Introduction: COVID-19 has had a great impact on mental health in the general population. However, few studies have focused on patients with substance use disorders (SUDs). This research aimed to compare the clinical status and substance use patterns of SUD outpatients, before and during confinement due to the COVID-19 pandemic. Methods: This multicentre study recruited 588 patients (29.2% women; M age = 47.4 ± 11.7 years) in thirteen centres for addiction treatment in Catalonia, Spain. All subjects were evaluated with validated instruments and ad hoc questionnaires. The sample was divided into 3 groups according to how the substance consumption pattern changed during lockdown (maintained pattern, worsened pattern, and improved pattern). Results: More than 62% of the patients maintained or worsened their consumption pattern during confinement, and about 38% improved throughout this time. Diverse factors were associated with the changes in pattern like age, addiction severity, psychological distress during lockdown, social and familial issues, and therapeutic variables. Conclusion: The home lockdown during the COVID-19 pandemic was associated with major implications for substance consumption and psychiatric distress among SUD outpatients. Considering this, the need to plan appropriate interventions in cases of similar health crises is highlighted.
Eur Addict Res

中文翻译：

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COVID-19 药物使用障碍门诊患者的封锁和消费模式：一项多中心研究

简介： COVID-19 对普通人群的心理健康产生了巨大影响。然而，很少有研究关注物质使用障碍（SUD）患者。本研究旨在比较 SUD 门诊患者因 COVID-19 大流行而被隔离之前和期间的临床状况和物质使用模式。方法：这项多中心研究招募了西班牙加泰罗尼亚 13 个成瘾治疗中心的 588 名患者（29.2% 为女性；M 年龄 = 47.4 ± 11.7 岁）。所有受试者均使用经过验证的仪器和临时问卷进行评估。根据封锁期间物质消耗模式的变化情况，样本被分为 3 组（维持模式、恶化模式和改善模式）。结果：超过 62% 的患者在坐月子期间维持或恶化其消费模式，约 38% 的患者在此期间有所改善。多种因素与模式的变化相关，如年龄、成瘾严重程度、封锁期间的心理困扰、社会和家庭问题以及治疗变量。结论： COVID-19 大流行期间的居家封锁对 SUD 门诊患者的物质消耗和精神困扰产生重大影响。考虑到这一点，强调有必要在类似的健康危机情况下规划适当的干预措施。
欧洲成瘾者研究中心