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Previous research has found support for depression and anxiety severity in association with both increased and problematic smartphone use. However, little research has explored transdiagnostic psychopathology constructs as mediators that may account for these relationships. The purpose of this paper is to test rumination as a possible transdiagnostic (cross-sectional) mediator in these relationships.

The authors recruited 296 college students to complete relevant web survey measures, including the patient health questionnaire-9 (for depression severity), social interaction anxiety scale (for social anxiety severity), ruminative thought styles questionnaire, smartphone addiction scale-short version (to measure levels of problematic smartphone use), and a measure of smartphone use frequency.

The authors found support for a structural model whereby the severity of depression and social anxiety accounted for variance in rumination, which, in turn, correlated with problematic smartphone use levels. Rumination accounted for relations between both depression and social anxiety severity with levels of problematic use.

The authors discuss the role of rumination as a possible mechanism between anxiety- and depression-related psychopathology levels with problematic smartphone use severity. This study is unique in exploring rumination in the context of problematic smartphone use.

Excessive use of work-related information technology (IT) devices can lead to major performance and well-being concerns for organizations. Extant research has provided evidence of the incidence of such problematic IT use in organizations. We extend the understanding of problematic IT use by examining its individual (proximal) and organizational (distal) antecedents.

Drawing from the self-worth theory and the concept of fear of being left behind, we address proximal antecedents that lead to problematic IT use. Drawing from the concept of autonomy paradox, we address distal antecedents of problematic IT use through a positive association with the two proximal antecedents. We report the results of a field study involving 846 individuals who use IT for work. Structural equation modeling was employed to analyze the data.

The results indicate that the proximal antecedents (IT insecurity and fear of missing out) are positively associated with problematic IT use. The distal antecedents (IT use autonomy and involvement facilitation) are positively associated with the proximal antecedents except for the relationship between IT use autonomy and IT insecurity, which was found statistically non-significant. Furthermore, fear of missing out fully mediates the effect of IT use autonomy on problematic IT use, whereas IT insecurity and fear of missing out fully mediate the effects of involvement facilitation on problematic IT use.

The paper theoretically extends the understanding of problematic IT use and identifies novel its proximal and distal antecedents.

Chemsex is a phenomenon that has gained increasing attention in recent years. The purpose of this paper is to differentiate chemsex from other sexualized substance use, and clarify differences between recreational and problematic chemsex use. Despite plentiful publications, little has been published on underlying determinants that predispose individuals to chemsex, and their process toward problematic chemsex use.

During the second European Chemsex Forum, people who engage in chemsex, community organizers, researchers, clinicians, therapists, social workers and (peer) counselors discussed potential pathways to problematic chemsex. In this manuscript, we translate findings from these discussions into a framework to understand the initiation and process toward problematic chemsex.

Six stages (loneliness and emptiness, search for connection, sexual connection, chemsex connection, problematic chemsex and severe health impact) and a set of factors facilitating the transition from one stage to the next have been identified.

It is hoped that this “Journey towards problematic chemsex use” will stimulate reflection and debate, with the ultimate goal of improving prevention and care for people engaging in chemsex.

We have witnessed an evolution in the use of smartphones in recent years. We have been aware for some time of the potentially deleterious impact of smartphones on users' lives and their propensity for user addiction, as reflected in the large and growing body of work on this topic. One modern phenomenon – the distracted mobile phone user in public, or “smartphone zombie” – has received limited research attention. The purpose of the present study is to develop a robust measure of smartphone zombie behaviour.

The research deign comprises three studies: A round of focus groups (n = 5) and two online surveys (survey one n = 373, survey two n = 386), in order to develop and validate a three-factor, 15-item measure named the Smartphone Zombie Scale (SZS).

Following the round of focus groups conducted, Exploratory Factor Analysis and a Confirmatory Factor Analysis, the SZS measure (Cronbach's α = .932) is demonstrated to be robust and comprises three factors: Attention Deficit (Cronbach's α = .922), Jeopardy (Cronbach's α = .817) and Preoccupation (Cronbach's α = .835), that is shown to be distinct to existing closely related measures (Smartphone Addiction scale and Obsessive Compulsive Use).

The present study represents the first extant attempt to produce a measure of smartphone zombie behaviour, and provides us with a reliable and valid measure with which we can study this growing phenomenon.

