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:: Volume 11, Issue 3 (6-2024) ::
2024, 11(3): 10-18 Back to browse issues page
Relationship between internet addiction and sleep quality in the students of Ilam University of Medical Sciences in 2023
Mohsen Jalilian , Reza Pakzad , Amin Mirzaei , Malihe Saeedfiroozabadic , Hadis Maleki , Parisa Shahbazi , Ali Khorshidi , Roghayeh Chenary
Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran , jalilian91@yahoo.com
Abstract:   (115 Views)
Introduction: Today, internet usage has become an integral part of daily life, but excessive use can harm sleep quality. This study aims to explore the relationship between internet addiction and sleep quality among students at Ilam University of Medical Sciences in 2023.
Material & Methods: In 2023, 400 students from Ilam University of Medical Sciences participated in this study. They were selected using simple random sampling and met the study criteria. Data were collected through Young's Internet Addiction Test (IAT) and the Pittsburgh Sleep Quality Index (PSQI). Simple and multiple regression analyses were conducted with a significance level of α ≤ 0.05.
Results: The findings showed that 320 (80%) of students exhibited mild to severe internet addiction, with an average total sleep quality falling within the poor range (6.30 ± 2.51). Subjective sleep quality was particularly poor (2.03 ± 0.662) compared to other dimensions (p > 0.05). Simple linear regression revealed significant associations between mild (coefficient = 1.03; p = 0.002) and moderate (coefficient = 2.05; p < 0.001) internet addiction and poor total sleep quality, compared to normal individuals. Additionally, graduate students had better sleep quality than undergraduates (coefficient = -1.03; p = 0.016). Multiple regression analysis, adjusted for educational level, confirmed the association between mild (coefficient = 0.98; p = 0.003) and moderate (coefficient = 1.97; p < 0.001) internet addiction and poor total sleep quality.
Conclusion:  Internet addiction is linked to poor sleep quality among Ilam University of Medical Sciences students, especially undergraduates. It underscores the need for interventions to raise awareness about internet addiction and its detrimental effects on sleep quality.
Keywords: Sleep Quality, Internet Addiction, Students
Full-Text [PDF 1643 kb]   (44 Downloads)    
Type of Study: Research | Subject: Public health
Received: 2024/02/16 | Accepted: 2024/04/30 | Published: 2024/06/21
1. 1. Wolniczak I, Cáceres-DelAguila JA, Palma-Ardiles G, Arroyo KJ, Solís-Visscher R, Paredes-Yauri S, et al. Association between Facebook dependence and poor sleep quality: a study in a sample of undergraduate students in Peru. PloS one. 2013;8(3):e59087. ttps://doi.org/10.1371/journal.pone.0059087.
2. 2. Salarvand S, A NA, Dalvand S, Baghban Karimi E, Ghanei Gheshlagh R. Prevalence of Internet Addiction Among Iranian University Students: A Systematic Review and Meta-analysis. Cyberpsychol Behav Soc Netw. 2022;25(4):213-22. DOI: 10.1089/cyber.2021.0120.
3. 3. Setyowati L, Kurnia AD, Lestari W, Karuncharernpanit S. Association between social media addiction and sleep quality among undergraduate nursing students: a cross-sectional study. Front. Nurs. 2023;10(2):233-9. https://doi.org/10.2478/fon-2023-0025
4. 4. Lemos IL, Silva RFN, Silva MCMDdM. Uso inadequado de Internet no ambiente de trabalho: uma revisão sistemática. Gerais: Revis. Interin. Psicol. 2016;9(1):125-40.
5. 5. Huang I-L, Liu C-Y, Chung M-H. Sleep quality and internet addiction among junior college students; The mediating role of depression: A cross-sectional study. Arch Psychiatr Nurs. 2023. https://doi.org/10.1016/j.apnu.2023.06.011.
6. 6. Terres-Trindade M, Mosmann CP. Conflitos familiares e práticas educativas parentais como preditores de dependência de internet. Psico-usf. 2016;21:623-33. https://doi.org/10.1590/1413-82712016210315.
7. 7. Brito AB, Lima CdA, Brito KDP, Freire RS, Messias RB, Rezende LFd, et al. Prevalence of internet addiction and associated factors in students. Estud.Psicolo.(Campinas). 2023;40:e200242. https://doi.org/10.1590/1982-0275202340e200242.
8. 8. Poznyak V. Public health implications of excessive use of the Internet and other communication and gaming platforms World Health Organization website: World Health Organization; 2018 [Available from: https://www.who.int/news/item/13-09-2018-public-health-implications-of-excessive-use-of-the-internet-and-other-communication].
9. 9. Meng SQ, Cheng JL, Li YY, Yang XQ, Zheng JW, Chang XW, et al. Global prevalence of digital addiction in general population: A systematic review and meta-analysis. Clin Psychol Rev. 2022;92:102128. https://doi.org/10.1016/j.cpr.2022.102128.
