Louvain Experimental Psychopathology Research Group (LEP), Psychological Sciences Research Institute, UCLouvain, Louvain-la-Neuve, Belgium.
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Aug 30;110:110282. doi: 10.1016/j.pnpbp.2021.110282. Epub 2021 Feb 12.
We investigated changes in alcohol consumption following the COVID-19 lockdown among French-speaking Belgian individuals at risk for severe alcohol use disorder. Participants (N = 299) at risk for alcohol use disorder (AUD, i.e., score higher than 19 at the Alcohol Use Disorder Identification Test), and 299 moderate drinkers (MOD, i.e., score lower than 8) individually matched for age, gender and education provided self-reports of alcohol consumption changes (i.e., number of alcohol units consumed during a typical week before and during lockdown). AUD were more likely (91.31%) than MOD (71.57%) to modify their consumption following lockdown (p < 0.0001). They were more likely to decrease (65.89% vs. 35.12%, p < 0.0001) and less likely to increase (25.42% vs. 36.45%, p = 0.004) their consumption than MOD. Analyses of post-pre lockdown differences in alcohol consumption showed that AUD presented a stronger decrease than MOD (-13.97 units/week vs. -0.07, p < 0.0001). Among individuals who decreased consumption, AUD decreased more (-27.92 vs. -2.74, p < 0.0001) than MOD. Among those who increased consumption, AUD increased more (17.32 vs. 2.44, p < 0.0001) than MOD. We thus observed sharp consumption increases or conversely abrupt decreases in individuals at high risk of alcohol use disorder, underscoring the need to develop prophylactic interventions for this population during such sanitary crises, to avoid brutal changes of the alcohol consumption pattern. Efforts should be made to mitigate consumption increases but also to favor progressive rather than sudden decreases in order to prevent damaging withdrawal symptoms.
我们研究了 COVID-19 封锁后法语区比利时有严重酒精使用障碍风险的个体的饮酒变化。参与者（N=299）有酒精使用障碍风险（AUD，即酒精使用障碍识别测试得分高于 19）和 299 名中度饮酒者（MOD，即得分低于 8）分别报告了封锁前后（即封锁前后典型一周内消耗的酒精单位数）的饮酒变化。AUD 比 MOD（91.31%比 71.57%，p<0.0001）更有可能改变他们的消费。他们更有可能减少（65.89%比 35.12%，p<0.0001）和不太可能增加（25.42%比 36.45%，p=0.004）他们的消费比 MOD。对封锁前后饮酒差异的分析表明，AUD 比 MOD 下降幅度更大（-13.97 单位/周比-0.07，p<0.0001）。在减少饮酒的人群中，AUD 下降幅度更大（-27.92 比-2.74，p<0.0001）比 MOD。在增加饮酒的人群中，AUD 增加幅度更大（17.32 比 2.44，p<0.0001）比 MOD。因此，我们观察到高风险酒精使用障碍个体的饮酒量急剧增加或相反地急剧减少，这突显了在这种卫生危机期间需要为该人群制定预防性干预措施，以避免酒精消费模式的剧烈变化。应努力减少消费增加，但也要有利于逐步减少而不是突然减少，以防止有害的戒断症状。
