Changes in alcohol use and mood during the COVID-19 pandemic among individuals with traumatic brain injury: A difference-in-difference study

To evaluate the impact of COVID-19 pandemic exposure on changes in alcohol use and mood from years 1 to 2 after traumatic brain injury (TBI). We used a difference-in-difference (DiD) study design to analyze data from 1,059 individuals with moderate-to-severe TBI enrolled in the TBI Model Systems (TB...

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Published in:PloS one 2022-04, Vol.17 (4), p.e0266422-e0266422
Main Authors: Kumar, Raj G, Esterov, Dmitry, Adams, Rachel Sayko, Corrigan, John D, Juengst, Shannon B, Chiaravalloti, Nancy D, Yew, Belinda, Dreer, Laura E, Dams-O'Connor, Kristen
Format: Article
Language:English
Subjects:
Adult
Aged
Alcohol Drinking - epidemiology
Alcohol use
Alcoholic beverages
Alcohols
Anxieties
Anxiety
Anxiety - epidemiology
Anxiety disorders
Binge drinking
Binge Drinking - epidemiology
Biology and Life Sciences
Brain
Brain Injuries, Traumatic - epidemiology
Coronaviruses
COVID-19
COVID-19 - epidemiology
Drinking behavior
Drinking of alcoholic beverages
Evaluation
Exposure
Head injuries
Humans
Injuries
Male
Medicine and Health Sciences
Mood
Pandemics
People and Places
Risk factors
Social Sciences
Subgroups
Traumatic brain injury
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creator Kumar, Raj G
Esterov, Dmitry
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Yew, Belinda
Dreer, Laura E
Dams-O'Connor, Kristen
description To evaluate the impact of COVID-19 pandemic exposure on changes in alcohol use and mood from years 1 to 2 after traumatic brain injury (TBI). We used a difference-in-difference (DiD) study design to analyze data from 1,059 individuals with moderate-to-severe TBI enrolled in the TBI Model Systems (TBIMS) National Database. We defined COVID-19 pandemic exposure as participants who received their year 1 post-injury interviews prior to January 1, 2020, and their year 2 interview between April 1, 2020 and January 15, 2021. Pandemic-unexposed participants had both year 1 and 2 follow-up interviews before January 1, 2020. We measured current alcohol use as any past month alcohol use, average number of drinks per drinking occasion, and past month binge drinking. We measured depression symptoms using Patient Health Questionnaire-9, and anxiety symptoms using the Generalized Anxiety Disorder-7. We found persons with TBI exposed to the pandemic had greater increases in the average number of drinks per occasion from year 1 to 2 post-injury compared to pandemic-unexposed individuals (β = 0.36, 95% CI: 0.16, 0.57, p = 0.001), with males, adults
doi_str_mv 10.1371/journal.pone.0266422
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We found persons with TBI exposed to the pandemic had greater increases in the average number of drinks per occasion from year 1 to 2 post-injury compared to pandemic-unexposed individuals (β = 0.36, 95% CI: 0.16, 0.57, p = 0.001), with males, adults &lt;65 years old, and Black and Hispanic subgroups showing the greatest increases in consumption. Though average consumption was elevated, changes in rates of any alcohol use or binge drinking by pandemic exposure were not observed. Overall, there were no significant changes in depressive and anxiety symptoms over time between pandemic exposed and unexposed groups; however, pandemic-exposed Hispanics with TBI reported significant increases in anxiety symptoms from year-1 to year-2 post-injury compared to pandemic-unexposed Hispanics (β = 2.35, 95% CI: 0.25, 4.47, p = 0.028). Among persons living with TBI, those exposed to the pandemic had significant increases in average alcohol consumption. 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language eng
recordid cdi_plos_journals_2648290983
source Publicly Available Content Database; PubMed Central; Coronavirus Research Database
subjects Adult
Aged
Alcohol Drinking - epidemiology
Alcohol use
Alcoholic beverages
Alcohols
Anxieties
Anxiety
Anxiety - epidemiology
Anxiety disorders
Binge drinking
Binge Drinking - epidemiology
Biology and Life Sciences
Brain
Brain Injuries, Traumatic - epidemiology
Coronaviruses
COVID-19
COVID-19 - epidemiology
Drinking behavior
Drinking of alcoholic beverages
Evaluation
Exposure
Head injuries
Humans
Injuries
Male
Medicine and Health Sciences
Mood
Pandemics
People and Places
Risk factors
Social Sciences
Subgroups
Traumatic brain injury
title Changes in alcohol use and mood during the COVID-19 pandemic among individuals with traumatic brain injury: A difference-in-difference study
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