Efectos del confinamiento en el hogar debido a la pandemia por COVID-19 en el consumo en pacientes en tratamiento en un programa de deshabituación de alcohol

  1. Francisco Arias Horcajadas 1
  2. Marta Marín 1
  3. Raquel Prieto 1
  4. José Ramón López-Trabada 1
  5. Alba Parra 1
  6. Pedro Sanz 1
  7. Yolanda Guerrero 1
  8. Patricia Delgado 1
  9. Lourdes González 1
  10. Nazaret Sáiz 1
  11. Sandra Suárez de Figueroa 1
  12. Antonio Villalba 1
  13. Gabriel Rubio 1
  1. 1 Hospital Doce de Octubre, Madrid, España.
Aldizkaria:
Adicciones: Revista de socidrogalcohol

ISSN: 0214-4840

Argitalpen urtea: 2023

Alea: 35

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Orrialdeak: 455-468

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Beste argitalpen batzuk: Adicciones: Revista de socidrogalcohol

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During the COVID-19 pandemic, several exceptional measures were put in place in order to avoid virus propagation, such as lockdown and the discontinuation of usual health care assistance services. It was considered that these changes might be associated with an increase in alcohol consumption and a higher risk of relapse for patients under treatment. The aim of this study was to assess changes in alcohol consumption during the lockdown period (between March and May, 2020) in patients following treatment under the Alcohol Use Disorders Programme at the “Hospital 12 de Octubre” in Madrid. A total of 311 patients were assessed through interviews carried out by telephone in accordance with usual clinical practice during that period. 76% of the total number of patients did not experience changes in their alcohol consumption, 9.2% stopped drinking and some experienced severe withdrawal syndrome, while 7.5% relapsed. The risk factors found for worsening the prognosis of the patients were: being female, drinking alcohol alone or at home, binge drinking, concomitant substance misuse and failure to attend therapy groups or self-help groups online during the lockdown. 31.6% of the sample described psychopathological symptoms due to the lockdown, especially those who already had psychiatric comorbidities. For this reason, we can conclude that during the lockdown as a result of the pandemic, most of our alcohol dependent patients did not modify their drinking patterns, but specific factors enabled us to identify a more vulnerable subgroup

