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Psychiatry"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>The COVID-19 pandemic generated concerns about rising stress and alcohol use, especially in U.S. veterans who experience high rates of anxiety disorders (ADs), alcohol use disorder (AUD), and dual AD+AUD diagnoses. This study investigated differences among these diagnostic groups in a veteran population related to their concern about COVID-19, impacts of COVID-19 on quality of life, and self-reported changes to urge to drink and drinking frequency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A nationally administered online survey was given to a sample of U.S. veterans reporting substance use issues during the pandemic. Differences in the level of concern about COVID-19, impacts of COVID-19 on quality of life, and drinking behaviors were examined in those self-reporting AD (<jats:italic>n<\/jats:italic> = 98), AUD (<jats:italic>n<\/jats:italic> = 46), or AD+AUD (<jats:italic>n<\/jats:italic> = 67). Consensual qualitative research was used to analyze an open-ended question about COVID-19\u2019s impact on substance use, health, and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Veterans with AD+AUD experienced significant increases in urge to drink and alcohol consumption compared to veterans with AD only. Greater urge and frequency of drinking were associated with greater negative impacts of COVID-19 on quality of life. There were no differences among groups in global negative impact on quality of life or level of COVID-19 concern. However, respondents described specific COVID-19 worries, with qualitative findings revealing that those with AD+AUD reported a disproportionate psychosocial burden due to the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Special attention in screening and treatment should be given to those with a dual AD+AUD diagnosis who may be experiencing both an increase in alcohol use and psychosocial burden as stress increases due to the pandemic.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyt.2022.1083212","type":"journal-article","created":{"date-parts":[[2023,1,16]],"date-time":"2023-01-16T05:31:40Z","timestamp":1673847100000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["A quantitative and qualitative examination of the impacts of the COVID-19 pandemic on U.S. veterans with self-reported anxiety and alcohol use disorder"],"prefix":"10.3389","volume":"13","author":[{"given":"Brooke A.","family":"Duarte","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan M.","family":"Kelly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven D.","family":"Shirk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth S.","family":"Chamberlin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin D.","family":"Reilly","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,1,16]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12992-020-00589-w","article-title":"Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta analysis.","volume":"16","author":"Salari","year":"2020","journal-title":"Global Health."},{"key":"B2","doi-asserted-by":"publisher","first-page":"110207","DOI":"10.1016\/j.pnpbp.2020.110207","article-title":"Prevalence of anxiety in the COVID-19 pandemic: an updated meta-analysis of community-based studies.","volume":"109","author":"Santab\u00e1rbara","year":"2021","journal-title":"Prog Neuro Psychopharmacol Biol Psychiatry."},{"key":"B3","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1016\/j.bbi.2020.05.048","article-title":"COVID-19 pandemic and mental health consequences: systematic review of the current evidence.","volume":"89","author":"Vindegaard","year":"2020","journal-title":"Brain Behav Immun."},{"key":"B4","doi-asserted-by":"publisher","first-page":"102071","DOI":"10.1016\/j.ajp.2020.102071","article-title":"Impact of COVID-19 pandemic on pre-existing mental health problems.","volume":"51","author":"Chatterjee","year":"2020","journal-title":"Asian J Psychiatry."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1407","DOI":"10.3389\/fpsyt.2020.581426","article-title":"Worsening of preexisting psychiatric conditions during the COVID-19 pandemic.","volume":"11","author":"Gobbi","year":"2020","journal-title":"Front Psychiatry."},{"key":"B6","doi-asserted-by":"publisher","first-page":"815","DOI":"10.1177\/0706743720986786","article-title":"Emerging new psychiatric symptoms and the worsening of pre-existing mental disorders during the COVID-19 Pandemic: a Canadian Multisite Study: nouveaux sympt\u00f4mes psychiatriques \u00e9mergents et d\u00e9t\u00e9rioration des troubles mentaux pr\u00e9existants durant la pand\u00e9mie de la COVID-19: une \u00e9tude canadienne multisite.","volume":"66","author":"Robillard","year":"2021","journal-title":"Can J Psychiatry."},{"key":"B7","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1521\/psyc.65.3.207.20173","article-title":"60,000 disaster victims speak: Part I. 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