COVID-19 Lockdown 2020 Changed Patterns of Alcohol and Cannabis Use in Swiss Elite Athletes and Bodybuilders: Results From an Online Survey

Objectives: During the COVID-19 pandemic, increased patterns of substance use have been reported in the general population. However, whether this also applies to athletes is not yet clear. This study aimed to detect changes in alcohol consumption and cannabis use in elite athletes and bodybuilders during the first COVID-19 lockdown in Switzerland.Methods: Between April 25 and May 25, 2020, a cross-sectional online survey was conducted among bodybuilders and Swiss elite athletes who were active in Olympic sports and disciplines approved by the International Olympic Committee (IOC) on at least the national level. The collected data included information on alcohol and cannabis use during the last month (lockdown) and in the year before COVID-19 lockdown (pre-lockdown), daily training times, existential fears on a scale from 1 to 100, Patient Health Questionnaire-9 for depression (PHQ-9), Insomnia Severity Index (ISI), and State-Trait Anxiety Inventory (STAI).Results:N = 275 athletes (elite athletes: n = 193; bodybuilders: n = 82) was included in this study. Both pre-lockdown and during lockdown, more bodybuilders used cannabis (both time points: p < 0.001) than elite athletes, and more elite athletes drank alcohol (pre-lockdown: p = 0.005, lockdown: p = 0.002) compared to bodybuilders. During lockdown, fewer athletes drank alcohol compared to before, but those who continued drinking did so on more days per week (p < 0.001, Eta2 = 0.13). Elite athletes were more likely to increase their drinking with 17.7 vs. 8.2% in bodybuilders. When compared to pre-lockdown measures, the number of athletes using cannabis did not change during lockdown. Only three of 203 elite athletes reported using cannabis during lockdown; this contrasts with 16 of 85 bodybuilders. In a multivariate regression model, existential fears and a lower ISI score were significant predictors for increased alcohol consumption during the lockdown in the entire sample. In a model based on elite athletes only, male sex and a lower ISI score predicted increased alcohol consumption. In a bodybuilder-based model, predictors of increased alcohol consumption were existential fears and trait anxiety.Conclusion: We suggest identifying athletes who are at risk for increased alcohol and cannabis use; we suggest this to be able to professionally support them during stressful times, such as the COVID-19 pandemic.

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COVID-19 Fear Association with Depression, Anxiety, and Insomnia: A National Web-Based Survey on the General Population

Iranian Journal of Psychiatry ◽

10.18502/ijps.v17i1.8046 ◽

2021 ◽

Author(s):

Samaneh Akbarpour ◽

Amin Nakhostin-Ansari ◽

Khosro Sadeghniiat Haghighi ◽

Farnaz Etesam ◽

Zahra Banafsheh Alemohammad ◽

...

Keyword(s):

Online Survey ◽

Severity Index ◽

Population Based ◽

Cross Sectional ◽

Web Based ◽

Psychological Issues ◽

Online Study ◽

Prevalence Of Depression ◽

Patient Health ◽

Risk Of Progression

Objective: COVID-19 pandemic has influenced almost every country worldwide. Being in a pandemic situation can cause psychological distress to people, which can lead to sleep disorders. The present study aimed to assess prevalence of depression, anxiety, and insomnia among Iranian people and their relations with COVID-19 fear in the early stages of COVID-19 pandemic. Method: A cross-sectional and population-based online study was designed. We created an online form and used Fear of COVID-19 scale (FCV-19), Generalized Anxiety Disorder 2 scale (GAD-2), Patient Health Questionnaire-2 (PHQ-2), and Insomnia Severity Index (ISI), to assess fear of COVID-19, anxiety, depression, and insomnia, respectively. We sent the link to the online survey to Iranians interested in participating in the study via social media, and 1223 Iranian completed the form. Results: A total of 1223 individuals with a mean age of 39.82 ± 10.75 years participated in the study. Prevalence of insomnia, depression and anxiety among our participants were 55.2%, 61.5%, and 50.9%, respectively. The mean FCV-19 score among the participants was 19.70 ± 5.08. Insomnia was more common among those who were 50 years or older. Fear of COVID-19 was related to a more risk of progression toward depression, anxiety, and insomnia. Conclusion: Fear of COVID-19 has a considerable association with depression, anxiety, and insomnia in the pandemic, and strategies to reasonably decrease people’s fears can help to reduce incidence of psychological issues during the pandemic.

