Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience
ObjectiveThe COVID-19 pandemic may have interfered with individuals’ access to alcohol use disorder (AUD) treatment, but limited research has documented the impact of treatment interference on drinking behavior. This study’s purpose was to examine the associations of AUD treatment interference with...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1487277/full |
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| author | Rhianna R. Vergeer Jeremy W. Luk Bethany L. Stangl Emma M. McCabe Ugne Ziausyte Melanie L. Schwandt David Goldman Vijay A. Ramchandani Nancy Diazgranados |
| author_facet | Rhianna R. Vergeer Jeremy W. Luk Bethany L. Stangl Emma M. McCabe Ugne Ziausyte Melanie L. Schwandt David Goldman Vijay A. Ramchandani Nancy Diazgranados |
| author_sort | Rhianna R. Vergeer |
| collection | DOAJ |
| description | ObjectiveThe COVID-19 pandemic may have interfered with individuals’ access to alcohol use disorder (AUD) treatment, but limited research has documented the impact of treatment interference on drinking behavior. This study’s purpose was to examine the associations of AUD treatment interference with problematic alcohol use, and the moderating roles of perceived stress and resilience.MethodA cross-sectional survey design was employed. Data were drawn from the baseline assessment of the National Institute on Alcohol Abuse and Alcoholism COVID-19 Pandemic Impact on Alcohol Study. Between June 2020 and March 2021, 288 participants (48.6% female, 51.4% male) responded to key measures of interest by phone and/or through an online survey. Study hypotheses were tested using multiple linear regression models adjusted for demographic characteristics (age, sex, race, ethnicity, years of education, household income, marital status), study enrollment phase, and history of AUD.ResultsSelf-reported AUD treatment interference was positively associated with problematic alcohol use as measured by the Alcohol Use Disorders Identification Test (b = 2.05, p < 0.001). Significant moderation effects indicated the association between AUD treatment interference and problematic alcohol use was stronger at a high level of perceived stress (b = 3.08, p < 0.001) and was attenuated at a high level of resilience (b = -0.13, p = 0.874).ConclusionsSelf-reported AUD treatment interference may indicate interruption to individuals’ support systems and highlight the need for continued access to treatment. Fostering positive coping strategies and resilience may help individuals mitigate risks of problematic drinking amidst a public health crisis. |
| format | Article |
| id | doaj-art-0791e7799c634428ab8aedf99157633e |
| institution | DOAJ |
| issn | 1664-0640 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-0791e7799c634428ab8aedf99157633e2025-08-20T02:50:29ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-12-011510.3389/fpsyt.2024.14872771487277Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilienceRhianna R. Vergeer0Jeremy W. Luk1Bethany L. Stangl2Emma M. McCabe3Ugne Ziausyte4Melanie L. Schwandt5David Goldman6Vijay A. Ramchandani7Nancy Diazgranados8Human Psychopharmacology Laboratory, Division of Intramural Clinical and Biological Research (DICBR), National Institute on Alcohol Abuse and Alcoholism (NIAAA), Bethesda, MD, United StatesOffice of the Clinical Director, DICBR, NIAAA, Bethesda, MD, United StatesHuman Psychopharmacology Laboratory, Division of Intramural Clinical and Biological Research (DICBR), National Institute on Alcohol Abuse and Alcoholism (NIAAA), Bethesda, MD, United StatesHuman Psychopharmacology Laboratory, Division of Intramural Clinical and Biological Research (DICBR), National Institute on Alcohol Abuse and Alcoholism (NIAAA), Bethesda, MD, United StatesOffice of the Clinical Director, DICBR, NIAAA, Bethesda, MD, United StatesOffice of the Clinical Director, DICBR, NIAAA, Bethesda, MD, United StatesOffice of the Clinical Director, DICBR, NIAAA, Bethesda, MD, United StatesHuman Psychopharmacology Laboratory, Division of Intramural Clinical and Biological Research (DICBR), National Institute on Alcohol Abuse and Alcoholism (NIAAA), Bethesda, MD, United StatesOffice of the Clinical Director, DICBR, NIAAA, Bethesda, MD, United StatesObjectiveThe COVID-19 pandemic may have interfered with individuals’ access to alcohol use disorder (AUD) treatment, but limited research has documented the impact of treatment interference on drinking behavior. This study’s purpose was to examine the associations of AUD treatment interference with problematic alcohol use, and the moderating roles of perceived stress and resilience.MethodA cross-sectional survey design was employed. Data were drawn from the baseline assessment of the National Institute on Alcohol Abuse and Alcoholism COVID-19 Pandemic Impact on Alcohol Study. Between June 2020 and March 2021, 288 participants (48.6% female, 51.4% male) responded to key measures of interest by phone and/or through an online survey. Study hypotheses were tested using multiple linear regression models adjusted for demographic characteristics (age, sex, race, ethnicity, years of education, household income, marital status), study enrollment phase, and history of AUD.ResultsSelf-reported AUD treatment interference was positively associated with problematic alcohol use as measured by the Alcohol Use Disorders Identification Test (b = 2.05, p < 0.001). Significant moderation effects indicated the association between AUD treatment interference and problematic alcohol use was stronger at a high level of perceived stress (b = 3.08, p < 0.001) and was attenuated at a high level of resilience (b = -0.13, p = 0.874).ConclusionsSelf-reported AUD treatment interference may indicate interruption to individuals’ support systems and highlight the need for continued access to treatment. Fostering positive coping strategies and resilience may help individuals mitigate risks of problematic drinking amidst a public health crisis.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1487277/fullalcohol useresiliencestressCOVID-19accessbarriers |
| spellingShingle | Rhianna R. Vergeer Jeremy W. Luk Bethany L. Stangl Emma M. McCabe Ugne Ziausyte Melanie L. Schwandt David Goldman Vijay A. Ramchandani Nancy Diazgranados Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience Frontiers in Psychiatry alcohol use resilience stress COVID-19 access barriers |
| title | Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience |
| title_full | Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience |
| title_fullStr | Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience |
| title_full_unstemmed | Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience |
| title_short | Treatment access gap during the COVID-19 Pandemic: impact on problematic alcohol use and the moderating roles of perceived stress and resilience |
| title_sort | treatment access gap during the covid 19 pandemic impact on problematic alcohol use and the moderating roles of perceived stress and resilience |
| topic | alcohol use resilience stress COVID-19 access barriers |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1487277/full |
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