COVID-19, sense of control, and the rise of addictive behaviors: a study in Poland.

Purpose: As some addictive behaviors increased during the COVID-19 pandemic, we have attempted to identify their risks and protective factors against them. In this research, we have investigated the relationship between the fear of COVID-19 and addictive behaviors and the role of general and COVID-19-specific sense of control, attitude to vaccination, and earlier recovery from COVID-19. Methods: A total of 511 individuals aged 18-79 participated in the online survey. Women comprised 71.29% of the sample, men 27.93%, and 0.79% (n = 3) declined to provide information on their gender. Participants completed questionnaires assessing substance-related and substance-dependent behaviors, general and COVID-19-specific locus of control, fear of COVID-19, and attitudes toward vaccination. Moderation and mediation analyses were conducted. Results: Fear of COVID-19 was associated with increased internet, social media, and marijuana use. Lower sense of control (both general and COVID-19-specific) was associated with an increased severity of various addictions. A COVID-19-specific sense of control mediated the relationship between fear and addictive behaviors, particularly for women. Conclusions: This study highlights the impact of fear and sense of control on addictive behaviors during the COVID-19 pandemic. Promoting a sense of control may mitigate the risk of addiction in the face of pandemic-related stress. Public health efforts should address the potential for long-term consequences of addictive behaviors exacerbated by such global health crises, as similar challenges may arise with future outbreaks.