A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil

The COVID-19 pandemic has brought significant challenges, including severe psychological consequences, especially for vulnerable individuals, such as those with substance use disorders. This study investigated the impact of the pandemic on substance use patterns and psychological health in Brazilian...

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Main Authors: Nubia Heidrich, Maurício Schüler Nin, Felipe Borges Almeida, Hilda M. R. M. Constant, Luana Freese, Helena M. T. Barros
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1514365/full
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author Nubia Heidrich
Nubia Heidrich
Maurício Schüler Nin
Felipe Borges Almeida
Felipe Borges Almeida
Hilda M. R. M. Constant
Luana Freese
Helena M. T. Barros
Helena M. T. Barros
author_facet Nubia Heidrich
Nubia Heidrich
Maurício Schüler Nin
Felipe Borges Almeida
Felipe Borges Almeida
Hilda M. R. M. Constant
Luana Freese
Helena M. T. Barros
Helena M. T. Barros
author_sort Nubia Heidrich
collection DOAJ
description The COVID-19 pandemic has brought significant challenges, including severe psychological consequences, especially for vulnerable individuals, such as those with substance use disorders. This study investigated the impact of the pandemic on substance use patterns and psychological health in Brazilians, exploring associations with sociodemographic factors to identify groups at higher risk. Data were collected online to assess self-reported substance use through the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), and psychological state, using the Depression, Anxiety and Stress Scale (DASS-21) and level of social distancing. The research was conducted in three waves: September-October 2020, April-May 2021, and September-November 2022. The ASSIST (alcohol, cannabis, hallucinogens, and cocaine/crack) and DASS-21 (anxiety, depression, and stress) scores decreased over time. Regarding sociodemographic data, being male, single, with less education, lower income and lower social distancing showed associations with alcohol and cannabis scores. All drug scores showed associations with psychological symptoms and time, suggesting a possible adaptation or resilience of the sample to the challenges of the pandemic. These findings highlight the importance of monitoring patterns of substance use and mental health in times of crisis, especially in vulnerable populations. Such knowledge is essential to inform public health strategies and prepare health systems to face future global crises.
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spelling doaj-art-df48700e933e4fb18a033bc7655822e22025-01-30T06:22:14ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011610.3389/fpsyt.2025.15143651514365A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in BrazilNubia Heidrich0Nubia Heidrich1Maurício Schüler Nin2Felipe Borges Almeida3Felipe Borges Almeida4Hilda M. R. M. Constant5Luana Freese6Helena M. T. Barros7Helena M. T. Barros8Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilNeuropsychopharmacology Laboratory, Department of Pharmacosciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilNeuropsychopharmacology Laboratory, Department of Pharmacosciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilGraduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilNeuropsychopharmacology Laboratory, Department of Pharmacosciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilDepartment of Behavioral Science Methodology, Universitat de València, València, SpainGraduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilGraduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilNeuropsychopharmacology Laboratory, Department of Pharmacosciences, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, BrazilThe COVID-19 pandemic has brought significant challenges, including severe psychological consequences, especially for vulnerable individuals, such as those with substance use disorders. This study investigated the impact of the pandemic on substance use patterns and psychological health in Brazilians, exploring associations with sociodemographic factors to identify groups at higher risk. Data were collected online to assess self-reported substance use through the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), and psychological state, using the Depression, Anxiety and Stress Scale (DASS-21) and level of social distancing. The research was conducted in three waves: September-October 2020, April-May 2021, and September-November 2022. The ASSIST (alcohol, cannabis, hallucinogens, and cocaine/crack) and DASS-21 (anxiety, depression, and stress) scores decreased over time. Regarding sociodemographic data, being male, single, with less education, lower income and lower social distancing showed associations with alcohol and cannabis scores. All drug scores showed associations with psychological symptoms and time, suggesting a possible adaptation or resilience of the sample to the challenges of the pandemic. These findings highlight the importance of monitoring patterns of substance use and mental health in times of crisis, especially in vulnerable populations. Such knowledge is essential to inform public health strategies and prepare health systems to face future global crises.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1514365/fullsubstance-related disordersalcoholtobaccoillicit drugslongitudinal studydepression
spellingShingle Nubia Heidrich
Nubia Heidrich
Maurício Schüler Nin
Felipe Borges Almeida
Felipe Borges Almeida
Hilda M. R. M. Constant
Luana Freese
Helena M. T. Barros
Helena M. T. Barros
A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil
Frontiers in Psychiatry
substance-related disorders
alcohol
tobacco
illicit drugs
longitudinal study
depression
title A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil
title_full A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil
title_fullStr A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil
title_full_unstemmed A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil
title_short A cohort-based assessment of drug use trends during the COVID-19 pandemic: relationship with mood and sociodemographic factors in Brazil
title_sort cohort based assessment of drug use trends during the covid 19 pandemic relationship with mood and sociodemographic factors in brazil
topic substance-related disorders
alcohol
tobacco
illicit drugs
longitudinal study
depression
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1514365/full
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