ArticleAddictive behaviors2021
Substance use and abuse, COVID-19-related distress, and disregard for social distancing: A network analysis.
Article in Addictive behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
121 citing papers in PubMed, 6 syntheses or guidelines pooled it, 223 citations in OpenAlex.
- Alcohol Consumption During the COVID-19 Pandemic: A Critical Review.Human psychopharmacology · 2025Pooled it
- Applications of isradipine in human addiction studies: A systematic literature review.Experimental and clinical psychopharmacology · 2023Pooled it
- Substance abuse and susceptibility to false memory formation: a systematic review and meta-analysis.Frontiers in psychology · 2023Pooled it
- Changes in alcohol use during COVID-19 and associations with contextual and individual difference variables: A systematic review and meta-analysis.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022Pooled it
- The early impact of COVID-19 on the incidence, prevalence, and severity of alcohol use and other drugs: A systematic review.Drug and alcohol dependence · 2021Pooled it
- Systematic Review of Socio-Emotional Values Within Organizations.Frontiers in psychology · 2021Pooled it
- Global practices in adapting cognitive behavioral therapy for ethnoracial populations with substance use disorders: a scoping review of adaptation strategies, treatment outcomes, and geographic gaps.International journal of mental health systems · 2026Article
- Involvement of NLRP3 Inflammasome in Methamphetamine Augmentation of SARS-CoV-2 N-Protein-Induced Neuroinflammation in Rat Microglial Cells.International journal of molecular sciences · 2026Article
- Substance use and treatment utilization patterns of working-age American men who were not in employment, education, or training (NEET) during the COVID-19 pandemic.Substance abuse treatment, prevention, and policy · 2026Article
- Substance use and treatment utilization patterns of working-age American men who were not in employment, education, or training (NEET) during the COVID-19 pandemic.Research square · 2026Article
- Impact of Social Drivers of Health, Self-Efficacy, and Substance Use on COVID-19 Preventative Behaviors Among Persons Who Inject Drugs with Hepatitis C: The HERO Study.International journal of environmental research and public health · 2026Article
- A systematic review of operational research modelling for alcohol consumption and its consequences.Health systems (Basingstoke, England) · 2026Review
- Changes in drug-use behaviors among people who use drugs with comorbid psychiatric disorders across the COVID-19 pandemic: a three-phase longitudinal cohort study.Frontiers in public health · 2026Article
- COVID-19 pandemic-related stress and substance use behaviors among people with HIV - a mixed method analysis.PloS one · 2026Article
- Substance use and treatment utilization patterns of working-age American men who were not in employment, education, or training (NEET) during the COVID-19 pandemic.medRxiv : the preprint server for health sciences · 2025Article
- Impacts of Disruptive Events on Addictive Behavioral Patterns: A Cross-Sectional Study of Methadone Maintenance Therapy During the COVID-19 Pandemic in Iran.Health science reports · 2025Article
- Pandemic Associated Changes in Personal Substance Use and Perceptions of Changes to Peer Substance Use among College Students: A Retrospective Assessment.Journal of drug education · 2025Article
- Trajectory of severe COVID anxiety and predictors for recovery in an 18-month UK cohort.BJPsych open · 2025Article
- Pandemic-Related Worries and Stressors and Use of Tobacco and Alcohol Among Postpartum Women in the United States Early in the COVID-19 Pandemic.Public health reports (Washington, D.C. : 1974) · 2025Article
- Daily correlates to social distancing in U.S. young adults in 2021.Psychology & health · 2025Article
61 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Research shows that there has been a substantial increase in substance use and abuse during the COVID-19 pandemic, and that substance use/abuse is a commonly reported way of coping with anxiety concerning COVID-19. Anxiety about COVID-19 is more than simply worry about infection. Research provides evidence of a COVID Stress Syndrome characterized by (1) worry about the dangers of COVID-19 and worry about coming into contact with coronavirus contaminated objects or surfaces, (2) worry about the personal socioeconomic impact of COVID-19, (3) xenophobic worries that foreigners are spreading COVID-19, (4) COVID-19-related traumatic stress symptoms (e.g., nightmares), and (5) COVID-19-related compulsive checking and reassurance-seeking. These form a network of interrelated nodes. Research also provides evidence of another constellation or "syndrome", characterized by (1) belief that one has robust physical health against COVID-19, (2) belief that the threat of COVID-19 has been exaggerated, and (3) disregard for social distancing. These also form a network of nodes known as a COVID-19 Disregard Syndrome. The present study, based on a population-representative sample of 3075 American and Canadian adults, sought to investigate how these syndromes are related to substance use and abuse. We found substantial COVID-19-related increases in alcohol and drug use. Network analyses indicated that although the two syndromes are negatively correlated with one another, they both have positive links to alcohol and drug abuse. More specifically, COVID-19-related traumatic stress symptoms and the tendency to disregard social distancing were both linked to substance abuse. Clinical and public health implications are discussed.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.