Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct 30:11:574676.
doi: 10.3389/fpsyt.2020.574676. eCollection 2020.

Depression, Environmental Reward, Coping Motives and Alcohol Consumption During the COVID-19 Pandemic

Affiliations

Depression, Environmental Reward, Coping Motives and Alcohol Consumption During the COVID-19 Pandemic

Matthew D McPhee et al. Front Psychiatry. .

Abstract

Background: Increases in the incidence of psychological distress and alcohol use during the COVID-19 pandemic have been predicted. Behavioral theories of depression and alcohol self-medication theories suggest that greater social/environmental constraints and increased psychological distress during COVID-19 could result in increases in depression and drinking to cope with negative affect. The current study had two goals: (1) to examine self-reported changes in alcohol use and related outcomes after the introduction of COVID-19 social distancing requirements, and; (2) to test hypothesized mediation models to explain individual differences in self-reported changes in depression and alcohol use during the early weeks of the COVID-19 pandemic. Methods: Participants (n = 833) were U.S. residents recruited for participation in a single online survey. The cross-sectional survey included questions assessing environmental reward, depression, COVID-19-related distress, drinking motives, and alcohol use outcomes. Outcomes were assessed via retrospective self-report for two timeframes in the single survey: the 30 days prior to state-mandated social distancing ("pre-social-distancing"), and the 30 days after the start of state-mandated social distancing ("post-social-distancing"). Results: Depression severity, coping motives, and some indices of alcohol consumption (e.g., frequency of binge drinking, and frequency of solitary drinking) were significantly greater post-social-distancing relative to pre-social-distancing. Conversely, environmental reward and other drinking motives (social, enhancement, and conformity) were significantly lower post-social distancing compared to pre-social-distancing. Behavioral economic indices (alcohol demand) were variable with regard to change. Mediation analyses suggested a significant indirect effect of reduced environmental reward with drinking quantity/frequency via increased depressive symptoms and coping motives, and a significant indirect effect of COVID-related distress with alcohol quantity/frequency via coping motives for drinking. Discussion: Results provide early cross-sectional evidence regarding the relation of environmental reward, depression, and COVID-19-related psychological distress with alcohol consumption and coping motives during the early weeks of the COVID-19 pandemic. Results are largely consistent with predictions from behavioral theories of depression and alcohol self-medication frameworks. Future research is needed to study prospective associations among these outcomes.

Keywords: COVID-19; SARS-CoV-2; alcohol; depression; mental health; social distancing; stress.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Sequential indirect effect of environmental reward on alcohol QF through severity of depressive symptoms and coping motives. *p < 0.05, **p < 0.01. RPI, Reward Probability Index; PHQ, Patient Health Questionnaire; DMQ-R, Drinking Motives Questionnaire—Revised; Alcohol QF, measure of alcohol quantity/frequency (see Analysis Plan). All variables shown in the model correspond to post-social-distancing scores. Environmental reward indirectly significantly predicted alcohol QF through three unique paths: sequentially through depressive symptoms then coping motives; coping motives only, and; depressive symptoms only. Path coefficients are unstandardized b values. Sex and race were included as demographic covariates. Pre-social-distancing covariates included: environmental reward probability, depressive symptoms, motives (coping, enhancement, conformity, social), and alcohol QF.
Figure 2
Figure 2
Indirect effect of COVID-related distress on alcohol QF through coping motives. **p < 0.01. PDI, Peritraumatic Distress Inventory; DMQ-R, Drinking Motives Questionnaire—Revised; Alcohol QF, measure of alcohol quantity/frequency (see Analysis Plan). Post-social-distancing coping motives and post-social-distancing alcohol QF are shown in the model. COVID-related distress was not anchored to a specific timeframe. The indirect effect of COVID-related distress on alcohol QF through coping motives was significant. Path coefficients are unstandardized b values. Sex and race were included as demographic covariates. Pre-social-distancing covariates included: motives (coping, enhancement, conformity, social), and alcohol QF.

References

    1. Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. (2020) 20:533–4. 10.1016/S1473-3099(20)30120-1 - DOI - PMC - PubMed
    1. Tuite AR, Fisman DN, Greer AL. Mathematical modelling of COVID-19 transmission and mitigation strategies in the population of Ontario, Canada. Can Med Assoc J. (2020) 192:E497–505. 10.1503/cmaj.200476 - DOI - PMC - PubMed
    1. Lima CKT, Carvalho PMM, Lima IAAS, Nunes JVAO, et al. The emotional impact of coronavirus 2019-nCoV (new coronavirus disease). Psychiat Res. (2020) 287:112915. 10.1016/j.psychres.2020.112915 - DOI - PMC - PubMed
    1. Rehm J, Kilian C, Ferreira-Borges C, Jernigan D, Monteiro M, Parry CD, et al. Alcohol use in times of the COVID 19: implications for monitoring and policy. Drug Alcohol Rev. (2020) 39:301–4. 10.1111/dar.13074 - DOI - PMC - PubMed
    1. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiat. (2020) 7:228–9. 10.1016/S2215-0366(20)30046-8 - DOI - PMC - PubMed