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Investigating Substance Use as a Coping Strategy Among Adolescent Psychiatric Inpatients: A Comparative Analysis Before and During the COVID-19 Pandemic.
Thomas, Sarah A; Thompson, Elizabeth C; Peters, Jessica R; Micalizzi, Lauren; Meisel, Samuel N; Maron, Micaela; Ryan, Sarah K; Wolff, Jennifer C.
Afiliación
  • Thomas SA; Bradley Hasbro Children's Research Center, 25 Hoppin St, Box #36, Providence, RI, 02903, USA. sarah_thomas1@brown.edu.
  • Thompson EC; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA. sarah_thomas1@brown.edu.
  • Peters JR; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
  • Micalizzi L; Child and Adolescent Psychiatry, Rhode Island Hospital, Providence, Rhode Island, 02903, USA.
  • Meisel SN; Bradley Hospital, Riverside, RI, 02915, USA.
  • Maron M; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
  • Ryan SK; Center for Alcohol & Addiction Studies, Brown University School of Public Health, Box G-S121-5, Providence, RI, 02903, USA.
  • Wolff JC; Department of Behavioral and Social Sciences, Brown University School of Public Health, Box G, Providence, RI, S121-502912, USA.
Child Psychiatry Hum Dev ; 2024 Jul 04.
Article en En | MEDLINE | ID: mdl-38965169
ABSTRACT
The COVID-19 pandemic resulted in significant changes in daily life, potentially impacting mental health and substance use behavior. Research on COVID-related changes in adolescent substance use have yielded mixed findings. The current cross-sectional chart review study compared rates of past-year substance use before and during COVID-19 among adolescent psychiatric inpatients, and investigated how motives for coping with COVID-19 changes were related to psychiatric acuity, and past-year substance use. Count models assessed if the number of past-year days of alcohol and cannabis use was higher among adolescents (n = 491, 11-18 years, 61% female) hospitalized during COVID-19 (3/14/20 to 4/5/21) versus adolescents hospitalized before COVID-19 (8/30/2019 to 3/13/20). For a subsample of COVID-19 inpatients (n = 124; 75% female), we evaluated psychiatric correlates of endorsing substances to cope with COVID-19 changes/rules. Results indicated adolescents admitted during COVID-19 reported significantly more past-year alcohol and cannabis use days than adolescents admitted before COVID-19. Adolescents endorsed using alcohol (19%), cannabis (33%), and e-cigarettes/vaping (25%) to cope with COVID-19. E-cigarette/vaping to cope with COVID-19 was significantly related to lifetime suicide attempt. Endorsing alcohol or cannabis to cope with COVID-19 was associated with a significantly greater number of past-year use days for each respective substance. Adolescent psychiatric inpatients admitted during COVID-19 reported more substance use days than adolescents admitted before COVID-19. Using substances to cope was linked to psychiatric correlates (e.g., suicidality). Assessing the presence and function of substance use in this population may be important to identify, treat, and prevent compounding negative outcomes during times of community stress.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Child Psychiatry Hum Dev Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Child Psychiatry Hum Dev Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos