Cited by 29Impact of Technology on AdolescentsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesSexuality, Behavior, and Technology

Worry and fear of missing out are associated with problematic smartphone and social media use severity

Open access
Elhai, Jon D., Casale, Silvia, Montag, Christian·2025·Journal of Affective Disorders

Abstract

In the present study we aimed to investigate whether worry or FOMO would be the more robust correlate of problematic smartphone use (PSU) and problematic social media use (PSMU) severity. We analyzed self-report data from a cross-sectional study of 456 American college students, administered measures of worry, fear of missing out (FOMO), PSU and PSMU. Using structural equation modeling analyses controlling for age and sex, we found that worry and FOMO were both significantly related to greater PSU and PSMU severity; these relationships were stronger for FOMO than worry. Furthermore, FOMO mediated relations between worry with both PSU and PSMU severity. Results are discussed in relation to the I-PACE theoretical model of Internet use disorders, explaining how cognitive and affective response variables may be mechanisms driving relations between psychopathology and problematic Internet use. • Worry was related to problematic smartphone use (PSU) and problematic social media use (PSMU) severity • Fear of missing out (FOMO) was related to PSU and PSMU severity • FOMO was more related to PSU and PSMU than worry was • FOMO mediated relations between worry with both PSU and PSMU

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Crossref · 10.1016/j.jad.2025.03.062

Cites

16 of 16 references verified0 citation errors · 0 not checkable

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  • FOMO is one of the most well-documented drivers of compulsive social media use.

    “The FOMO phenomenon, where individuals experience anxiety over missing out on social experiences or information, is one of the most well-documented drivers of compulsive social media use (Gao et al. 2025;Elhai et al. 2025;Bao & Li 2025).”
  • The FOMO phenomenon represented 12.6% of psychological response patterns in the study.

    “The FOMO phenomenon, representing 12.6% of psychological response patterns in our study, directly supports previous research by Gao et al. (2025) and Elhai et al. (2025).”

    From The Scrolling Paradox: Analyzing Instagram Addiction Patterns in The Digital Age (2025) · cites this paper as Elhai et al. (2025)

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Authors
Elhai, J. D., Casale, S., & Montag, C.
Affiliations
  • University of Toledo (US)
  • University of Florence (IT)
  • Universität Ulm (DE)
Corresponding author
Elhai, Jon D.
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2025-06
Volume
379
Pages
258-265
ISSN
0165-0327 (ISSN-L)
OpenAlex
W4408318846
Cited by
29
References
16
Citations by year
2026: 16 · 2025: 13
FWCI
54.01
Type
journal article
Language
en
Open access
Locations
  • Journal of Affective Disorders (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Florence Research (University of Florence) (submittedVersion)
Topics
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
worry, fear of missing out, smartphone addiction, social media addiction, problematic internet use, university students, I-PACE model, mediation, psychopathology
MeSH terms
Smartphone, Internet Addiction Disorder, Adolescent, Adult, Anxiety, Cross-Sectional Studies, Fear, Female, Humans, Male, Severity of Illness Index, Students, Behavior, Addictive, Young Adult, Self Report, Social Media

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