Erreferentzia bibliografikoak

  • Alexander, G. C., Stoller, K. B., Haffajee, R. L. y Saloner, B. (2020). An epidemic in the midst of a pandemic: Opioid use disorder and COVID-19. Annals of Internal Medicine, 173, 57-58. doi:10.7326/M20-1141.
  • Anmella, G., Arbelo, N., Fico, G., Murru, A., Llach, C. D., Madero, S.,... Pintor, L. (2020). COVID-19 inpatients with psychiatric disorders: Real-world clinical recom- mendations from an expert team in consultation-liai- son psychiatry. Journal of Affective Disorder, 274, 1062-67. doi:10.1016/j.jad.2020.05.149.
  • Arana, I. (25/05/2020). El encierro cuando tu enemigo es el alcohol. El País. https://www.elpais.com.
  • Bai, Y., Lin, C. C., Lin, C. Y., Chen, J. Y., Chue, C. M. y Chou, P. (2004). Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatry Service, 55, 1055-1057. doi:10.1176/appi.ps.55.9.1055.
  • Bazaga, J. D. (24/05/20). Adicciones, temor frente a la desescalada. Diario de Burgos. https://www.diariodebur- gos.es.
  • Boscarino, J. A., Adams, R. E. y Galea, S. (2006). Alcohol use in New York after the terrorist attacks: A study of the effects of psychological trauma on drinking beha- vior. Addictive Behaviors, 31, 606-621. doi:10.1016/j.add- beh.2005.05.035.
  • Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N. y Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. Lancet, 395, 912-920. doi:10.1016/S0140-6736(20)30460-8.
  • Bustelo, M. F. (24/04/2020). Alertan de los riesgos deri- vados del aumento de consumo de alcohol durante el confinamiento. Diario Médico. https://www.diariomedi- co.com.
  • Chick, J. (2020). Alcohol and COVID-19. Alcohol and Alco- holism, 55, 341–342. doi:10.1093/alcalc/agaa039.
  • Correa, J. y Redolar-Ripoll, D. (2020). Epidemiological data from the COVID-19 outbreak in Spain for the pro- motion of tobacco smoking cessation policies. Tobacco Use Insights, 13, 1–2. doi:10.1177/1179173X20924028.
  • Dietze, P. M. y Peacock, A. (2020). Illicit drug use and harms in Australia in the context of COVID-19 and associated restrictions: Anticipated consequences and initial responses. Drug and Alcohol Review, 39, 297-300. doi:10.1111/dar.13079.
  • Dirección General de Salud Pública. (2020). Datos Covid-19 Comunidad de Madrid 31/05/2020. https://www.comuni- dad.madrid/coronavirus.
  • EMCDDA, European Monitoring Centre for Drugs and Drug Addiction (2020). EMCDDA update on the implications of COVID-19 for people who use drugs (PWUD) and drug service providers. https://www.emcdda.europa.eu.
  • E. P. (28/03/2020). Los efectos del aislamiento en las per- sonas con adicciones. La Gaceta de Salamanca. https:// www.lagacetadesalamanca.es.
  • Fuentes, V. (20/04/2020). Adicciones en cuarentena: El consumo no social del alcohol se destapa. Público. ht- tps://www.publico.es.
  • García-Álvarez, L., Fuente-Tomás, L., Sáiz, P., García-Por- tilla, M. y Bobes, J. (2020). ¿Se observarán cambios en el consumo de alcohol y tabaco durante el confinamiento por COVID-19? Adicciones, 32, 85-89. doi:10.20882/ adicciones.1546.
  • Ghosh, A., Roub, F. y Bisaga, A. (2020). Drug treatment of SARSCov2: Potential effects in patients with substan- ce use disorders (SUD). Journal of Psychosomatic Research, 135, 110159. doi:10.1016/j.jpsychores.2020.110159.
  • Hipólito, L. (31/03/2020). Nuestro aislamiento de hoy, ¿nuestro alcoholismo de mañana? Las Provincias. https://www.lasprovincias.es.
  • Instituto de Adicciones. Madrid Salud. (2020). Actuaciones crisis Covid-19 Instituto de Adicciones de la ciudad de Madrid Marzo-Mayo 2020. https://www.madridsalud.es.
  • Jeong, H., Yim, H. W., Song, Y. J., Ki, M., Min, J. A., Cho, J. y Chae, J. H. (2016). Mental health status of people isola- ted due to Middle East respiratory syndrome. Epidemiology and Health, 38, e2016048. doi:10.4178/epih.e2016048.
  • Jiang, H., Su, H., Zhang, C., Liu, X., Li, R., Zhong, N. y Zhao, M. (2020). Challenges of methadone maintenan- ce treatment during the COVID-19 epidemic in China: Policy and service recommendations. European Neuropsy- chopharmacology, 35, 136-137. doi:10.1016/j.euroneu- ro.2020.03.018.
  • Laporte, J. L. y Healy, D. (2020). In the MidstI of the SARS-CoV-2 pandemia, caution is needed with com- monly used drugs that increase the risk of pneumonia. Medications-Compromising-Covid-Infections. https://rxisk. org/wp-content/uploads/2020/04/Medications-Com- promising-Covid-Infections-.pdf.
  • Lebeaut, A., Tran, J. K. y Vujanovic, A. A. (2020). Pos- ttraumatic stress, alcohol use severity, and alcohol use motives among firefighters: The role of anxiety sensiti- vity. Addictive Behaviors, 106, 106353. doi:10.1016/j.add- beh.2020.106353.
