Differences in mental health and alcohol use across profiles of COVID-19 disruptions

Abstract

This study aimed to examine differences in mental health and alcohol use outcomes across distinct patterns of work, home, and social life disruptions associated with the COVID-19 pandemic. Data from 2093 adult participants were collected from September 2020 to April 2021 as a part of a larger study examining the impacts of the COVID-19 pandemic on substance use. Participants provided data on COVID-19 pandemic experiences, mental health outcomes, media consumption, and alcohol use at baseline. Alcohol use difficulties, including problems related to the use, desire to use alcohol, failure to cut down on alcohol use, and family/friend concern with alcohol use, were measured at 60-day follow-up. Factor mixture modeling followed by group comparisons, multiple linear regressions, and multiple logistic regressions was conducted. A four-profile model was selected. Results indicated that profile membership predicted differences in mental health and alcohol use outcomes above and beyond demographics. Individuals experiencing the most disruption reported the strongest daily impact of COVID-19 and significantly high levels of depression, anxiety, loneliness, overwhelm, alcohol use at baseline, and alcohol use difficulties measured at 60-day follow-up. The findings highlight the need for integrated mental health and/or alcohol services and social services targeting work, home, and social life during public health emergencies in order to respond effectively and comprehensively to the needs of those requiring different types of support.

Examination of COVID stress syndrome facets and relations to substance misuse using profile analysis via multidimensional scaling (PAMS)

“…To that end, several psychosocial models of COVID-19-related stress have been proposed, with extant conceptualizations often focusing on the impact of the pandemic on occupational, domestic, and social domains. Research examining these general psychosocial models has found unique profiles of responding across domains and associations between particular profiles and alcohol use problems (Gray et al, 2023;Luk et al, 2023), suggesting nuanced and important relations between COVID-19-related stress and substance misuse. In an attempt to better understand cognitive and behavioral factors underlying COVID-19-related stress, several interrelated psychological processes-collectively referred to as the COVID stress syndrome-have been proposed as significant risk factors for pandemic-related substance misuse (McKay & Asmundson, 2020;Taylor et al, 2020a).…”