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The sudden increase in alcohol use in the young adult population during the COVID-19 pandemic may be partially explained by social isolation and stress due to restricted stay-at-home orders. The goal of this study was to assess specific psychological factors (e.g., anxiety, depressive symptoms, sleep disturbances, and alcohol cravings) and COVID-19 diagnoses and their association with increased alcohol use and misuse during the COVID-19 pandemic among New York residents 18-35 years of age. Survey data were collected via Qualtrics between July 2020-October 2020. Path analyses tests were employed to test alcohol use cravings as a mediator. Among the total sample (N=575), mean age was 27.94±4.12; a majority were White non-Hispanic (66%), female (55%) and had completed a 4-year college or university degree (n = 249; 43.5%). Results revealed that alcohol use cravings was a significant mediator between sleep disturbances, having a COVID-19 diagnoses, and having mental health symptoms on increased alcohol use. Our findings underscore the importance of providing alcohol use prevention and treatment resources in this unprecedented COVID-19 era. Policymakers, public health professionals, and clinicians have a significant role in curbing the COVID-19-induced substance use epidemic.
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http://dx.doi.org/10.1080/07347324.2021.1950091 | DOI Listing |
Drug Alcohol Depend
August 2025
Department of Psychiatry, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address:
Background: Alcohol and cannabis co-use is increasingly prevalent across the U.S., concomitant with trends towards recreational cannabis legalization.
View Article and Find Full Text PDFDrug Alcohol Depend
August 2025
Department of Psychiatry & Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA; Department of Anesthesiology, School of Medicine, University of Virginia, Charlottesville, VA, USA.
Background: Craving is an aversive state and risk factor for progression to nonmedical substance use. The aims of this secondary analysis of Ecological Momentary Assessment (EMA) data were 1) to test whether craving was elevated on days of co-use of opioids and cannabis, and 2) to examine pain, pain catastrophizing, affect, and stress as risk factors for current and next-moment craving, among patients with chronic pain.
Methods: Adults with chronic pain (N = 46) who used both opioids and cannabis were recruited online and completed a 30-day EMA study, consisting of four momentary surveys per day that assessed opioids and cannabis craving, use, pain and pain catastrophizing, affect, and stress.
BMJ Open
September 2025
Psychologial Neuroscience Laboratoy (PNL), Psychology Research Center (CIPSI), School of Psychology, University of Minho, Braga, Portugal
Introduction: Adolescence and youth are periods of significant maturational changes, which seem to involve greater susceptibility to disruptive events in the brain, such as binge drinking (BD). This pattern-characterised by repeated episodes of alcohol intoxication-is of particular concern, as it has been associated with significant alterations in the developing brain. Recent evidence indicates that alcohol may also induce changes in gut microbiota composition and that such disturbances can lead to impairments in both brain function and behaviour.
View Article and Find Full Text PDFAddiction
September 2025
Monash Addiction Research Centre, Eastern Health Clinical School, Monash University, Melbourne, Australia.
Background And Aims: Several randomised controlled trials (RCTs) have demonstrated that delivering approach bias modification (ApBM) during residential alcohol use disorder (AUD) treatment helps prevent post-treatment relapse. However, few studies have examined ApBM's efficacy for AUD in outpatients. We trialled a personalised ApBM smartphone app in individuals receiving outpatient AUD treatment.
View Article and Find Full Text PDFDrug Alcohol Depend
August 2025
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Introduction: Through secondary data analyses, we investigated sex differences in the effects of IQOS, a heated tobacco product, on combustible cigarette smoking.
Methods: Adults who smoke cigarettes (N = 118; 21-65 years old) completed a baseline ad-lib smoking period (days 1-5), two laboratory visits (days 6-7), and a 14-day period where they were instructed to switch from smoking cigarettes to using IQOS 3.0 (days 8-21).