  • Lee, S. M., Kang, W. S., Cho, A. R., Kim, T. y Park, J. K. (2018). Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemo- dialysis patients. Comprehensive Psychiatry, 87, 123-127. doi:10.1016/j.comppsych.2018.10.003.
  • Maunder, R., Hunter, J., Vincent, L., Bennett, J., Peladeau, N., Leszcz, M.,… Mazzulli, T. (2003). The immedia- te psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. Canadian Medical Association Journal, 168, 1245-1251.
  • Marsden, J., Darke, S., Hall, W., Hickman, M., Holmes, J., Humphreys, K.,… West, R. (2020). Mitigating and lear- ning from the impact of COVID-19 infection on addic- tive disorders. Addiction, 115, 1007-1010. doi:10.1111/ add.15080.
  • Ministerio de Sanidad, Consumo y Bienestar Social - Ga- binete de Prensa. (2020). Sanidad advierte de que los supuestos efectos protectores de la nicotina frente a la COVID-19 no tienen evidencia científica. https://www.mscbs.gob.es/en/gabi- nete/notasPrensa.do?metodo=detalle&id=4897.
  • Mota, P. (2020). Avoiding a new epidemic during a pande- mic: The importance of assessing the risk of substance use disorders in the COVID-19 era. Psychiatry Research, 290, 113142. doi:10.1016/j.psychres.2020.113142.
  • Mungmungpuntipantip, R. y Wiwanitkit, V. (2020). Sha- ring alcoholic drinks and a COVID-19 outbreak. Alcohol and Alcoholism, 55, 343. doi:10.1093/alcalc/agaa028.
  • Narasimha, V. L., Shukla, L., Mukherjee, D., Menon, J., Huddar, S., Kumar, U.,... Murthy, P. (2020). Complica- ted alcohol withdrawal - an unintended consequence of COVID-19 lockdown. Alcohol and Alcoholism, 55, 350–353. doi:10.1093/alcalc/agaa042.
  • North, C. S., Kawasaki, A., Spitznagel, E. L. y Hong, B. A. (2004). The course of PTSD, major depression, substance abuse, and somatization after a natural disas- ter. Journal of Nervous and Mental Disease, 192, 823-829. doi:10.1097/01.nmd.0000146911.52616.22.
  • Organización Mundial de la Salud, OMS. (2020a). Declaración de pandemia. https://www.who.int/dg/spee- ches/detail/who-director-general-s-opening-remarks-at-the-media-briefingon-covid-19.
  • Organización Mundial de la Salud, OMS. (2020b). Declaración de la OMS: Consumo de tabaco y Covid 19. ht- tps://www.who.int/es/news-room/detail/11-05-2020- who-statement-tobacco-use-and-covid-19.
  • Ornell, F., Ferreira, H., Nichterwitz, J., Pechansky, F., Kess- ler, F. y von Diemen, L. (2020). The COVID-19 pan- demic and its impact on substance use: Implications for prevention and treatment. Psychiatry Research, 289, 113096. doi:10.1016/j.psychres.2020.113096.
  • Osalde. Asociación por el derecho a la salud. (2020). Apo- yo frente a las adicciones durante esta epidemia de coronavirus. http://www.osalde.org.
  • Pascual, F., Isorna, M., Carvalho, N., Carvalho, F. y Arias, F. (2020). Cannabis terapéutico y COVID-19: Entre el oportunismo y la infoxicación. Adicciones, 32, 167-172. doi:10.20882/adicciones.1603.
  • Pfefferbaum, B. y North, C. S. (2020). Mental health and the Covid-19 pandemic. New England Journal of Medicine, 383, 510-512. doi:10.1056/NEJMp2008017.
  • PND. Delegación del Gobierno para el Plan Nacional so- bre Drogas. (2020). Dossier bibliográfico sobre Covid-19. Dro- godependencias y adicciones. Observatorio Español de las Drogas y las Adicciones (DGPNSD). https://pnsd.sanidad.gob.es/.
  • Real Decreto 463/2020, de 14 de marzo, por el que se declara el estado de alarma para la gestión de la situa- ción de crisis sanitaria ocasionada por el COVID-19. BOE-A-2020-3692. Ministerio de la Presidencia, Rela- ciones con las Cortes y Memoria Democrática. https:// www.boe.es/eli/es/rd/2020/03/14/463.
  • Redacción El Progreso. (31/03/2020). Alcohólicos Anóni- mos ve en el confinamiento un refuerzo para mantener- se abstemio. El Progreso. https://www.elprogreso.es.
  • Redacción Europa Sur. (4/05/2020). Coronavirus Cádiz: Alertan de que el consumo de alcohol se ha disparado en la cuarentena. Europa Sur. https://www.europasur.es. Redacción Farmacosalud.com. (25/03/2020). Confina- miento por coronavirus: Menos riesgo de iniciarse en adicciones, más riesgo de agravarlas. Farmacosalud. https://farmacosalud.com/confinamiento-por-coronavi- rus-menos-riesgo-de-iniciarse-en-adicciones-mas-riesgo-de-agravarlas/.
  • Redacción Infosalus. (30/03/2020). Adicciones y coronavirus: Cómo el aislamiento puede incrementar el riesgo de recaída. Infosalus. https://www.infosalus.com.
  • Redacción La Voz de Galicia. (28/03/2020). Estamos atendiendo a más clientes porque los bares están cerra- dos. La Voz de Galicia. https://www.lavozdegalicia.es.
  • Redacción La Vanguardia. (28/3/2020). El confinamiento, mala compañía para adictos en tratamiento. La Vanguar- dia. https://www.lavanguardia.com.
