ABSTRACT
COVID-19 is a viral disease that is recognized now as a pandemic by the World Health Organization. It is known that some viral infections may trigger autoimmune diseases. It has been revealed that COVID-19 may also lead to the pathogenesis of some autoimmune diseases, including Type 1 DM (T1DM) and autoimmune thyroid diseases. Here, we aimed to present a young female patient with COVID-19, who we followed up in our clinic, who presented with diabetic ketoacidosis (DKA), and developed Hashimoto’s disease during the treatment process. In order to emphasize that COVID-19 may trigger the emergence of T1DM, that it may mask nonspecific DKA symptoms like nausea and vomiting, that it may cause delay in diagnosis of DKA, and also to emphasize the importance of evaluating other autoimmune diseases accompanying COVID-19, we found it appropriate to present this case.
ABSTRACT
Objective: The objective of the study is to evaluate the alcohol-and cigarette-use-related behaviors among young adults during the COVID-19 pandemic restrictions in Turkey. The second objective was to evaluate whether the gender, dysfunctional COVID-19 anxiety, and presence of probable attention-deficit/hyperactivity disorder (ADHD) are associated with the increase in alcohol consumption and cigarette smoking while controlling the effects of current age and diagnosis of anxiety disorder before the COVID-19 pandemic. Method: The study was conducted with an online survey among volunteer participants of young adults. The Adult ADHD Self Report Scale (ASRS-v1.1) and the Coronavirus Anxiety Scale (CAS) were used to evaluate a group of university students. Results: A total of 1,042 respondents (mean age 26.9 +/- 10.9 years;61.6% female) filled out the survey. Of these, 17.6% reported an increase and 7.7% reported reduced cigarette smoking, whereas 10.8% reported an increase and 8.5% reported reduced alcohol consumption during the pandemic. Both rates of increased cigarette smoking and alcohol consumption were higher among males and those with probable ADHD. In the logistic regression analyses, male gender, COVID-19 related dysfunctional anxiety, and presence of probable ADHD were related to the increase in alcohol consumption and cigarette smoking, while the current age and diagnosis of anxiety disorder before the COVID-19 pandemic were not. Conclusion: Findings of the current study may suggest that the pandemic period is related to both anv increase and a reduction of alcohol consumption and cigarette smoking. Males with probable ADHD and higher levels of COVID-19 related dysfunctional anxiety have a higher risk of increasing both alcohol consumption and cigarette smoking.
ABSTRACT
Objective: The objective of the study is to examine the association of probable attention deficit hyperactivity disorder (ADHD) with the increase in video gaming and the severity of disordered gaming symptoms among young adults during the COVID-19 pandemic restrictions. The second objective was to examine the mediating role of COVID-19 related dysfunctional anxiety and current age. Methods: The Adult ADHD Self-Report Scale (ASRS-v1.1), the nine-item Internet Gaming Disorder Scale- Short Form (IGDS9-SF), and the Coronavirus Anxiety Scale (CAS) were used to evaluate university students. Results: Participants with probable ADHD (n=117, 21.2%) did not differ in terms of age, gender, romantic relationship, and employment status when compared with participants without probable ADHD (n=441, 79.0%). However, they had higher scale scores (IGDS9-SF and CAS). In the hierarchical logistic regression analysis, probable ADHD predicted the increase in video gaming during the pandemic, but when the current age and the dysfunctional anxiety related with COVID-19 were included in the analysis, they were significant predictors, whereas probable ADHD was no more a predictor. While probable ADHD was associated with the symptom severity of disordered gaming in ANCOVA, COVID-19 related dysfunctional anxiety was a significant covariate. Conclusion: Findings of the current study may suggest that the relationship between probable ADHD and the increase in video gaming during the pandemic was mediated by lower age and COVID-19 related dysfunctional anxiety among young adults. Additionally, while COVID-19 related dysfunctional anxiety was a significant covariate for the severity of disordered gaming symptoms, probable ADHD was independently associated with the symptom severity of disordered gaming.