Increased value of substances or decreasing alternatives? behavioral economics in the time of covid-19

  1. González Ros, Alba 1
  2. Martínez Loredo, Víctor 2
  3. Secades Villa, Roberto 3
  4. Coloma Carmona, Ainhoa 4
  5. Carballo Crespo, José Luis 4
  1. 1 Universitat de les Illes Balears
    info

    Universitat de les Illes Balears

    Palma, España

    ROR https://ror.org/03e10x626

  2. 2 Department of Psychology and Sociology, University of Zaragoza (Spain)
  3. 3 Department of Psychology, University of Oviedo (Spain)
  4. 4 Center for Applied Psychology, Department of Health Psychology, Miguel Hernández University (Spain)
Revista:
Health and addictions: salud y drogas

ISSN: 1578-5319

Año de publicación: 2021

Volumen: 21

Número: 2

Páginas: 125-133

Tipo: Artículo

Otras publicaciones en: Health and addictions: salud y drogas

Resumen

COVID-19 offers a chance to test the Reinforcer Pathology (RP) model through the effects of social constraints on the motivation to use drugs. Aims. This study aimed to empirically assess the RP model in the context of a cross-sectional online survey in Spain. Method. During the strictest period of confinement (14th March-12th April 2020), 203 participants provided measures on past 30-day use of legal and illegal substances and responded to hypothetical alcohol and cigarette purchase tasks. Univariate and bivariate analyses were conducted to inform on pre- and intra-pandemic substance use patterns. Breakpoint (i.e., price at which consumption ceases), elasticity (i.e., sensitivity of demand to rises in costs) and intensity (i.e., unrestricted consumption) were used as indicators of substance use demand. Results. Past 30-day alcohol use decreased from 71.4% (145/203) to 50.7% (103/203), tobacco from 14.3% (30/203) to 12.8% (26/203), and cannabis from 8.9% (18/203) to 4.4% (9/203). Predictably, illegal substance use went from 1% (2/203) to 0%. Conclusions. Despite reductions in substance use, alcohol and tobacco reinforcement, as measured by intensity and breakpoint, slightly increased within the first month of confinement. Potentially beneficial nudges and intervention strategies are discussed from the preventive and treatment standpoint.