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Do Rates of Mental Health Symptoms in Currently Competing Elite Athletes in Paralympic Sports Differ from Non-Para-Athletes?

Sports Medicine - Open ◽

10.1186/s40798-021-00352-4 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Lisa S. Olive ◽

Simon Rice ◽

Matt Butterworth ◽

Matti Clements ◽

Rosemary Purcell

Keyword(s):

Mental Health ◽

Alcohol Consumption ◽

Online Survey ◽

Elite Athletes ◽

Participation Rate ◽

Self Esteem ◽

Mental Health Symptoms ◽

Cross Sectional ◽

Health Symptoms ◽

Health And Wellbeing

Abstract Background This study addresses the lack of comparative data on the mental health of athletes in Paralympic sports (‘para-athletes’) and non-para athletes by examining the prevalence and correlates of mental health symptoms in a national sample of elite athletes representative of the population from which it was drawn on age and para-status. Methods A cross-sectional, anonymous, online-survey was provided to all categorised (e.g. highest level) athletes, aged 17 years and older, registered with the Australian Institute of Sport (n = 1566). Measures included psychological distress, mental health caseness, risky alcohol consumption, body weight and shape dissatisfaction, self-esteem, life satisfaction, and problem gambling. Correlates of outcomes included individual (e.g. demographic and psychosocial) and sport-related variables. Results The participation rate was 51.7% (n = 810), with valid data available from 749 athletes. No significant differences were observed between athletes from para- and non-para-sports on most mental health symptoms, with the exception of alcohol consumption (p < .001) and self-esteem (p = .007), both lower in athletes from para-sports. A trend for an interaction was found for anxiety and insomnia (p = .018), whereby the difference between athletes from para- and non-para-sports was qualified by gender. Conclusions In a large sample of elite athletes, mental health and wellbeing symptoms are comparable between athletes from para- and non-para-sports, with the exception of para-athletes reporting lower alcohol consumption but also lower self-esteem. While overall mental health and wellbeing symptom profiles are largely similar, attention to areas of differences will help to better address the unmet and distinct mental health needs of athletes from para-sports.

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Public Concerns during the COVID-19 Lockdown: A Multicultural Cross-Sectional Study among Internet Survey Respondents in Three Countries

Journal of Clinical Medicine ◽

10.3390/jcm10081577 ◽

2021 ◽

Vol 10 (8) ◽

pp. 1577

Author(s):

Alona Emodi-Perlman ◽

Ilana Eli ◽

Nir Uziel ◽

Joanna Smardz ◽

Anahat Khehra ◽

...

Keyword(s):

Mental Health ◽

Online Survey ◽

Middle Eastern ◽

Well Being ◽

Cross Sectional Study ◽

Internet Survey ◽

Physical And Mental Health ◽

Cross Sectional ◽

Culturally Different ◽

Patient Health

(1) Background: this study aimed to evaluate the worries, anxiety, and depression in the public during the initial coronavirus disease 2019 (COVID-19) pandemic lockdown in three culturally different groups of internet survey respondents: Middle Eastern (Israel), European (Poland), and North American (Canada). (2) Methods: a cross-sectional online survey was conducted in the mentioned countries during the lockdown periods. The survey included a demographic questionnaire, a questionnaire on personal concerns, and the Patient Health Questionnaire-4 (PHQ-4). A total of 2207 people successfully completed the survey. (3) Results: Polish respondents were the most concerned about being infected. Canadian respondents worried the most about their finances, relations with relatives and friends, and both physical and mental health. Polish respondents worried the least about their physical health, and Israeli respondents worried the least about their mental health and relations with relatives and friends. Canadian respondents obtained the highest score in the PHQ-4, while the scores of Israeli respondents were the lowest. (4) Conclusions: various factors should be considered while formulating appropriate solutions in emergency circumstances such as a pandemic. Understanding these factors will aid in the development of strategies to mitigate the adverse effects of stress, social isolation, and uncertainty on the well-being and mental health of culturally different societies.

