The Current Situation of Internet Addiction and Its Impact on Sleep Quality and Self-Injury Behavior in Chinese Medical Students
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Objective The purpose of this cross-sectional survey is to explore the current state of Internet addiction (IA) in Chinese medical students and its connection with medical students’ sleep quality and self-injury behavior. Methods Respondents were came from Wannan Medical College, China. The Young’s Internet Addiction Test, Pittsburgh Sleep Quality Index (PSQI), Self-Harm Questionnaire were used in this cross-sectional survey. A total of 3,738 medical students were investigated, 1,552 (41.52%) males, 2,186 (58.48%) females. T-test, chi-square test and MANOVA were used for data analysis. Results Of the 3,738 medical students, 1,054 (28.2%) reported having IA, 1,126 (30.1%) reported having poor sleep quality, 563 (15.1%) having self-harm behaviors. IA tends to be more female, upper grade students. The sleep quality of IA was worse than that of non-IA (χ2=54.882, p<0.001), and the possibility of self-injury was higher than non-IA (χ2=107.990, p<0.001). Conclusion This survey shows that the IA detection rate of medical students was 28.2%. Females, higher grade students had a higher IA detection rate. The low sleep quality and self-injury behavior of medical students are associated with IA.
Abstract
Objective The purpose of this cross-sectional survey is to explore the current state of Internet addiction (IA) in Chinese medical students and its connection with medical students’ sleep quality and self-injury behavior. Methods Respondents were came from Wannan Medical College, China. The Young’s Internet Addiction Test, Pittsburgh Sleep Quality Index (PSQI), Self-Harm Questionnaire were used in this cross-sectional survey. A total of 3,738 medical students were investigated, 1,552 (41.52%) males, 2,186 (58.48%) females. T-test, chi-square test and MANOVA were used for data analysis. Results Of the 3,738 medical students, 1,054 (28.2%) reported having IA, 1,126 (30.1%) reported having poor sleep quality, 563 (15.1%) having self-harm behaviors. IA tends to be more female, upper grade students. The sleep quality of IA was worse than that of non-IA (χ2=54.882, p<0.001), and the possibility of self-injury was higher than non-IA (χ2=107.990, p<0.001). Conclusion This survey shows that the IA detection rate of medical students was 28.2%. Females, higher grade students had a higher IA detection rate. The low sleep quality and self-injury behavior of medical students are associated with IA.
참고문헌 (38)
- Ko CH, "The characteristics of decision making, potential to take risks, and personality of college students with Internet addiction", Psychiatry Res, 175, pp.121~125 (2010)
- Kuss DJ, "Internet addiction and problematic internet use : a systematic review of clinical research", World J Psychiatry, 6, pp.143~176 (2016)
- Tao R1, "Proposed diagnostic criteria for internet addiction", Addiction, 105, pp.556~564 (2010)
- "World Health Organization" (2019)[URL]
- Ni X, "Factors influencing internet addiction in a sample of freshmen university students in China", Cyberpsychol Behav, 12, pp.327~330 (2009)
- ElSalhy M, "Relationships between Internet addiction and clinicodemographic and behavioral factors", Neuropsychiatr Dis Treat, 15, pp.739~752 (2019)
- Li G, "Relationship between anxiety, depression, sex, obesity, and internet addiction in Chinese adolescents : A short-term longitudinal study", Addict Behav, 90, pp.421~427 (2019)
- Zhang MWB, "Prevalence of internet addiction in medical students : a meta-analysis", Acad Psychiatry, 42, pp.88~93 (2018)
- Nath K, "A cross-sectional study on the prevalence, risk factors, and Ill effects of internet addiction among medical students in northeastern India", Primary Care Companion CNS Disord, 18 (2016)
- Soulioti E, "The relationship of internet addiction with anxiety and depressive symptomatology", Psychiatriki, 29, pp.160~171 (2018)
- Tonioni F, "Internet addiction : hours spent online, behaviors and psychological symptoms", Gen Hosp Psychiatry, 34, pp.80~87 (2012)
