Psychiatry Investig. 2021 May;18(5):408-416. doi: 10.30773/pi.2020.0405. Epub 2021 Apr 30.
Internet Addiction and Its Associations with Clinical and Psychosocial Factors in Medical Students.
Psychiatry investigation
Eun Hyun Seo, Seung-Gon Kim, Sang-Kyu Lee, Seon-Cheol Park, Hyung-Jun Yoon
Affiliations
Affiliations
- Premedical Science, College of Medicine, Chosun University, Gwangju, Republic of Korea.
- Department of Psychiatry, College of Medicine, Chosun University, Gwangju, Republic of Korea.
- Department of Psychiatry, College of Medicine, Hallym University, Chuncheon, Republic of Korea.
- Department of Psychiatry, Hanyang University Guri Hospital, Guri, Republic of Korea.
PMID: 33910324
PMCID: PMC8169337 DOI: 10.30773/pi.2020.0405
Abstract
OBJECTIVE: Excessive internet use has been associated with various psychiatric symptoms and psychosocial factors. This study aimed to investigate the prevalence of internet addiction (IA) and its associations with clinical (depression/social anxiety) and psychosocial (self-esteem/perceived social support) factors in medical students.
METHODS: In total, 408 medical students at one university in Korea were included in this study. IA symptoms were assessed with Young's Internet Addiction Test, and scores of 50 or higher were considered to indicate IA. Participants were asked to complete the Beck Depression Inventory, Social Phobia Inventory, Rosenberg Self-Esteem Scale, and Duke-University of North Carolina Functional Social Support Questionnaire. A logistic regression model was constructed to examine the impact of clinical and psychosocial factors on IA.
RESULTS: Forty-seven participants (11.5%) were identified as having IA. Self-esteem was associated with a lower risk of IA, whereas depression and social anxiety were associated with a higher risk of IA. Depression, social anxiety, low self-esteem, and low perceived social support were found to be significant correlates of IA. Young's Internet Addiction Test score positively correlated with Beck Depression Inventory and Social Phobia Inventory scores, but negatively correlated with Rosenberg Self-Esteem Scale and Duke-University of North Carolina Functional Social Support Questionnaire scores. Furthermore, the prevalence of IA was highest in first-year medical students.
CONCLUSION: This study revealed the possible risk and protective factors of IA. Our findings indicate that strengthening self-esteem and reducing depression and social anxiety may contribute to the prevention and management of IA in medical students.
Keywords: Addiction; Depression; Internet; Self-esteem; Social anxiety; Social support
References
- Cyberpsychol Behav Soc Netw. 2014 Nov;17(11):720-8 - PubMed
- Asian J Psychiatr. 2018 Jan;31:2-7 - PubMed
- Med Educ. 1999 Apr;33(4):243-50 - PubMed
- Acad Med. 2006 Apr;81(4):354-73 - PubMed
- Cyberpsychol Behav Soc Netw. 2014 Dec;17(12):755-60 - PubMed
- J Affect Disord. 2012 Feb;136(3):857-61 - PubMed
- Nepal Med Coll J. 2012 Mar;14(1):46-8 - PubMed
- Br J Psychiatry. 2000 Apr;176:379-86 - PubMed
- Arch Gen Psychiatry. 1961 Jun;4:561-71 - PubMed
- Am Psychol. 1998 Sep;53(9):1017-31 - PubMed
- J Public Health (Oxf). 2010 Jun;32(2):191-201 - PubMed
- J Med Educ. 1988 Aug;63(8):636-42 - PubMed
- Neurosci Biobehav Rev. 2017 May;76(Pt A):174-184 - PubMed
- J Korean Med Sci. 2013 May;28(5):763-8 - PubMed
- PLoS One. 2011 Feb 16;6(2):e14703 - PubMed
- Cyberpsychol Behav. 2009 Jun;12(3):327-30 - PubMed
- Psychol Res Behav Manag. 2016 Nov 14;9:297-307 - PubMed
- Compr Psychiatry. 2019 Jul;92:22-27 - PubMed
- Acad Psychiatry. 2018 Feb;42(1):88-93 - PubMed
- Cyberpsychol Behav Soc Netw. 2012 Aug;15(8):404-10 - PubMed
- Cancer. 1991 Feb 1;67(3 Suppl):794-9 - PubMed
- J Anxiety Disord. 2008 Jun;22(5):849-59 - PubMed
- Asian J Psychiatr. 2016 Aug;22:105-10 - PubMed
- Cyberpsychol Behav. 2007 Apr;10(2):234-42 - PubMed
- Cyberpsychol Behav. 2006 Feb;9(1):69-81 - PubMed
- Psychol Bull. 1982 Nov;92(3):641-669 - PubMed
- J Adv Med Educ Prof. 2020 Apr;8(2):83-89 - PubMed
- Acad Psychiatry. 2015 Jun;39(3):300-4 - PubMed
- J Consult Clin Psychol. 2008 Apr;76(2):173-83 - PubMed
- Psychol Bull. 1985 Sep;98(2):310-57 - PubMed
- Psychiatry Clin Neurosci. 2017 Jul;71(7):492-505 - PubMed
- J Adolesc. 2016 Oct;52:103-11 - PubMed
- BMC Psychiatry. 2019 Jun 17;19(1):183 - PubMed
- Med Care. 1988 Jul;26(7):709-23 - PubMed
- Asian J Psychiatr. 2018 Oct;37:71-77 - PubMed
- Psychiatry Res. 2018 Sep;267:313-318 - PubMed
- J Affect Disord. 2001 Apr;64(1):69-79 - PubMed
- Psychiatry Clin Neurosci. 2018 Sep;72(9):723-730 - PubMed
- J Clin Psychiatry. 2006 May;67(5):821-6 - PubMed
- J Chin Med Assoc. 2009 Aug;72(8):422-9 - PubMed
- Addict Behav. 1999 Jul-Aug;24(4):565-71 - PubMed
- Addict Behav. 2017 Jan;64:287-293 - PubMed
- Arch Pediatr Adolesc Med. 2009 Oct;163(10):937-43 - PubMed
- J Ment Health Policy Econ. 2005 Sep;8(3):145-51 - PubMed
Publication Types
Grant support