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Investigating Relationships Between Alcohol and Cannabis Use in an Online Survey of Cannabis Users: A Focus on Cannabinoid Content and Cannabis for Medical Purposes

Frontiers in Psychiatry ◽

10.3389/fpsyt.2020.613243 ◽

2020 ◽

Vol 11 ◽

Author(s):

Hollis C. Karoly ◽

Raeghan L. Mueller ◽

Chrysta C. Andrade ◽

Kent E. Hutchison

Keyword(s):

Alcohol Consumption ◽

Survey Data ◽

Online Survey ◽

Medical Condition ◽

Cannabis Use ◽

Medical Cannabis ◽

Drinking Frequency ◽

The Relationship ◽

Drinking Occasion

Cannabis is commonly used among people who drink alcohol, but findings are mixed regarding the direction of this relationship. The type of cannabis used [high-cannabidiol (CBD) vs. high-delta-9tetrahydrocannabinol (THC)] and motives for use (i.e., whether cannabis is used to treat a medical condition) may influence the relationship between cannabis and drinking. Specifically, CBD has shown preclinical promise in reducing alcohol consumption, and medical cannabis users report using cannabis to reduce drinking. This study leverages survey data from cannabis users who drink alcohol (N = 533). Respondents were categorized as using cannabis to treat (CTT) a medical condition or as individuals whose cannabis use is not intended to treat (NCTT) a medical condition and grouped based on the THC/CBD ratio of the flower or edible cannabis they typically use (e.g., “High-THC/CBD,” “Medium-THC/CBD” and “Low-THC/CBD”). The CTT group (n = 412) reported drinking significantly less frequently than the NCTT group (n = 121). Cannabinoid content of flower cannabis was associated with alcohol consumed on cannabis-use days, such that individuals in the High-THC/CBD group drink more on cannabis-use days compared to the Medium-THC/CBD group. Cannabinoid content of edible cannabis was associated with drinks per drinking occasion, such that the High-THC/CBD group consumed the most drinks and the Low-THC/CBD group consumed the fewest. For both edible and flower groupings, higher-THC/CBD cannabis was associated with more frequent co-use than lower-THC/CBD cannabis. Results suggest that whether someone uses cannabis to treat a medical condition may impact their drinking frequency, and the cannabinoid content in flower and edible cannabis impacts alcohol consumption.

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Training interns in nutrition and dietetics: a cross-sectional study of the barriers and motivators to being a Registered Dietitian Nutritionist preceptor

BMC Medical Education ◽

10.1186/s12909-021-02700-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Andrea M. Hutchins ◽

Donna M. Winham ◽

Jinette P. Fellows ◽

Michelle M. Heer

Keyword(s):

Experiential Learning ◽

Professional Training ◽

Online Survey ◽

Selection Process ◽

National Level ◽

Cross Sectional Study ◽

Registered Dietitian ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Entry Level

Abstract Background As is common across the health professions, training of Registered Dietitian Nutritionists (RDNs) requires experiential learning for interns/students to gain skills and demonstrate entry-level competency. Preceptors are essential to the experiential learning component of health care professional training, providing supervision and mentoring as students and interns gain the skills required for entry-level practice competency. Over the past 27 years, 47–73% of applicants to dietetic internships have received a placement. Practitioners willing to volunteer as preceptors are needed to generate more internship or experiential learning opportunities for the profession to continue to meet workforce demands. Methods The objective of this national-level online cross-sectional survey was to identify perceptions and attitudes associated with the preceptor role and incentives that might encourage precepting by current RDNs. A random sample of RDN and Nutrition and Dietetic Technicians, Registered (NDTR) professionals from the Commission on Dietetic Registration credentialed practitioner database were eligible to participate in the online survey. The main outcome measures included perceptions, attitudes, and preferred incentives to precept compared by preceptor experience categories (current, former, never precepted). Comparisons of perceptions, attitudes, and preferred incentives were made between preceptor experience categories using Chi-square and ANOVA. Results Of 2464 invitations, 308 participants had complete variables for analysis. Top incentives were the opportunity to earn continuing education units (65.9%) and having expenses paid to attend a national conference (49.5%). Significantly more (P < 0.001) “former” and “never” preceptors reported the ability to choose when to take an intern, training on how to teach and communicate with interns, and access to an “on-call” specialist as incentives compared to “current” preceptors. Significantly more (P < 0.01) “never” preceptors reported training on internship expectations and the ability to provide input on intern selection process as incentives compared to “current” or “former” preceptors. Conclusions Incentives to serve as a preceptor differ based on “current”, “former”, or “never” precepted status. Promoting and strategizing solutions to the current imbalance between the greater number of dietetic internship applicants compared to preceptors should be targeted based on preceptor status to retain current preceptors, encourage former preceptors to return and recruit professionals who have never served.