10. 10. Griffiths MD, Kuss DJ, Billieux J, Pontes HM. The evolution of Internet addiction: A global perspective. Addict Behav. 2016;53:193-5. https://doi.org/10.1016/j.addbeh.2015.11.001.
11. 11. Melca IA, Teixeira EK, Nardi AE, King ALS. Association of Internet Addiction and Mental Disorders in Medical Students: A Systematic Review. Prim Care Companion CNS Disord. 2023;25(3):47360. https://doi.org/10.4088/pcc.22r03384.
12. 12. Buneviciene I, Bunevicius A. Prevalence of internet addiction in healthcare professionals: Systematic review and meta-analysis. Int J Soc Psychiatry. 2021;67(5):483-91.
13. 13. Bhandari PM, Neupane D, Rijal S, Thapa K, Mishra SR, Poudyal AK. Sleep quality, internet addiction and depressive symptoms among undergraduate students in Nepal. BMC psychiatry. 2017;17:1-8. https://doi.org/10.1177/0020764020959093.
14. 14. Erdem E, Efe YS. The smartphone addiction, peer relationships and loneliness in adolescents. L'encephale. 2022;48(5):490-5. https://doi.org/10.1016/j.encep.2021.06.009.
15. 15. Flynn HC, Mote SL, Morse BL. Social media and adolescent mental health: sounding the alarm. NASN Sch Nurse. 2022;37(5):271-6. https://doi.org/10.1177/1942602x221079758.
16. 16. Galván A. The need for sleep in the adolescent brain. Trends Cogn Sci. 2020;24(1):79-89. https://doi.org/10.1016/j.tics.2019.11.002.
17. 17. Gomes AA, Tavares J, de Azevedo MH. Sleep and academic performance in undergraduates: a multi-measure, multi-predictor approach. Chronobiol Int. 2011;28(9):786-801. 10.3109/07420528.2011.606518.
18. 18. Alghwiri AA, Almomani F, Alghwiri AA, Whitney SL. Predictors of sleep quality among university students: the use of advanced machine learning techniques. Sleep Breath. 2021;25(2):1119-26. 10.1007/s11325-020-02150-w.
19. 19. Becker SP, Jarrett MA, Luebbe AM, Garner AA, Burns GL, Kofler MJ. Sleep in a large, multi-university sample of college students: sleep problem prevalence, sex differences, and mental health correlates. Sleep Health. 2018;4(2):174-81. 10.1016/j.sleh.2018.01.001.
20. 20. Schmickler JM, Blaschke S, Robbins R, Mess F. Determinants of Sleep Quality: A Cross-Sectional Study in University Students. Int J Environ Res Public Health. 2023;20(3). 10.3390/ijerph20032019.
21. 21. Sarbazvatan H, Amini A, Aminisani N, Shamshirgaran SM. Sleep Quality and Academic Progression among Students of Tabriz University of Medical Sciences, Northwest of Iran. Res Dev Med Educ. 2017;6(1):29-33. 10.15171/rdme.2017.006.
22. 22. Hammad MA, Alyami MHF, Awed HS. The association between internet addiction and sleep quality among medical students in Saudi Arabia. Ann Med. 2024;56(1):2307502. 10.1080/07853890.2024.2307502.
23. 23. Jahan SM, Hossain SR, Sayeed UB, Wahab A, Rahman T, Hossain A. Association between internet addiction and sleep quality among students: a cross-sectional study in Bangladesh. Sleep Biol Rhythms. 2019;17(3):323-9. 10.1007/s41105-019-00219-y.
24. 24. Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. https://doi.org/10.1016/0165-1781(89)90047-4.
25. 25. Ferraro FR, Holfeld B, Frankl S, Frye N, Halvorson N. Texting/iPod dependence, executive function and sleep quality in college students. Comput Hum Behav Rep. 2015;49:44-9. https://doi.org/10.1016/j.chb.2015.02.043.
26. 26. Massoud EF, ElDeeb AM, Samir SH, Shehata MM. Effect of resistive exercise on insomnia and sleep quality in postmenopausal women: a randomized controlled trial. Bull. Fac. Phys. Ther. 2023;28(1):12. https://doi.org/10.1186/s43161-023-00124-z.
27. 27. Young KS. Internet addiction: The emergence of a new clinical disorder. Cyberpsychol Behav. 1998;1(3):237-44. https://psycnet.apa.org/doi/10.1089/cpb.1998.1.237.
28. 28. Noroozi F, Hassanipour S, Eftekharian F, Eisapareh K, Kaveh MH. Internet Addiction Effect on Quality of Life: A Systematic Review and Meta-Analysis. Sci.World J. 2021;2021:2556679. 10.1155/2021/2556679.
