Internet Addiction and Psychological Co-morbidities among Undergraduate Medical Students of a Medical College
DOI:
https://doi.org/10.37506/52dy8889Keywords:
Anxiety, Depression, Stress, Internet Dependence, Eastern IndiaAbstract
Background: Internet addiction is a growing concern, especially among young adults. Undergraduate medical students, due to their demanding studies and extended online exposure, are particularly susceptible to internet addiction and its effects. This study aimed to estimate the prevalence of internet addiction and major psychological co-morbidities like depression, anxiety, and stress among undergraduate medical students at NRS Medical College & Hospital, Kolkata, and to find out determinants of internet addiction, and its relationship with psychological co-morbidities.
Methods: A cross-sectional study was conducted with 268 undergraduate students, 67 from each academic year, selected via stratified random sampling. Data collection involved a self-administered questionnaire covering socio-demographic details, Young’s Internet Addiction Test (IAT), and Depression Anxiety Stress Scale (DASS-21). Descriptive followed by inferential statistics were applied using Jamovi software.
Results: Among the participants, majority (61.3%) were male, with a mean age of 20.6 ± 1.37 years, came from urban backgrounds (65.8%), were in upper socio-economic class (67.6%), resided in hostels (45.8%), and preferred using mobile phones for internet access (90.2%). A significant proportion (61.7%) used internet mainly from night to late night (8pm – 3am), with an average usage time of 4.98 ± 2.45 hours weekly. Internet addiction was prevalent, with most (41%) showing mild to moderate addiction levels; while 36.4% experienced some stress, 60.4% faced anxiety, and 53.3% reported depressive symptoms. A positive correlation existed between severity of internet addiction and higher levels of depression, anxiety, and stress. Binomial logistic regression revealed that spending over 5 hours weekly online and using mobile phones as preferred device were significantly associated with addiction.
Conclusions: The study findings emphasize need for targeted interventions to manage internet addiction and its psychological effects, promoting a healthier lifestyle and academic environment for medical undergraduates.
References
Shaw M, Black DW. Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs. 2008;22(5):353–65.
Poon KT. Unpacking the mechanisms underlying the relation between ostracism and Internet addiction. Psychiatry Res. 2018 Dec 1;270:724–30.
Statista [Internet]. [cited 2025 Jan 26]. India: number of internet users 2050. Available from: https://www.statista.com/statistics/255146/number-of-internet-users-in-india/
Adhikari K, Dahal S, Ghimire A, Khanal G, Koirala S, Bhusal CK, et al. Internet Addiction and Associated Factors among Undergraduates. J Nepal Health Res Counc. 2022 Jun 2;20(1):131–7.
Akın A, İskender M. Internet Addiction And Depression, Anxiety, And Stress. Int Online J Educ Sci. 2011;3(1):138–48.
Cardak M. Psychological Well-Being and Internet Addiction among University Students. Turk Online J Educ Technol. 2013 Jul;12(3):134–41.
Alavi SS, Maracy MR, Jannatifard F, Eslami M. The effect of psychiatric symptoms on the internet addiction disorder in Isfahan’s University students. J Res Med Sci Off J Isfahan Univ Med Sci. 2011 Jun;16(6):793–800.
Zhang MWB, Lim RBC, Lee C, Ho RCM. Prevalence of Internet Addiction in Medical Students: a Meta-analysis. Acad Psychiatry J Am Assoc Dir Psychiatr Resid Train Assoc Acad Psychiatry. 2018 Feb;42(1):88–93.
Tian-Ci Quek T, Wai-San Tam W, X. Tran B, Zhang M, Zhang Z, Su-Hui Ho C, et al. The Global Prevalence of Anxiety Among Medical Students: A Meta-Analysis. Int J Environ Res Public Health. 2019 Aug;16(15):2735.
Puthran R, Zhang MWB, Tam WW, Ho RC. Prevalence of depression amongst medical students: a meta-analysis. Med Educ. 2016 Apr;50(4):456–68.
Telecom Regulatory Authority of India [Internet]. [cited 2024 Feb 28]. Annual Reports. Available from: https://www.trai.gov.in/about-us/annual-reports
Anderson EL, Steen E, Stavropoulos V. Internet use and Problematic Internet Use: a systematic review of longitudinal research trends in adolescence and emergent adulthood. Int J Adolesc Youth. 2017 Oct 2;22(4):430–54.
