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The effects of the COVID-19 pandemic on mental health have been profound. Mental health and diabetes self-care are inter-related. We examined whether COVID-19 anxiety, depressive symptoms and health anxiety were associated with domains of diabetes self-management and investigated whether greater COVID-19 anxiety syndrome would independently contribute to suboptimal diabetes self-care.Surveys were sent to people attending diabetes clinics of three London hospitals. Participants completed the Diabetes Self-Management Questionnaire (DSMQ), the COVID-19 Anxiety Syndrome Scale (C-19 ASS), which measures perseveration and avoidant maladaptive coping behaviour, assessed with measures of co-existent depressive symptoms and anxiety, controlling for age, gender and social deprivation. Clinical data, including pre- and post-lockdown HbADepressive symptom scores were high. Both pre-existing health anxiety and depressive symptoms were independently linked to improvable measures of diabetes care, as was lower socio-economic rank. However, avoidant COVID-19 anxiety responses were independently associated with higher diabetes self-care scores. HbADuring the height of lockdown, avoidant coping behaviours characteristic of the COVID-19 anxiety syndrome may in fact work to improve diabetes self-care, at least in the short term. We recommend screening for depressive symptoms and being aware of the significant minority of people with COVID-19 anxiety syndrome who may now find it difficult to re-engage with face-to-face clinic opportunities.

The present study introduces a new construct potentially associated with problematic smartphone use, that is the fear of not being up to date, and tests two serial mediation models, in which it was hypothesised that: (i) metacognitions and social smartphone use would be serial mediators of the relationship between the fear of missing out (FoMO) and problematic smartphone use (PSU); and (ii) metacognitions and process smartphone use would be serial mediators of the relationship between and the fear of not being up to date and PSU. A sample of 364 participants (F = 72.8%; mean age = 36.80 ± 15.32 years; age range: 18–75 years), recruited online, were administered a battery of self-report measures assessing FoMO, the fear of not being up to date, metacognitions about smartphone use, process and social smartphone use, and PSU. The serial mediation effect of metacognitions about smartphone use and process use on the relationship between the fear of not being up to date and PSU was significant (indirect effect = 0.004; 95% CI: [0.0006, 0.009]). Conversely, the serial mediation effect of metacognitions about smartphone use and social use on the relationship between FoMO and PSU was not significant (indirect effect = 0.002; 95% CI: [-0.003, 0.009]). Smartphone social use did not predict PSU. The current study highlights a possible pathway towards process smartphone use via a relatively new phenomenon termed “fear of not being up to date” within a metacognitive framework.

This study examined self-perceived substance and behavioral addictions among Israeli adolescents during the COVID-19 pandemic across different sociodemographic categories. The sample comprised 2,074 adolescents (40% males, 60% females) aged 12-19 years who completed the survey anonymously and with parental consent. We examined what is the prevalence of self-perceived substance and behavioral addictions in this population in the COVID-19 pandemic context. Participants reported self-perceived addictions to social networks (70%), shopping (46%), binge eating (34%), gaming (30%), sex-related behavior (15%), psychoactive substance (31%, including alcohol, tobacco, cannabis, and/or cocaine), and gambling (3%). Moreover, differences were found to be directly related to age, biological sex, religiosity, socioeconomic status, and immigration status. From a lay epidemiological perspective, the current research expands our knowledge about self-perceived addiction among adolescents during the COVID-19 pandemic, offering better understanding of the likelihood probability factors for self-perceived addiction among adolescents and its related negative outcomes, including increased risk factors for later adult life.