The purpose of this paper is to present brief YouTube life stories to learn about how extensive users experience YouTube use and manage (or fail to manage) their use. It also explores the consequences of different types of extensive use.

In this paper, a biographical approach was used. Nine students who used YouTube for two or more hours every day were guided to tell life stories of their introduction to YouTube, subsequent use and critical events associated with YouTube use. Thematic analysis distinguished between non-problematic, compulsive and addicted users. Three single case life stories illustrate the experiences of users in each category.

These extensive YouTube users tell similar stories of informal learning from early interaction with the platform. For some, extensive YouTube use became problematic; for others, it remained functional. Similar to other social platforms, users unable to regulate use became compulsive users and some users can become addicted. While the symptoms of YouTube addiction are similar to other online addictions, compulsive YouTube use is driven more by algorithm-generated content chaining than overt social interaction.

The paper introduces life stories as a way to present case studies of social media use. The distinction between extensive, but functional, and problematic YouTube use illustrates how extensive social media use is not necessarily dysfunctional. User education for self-regulation of YouTube use is recommended.

This study empirically analyse the lived and individual experiences of internet use time among postgraduate students in a period where the line between the virtual and real is blurred. The infusion of the internet in higher education has not only facilitated the production of new knowledge but has also led to reports of internet addiction among many users during the COVID-19 pandemic and the resulting lockdowns. This study aims to evaluate the level of internet addiction among postgraduate students and the supportive information services role that librarians could provide.

In this study, 279 postgraduate students completed a quantitative survey targeted at all the postgraduate students at a university campus in South Africa. Data was collected using an adopted internet addiction test questionnaire. The data was descriptively and inferentially analysed.

As many as 61 (22.7%) are always online, with most of the respondents, 112 (41.6%) spend 10 h or more on the internet daily. Laptop computers at 44.7% emerged as the primary electronic device used by postgraduate students for accessing the internet, surpassing the prevalence of mobile phone usage. On internet addiction level, internet use time had a statistically significant relation with problematic internet use levels in respondents. These results suggest that the increased uncontrolled internet use could negatively interfere with productive academic work of postgraduate students. However, based on the inferential statistical results, it can be concluded that academic use of the internet does not contribute to increased levels of internet addiction. The study recommends that librarians should provide literacy education and resources on how to use the internet safely and responsibly, including tips on setting boundaries, managing time online and productively using online information resources.

The study assesses problematic internet use among postgraduate students and provides suggestions on supportive information services that librarians could provide in an era where many library information services provision and higher education are hinged on the internet.

The challenge for drug and health promotion services is to keep up‐to‐date with the dynamics of drug use patterns and trends both nationally and within certain groups (Kilpatrick, 2000). The traveller community present with lower but similar levels and patterns of drug use than the general population, but are particularly vulnerable to early onset of drug use and problematic substance use relating to their life circumstances. Drug use in the traveller community is facilitated and mediated by a combination of risk and resilience factors, which include lack of education, unemployment, comprised health and poor housing conditions.The research aimed to provide an explorative account of the issue of drug use in the traveller community and consisted of focus groups (N=12) of travellers (N=57) with a gender balance (47/53%) based on self‐selection and volunteerism. The focus groups (4‐5 individuals) were predominantly peer‐accompanied where a traveller guided the facilitation of the traveller focus groups and were also gender based. The focus groups incorporated the following key themes relating to the travellers and drug use; traveller culture and drug use, drug availability and dealing, gender differences in drug use, types of drugs used, reasons for drug use, levels of drug related knowledge, attitude to drug use, drug taking contexts and patterns, problematic drug use in the traveller community, drug awareness, perceptions of risk and experiences of drug treatment and community services.The travellers indicated increased drug availability in recent years. Some members of their community were dealing in and using drugs, as a result of unemployment, lack of education, depression, and increasing contact with the settled community. This has lead to a fragmentation of traveller culture. Traveller men are at heightened risk of substance dependency in terms of increased contact with drugs such as cocaine, speed, hash and ecstasy. In contrast, traveller women reported prescription medication abuse. The travellers described a fear of problematic drug use within their communities coupled with concern in terms of discriminatory experiences with health and drug services, lack of awareness of current service provision and the lack of culturally appropriate drug education material and addiction counseling.