29. 29. Li YY, Sun Y, Meng SQ, Bao YP, Cheng JL, Chang XW, et al. Internet Addiction Increases in the General Population During COVID-19: Evidence From China. Am J Addict. 2021;30(4):389-97. https://doi.org/10.1111/ajad.13156.
30. 30. Zhang MWB, Lim RBC, Lee C, Ho RCM. Prevalence of Internet Addiction in Medical Students: a Meta-analysis. Acad Psychiatry. 2018;42(1):88-93. https://doi.org/10.1007/s40596-017-0794-1.
31. 31. Bruno RM, Palagini L, Gemignani A, Virdis A, Di Giulio A, Ghiadoni L, et al. Poor sleep quality and resistant hypertension. Sleep Med. 2013;14(11):1157-63. https://doi.org/10.1016/j.sleep.2013.04.020.
32. 32. Fakih El Khoury C, Karavetian M, Halfens RJG, Crutzen R, Khoja L, Schols J. The Effects of Dietary Mobile Apps on Nutritional Outcomes in Adults with Chronic Diseases: A Systematic Review and Meta-Analysis. J Acad Nutr Diet. 2019;119(4):626-51. https://doi.org/10.1016/j.sleep.2013.04.020.
33. 33. Lu K, Ding R, Tang Q, Chen J, Wang L, Wang C, et al. Association between self-reported global sleep status and prevalence of hypertension in Chinese adults: data from the Kailuan community. Int J Environ Res Public Health. 2015;12(1):488-503. 10.3390/ijerph120100488.
34. 34. Kaya Z, Kayrak M, Demir K, Gündüz M, Alibasiç H, Karanfil M, et al. The relationship between white coat hypertension and sleep quality. Sleep Biol Rhythms. 2014;12(3):203-11. https://doi.org/10.1111/sbr.12070.
35. 35. Baglioni C, Battagliese G, Feige B, Spiegelhalder K, Nissen C, Voderholzer U, et al. Insomnia as a predictor of depression: a meta-analytic evaluation of longitudinal epidemiological studies. J Affect Disord. 2011;135(1-3):10-9. 10.1016/j.jad.2011.01.011.
36. 36. Wang Q, Mati K, Cai Y. The link between problematic internet use, problematic gaming, and psychological distress: does sleep quality matter? BMC Psychiatry. 2021;21(1):103. 10.1186/s12888-021-03105-5.
37. 37. Jiang M, Zhao Y, Wang J, Hua L, Chen Y, Yao Y, et al. Serial Multiple Mediation of the Correlation Between Internet Addiction and Depression by Social Support and Sleep Quality of College Students During the COVID-19 Epidemic. Psychiatry Investig. 2022;19(1):9-15. 10.30773/pi.2021.0147.
38. 38. Tan Y, Chen Y, Lu Y, Li L. Exploring Associations between Problematic Internet Use, Depressive Symptoms and Sleep Disturbance among Southern Chinese Adolescents. Int J Environ Res Public Health. 2016;13(3). 10.3390/ijerph13030313.
39. 39. Tokiya M, Itani O, Otsuka Y, Kaneita Y. Relationship between internet addiction and sleep disturbance in high school students: a cross-sectional study. BMC Pediatr. 2020;20(1):379. 10.1186/s12887-020-02275-7.
40. 40. Chen YL, Gau SS. Sleep problems and internet addiction among children and adolescents: a longitudinal study. J Sleep Res. 2016;25(4):458-65. 10.1111/jsr.12388.
41. 41. van Mechelen W, Twisk JW, Post GB, Snel J, Kemper HC. Physical activity of young people: the Amsterdam Longitudinal Growth and Health Study. Med Sci Sports Exerc. 2000;32(9):1610-6. 10.1097/00005768-200009000-00014.
42. 42. Choi K, Son H, Park M, Han J, Kim K, Lee B, et al. Internet overuse and excessive daytime sleepiness in adolescents. Psychiatry Clin Neurosci. 2009;63(4):455-62. 10.1111/j.1440-1819.2009.01925.x.
43. 43. Lam LT. Internet gaming addiction, problematic use of the internet, and sleep problems: a systematic review. Curr Psychiatry Rep. 2014;16(4):444. 10.1007/s11920-014-0444-1.
44. 44. Norbury R, Evans S. Time to think: Subjective sleep quality, trait anxiety and university start time. Psychiatry Res. 2018;271. 10.1016/j.psychres.2018.11.054.
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Jalilian M, Pakzad R, Mirzaei A, Saeedfiroozabadic M, Maleki H, Shahbazi P, et al . Relationship between internet addiction and sleep quality in the students of Ilam University of Medical Sciences in 2023. Journal of Basic Research in Medical Sciences 2024; 11 (3) :10-18
URL: http://jbrms.medilam.ac.ir/article-1-831-en.html

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Volume 11, Issue 3 (6-2024) Back to browse issues page
مجله ی تحقیقات پایه در علوم پزشکی Journal of Basic Research in Medical Sciences
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