Evaluation of alcohol, substance and antidepressant drug use of university students during the COVID-19 pandemic

Aim: This study aimed to investigate how the mental tension and environmental conditions caused by the COVID-19 pandemic affected the alcohol and substance use habits of university students and the changes in the rates of antidepressant drug use for mood disorders due to the pandemic.Material and Method: This cross-sectional survey study was conducted using an electronic survey completed by university students in Turkey between the years 2021-2022. Our study consisted of a questionnaire prepared to collect the demographic information of the participants and the Bapirt-Alcohol/Substance scale used to determine alcohol/substance addiction level. The survey, which took 5 minutes to complete, was randomly distributed to university students.Results: A total of 641 participants, approximately 66% female and 34% male, between the ages of 18 and 41 years were included in the study. The mean alcohol dependence scores before and during the COVID-19 pandemic were 0.91 and 1.35 and substance addiction scores were found to be 0.17 and 0.33. There was a significant difference in the average alcohol and substance addiction scores of the students during the pandemic compared to the pre-pandemic period (for alcohol addiction: p=0.000; for substance addiction: p=0.007). Students who perceived their income level as mostly low had significantly higher alcohol addiction scores during the pandemic period compared to pre-COVID-19 (p=0.014). Compared to the pre-pandemic period, the average alcohol and substance addiction scores were found to be significantly higher in students residing in dormitories/student houses during the pandemic period (p=0.014 for alcohol; p=0.001 for substances). Antidepressant drug use rates of the participants were found to be higher during the pandemic period compared to the pre-pandemic period.Conclusion: As a result of this study, when the addiction levels for alcohol and substance use in university students before the COVID-19 pandemic and during the pandemic were compared, addiction increased in general. The prevalence of depression increased due to changing lifestyles and disruptions as a result of the pandemic, and accordingly, serious increases were observed in the use of antidepressant drugs.