Abstract

Introduction: The current corona virus disease (COVID-19) pandemic has caused a serious global health crisis that has affected large parts of the public and private life worldwide, including the use of psychoactive substances. In this study, we investigated the effect of the COVID-19 pandemic on the use of serotonergic psychedelics, i.e., the settings in which people use psychedelics, the motives of usage, and the subjective quality of psychedelic experiences.Methods: The study was part of an international, cross-sectional, internet-based survey (N = 5,049) available in five languages (English, German, Spanish, Italian, and Korean) carried out during the early phase of the pandemic from April to August 2020. Participants were asked to retrospectively rate settings and motives of psychedelic substance use before the pandemic and in the last 4 weeks during the pandemic, as well as changes in psychedelic experiences.Results: Of n = 1,375 participants that reported the use psychedelics in 2019 or 2020, n = 642 (46.6%) also took psychedelics during the pandemic. During the pandemic, participants used psychedelics significantly less often in settings that were outside their home. Top motives to use psychedelics were comparable before and during the pandemic, but participants consumed less out of curiosity, to celebrate, or because friends took it, and more out of boredom. An increase in positively connoted, often pro-social experiences was observed. Two thirds of participants who used psychedelics during the pandemic claimed that psychedelics had helped them to deal better with the corona pandemic at least slightly.Discussion: Changes in setting and motives were mostly in line with restrictions caused by control measures to contain the spread of the virus. The unexpected increase in positively connoted experiences possibly reflects a favorable interaction of environmental macro- and individual micro-contexts during the pandemic (e.g., by reducing the use in more uncontrolled recreational settings or by encouraging a strong self-selection of substance users due to the expectation of “bad trips”). Increased pro-social feelings under psychedelics might reflect a desire for social interactions in times of social distancing and pandemic-related stress and anxiety.

Highlights

  • The current corona virus disease (COVID-19) pandemic has caused a serious global health crisis that has affected large parts of the public and private life worldwide, including the use of psychoactive substances

  • Two thirds of participants who used psychedelics during the pandemic claimed that psychedelics would have at least slightly helped them to better deal with the corona crisis

  • We observed that the early phase of the COVID-19 pandemic was associated with changes in the use of serotonergic psychedelics, including the settings in which people use psychedelics, the motives of usage, and the subjective quality of psychedelic experiences

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Summary

Introduction

The current corona virus disease (COVID-19) pandemic has caused a serious global health crisis that has affected large parts of the public and private life worldwide, including the use of psychoactive substances. Most countries have introduced measures restricting the freedom of movement, social contacts, and other aspects of public life [3] Those far-reaching changes in daily life have been associated with increased mental health problems, including symptoms of depression, anxiety, stress, and insomnia [4,5,6]. Many of these pandemic related measures have affected drug use, drug supply, and drug markets [7]. The impact of the COVID-19 pandemic on drug markets, varies greatly across countries, possibly depending on the respective measures implemented to contain the spread of SARS-CoV-2, and the extent to which those measures affect the pre-pandemic routes of production and trafficking [11]

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