{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T18:38:39Z","timestamp":1788287919826,"version":"build-2803163510"},"reference-count":60,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Interindividual differences in personality traits, especially impulsivity traits, are robust risk factors for addictive disorders. However, their impact on addictive disorders during the COVID-19 lockdown remains unknown. This study assessed patients being followed for addictive disorders before the lockdown. We aimed to determine whether impulsivity traits (i.e., negative- and positive urgency) were associated with addictive disorders severity during the lockdowns. We also explored the patients\u2019 subjective experiences, focusing on high versus low impulsivity. The quantitative study assessed 44 outpatients consulting for addictive disorders, for impulsivity, emotion regulation, anxiety\/depression, and their addictive disorder characteristics, using self-administered questionnaires. In the qualitative study, six patients from the quantitative study were assessed using guided interviews. We observed that higher negative and positive urgencies were associated with addictive disorder severity. The subjective experiences of patients during the lockdowns differed according to their emotion-related impulsivity: high versus low. Low impulsive patients used online technologies more effectively to maintain follow-up, with more positive reappraisal. In contrast, highly impulsive patients reverted more frequently to self-medication with substances and\/or behaviors, more social isolation, and found coping with negative emotions more challenging. Overall, the patient\u2019s ability to cope with stressful events, like the COVID-19 lockdown, depended on their emotion-related impulsivity.<\/jats:p>","DOI":"10.3390\/ijerph20010705","type":"journal-article","created":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T04:07:09Z","timestamp":1672632429000},"page":"705","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Impulsivity as a Risk Factor for Addictive Disorder Severity during the COVID-19 Lockdown: Results from a Mixed Quantitative and Qualitative Study"],"prefix":"10.3390","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5111-9974","authenticated-orcid":false,"given":"Maxime","family":"Pautrat","sequence":"first","affiliation":[{"name":"EA7505 Education Ethique Sant\u00e9, University of Tours, 37000 Tours, France"},{"name":"Department of General Practice, Tours Regional University Hospital, 37000 Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Le Guen","sequence":"additional","affiliation":[{"name":"EA7505 Education Ethique Sant\u00e9, University of Tours, 37000 Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4743-3087","authenticated-orcid":false,"given":"Servane","family":"Barrault","sequence":"additional","affiliation":[{"name":"Qualipsy, EE 1901, Universit\u00e9 de Tours, 37041 Tours, France"},{"name":"Laboratoire de Psychopathologie et Processus de Sant\u00e9, Universit\u00e9 de Paris, 92100 Boulogne Billancourt, France"},{"name":"CHRU (Centre Hospitalier R\u00e9gional Universitaire) de Tours, Service d\u2019Addictologie Universitaire, CSAPA-37, 37000 Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4764-1003","authenticated-orcid":false,"given":"Aur\u00e9lien","family":"Ribadier","sequence":"additional","affiliation":[{"name":"Qualipsy, EE 1901, Universit\u00e9 de Tours, 37041 Tours, France"},{"name":"Laboratoire de Psychopathologie et Processus de Sant\u00e9, Universit\u00e9 de Paris, 92100 Boulogne Billancourt, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Ballon","sequence":"additional","affiliation":[{"name":"UMR 1253, iBrain, Universit\u00e9 de Tours, INSERM, 37000 Tours, France"},{"name":"CHRU de Tours, Service d\u2019Addictologie Universitaire, \u00c9quipe de Liaison et de Soins en Addictologie, 37000 Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Pierre","family":"Lebeau","sequence":"additional","affiliation":[{"name":"EA7505 Education Ethique Sant\u00e9, University of Tours, 37000 Tours, France"},{"name":"Department of General Practice, Tours Regional University Hospital, 37000 Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9317-228X","authenticated-orcid":false,"given":"Paul","family":"Brunault","sequence":"additional","affiliation":[{"name":"Qualipsy, EE 1901, Universit\u00e9 de Tours, 37041 Tours, France"},{"name":"UMR 1253, iBrain, Universit\u00e9 de Tours, INSERM, 37000 Tours, France"},{"name":"CHRU de Tours, Service d\u2019Addictologie Universitaire, \u00c9quipe de Liaison et de Soins en Addictologie, 37000 Tours, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1111\/j.1360-0443.1990.tb01620.x","article-title":"Addiction: Definition and implications","volume":"85","author":"Goodman","year":"1990","journal-title":"Br. 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