Addressing Problems With Alcohol and Other Substances Among Older Adults During the COVID-19 Pandemic

Satre, Derek D.; Hirschtritt, Matthew E.; Silverberg, Michael J.; Sterling, Stacy

doi:10.1016/j.jagp.2020.04.012

Cited by 80 publications

(65 citation statements)

References 14 publications

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“…This implies that poor health status can solely or in combination with fear of COVID-19 may likely worsen older adults’ mental health ( Killgore et al, 2020 ). A good social or family support systems may be needed as a vital tool toward re-assuring and improving older adults’ health in general ( Cudjoe & Abdullah, 2020 ; Satre et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

The Association Between Health Status and Insomnia, Mental Health, and Preventive Behaviors: The Mediating Role of Fear of COVID-19

Ahorsu

Lin

Pakpour

2020

Gerontology and Geriatric Medicine

112

107

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Objectives: This study examined the mediation role of fear of COVID-19 in the association between perceived health status of older adults and their insomnia, mental health, and COVID-19 preventive behaviors so as to have better understanding of the factors associated with COVID-19 and its preventive measures. Methods: A total of 413 older adults with a mean age of 57.72 ( SD = 7.31) were recruited for this study. They responded to the measures on fear of COVID-19, insomnia, mental health, and COVID-19 preventive behaviors. Results: There were small-large significant interrelationships between insomnia, mental health, fear of COVID-19, and preventive behaviors. Fear of COVID-19 significantly mediated the associations between perceived health status and insomnia, mental health, and COVID-19 preventive behaviors. It was also observed that perceived health status directly influenced insomnia and mental health of older adults but not their COVID-19 preventive behaviors. Conclusion: Fear of COVID-19 has an important role to play in the management of the health and preventive behaviors of older adults. Health experts and communicators may capitalize on these findings to educate people on COVID-19. Future studies are needed to perfectly ascertain the extent of fear needed to stimulate or initiate better preventive behaviors and healthcare practices.

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Section: Discussionmentioning

confidence: 99%

The Association Between Health Status and Insomnia, Mental Health, and Preventive Behaviors: The Mediating Role of Fear of COVID-19

Ahorsu

Lin

Pakpour

2020

Gerontology and Geriatric Medicine

112

107

View full text Add to dashboard Cite

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“…Lockdown policies aim at limiting the pandemic, but may have an impact on substance use, and therefore interfere with global prognosis. Social distancing guidelines and telehealth may also interfere with usual care, especially in elder with SUD who may find themselves cut off from support if they are unable to effectively use online treatment and self-help resources ( Satre et al, 2020 ). Overall, the association of COVID-19 and SUDs raises several questions in medical practice, and from a public health perspective.…”

Section: Introductionmentioning

confidence: 99%

Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review

Mallet

Dubertret

Strat

2021

Progress in Neuro-Psychopharmacology and Biological Psychiatry

125

116

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Background In the context of the COVID-19 worldwide pandemic, an up-to-date review of current challenges in addictions is necessary. While large scale disasters may have an impact on substance use and addictions, the use of some substances is also likely to modify the risk of COVID-19 infection or course. Many countries have imposed lockdowns. Whether this quarantine or the end of lockdown measures will have an impact on substance use is discussed. The aim of this review is to gather knowledge for clinicians and to guide public health policies during/after lockdown. Methods PubMed was reviewed in August 6th (2020), to determine the current evidences and observations concerning the addictions and SARS-CoV2. We used all the names of the severe acute respiratory syndrome of coronavirus 2 (SARS-CoV2 previously 2019 nCoV), the name of the coronavirus disease 2019 (COVID-19), and common substances of abuse. For the physiopathological parts, searches were conducted using key words such as “infection” or “pneumonia”. For the lockdown effects, key words such as “quarantine”, “disaster” or “outbreak” were used. Results Overall, pathophysiological data showed an increased risk of infections for individuals with Substance Use Disorders (SUD) and a possible protective role of nicotine. During lockdown, there is a substantial risk of increasing SUDs. Individuals with opioid use disorder are particularly at risk of relapse or of involuntary withdrawal. After lockdown, increase of use may be observed as far as years after. Individuals with addictions are at higher risk of multimorbidity and mortality during COVID outbreak. Conclusion This review describes useful strategies in clinical practice, including a systematic assessment of addiction comorbidity during this almost worldwide lockdown/pandemic. This review also highlights important areas for future research.

