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Chunk #26 — Discussion

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COVID-19 pandemic stressors are associated with reported increases in frequency of drunkenness among individuals with a history of alcohol use disorder.
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In this study, we examined the association of COVID-19-related stress and healthy coping activities with changes in drunkenness frequency since the start of the COVID-19 pandemic among participants with and without a history of AUD, including those experiencing symptoms and those in remission from AUD prior to the pandemic. Our results demonstrated that compared to those without a lifetime history of AUD, non-remitted individuals with a history of AUD reported greater increases in drunkenness frequency since the start of the COVID-19 pandemic; however, this difference was not observed among those who had been in remission from their AUD, regardless of their drinking status. COVID-19-related stressors and coping activities were associated with changes in the frequency of drunkenness among participants with symptoms of AUD and in both abstinent and non-abstinent participants in remission prior to the pandemic, but not among individuals without a past history of AUD. Among all groups with a history of AUD (including those with AUD symptoms and those remitted from AUD at the start of the pandemic), perceived stress was associated with increases in drunkenness. Among the