{"id":18031,"date":"2021-02-24T00:00:00","date_gmt":"2021-02-24T00:00:00","guid":{"rendered":"https:\/\/cadca1stg.wpengine.com\/2021\/02\/24\/niaaa-guest-blog-the-behavioral-and-biological-effects-of-alcohol-and-covid-19\/"},"modified":"2024-04-24T18:22:47","modified_gmt":"2024-04-24T18:22:47","slug":"niaaa-guest-blog-the-behavioral-and-biological-effects-of-alcohol-and-covid-19","status":"publish","type":"post","link":"https:\/\/www.cadca.org\/pt\/public-health\/niaaa-guest-blog-the-behavioral-and-biological-effects-of-alcohol-and-covid-19\/","title":{"rendered":"Blog convidado da NIAAA - Os efeitos comportamentais e biol\u00f3gicos do \u00e1lcool e do COVID-19"},"content":{"rendered":"<p class=\"intro\" style=\"margin-right: 0in; margin-left: 0in; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); margin-top: 0in;\"><i><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">This guest blog post was written by the National Institute on Alcohol Abuse and Alcoholism (NIAAA). Learn more about the impact of alcohol use during COVID-19 at <b><a href=\"https:\/\/www.niaaa.nih.gov\/\" style=\"color: blue;\">NIAAA\u2019s website<\/a>.<\/b> \u00a0<\/p>\n<p><\/span><\/i><\/p>\n<p class=\"intro\" style=\"margin-right: 0in; margin-left: 0in; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); margin-top: 0in;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">During the course of the COVID-19 pandemic, researchers and scientists from across the biomedical spectrum have focused on the diverse health impacts of the novel coronavirus. For their part, alcohol researchers are investigating numerous ways that alcohol might affect COVID-19 risk and severity, as well as how the pandemic may influence alcohol consumption patterns and problems. These new studies will complement what scientists already know about alcohol\u2019s behavioral and biological effects.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><strong style=\"box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Behavioral Effects During the Pandemic<\/span><\/strong><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\"><\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Alcohol has long been known as a \u201csocial lubricant\u201d that decreases the inhibitions people may have when interacting with others. It also impairs individuals\u2019 decision-making, threat detection\u00a0and impulse control, which may in turn impact adherence to COVID-19 prevention guidelines for physical distancing and mask wearing.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Researchers have also long known that stress can contribute to an increase in alcohol use among people who drink. Stress also increases the risk of relapse among people in recovery from alcohol use disorder (AUD). The pandemic has added new stress to many people\u2019s lives as a result of a wide range of factors, such as uncertainty about the future and feelings of isolation while physical distancing. Early evidence from surveys suggests that some people are drinking more, while others are drinking less, but of those individuals drinking more, stress was associated with increases in alcohol use. There are also signs that alcohol use increased among college students, particularly among those reporting higher levels of stress and anxiety.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">The physical distancing that has been imposed during the pandemic may be particularly challenging for people who are suffering from or are vulnerable to AUD, since social isolation could serve as a source of stress that motivates drinking to cope. People in recovery from AUD are also challenged by physical distancing measures, since face-to-face therapy sessions and in-person mutual support group meetings that are often critical for successful treatment and recovery are unavailable to most people right now. As discussed below, options for one-on-one sessions through telehealth or participation in online mutual support groups are helping to address this significant treatment challenge.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><strong style=\"box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Biological Effects During the Pandemic<\/span><\/strong><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\"><\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">It is possible that drinking excessively during the pandemic could interfere with the immune system, thereby increasing the risk of infection with SARS-CoV-2 (the virus that causes COVID-19) and worsening the prognosis. Alcohol misuse over the short-term\u2014such as after an episode of binge drinking\u2014can reduce the ability of the innate immune system, the first line of defense in the body for detecting and destroying foreign invaders, to fight infections. This impairment can make it easier to catch a cold or other virus. Long-term excessive drinking can lead to chronic systemic inflammation as well as an impaired ability to defend against infections.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">In the lungs, excessive alcohol damages epithelial cells that line the lung surface and is associated with acute respiratory distress syndrome (ARDS), a potentially fatal lung condition that can require the use of a ventilator. Research prior to the pandemic suggests that alcohol misuse increases the risk of developing, and dying from, ARDS. Among patients who survive ARDS, a history of excessive alcohol use is associated with an increased duration of mechanical ventilation and prolonged length of stay in an intensive care unit (ICU). Ultimately, impaired immune system function and an increased susceptibility to respiratory illness could contribute to more severe COVID-19 symptoms and greater risk of mortality. Ongoing research will shed light on the potential role of alcohol misuse in COVID-19 susceptibility and severity.