Drinking to Cope in the COVID-19 Era: An Investigation Among College Students.

Mohr, Cynthia D; Umemoto, Sheila K; Rounds, Thomas W; Bouleh, Philip; Arpin, Sarah N

OBJECTIVE The COVID-19 pandemic has resulted in abrupt, drastic changes to daily life in many nations. Experiences within the United States have varied widely. In the State of Oregon in the early months of the pandemic protective protocols (e.g., social distancing) were comparatively high, resulting in concern for increases in loneliness and COVID-related stress. The present study of college students examined the indirect relationship of loneliness and other stressors to alcohol use, via drinking-to-cope motives. METHOD A sample of traditional- and nontraditional-aged college students (N = 215; 68.1% female; mean age = 24.8 years) completed an online survey assessing COVID-19 experiences during shelter-in-place orders in Oregon over a 5-week period in April and May of 2020. RESULTS Cross-sectional structural equational modeling revealed that loneliness and COVID-19 news consumption were associated with stronger coping motives, whereas rated seriousness of COVID-19 was related to weaker coping motives. Coping motives, in turn, were related to more frequent past-30-day consumption; significant indirect effects were revealed for all three predictors on drinking frequency and heavy drinking frequency, via drinking-to-cope motives. Drinking-to-cope motives were also related to greater past-30-day marijuana use. CONCLUSIONS These findings provide insight into how COVID-related stressors and associated social relationship repercussions relate to alcohol and marijuana use and drinking-to-cope motivations while sheltering in place. These results have implications for how frequent substance use and coping-motivated use can be mitigated during a crisis.