Referencias bibliográficas

  • cuff, S. F., Soltis, K. E., Murphy, J. G. (2020). Using demand curves to quantify the reinforcing value of social and solitary drinking. Alcoholism: Clinical and Experimental Research, 44, 1497-1507.
  • Bickel, W. K., Athamneh, L. N. (2020). A Reinforcer Pathology perspective on relapse. Journal of the Experimental Analysis of Behavior, 113(1), 48–56.
  • Chacón Fuertes, F., Fernández Hermida, J.R., García Vera, M. P. (2020). La Psicología ante la Pandemia de la COVID-19 en España. La Respuesta de la Organización Colegial. Clínica y Salud, 31(2), 119–123.
  • Columb, D., Hussain, R., O’Gara, C. (2020). Addiction Psychiatry and COVID-19 Impact on patients and service provision. Irish Journal of Psychological Medicine, 37(3), 164–168.
  • Dom, G., Samochowiec, J., Evans Lacko, S., Wahlbeck, K., Van Hal, G., McDaid, D. (2016). The impact of the 2008 economic crisis on substance use patterns in the countries of the European Union. International Journal of Environmental Research and Public Health, 13(1), 122.
  • Dennhardt, A. A., Murphy, J. G., McDevitt Murphy, M. E., Williams, J. L. (2016). Drinking motives mediate the relationship between alcohol reward value and alcohol problems in military veterans. Psychology of Addictive Behaviors, 30(8), 819–826.
  • Dubey, S., Biswas, P., Ghosh, R., Chatterjee, S., Dubey, M. J., Chatterjee, S., Lavie, C. J. (2020). Psychosocial impact of COVID-19. Diabetes and Metabolic Syndrome: Clinical Research and Reviews, 14(5), 779–788.
  • García Álvarez, L., Fuente Tomás, L. D., Saíz, P. A., García Portilla, M., Bobes, J. (2020). Will changes in alcohol and tobacco use be seen during the COVID-19 lockdown? Adicciones, 32, 85–89.
  • Garre Olmo, J., Turró Garriga, O., Martí Lluch, R., Zacarías Pons, L., Alves Cabratosa, L., Serrano Sarbosa, D., Blanes, R. R. (2020). Changes in lifestyle resulting from confinement due to COVID-19 and depressive symptomatology: A cross sectional a population based study. Comprehensive Psychiatry, 152214. h
  • González Roz, A., Secades Villa, R., Martínez Loredo, V., Fernández Hermida, J.R. (2020). Behavioral economic applications in the assessment, prevention, and psychological treatment of addictions. Papeles del Psicólogo, 41(2), 91-98.
  • González Roz, A., Secades Villa, R., Weidberg, S., Muñiz, J., MacKillop, J. (2020). Characterizing the reinforcing value of tobacco using a cigarette purchase task: An item response theory approach. Experimental and Clinical Psychopharmacology, 28(3), 291-298.
  • González Sanguino, C., Ausín, B., Castellanos, M. Á., Saiz, J., López Gómez, A., Ugidos, C., Muñoz, M. (2020). Mental health consequences during the initial stage of the 2020 Coronavirus pandemic (COVID-19) in Spain. Brain, Behavior, and Immunity, 87, 172–176.
  • Hale, T., Webster, S., Petherick, A., Phillips, T., Beatriz, K. (2020). Oxford COVID 19 Government Response Tracker. Blavatnik School of Government, University of Oxford.
  • Inchausti, F., García Poveda, N. V., Prado Abril, J., Sánchez Reales, S. (2020). La Psicología Clínica ante la Pandemia COVID-19 en España. Clínica y Salud, 31(2), 105–107.
  • Kiselica, A., Webber, T., Bornovalova, M. (2016). Validity of the alcohol purchase task: a meta-analysis. Addiction, 111(5), 806–816.
  • Koffarnus, M. N., Franck, C. T., Stein, J. S., Bickel, W. K. (2015). A modified exponential behavioral economic demand model to better describe consumption data. Experimental and Clinical Psychopharmacology, 23(6), 504–512.
  • Luo, M., Guo, L., Yu, M., Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public. A systematic review and meta analysis. Psychiatry Research, 291, 113190.
  • Martinez Loredo, V., Fernandez Hermida, J. R., De La Torre Luque, A., FernandezArtamendi, S. (2018). Trajectories of impulsivity by sex predict substance use and heavy drinking. Addictive Behaviors, 85, 164–172.
  • Martínez Vispo, C., Martínez, Ú., López Durán, A., Fernández del Río, E., Becoña, E. (2018). Effects of behavioural activation on substance use and depression: A systematic review. Substance Abuse: Treatment, Prevention, and Policy, 13, 36.
  • Meshesha, L. Z., Soltis, K. E., Wise, E. A., Rohsenow, D. J., Witkiewitz, K., Murphy, J. G. (2020). Pilot trial investigating a brief behavioral economic intervention as an adjunctive treatment for alcohol use disorder. Journal of Substance Abuse Treatment, 113, 108002.
  • Murphy, J. G., Correia, C. J., Colby, S. M., Vuchinich, R. E. (2005). Using behavioral theories of choice to predict drinking outcomes following a brief intervention. Experimental and Clinical Psychopharmacology, 13(2), 93–101.
  • Murphy, J. G., MacKillop, J. (2006). Relative reinforcing efficacy of alcohol among college student drinkers. Experimental and Clinical Psychopharmacology, 14(2), 219–227.
  • Zvorsky, I., Nighbor, T. D., Kurti, A. N., DeSarno, M., Naude, G., Reed, D. D., Higgins, S. T. (2019). Sensitivity of hypothetical purchase task indices when studying substance use: A systematic literature review. Preventive Medicine, 105789.