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><strong style=\"box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Finding Help During the Pandemic<\/span><\/strong><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\"><\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">The recent approval of effective vaccines to prevent COVID-19 is a hopeful sign that better news about the pandemic is on the horizon. That said, adherence to public health measures such as wearing masks and social distancing will be necessary well into 2021, and face-to-face therapy sessions and in-person mutual support groups for people struggling with alcohol use problems or mental health challenges will likely remain unavailable for some time. Fortunately, telehealth appointments with clinicians and virtual mutual support group meetings have become important options during the pandemic and will continue to be a vital way to access treatment. The<strong>\u00a0<a aria-label=\"Opens in a new window: NIAAA Alcohol Treatment Navigator\" href=\"https:\/\/alcoholtreatment.niaaa.nih.gov\/\" style=\"color: blue; box-sizing: border-box;\" target=\"_blank\" rel=\"noopener\"><span style=\"color: rgb(47, 112, 168);\">NIAAA Alcohol Treatment Navigator<\/span><\/a>\u00a0<\/strong>helps adults find telehealth and online support group meeting options for themselves or an adult loved one. Through this website, clinicians can access<strong>\u00a0<a aria-label=\"Opens in a new window: information to help their patients and clients in need of alcohol treatment\" href=\"https:\/\/alcoholtreatment.niaaa.nih.gov\/telehealth-alcohol-treatment\" style=\"color: blue; box-sizing: border-box;\" target=\"_blank\" rel=\"noopener\"><span style=\"color: rgb(47, 112, 168);\">information to help their patients and clients in need of alcohol treatment<\/span><\/a>.<\/strong><\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Even as we turn the corner on the COVID-19 pandemic, understanding the short- and long-term health consequences of this pandemic will be crucial in helping us to be prepared for future public health crises.<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><strong style=\"box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">References:<\/span><\/strong><br style=\"box-sizing: border-box;\" \/><br \/><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Rodriguez, L.M; Litt, D.M.; and Stewart, S.H. Drinking to cope with the pandemic: The unique associations of COVID-19-related perceived threat and psychological distress to drinking behaviors in American men and women.\u00a0<em style=\"box-sizing: border-box;\">Addictive Behaviors<\/em>\u00a0110:106532, 2020. PMID: 32652385<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Lechner, W.V.; Laurene, K.R.; Patel, S.; Anderson, M.; Grega, C.; and Kenne, D.R. Changes in alcohol use as a function of psychological distress and social support following COVID-19 related University closings.\u00a0<em style=\"box-sizing: border-box;\">Addictive Behaviors<\/em>\u00a0110:106527, 2020. PMID: 32679435<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Fan, E.; Beitler, J.R.; Brochard, L.; Calfee, C.S.; Ferguson, N.D.; Slutsky, A.S.; and Brodie, D. COVID-19-associated acute respiratory distress syndrome: Is a different approach to management warranted?\u00a0<em style=\"box-sizing: border-box;\">The Lancet Respiratory Medicine<\/em>\u00a08(8):816\u2013821, 2020. PMID: 32645311<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Stevens, J.P.; Law, A.; Giannakoulis, J. Acute respiratory distress syndrome.\u00a0<em style=\"box-sizing: border-box;\">JAMA: The Journal of the American Medical Association<\/em>\u00a0319(7):732, 2018. PMID: 29466593<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Bo\u00e9, D.M.; Vandivier, R.W.; Burnham, E.L.; and Moss, M. Alcohol abuse and pulmonary disease.\u00a0<em style=\"box-sizing: border-box;\">Journal of Leukocyte Biology<\/em>\u00a086(5):1097\u20131104, 2009. PMID: 19602670<\/p>\n<p><\/span><\/p>\n<p style=\"margin: 0in 0in 1rem; font-size: 12pt; font-family: \"times new roman\", serif; color: rgb(0, 0, 0); box-sizing: border-box;\"><span style=\"font-family: \"source sans pro\", sans-serif; color: rgb(33, 37, 41);\">Simou, E.; Leonardi-Bee, J.; and Britton, J. The effect of alcohol consumption on the risk of ARDS: A systematic review and meta-analysis.\u00a0<em style=\"box-sizing: border-box;\">Chest<\/em>\u00a0154(1):58\u201368, 2018. PMID: 29288645<\/p>\n<p><\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>Esta postagem convidada foi escrita pelo Instituto Nacional sobre Abuso de \u00c1lcool e Alcoolismo (NIAAA). Saiba mais sobre o<\/p>","protected":false},"author":23,"featured_media":2284,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[360],"tags":[],"class_list":["post-18031","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-public-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>NIAAA Guest Blog\u2014The Behavioral and Biological Effects of Alcohol and COVID-19 | CADCA<\/title>\n<meta name=\"description\" content=\"CADCA represents over 5,000 community coalitions that involve individuals from key sectors including schools, law enforcement, youth, parents, healthcare, media, tribal communities and others\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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