Drawing on the Health Belief Model (HBM), this study aims to investigate the roles of health beliefs (i.e. perceived susceptibility, perceived severity, perceived benefits, perceived barriers, health self-efficacy and cues to action) in promoting college students’ smartphone avoidance intention.

Empirical data were collected through a cross-sectional survey questionnaire administered to 4,670 student smartphone users at a large university located in Central China. Further, a two-step Structural Equation Modeling was conducted using AMOS 22.0 software to test the hypothesized relationships in the research model.

Analytical results indicate that (1) perceived susceptibility, perceived severity, perceived benefits and health self-efficacy positively influence users’ smartphone avoidance intention; (2) perceived barriers negatively influence smartphone avoidance intention, while (3) cues to action reinforce the relationships between perceived susceptibility/perceived benefits and smartphone avoidance intention, but attenuate the relationships between perceived barriers/health self-efficacy and smartphone avoidance intention.

This study demonstrates that HBM is invaluable in explaining and promoting users’ smartphone avoidance intention, thereby extending extant literature on both HBM and smartphone avoidance.

Research on smartphone avoidance is still in a nascent stage. This study contributes to the field by offering a fresh theoretical lens for pursuing this line of inquiry together with robust empirical evidence.

It is well established that women face multiple barriers accessing treatment for problematic and unhealthy alcohol use, but less is known about how their interconnected problems affect how they seek help from, and access, alcohol-treatment services. This study aims to explore the dynamic nature of women’s help-seeking for problematic and unhealthy alcohol use and how this can be compounded by unsuitable treatment services, especially when women present with complex needs.

Thirteen semi-structured interviews with women who had accessed alcohol-support services were conducted, audio-recorded, transcribed and analysed thematically using the complexity theory.

For women with complex needs, the process of seeking help may trigger unpredictable behaviours, health or social problems and intermittent serial access to treatment. Current services do not always address women’s holistic needs. Unless services focus on addressing interconnected problems – including historic trauma – they may compound the complexity of women’s problems. Complexity theory offers novel insights into this process, a concept not applied to problematic and unhealthy alcohol use treatment previously.

Services should adopt the complexity-focused perspective featured in this study. While the authors acknowledge the increase in gender-responsive provision, the limitations of this study include a small sample size, the self-selecting nature of the sample and retrospective reporting. Participants were recruited and selected by service staff resulting in gatekeeping and possible sampling bias.

Services should adopt non-linear approaches to treatment. Implementing complexity approaches to treating women’s problematic and unhealthy alcohol use should capture the dynamics, complexity and non-linear nature of women’s help-seeking journeys as well as their internal and external responses that may result in relapse. The authors recommend complexity-focused, multiple-component and integrated collaborative strategies to address not only addiction but also all components of women’s needs, including past trauma.

Applying complexity-thinking to help-seeking experiences for alcohol treatment and recovery services is novel and proved useful in understanding the variety of women’s experiences and how these interact with their help-seeking behaviours, including treatment environments.

The purpose of this paper is to identify the probability of the occurrence of an analgesic medication injury when controlling for potential risk factors, as well as gain a better understanding of which risk factors appear more problematic.

Cross‐sectional retrospective review of 2004 Centers for Medicare and Medicaid Service Medicaid Pharmacy claims data. Logistic regression analysis performed to examine the risk of injury‐related emergency room (ER) visits following the use of analgesics controlling for potential risk factors.

Methadone, an agent to treat severe pain, and propoxyphene, an agent to treat non‐severe pain, are problematic opioids in the elderly. White origin, male gender, and increased disease burden are potential risk factors influencing injury‐related ER visits for elderly analgesic recipients. Increased age in the elderly is a potential risk factor for severe pain analgesics; decreased age for non‐severe pain analgesics.

The study uses administrative data which, by its nature, makes conducting outcomes research on inappropriate medication use problematic. A number of confounders are present.

Appropriate drug therapy in an elderly patient is complicated by age‐related changes in pharmacokinetics as well as chronic disorders that affect drug response. Knowing of additional risk factors that may place the patient at greater odds of having an adverse outcome should improve prescribing practices.

The findings add to the literature by identifying problematic risk factors associated with injury among elderly recipients of analgesics.