TY - JOUR U1 - Wissenschaftlicher Artikel A1 - Deimel, Daniel A1 - Firk, Christine A1 - Stöver, Heino A1 - Hees, Nicolas A1 - Scherbaum, Norbert A1 - Fleißner, Simon T1 - Substance Use and Mental Health during the First COVID-19 Lockdown in Germany: Results of a Cross-Sectional Survey JF - International Journal of Environmental Research and Public Health N2 - Background: The measures taken to contain the COVID-19 pandemic have led to significant changes in people’s daily lives. This paper examines changes in substance use during the first lockdown (March–July 2020) and investigates mental health burdens in substance users with increased consumption of alcohol, nicotine or tetrahydrocannabinol (THC) in Germany compared to users with unchanged or reduced consumption. Method: In a cross-sectional online survey, 2369 people were asked about their mental health and their substance use during the first lockdown in Germany. Results: Of the participants, 28.5% increased their alcohol use, 28.8% their use of tobacco products, and 20.6% their use of THC-containing products during the pandemic. The groups with increased alcohol, nicotine, and THC use during the first lockdown reported more depressive symptoms and anxiety. Individuals who reported increased consumption of alcohol or nicotine were also more likely to experience loneliness and have suicidal thoughts and were more often stressed due to social distancing. Conclusion: Alcohol, nicotine and THC increased in a subgroup of consumers who reported to have more mental health problems compared to individuals who did not increase their consumption. This increased substance use could, therefore, be understood as a dysfunctional strategy to cope with negative emotions during the lockdown. KW - Covid-19-Pandemie KW - COVID-19 KW - Umfrage KW - Psychische Gesundheit KW - Mental health KW - Substance use KW - Lockdown KW - Survey Y1 - 2022 UN - https://nbn-resolving.org/urn:nbn:de:0295-opus4-46080 U6 - https://doi.org/10.3390/ijerph191912801 DO - https://doi.org/10.3390/ijerph191912801 VL - 19 IS - 19 SP - 15 S1 - 15 ER -