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The prevalence of psychiatric symptoms of pregnant and non-pregnant women during the COVID-19 epidemic

Translational Psychiatry ◽

10.1038/s41398-020-01006-x ◽

2020 ◽

Vol 10 (1) ◽

Cited By ~ 1

Author(s):

Yongjie Zhou ◽

Hui Shi ◽

Zhengkui Liu ◽

Songxu Peng ◽

Ruoxi Wang ◽

...

Keyword(s):

Pregnant Women ◽

Psychiatric Symptoms ◽

Severity Index ◽

Cross Sectional Study ◽

Post Traumatic Stress ◽

Online Questionnaire ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Patient Health ◽

Post Traumatic

Abstract Coronavirus disease 2019 (COVID-19) is rapidly spreading worldwide, with a staggering number of cases and deaths. However, available data on the psychological impacts of COVID-19 on pregnant women are limited. The purposes of this study were to assess the prevalence of psychiatric symptoms among pregnant women, and to compare them with non-pregnant women. From February 28 to March 12, 2020, a cross-sectional study of pregnant and non-pregnant women was performed in China. The online questionnaire was used to collect information of participants. The mental health status was assessed by patient health questionnaire, generalized anxiety disorder scale, insomnia severity index, somatization subscale of the symptom checklist 90, and post-traumatic stress disorder (PTSD) checklist-5. Totally, 859 respondents were enrolled, including 544 pregnant women and 315 non-pregnant women. In this study, 5.3%, 6.8%, 2.4%, 2.6%, and 0.9% of pregnant women were identified to have symptoms of depression, anxiety, physical discomfort, insomnia, and PTSD, respectively. However, the corresponding prevalence rates among non-pregnant women were 17.5%, 17.5%, 2.5%, 5.4%, 5.7%, respectively. After adjusting for other covariates, we observed that pregnancy was associated a reduced risk of symptoms of depression (OR = 0.23; 95% CI: 0.12–0.45), anxiety (OR = 0.26; 95% CI: 0.16–0.42), insomnia (OR = 0.19; 95% CI: 0.06–0.58), and PTSD (OR = 0.15; 95% CI: 0.04–0.53) during the COVID-19 epidemic. Our results indicate that during the COVID-19 epidemic in China, pregnant women have an advantage of facing mental problems caused by COVID-19, showing fewer depression, anxiety, insomnia, and PTSD symptoms than non-pregnant women.

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Mental Health, Sense of Coherence, and Interpersonal Violence during the COVID-19 Pandemic Lockdown in Germany

Journal of Clinical Medicine ◽

10.3390/jcm9113708 ◽

2020 ◽

Vol 9 (11) ◽

pp. 3708

Author(s):

Stefanie Jung ◽

Jonas Kneer ◽

Tillmann H. C. Krüger

Keyword(s):

Mental Health ◽

Sense Of Coherence ◽

Interpersonal Violence ◽

Online Survey ◽

Short Form ◽

Well Being ◽

Western Country ◽

Cross Sectional ◽

Substantial Impact ◽

Patient Health

Preliminary data indicates that the Coronavirus SARS-CoV-2 disease (COVID-19) pandemic may have a substantial impact on mental health and well-being. We assessed mental health in response to the lockdown in Germany between 1 April 2020 and 15 April 2020 using a cross-sectional online survey (n = 3545) with a mixed-methods approach. We found increased levels of psychosocial distress (Patient Health Questionnaire (PHQ) stress module), anxiety, depressive symptoms (PHQ-4), irritability, and a decrease in overall well-being (WHO-Five Well-Being Index (WHO-5)), sense of coherence (Short Form of the Sense of Coherence Scale (SOC-L9)), sexual contentment, and sleep quality. The four-week-prevalence of interpersonal violence was yet at 5% and included verbal, physical, and sexual violence. Participants reported finding comfort in family, friends, conversation, exercise, and activity. Findings are also in line with research showing that women seem to have more trouble coping with the pandemic and lockdown measures. Our observations demonstrate that the COVID-19 pandemic and related measures lead to a mental health burden even in a highly developed Western country and should, therefore, be taken seriously. The findings for interpersonal violence are alarming. Thus, we should sharpen our focus on the matter and activate and enhance supporting systems to help protect those affected.