- Evren B, "Relationship of internet addiction severity with probable ADHD and difficulties in emotion regulation among young adults", Psychiatry Res, 269, pp.494~500 (2018)
- Alimoradi Z, "Internet addiction and sleep problems : A systematic review and meta-analysis", Sleep Med Rev, 47, pp.51~61 (2019)
- Bruni O, "Technology use and sleep quality in preadolescence and adolescence", J Clin Sleep Med, 11, pp.1433~1441 (2015)
- Schmidt G, "Behaviors associated with internet use in military medical students and residents", Mil Med, 184, pp.750~757 (2019)
- "Psychother Psychosom Med Psychol", 2018, 451~461
- Pan PY, "Internet addiction among adolescents may predict self-harm", suicidal behavior : a prospective study, 2018, pp.197, 262~267
- Liu HC, "Self-harm and its association with internet addiction and internet exposure to suicidal thought in adolescents", J Formos Med Assoc, 116, pp.153~160 (2016)
- Ramo DE, "Reliability and validity of young adults’ anonymous online reports of marijuana use and thoughts about use", Psychol Addict Behav, 26, pp.801~811 (2012)
- Young K, "Cyber disorders : the mental health concern for the new millennium", CyberPsychol Behav, 2, pp.475~479 (1999)
- Xin M, "Online activities, prevalence of Internet addiction and risk factors related to family and school among adolescents in China", Addict Behav Rep, 7, pp.14~18 (2018)
- Buysse DJ, "The Pittsburgh sleep quality index : A new instrument for psychiatric practice and research", Psychiatry Res, 28, pp.193~213 (1989)
- Liu XC, "Reliability and validity of the Pittsburgh Sleep Quality Index", Chin J Psychiatry, 29, pp.103~107 (1996)
- Niu J, "Sleep quality and cognitive decline in a community of older adults in Daqing City, China", Sleep Med, 17, pp.69~74 (2016)
- Su PY, "An investigation on self-harm episodes and their relationship with suicidal psychology and behaviors in 2713 college students", Chin J Epidemiol, 33, pp.1267~1271 (2010)
- Wang J, "Study on the status and influence factors of self injurious behavior of college students", Chin Journal of Disease Control & Prevention, 23, pp.304~307 (2019)
- Zhu YH, "Research on the present situation and influencing factors of internet addiction of medical students in Shandong province", Chin J Soc Med, 34, pp.240~244 (2017)
- Nitin A, "Internet use behaviors, internet addiction and psychological distress among medical college students : a multi centre study from South India", Asian J Psychiatry, 37, pp.71~77 (2018)
- Tang SY, "The regulating effect of social support in dealing with shyness and internet addiction", J Lianyungang Norm College, 113, pp.71~73 (2016)
- Do KY, "Relationship between problematic internet use, sleep problems, and oral health in Korean adolescents: a national survey", Int J Environ Res Public Health, 15, pp.pii: E1870~ (2018)
- Lam LT, "Internet gaming addiction, problematic use of the internet, and sleep problems : a systematic review", Curr Psychiatry Rep, 16, pp.444~ (2014)
- Higuchi S, "Effects of playing a computer game using a bright display on presleep physiological variables, sleep latency, slow wave sleep and REM sleep", J Sleep Res, 14, pp.267~273 (2010)
- Shen C, "Influence of cell phone overuse on sleep quality among university students in Jiangsu", Chin J Sch Health, 5, pp.74~76 (2015)
- Huang Y, "Suicidal Behavior Characteristics and Suicide Risk Assessment of Adolescent Internet Addicts" (2018), Medical University
- Dell’Osso B, "Epidemiologic and clinical updates on impulse control disorders : a critical review", Eur Arch Psychiatry Clin Neurosci, 256, pp.464~475 (2006)
- Dong G, "Impulse inhibition in people with Internet addiction disorder : electrophysiological evidence from a Go", NoGo study, 2010, pp.485, 138~142
- Swannell S, "Motivations for self-injury in an adolescent inpatient population : development of a selfreport measure", Australas Psychiatry, 16, pp.98~103 (2008)
- Kaess M, "Pathological internet use among European adolescents : psychopathology and self-destructive behaviours", Eur Child Adolesc Psychiatry, 23, pp.1093~1102 (2014)