  • Redacción Médica. (25/06/2020). Expertos avisan de que en el confinamiento ha aumentado el consumo de alco- hol y fármacos por la falta de drogas. Redacción Médica. https://www.redaccionmedica.com.
  • Reger, M. A., Stanley, I. H. y Joiner, T. E. (2020). Suicide mortality and coronavirus disease 2019-A perfect storm? JAMA Psychiatry, 77, 1093-1094. doi:10.1001/ jamapsychiatry.2020.1060.
  • Rehm, J., Kilian, C., Ferreira-Borges, C., Jernigan, D., Monteiro, M., Parry, C.,…. Manthey, J. (2020). Alcohol use in times of the COVID 19: Implications for moni- toring and policy. Drug and Alcohol Review, 39, 301–304. doi:10.1111/dar.13074.
  • Reynolds, J. y Wilkinson, C. (2020). Accessibility of ‘essen- tial’ alcohol in the time of COVID-19: Casting light on the blind spots of licensing? Drug and Alcohol Review, 39, 305-308. doi:10.1111/dar.13076.
  • Ricou, J. (13/5/2020). ¿Han recaído los exfumadores por el estrés del confinamiento? Un estudio pionero lo ha investigado. La Vanguardia. https://www.lavanguardia. com.
  • Servicio Madrileño de Salud. Oficina Regional de Coor- dinación de Salud Mental y Adicciones. (2020). Guía de actuaciones en psiquiatría, salud mental y apoyo psicosocial en la pandemia por covid19 marzo-mayo 2020. https://psiquiatria- clinica.es/wp-content/uploads/2020/04/01-Comuni- dad-general-31-Marzo-Gu%C3%ADa-PSQySM-CO- VID19.pdf.
  • Shimizu, S., Aso, K., Noda, T., Ryukei, S., Kochi, Y. y Yamamoto, N. (2000). Natural disasters and alco- hol consumption in a cultural context: The Great Hanshin Earthquake in Japan. Addiction, 95, 529-536. doi:10.1046/j.1360-0443.2000.9545295.x.
  • Sociedad Española de Patología Dual. (2020). SEPD y COVID-19. http://www.patologiadual.es/formacion/ sepd-covid-19/.
  • Socidrogalcohol. (2020). El Plan Nacional sobre Drogas agradece el análisis y propuestas expresadas por Socidrogalcohol en la situación de pandemia. https://socidrogalcohol.org/el-plan-nacio- nal-sobre-drogas-agradece-el-analisis-y-propuestas-ex- presadas-por-socidrogalcohol-en-la-situacion-de-pande- mia/.
  • Sun, Y., Li, Y., Bao, Y., Meng, S., Sun, Y., Schumann, G.,... Shi, J. (2020). Brief report: Increased addictive Internet and substance use behavior during the COVID-19 pan- demic in China. American Journal on Addictions, 29, 1055- 0496. doi:10.1111/ajad.13066.
  • Testino, G. (2020). Are patients with alcohol use disorders at increased risk for Covid-19 infection? Alcohol and Alco- holism, 55, 344–346. doi:10.1093/alcalc/agaa037.
  • Trujillo, I. (22/4/2020). ¿Es la nicotina un antídoto eficaz frente al coronovirus? La Razón. https://www.larazón.es. UNODC. United Nations Office on Drugs and Crime. (2020). Suggestions about treatment, care and rehabilitation of people with drug use disorder in the context of the COVID-19 pandemic. https://www.unodc.org/ropan/en/sugges- tions-about-treatment--care-and-rehabilitation-of-peo- ple-with-drug-use-disorder-in-the-context-of-the-covid-19-pandemic.html.
  • Vardavas, C. I. y Nikitara, K. (2020). COVID-19 and smo- king: A systematic review of the evidence. Tobacco Induced Diseases, 20, 1-4.
  • Vecchio, S., Ramella, R., Drago, A., Carraro, D., Litt- lewood, R. y Somaini, L. (2020). COVID19 pandemic and people with opioid use disorder: Innovation to re- duce risk. Psychiatry Research, 289, 113047. doi:10.1016/j. psychres.2020.113047.
  • Vinkers, C. H., van Amelsvoort, T., Bisson, J. I., Bran- chi, I., Cryan, J. F., Domschke, K.,... van der Wee, N. J. A. (2020). Stress resilience during the coronavirus pandemic. European Neuropsychopharmacology, 35, 12-16. doi:10.1016/j.euroneuro.2020.05.003.
  • Volkow, N. D. (2020). Collision of the COVID-19 and ad- diction epidemics. Annals of Internal Medicine, 173, 61-62. doi:10.7326/m20-1212.
  • Wang, B., Kovalchuk, A., Li, D., Ilnytskyy, Y., Kovalchuk, I. y Kovalchuk, O. (2020). In search of preventative stra- tegies: Novel anti-inflammatory high-CBD cannabis sa- tiva extracts modulate ACE2 expression in COVID-19 gateway tissues. Preprints, 2020040315. doi:10.20944/ preprints202004.0315.v1.
  • Wu, P., Liu, X., Fang, Y., Fan, B., Fuller, C. J., Guan, Z.,... Litvak, I. J. (2008). Alcohol abuse/dependence symp- toms among hospital employees exposed to a SARS out- break. Alcohol and Alcoholism, 43, 706-712. doi:10.1093/ alcalc/agn073.
  • Yoon, M. K., Kim, S. Y., Ko, H. S. y Lee, M. S. (2016). System effectiveness of detection, brief intervention and refer to treatment for the people with post-trau- matic emotional distress by MERS: A case report of community-based proactive intervention in South Korea. International Journal of Mental Health Systems, 10, 51. doi:10.1186/s13033-016-0083-5.
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