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Prior drinking motives predict alcohol consumption during the COVID-19 lockdown: A cross-sectional online survey among Belgian college students

Addictive Behaviors ◽

10.1016/j.addbeh.2020.106772 ◽

2021 ◽

Vol 115 ◽

pp. 106772

Author(s):

Zoé Bollen ◽

Arthur Pabst ◽

Coralie Creupelandt ◽

Sullivan Fontesse ◽

Séverine Lannoy ◽

...

Keyword(s):

College Students ◽

Alcohol Consumption ◽

Online Survey ◽

Drinking Motives ◽

Cross Sectional

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Substances use between early and later stages of the COVID-19 pandemic in Israel

Israel Journal of Health Policy Research ◽

10.1186/s13584-021-00484-8 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Hagit Bonny-Noach ◽

Keren Cohen-Louck ◽

Inna Levy

Keyword(s):

Substance Use ◽

Alcohol Consumption ◽

Online Survey ◽

Empirical Studies ◽

Illegal Drug ◽

Demographic Variables ◽

Alcoholic Beverages ◽

Cross Sectional ◽

Frequent Consumption ◽

General Populations

Abstract Aims Only several empirical studies have examined substance use during the COVID-19 pandemic in general populations. Most of these studies compared self-reported substances use before the pandemic and during the pandemic's early stages. This study aims to identify the changes in substance use between the early and later waves of the COVID-19 pandemic in Israel. Methods A cross-sectional online survey recruited 750 participants (ages 18–65) in two waves: (1) 427 during and following the first lockdown (April-mid-May, 2020); and (2) 323 following the second lockdown (from October to mid-November, 2020). Results Participants who experienced two lockdowns reported more frequent consumption of all alcoholic beverages and cannabis in the last 30 days than those who experienced one lockdown. After controlling for demographic variables, significant differences were found between participants who experienced one lockdown and those who experienced two lockdowns in the consumption of alcoholic beverages (F(1, 742) = 6.90, p = .01, η2 = .01). However, there was no significant association between pandemic duration and other illegal drug consumption. Conclusions There is a significant association between pandemic duration and alcohol consumption. Policymakers and practitioners should develop national alcohol and cannabis use prevention and harm reduction interventions during pandemics with a focus on men, singles and youth.

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Risk Perception, Unhealthy Behavior, and Anxiety Due to Viral Epidemic Among Healthcare Workers: The Relationships With Depressive and Insomnia Symptoms During COVID-19

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.615387 ◽

2021 ◽

Vol 12 ◽

Author(s):

Jukab Lee ◽

Hyuk Joo Lee ◽

Youjin Hong ◽

Yong-Wook Shin ◽

Seockhoon Chung ◽

...

Keyword(s):

Healthcare Workers ◽

Online Survey ◽

Mental Health Problems ◽

Severity Index ◽

Work Related Stress ◽

Work Related ◽

Unhealthy Behavior ◽

Patient Health ◽

Related Stress ◽

Sex Perception

We aimed to investigate the relationship between mental health problems and unhealthy behaviors among healthcare workers in response to the COVID-19 pandemic. Using an online survey, we collected data on healthcare workers' perception regarding COVID-19 exposure in a work unit. Workers' depression, insomnia, and anxiety symptoms were assessed using the Patient Health Questionnaire-9, Insomnia Severity Index, and Generalized Anxiety Disorder-7 scale, respectively. Work-related stress and anxiety in response to the viral epidemic were measured using the Stress and Anxiety to Viral Epidemic-9 (SAVE-9) scale. We found that work-related stress and anxiety in response to the viral epidemic was associated with female sex, perception of the workplace as being dangerous, and depressive symptoms. Unhealthy behaviors, such as smoking and drinking as coping behaviors during the pandemic, were associated with male sex, young age, depression, and insomnia. During the COVID-19 pandemic, it is necessary to closely observe the patterns of work-related stress and anxiety reactions among healthcare workers to reduce their burnout.

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