured interviews were undertaken with PUD in various harm reduction services in Catalonia. Interviews and focus group discussions were transcribed and analysed using thematic content analysis. Results Harm reduction services adapted to the pandemic situation by employing methods such as reducing opening hours and closing drop in areas, along with health protection measures such as access control, which in turn led to stress among both professionals and service users. Despite the changes implemented, PUD continued to have access to sterile drug use equipment and methadone treatment. In addition, those who were not in treatment were able to access it rapidly. Regarding their emotional state, the PUD reported that it was worse during the pandemic than before the lockdown, with women affected to a greater extent than men. The harm reduction professionals reported difficulties in managing service users’ compliance with the security measures at the beginning of the lockdown and having had to focus primarily on providing food and shelter for the PUD. Conclusions It is important to keep PUD in mind and maintain a harm reduction perspective when implementing confinement measures in situations such as those experienced during the COVID pandemic. Guaranteeing that PUD have their basic needs such as food, hygiene and shelter covered is key.

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“…Various studies have shown how the pandemic has resulted in changes in the treatment demands placed on addiction centers and the healthcare provision patterns of clinicians [ 25 , 26 , 27 , 44 ], along with the associated impact on patients [ 35 , 36 , 37 , 38 ]. Unlike previous studies, this study focused exclusively on patients with dual pathology and analyzed the evolution of treatment admissions, profiles, and care indicators corresponding to the periods before, during, and after confinement, when various anti-COVID-19 measures were implemented in addiction and mental health services.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the closure of some addiction centers [ 34 ] and the shift to virtual treatment have posed a major challenge to meeting the therapeutic needs of these patients. Therefore, some authors have warned of the worsening of comorbid mental disorders and disruptive behaviors both in confinement periods [ 35 , 36 , 37 ] and in the subsequent periods [ 38 ], in addition to a likely increase in relapses [ 39 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in the Care Activity in Addiction Centers with Dual Pathology Patients during the COVID-19 Pandemic

Mancheño-Velasco

Dacosta‐Sánchez

Molina

et al. 2022

JCM

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Background: Health care provision during the COVID-19 pandemic and confinement has led to significant changes in the activity of addiction centers. These changes in healthcare activity may have had a greater impact on patients with dual pathology. The aim of this study is to compare the treatment indicators of patients with dual pathology in addiction centers during the pre-confinement, confinement, and post-confinement periods. Methods: A retrospective observational study was conducted for the period between 1 February 2019 and 30 June 2021. A total of 2785 patients treated in specialized addiction services were divided into three periods according to their time of admission: pre-confinement, confinement, and post-confinement. Results: During the pre-pandemic period, the addiction centers attended to an average of 121.3 (SD = 23.58) patients, decreasing to 53 patients during confinement (SD = 19.47), and 80.69 during the post-confinement period (SD = 15.33). The number of appointments scheduled monthly for each patient decreased during the confinement period, although this number increased after confinement. There was a reduction in the number of toxicological tests carried out both during and after confinement (except for alcohol). Conclusions: The results show a reduction in the number of patients seen and the care activity delivered to dual diagnosis patients. These results, which were caused by the COVID-preventive measures, may affect the progress and recovery of dual patients. A greater investment is needed to bring the care activity up to the standards of the years prior to confinement.

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COVID-19 Lockdown and Consumption Patterns among Substance Use Disorder Outpatients: A Multicentre Study

Cited by 17 publications

References 56 publications

Psychoactive substance use, internet use and mental health changes during the COVID-19 lockdown in a French population: A study of gender effect

Psychoactive substance use, internet use and mental health changes during the COVID-19 lockdown in a French population: A study of gender effect

The impact of the COVID-19 pandemic on harm reduction services in Catalonia: the experience of people who use drugs and harm reduction professionals

Changes in the Care Activity in Addiction Centers with Dual Pathology Patients during the COVID-19 Pandemic

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