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Chunk #37 — 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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questionnaires were initially selected to assess COVID-19-related stressors, coping and substance use. Among these questionnaire items, there were two items focused on alcohol use (changes in drinking frequency, changes in drunkenness frequency). We focused on changes in the frequency of drunkenness (vs. frequency of drinking) to get closer to the more ‘problematic’ use of alcohol. The data included in this manuscript is a ‘baseline’ assessment (May 2020–February 2021) of a longitudinal study designed to assess more nuanced aspects of alcohol use and misuse, including more comprehensive measures of drinking and drinking problems with a more precise description of time-periods to improve recall (e.g., AUDIT-P), assessed at three timepoints throughout the course of the pandemic. Thus, more detailed and objective measures of alcohol use and problems will be evaluated in future studies. In our full analytic sample, the reliability of the items included in the COVID-19 questionnaires was good (Cronbach’s alpha: 0.82). However, we will continue to monitor psychometric properties and conduct tests by AUD status, gender, age and ethnicity as the sample grows. Finally, in both the overall and gender-stratified analyses, change in drunkenness frequency among remitted-abstinent individuals was particularly affected by COVID risk and protective factors. We note that