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“…Consequences also apply to substance users who, as a result of the COVID-19 restrictions, may no longer have access, potentially resulting in alcohol and drug withdrawal complications. (Columb et al 2020;Rehm et al 2020) Although numerous studies indicate the potential for a perfect storm between substance use disorders (SUDs) and COVID-19, (Columb et al 2020;Narasimha et al 2020;Satre et al 2020;Spagnolo et al 2020) there is currently a dearth of literature on how this applies to the US healthcare system. Particularly, traumatic injuries are still occurring during the lockdown, but there are minimal patient data examining alcohol or drug use during COVID-19 within trauma centers.…”

Section: Introductionmentioning

confidence: 99%

Patterns of alcohol and drug utilization in trauma patients during the COVID-19 pandemic at six trauma centers

et al. 2021

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Background Since the national stay-at-home order for COVID-19 was implemented, clinicians and public health authorities worldwide have expressed growing concern about the potential repercussions of drug and alcohol use due to social restrictions. We explored the impact of the national stay-at-home orders on alcohol or drug use and screenings among trauma admissions. Methods This was a retrospective cohort study at six Level I trauma centers across four states. Patients admitted during the period after the onset of the COVID-19 restrictions (defined as March 16, 2020-May 31, 2020) were compared with those admitted during the same time period in 2019. We compared 1) rate of urine drug screens and blood alcohol screens; 2) rate of positivity for drugs or alcohol (blood alcohol concentration ≥ 10 mg/dL); 3) characteristics of patients who were positive for drug or alcohol, by period using chi-squared tests or Fisher’s exact tests, as appropriate. Two-tailed tests with an alpha of p < 0.05 was used on all tests. Results There were 4762 trauma admissions across the study period; 2602 (55%) in 2019 and 2160 (45%) in 2020. From 2019 to 2020, there were statistically significant increases in alcohol screens (34% vs. 37%, p = 0.03) and drug screens (21% vs. 26%, p < 0.001). Overall, the rate of alcohol positive patients significantly increased from 2019 to 2020 (32% vs. 39%, p = 0.007), while the rate of drug positive patients was unchanged (57% vs. 52%, p = 0.13). Of the 1025 (22%) patients who were positive for alcohol or drugs, there were significant increases in a history of alcoholism (41% vs. 26%, p < 0.001), and substance abuse (11% vs. 23%, p < 0.001) in the 2020 period. No other statistically significant differences were identified among alcohol or drug positive patients during COVID-19 compared to the same period in 2019. Conclusions Our first wave of COVID-19 data suggests that trauma centers were admitting significantly more patients who were alcohol positive, as well those with substance use disorders, potentially due to the impact of social restrictions and guidelines. Further longitudinal research is warranted to assess the alcohol and drug positive rates of trauma patients over the COVID-19 pandemic.

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Addressing Problems With Alcohol and Other Substances Among Older Adults During the COVID-19 Pandemic

Cited by 80 publications

References 14 publications

The Association Between Health Status and Insomnia, Mental Health, and Preventive Behaviors: The Mediating Role of Fear of COVID-19

The Association Between Health Status and Insomnia, Mental Health, and Preventive Behaviors: The Mediating Role of Fear of COVID-19

Addictions in the COVID-19 era: Current evidence, future perspectives a comprehensive review

Patterns of alcohol and drug utilization in trauma patients during the COVID-19 pandemic at six trauma centers

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