Statista [Internet]. [cited 2025 Jan 26]. Internet and social media users in the world 2024. Available from: https://www.statista.com/statistics/617136/digital-population-worldwide/
Zis P, Artemiadis A, Bargiotas P, Nteveros A, Hadjigeorgiou GM. Medical Studies during the COVID-19 Pandemic: The Impact of Digital Learning on Medical Students’ Burnout and Mental Health. Int J Environ Res Public Health. 2021 Jan;18(1):349.
Sreeelatha P, Kumar MS. Problematic Smart Phone Use in Medical Undergraduates in a Tertiary Teaching Hospital in South India During COVID Lockdown. Ann Indian Psychiatry. 2022 Jun;6(2):130.
Deb N, Roy P. Internet addiction, depression, anxiety and stress among first year medical students after COVID-19 lockdown: A cross sectional study in West Bengal, India. J Fam Med Prim Care. 2022 Oct;11(10):6402–6.
Putri A, Setiawati Y, Shieh YT, Lin SH. HIGH-RISK INTERNET ADDICTION IN ADOLESCENTS DURING PANDEMIC COVID-19 AND PARENTS’ ROLE. J Berk Epidemiol. 2022 Jan 30;10(1):11–20.
Facts and Figures 2021 - Report index [Internet]. [cited 2025 Feb 7]. Available from: https://www.itu.int/itu-d/reports/statistics/facts-figures-2021/index
Young KS. Internet Addiction Test [Internet]. 2015 [cited 2025 Jan 16]. Available from: https://doi.apa.org/doi/10.1037/t41898-000
Addiction Research Center [Internet]. [cited 2025 Jan 16]. Depression Anxiety Stress Scale-21 (DASS21). Available from: https://arc.psych.wisc.edu/self-report/depression-anxiety-stress-scale-21-dass21/
Rajasekhar T, Naveen KHS, Raghav P, Aneja J, Thirunavukkarasu P, Dutta G, et al. Exploring internet addiction and its associated factors among college students in Western Rajasthan, India: A mixed-methods study. Indian J Psychiatry. 2023 Aug;65(8):839–52.
Awasthi AA, Taneja N, Maheshwari S, Gupta T, Bhavika. Prevalence of Internet Addiction, Poor Sleep Quality, and Depressive Symptoms Among Medical Students: A Cross-Sectional Study. Osong Public Health Res Perspect. 2020 Oct;11(5):303–8.
Parmar JS, Kumbhakar S. Prevalence of internet addiction and its impact on selected psychological parameters among UG nursing students. J Educ Health Promot. 2022 Dec 28;11:407.
Javaeed A, Zafar MB, Iqbal M, Ghauri SK. Correlation between Internet addiction, depression, anxiety and stress among undergraduate medical students in Azad Kashmir. Pak J Med Sci. 2019;35(2):506–9.
Gupta A, Khan AM, Rajoura OP, Srivastava S. Internet addiction and its mental health correlates among undergraduate college students of a university in North India. J Fam Med Prim Care. 2018;7(4):721–7.
Rao R, Verma M, Singh C, Nirala SK, Naik BN. Internet addiction and nomophobia among medical undergraduates of a tertiary care teaching institute in Patna, Eastern India. J Educ Health Promot. 2023 Aug 31;12:286.
Upadhayay N, Guragain S. Internet use and its addiction level in medical students. Adv Med Educ Pract. 2017 Sep 25;8:641–7.
Vishwakarma A, Sharma MK. The Association between Depression or Stress and Internet Addiction. Taiwan J Psychiatry. 2021 Jun;35(2):90.
Goel D, Subramanyam A, Kamath R. A study on the prevalence of internet addiction and its association with psychopathology in Indian adolescents. Indian J Psychiatry. 2013 Jun;55(2):140.
Mohandas B, Pawar AT, John A, K DK, P.k S. A cross sectional study on internet addiction among students of KMCT integrated campus. Public Health Rev Int J Public Health Res. 2019 Feb 28;6(1):17–24.
Paudel L, Sharma P, Kadel AR, Lakhey K, Singh S, Khanal P, et al. Association Between Internet Addiction, Depression and Sleep Quality Among Undergraduate Students of Medical and Allied Sciences. J Nepal Health Res Counc. 2021 Dec 14;19(3):543–9.
Duraimurugan .M AVPRCGK, V A, Reji E. Internet Addiction And Associated Factors: A Study Among College Students In South India. Innov J Med Health Sci. 2015 May 25;5(3):121–5.
Anand N, Jain PA, Prabhu S, Thomas C, Bhat A, Prathyusha PV, et al. Internet Use Patterns, Internet Addiction, and Psychological Distress Among Engineering University Students: A Study from India. Indian J Psychol Med. 2018;40(5):458–67.
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