Complicated Alcohol Withdrawal—An Unintended Consequence of COVID-19 Lockdown

Narasimha, Venkata Lakshmi; Shukla, Lekhansh; Mukherjee, Diptadhi; Menon, Jayakrishnan; Huddar, Sudheendra; Panda, Udit Kumar; Jayant, Mahadevan; Kandasamy, Arun; Chand, Prabhat; Benegal, Vivek; Murthy, Pratima

doi:10.1093/alcalc/agaa042

Cited by 97 publications

(94 citation statements)

References 10 publications

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“…During the pandemic, athletes with substance misuse and substance use disorders may be at increased risk of substance withdrawal (eg, during quarantine or isolation) 38 or, conversely, increased use of substances, 39…”

Section: Medications For Substance Use Disordersmentioning

confidence: 99%

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Bindra²,

et al. 2020

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Elite athletes suffer many mental health symptoms and disorders at rates equivalent to or exceeding those of the general population. COVID-19 has created new strains on elite athletes, thus potentially increasing their vulnerability to mental health symptoms. This manuscript serves as a narrative review of the impact of the pandemic on management of those symptoms in elite athletes and ensuing recommendations to guide that management. It specifically addresses psychotherapy, pharmacotherapy and higher levels of care. Within the realm of psychotherapy, crisis counselling might be indicated. Individual, couple/family and group psychotherapy modalities all may be helpful during the pandemic, with novel content and means of delivery. Regarding pharmacotherapy for mental health symptoms and disorders, some important aspects of management have changed during the pandemic, particularly for certain classes of medication including stimulants, medications for bipolar and psychotic disorders, antidepressants and medications for substance use disorders. Providers must consider when in-person management (eg, for physical examination, laboratory testing) or higher levels of care (eg, for crisis stabilisation) is necessary, despite potential risk of viral exposure during the pandemic. Management ultimately should continue to follow general principles of quality health care with some flexibility. Finally, the current pandemic provides an important opportunity for research on new methods of providing mental health care for athletes, and consideration for whether these new methods should extend beyond the pandemic.

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Section: Medications For Substance Use Disordersmentioning

confidence: 99%

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Bindra²,

et al. 2020

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“…Third, co-morbidities prevalent among people with SUD are associated with more severe COVID-19 symptoms, complications and fatalities and increase vulnerability to COVID-19 (3)(4)(5)(6)(7). Fourth, COVID-19 public health mitigation measures (i.e., physical distancing, quarantine and isolation) may exacerbate loneliness, mental health symptoms, withdrawal symptoms and psychological trauma (10)(11)(12)(13). Fifth, COVID-19 mitigation measures are likely to inhibit access to SUD treatment services (8).…”

Section: The Intersection Of Substance Use Disorder and Covid-19mentioning

confidence: 99%

Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

et al. 2020

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COVID-19 shocked health and economic systems leaving millions of people without employment and safety nets. The pandemic disproportionately affects people with substance use disorders (SUDs) due to the collision between SUDs and COVID-19. Comorbidities and risk environments for SUDs are likely risk factors for COVID-19. The pandemic, in turn, diminishes resources that people with SUD need for their recovery and wellbeing. This article presents an interdisciplinary and international perspective on how COVID-19 and the related systemic shock impact on individuals with SUDs directly and indirectly. We highlight a need to understand SUDs as biopsychosocial disorders and use evidence-based policies to destigmatize SUDs. We recommend a suite of multi-sectorial actions and strategies to strengthen, modernize and complement addiction care systems which will become resilient and responsive to future systemic shocks similar to the COVID-19 pandemic.

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“…There are also reports about heightened distress among the mentally ill in the pandemic areas [15]. Increased alcohol or substance withdrawal has also been seen [16]. Furthermore, mounting suicide rates raise public health concern [17,18].…”

Section: Introductionmentioning

confidence: 99%

Anxiety and Depression During COVID-19 Pandemic Among Medical Students in Nepal

Risal

Shikhrakar

Mishra

et al. 2020

Preprint

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Background: Medical students’ psychological response to societal lockdown during the covid-19 pandemic has not been studied much. Our aim was to assess levels of anxiety and depression among medical students during the initial stages of the pandemic in Nepal and relate their distress to psychosocial and other relevant situational variables.Materials and Methods: A cross-sectional study with an online questionnaire was conducted among medical students at different colleges in Nepal. Hospital Anxiety and Depression Scale (HADS) detected manifestations of anxiety and depression. The covariates were explored by logistic regression analyses.Results: A total 416 medical students [mean age: 22.2 (2.1); males 57.7%, females 42.3%] participated. HADS-anxiety scores [mean: 7.1(4.3)] were significantly and positively correlated with HADS-depression [mean: 5.9 (4.1)] (r=0.695; p<0.001). Point prevalence of total HADS caseness (HADS-T) was 26.7%. Specific HADS-defined caseness were: anxiety (HADS-A) 11.8%, depression (HADS-D) 5.5%, and comorbid anxiety and depression (HADS-cAD) 9.4%. All four types of caseness were significantly more prevalent among students with a history of mental problems (AOR=4.7, 3.2, 2.6, and 3.2 respectively). HADS-T was higher among those with a concurrent physical illness (AOR=2.4). HADS-T, HADS-A and HADS-D scores were higher among the age group >22 years (AOR= 2.2, 2.5 and 4.4 respectively). HADS-cAD was almost three-times higher among those with a possible COVID-19 exposure (AOR=2.8).Conclusion: A significant number of medical students in Nepal suffered from high levels of anxiety and depression during the covid-19 shut-down. The students in the higher (>22 years) age group, those with past mental disorders, a possible covid-19 exposure, and a concurrent physical illness showed elevated levels of anxiety and/or depression.

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Complicated Alcohol Withdrawal—An Unintended Consequence of COVID-19 Lockdown

Cited by 97 publications

References 10 publications

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Mental health management of elite athletes during COVID-19: a narrative review and recommendations

Substance Use Disorders and COVID-19: Multi-Faceted Problems Which Require Multi-Pronged Solutions

Anxiety and Depression During COVID-19 Pandemic Among Medical Students in Nepal

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