Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021

BackgroundThe lockdown measures during the SARS-CoV-2 pandemic could have influenced drug consumption patterns of persons with drug use disorder, especially due to a reduced availability of drugs, an increased consumption of sedating substances as a coping strategy, or a shift to novel psychotropic...

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Main Authors: Patrik Roser, Michael Specka, Udo Bonnet, Thomas Kuhlmann, Stefan Kühnhold, Renate Steinert, Benita Zeiske, Daniel Deimel, Norbert Scherbaum
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-12-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1467144/full
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author Patrik Roser
Patrik Roser
Michael Specka
Udo Bonnet
Udo Bonnet
Thomas Kuhlmann
Stefan Kühnhold
Renate Steinert
Benita Zeiske
Daniel Deimel
Daniel Deimel
Norbert Scherbaum
author_facet Patrik Roser
Patrik Roser
Michael Specka
Udo Bonnet
Udo Bonnet
Thomas Kuhlmann
Stefan Kühnhold
Renate Steinert
Benita Zeiske
Daniel Deimel
Daniel Deimel
Norbert Scherbaum
author_sort Patrik Roser
collection DOAJ
description BackgroundThe lockdown measures during the SARS-CoV-2 pandemic could have influenced drug consumption patterns of persons with drug use disorder, especially due to a reduced availability of drugs, an increased consumption of sedating substances as a coping strategy, or a shift to novel psychotropic substances (NPS) associated with an increased drug buying in the internet. In this study, the consumption patterns of people mainly with opioid use disorder entering inpatient drug detoxification treatment were investigated in the same hospitals with the same methods before and during the pandemic.MethodsAt admission, patients were interviewed regarding their consumption patterns using the EuropASI questionnaire. In addition, changes in the routes of drug acquisition were assessed.ResultsIn five hospitals in Western Germany, 213 (2021) and 175 persons (2018) were recruited. Sociodemographic data were similar in both cohorts (mean age around 40 years, mainly male, about 50% with migrant background, high unemployment rate). Rates of use of various drugs during the last 30 days were also similar. Differences were detected for gabapentinoids and opioid analgesics (increase >5%) as well as for cannabis (decrease >5%). Current use of NPS was low in both surveys. Only a minority of patients had experiences with drug acquisition in the internet.DiscussionThe pandemic had only a minor influence on consumption patterns and routes of drug acquisition in this sample. It remains to be seen whether the increased use of gabapentinoids and opioid analgesics will continue despite the end of the pandemic.
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spelling doaj-art-1de910663ecb4e2ca91a61b86d672b272024-12-16T06:18:26ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-12-011510.3389/fpsyt.2024.14671441467144Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021Patrik Roser0Patrik Roser1Michael Specka2Udo Bonnet3Udo Bonnet4Thomas Kuhlmann5Stefan Kühnhold6Renate Steinert7Benita Zeiske8Daniel Deimel9Daniel Deimel10Norbert Scherbaum11LVR-University Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, GermanyUniversity Hospital of Psychiatry Zurich, Center for Addictive Disorders, Medical Faculty, University of Zurich, Zurich, SwitzerlandLVR-University Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, GermanyLVR-University Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, GermanyDepartment of Psychiatry, Psychotherapy and Psychosomatic Medicine, Evangelisches Krankenhaus Castrop-Rauxel, Castrop-Rauxel, GermanyDepartment of Addictive Disorders, Psychosomatic Hospital Bergisch Gladbach, Bergisch Gladbach, GermanyDepartment of Addiction Medicine, LWL Hospital Lippstadt/Warstein, Warstein, GermanyDepartment of Addiction Medicine, LWL Hospital Münster, Münster, GermanyDepartment of Addictive Disorders, Alexius/Josef Hospital, Neuss, GermanyLVR-University Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, GermanyNuremberg Institute of Technology, TH Nuremberg, Faculty of Social Science, Nuremberg, GermanyLVR-University Hospital Essen, Department of Psychiatry and Psychotherapy, Medical Faculty, University of Duisburg-Essen, Essen, GermanyBackgroundThe lockdown measures during the SARS-CoV-2 pandemic could have influenced drug consumption patterns of persons with drug use disorder, especially due to a reduced availability of drugs, an increased consumption of sedating substances as a coping strategy, or a shift to novel psychotropic substances (NPS) associated with an increased drug buying in the internet. In this study, the consumption patterns of people mainly with opioid use disorder entering inpatient drug detoxification treatment were investigated in the same hospitals with the same methods before and during the pandemic.MethodsAt admission, patients were interviewed regarding their consumption patterns using the EuropASI questionnaire. In addition, changes in the routes of drug acquisition were assessed.ResultsIn five hospitals in Western Germany, 213 (2021) and 175 persons (2018) were recruited. Sociodemographic data were similar in both cohorts (mean age around 40 years, mainly male, about 50% with migrant background, high unemployment rate). Rates of use of various drugs during the last 30 days were also similar. Differences were detected for gabapentinoids and opioid analgesics (increase >5%) as well as for cannabis (decrease >5%). Current use of NPS was low in both surveys. Only a minority of patients had experiences with drug acquisition in the internet.DiscussionThe pandemic had only a minor influence on consumption patterns and routes of drug acquisition in this sample. It remains to be seen whether the increased use of gabapentinoids and opioid analgesics will continue despite the end of the pandemic.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1467144/fullCOVID-19opioid use disorderconsumption patterngabapentinoidsnovel psychotropic substancesroute of acquisition
spellingShingle Patrik Roser
Patrik Roser
Michael Specka
Udo Bonnet
Udo Bonnet
Thomas Kuhlmann
Stefan Kühnhold
Renate Steinert
Benita Zeiske
Daniel Deimel
Daniel Deimel
Norbert Scherbaum
Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021
Frontiers in Psychiatry
COVID-19
opioid use disorder
consumption pattern
gabapentinoids
novel psychotropic substances
route of acquisition
title Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021
title_full Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021
title_fullStr Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021
title_full_unstemmed Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021
title_short Consumption patterns before and during the COVID-19 pandemic among patients admitted to inpatient drug detoxification treatment: Results of two cross-sectional surveys from 2018 and 2021
title_sort consumption patterns before and during the covid 19 pandemic among patients admitted to inpatient drug detoxification treatment results of two cross sectional surveys from 2018 and 2021
topic COVID-19
opioid use disorder
consumption pattern
gabapentinoids
novel psychotropic substances
route of acquisition
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1467144/full
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