Younes Farah, Halawi Ghinwa, Jabbour Hicham, El Osta Nada, Karam Latife, Hajj Aline, Rabbaa Khabbaz Lydia
Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.
Laboratoire de Pharmacologie, Pharmacie clinique et Contrôle de qualité des médicaments, Faculty of Pharmacy, Saint-Joseph University of Beirut, Beirut, Lebanon.
PLoS One. 2016 Sep 12;11(9):e0161126. doi: 10.1371/journal.pone.0161126. eCollection 2016.
Internet addiction (IA) could be a major concern in university medical students aiming to develop into health professionals. The implications of this addiction as well as its association with sleep, mood disorders and self-esteem can hinder their studies, impact their long-term career goals and have wide and detrimental consequences for society as a whole. The objectives of this study were to: 1) Assess potential IA in university medical students, as well as factors associated with it; 2) Assess the relationships between potential IA, insomnia, depression, anxiety, stress and self-esteem.
Our study was a cross-sectional questionnaire-based survey conducted among 600 students of three faculties: medicine, dentistry and pharmacy at Saint-Joseph University. Four validated and reliable questionnaires were used: the Young Internet Addiction Test, the Insomnia Severity Index, the Depression Anxiety Stress Scales (DASS 21), and the Rosenberg Self Esteem Scale (RSES).
The average YIAT score was 30 ± 18.474; Potential IA prevalence rate was 16.8% (95% confidence interval: 13.81-19.79%) and it was significantly different between males and females (p-value = 0.003), with a higher prevalence in males (23.6% versus 13.9%). Significant correlations were found between potential IA and insomnia, stress, anxiety, depression and self-esteem (p-value < 0.001); ISI and DASS sub-scores were higher and self-esteem lower in students with potential IA.
Identifying students with potential IA is important because this addiction often coexists with other psychological problems. Therefore, interventions should include not only IA management but also associated psychosocial stressors such as insomnia, anxiety, depression, stress, and self-esteem.
网络成瘾（IA）可能是立志成为健康专业人员的大学医学生面临的一个主要问题。这种成瘾的影响及其与睡眠、情绪障碍和自尊的关联，可能会妨碍他们的学业，影响他们的长期职业目标，并对整个社会产生广泛而有害的后果。本研究的目的是：1）评估大学医学生中的潜在网络成瘾情况及其相关因素；2）评估潜在网络成瘾与失眠、抑郁、焦虑、压力和自尊之间的关系。
我们的研究是一项基于问卷的横断面调查，对象为圣约瑟夫大学医学、牙科和药学三个学院的600名学生。使用了四份经过验证且可靠的问卷：青少年网络成瘾测试、失眠严重程度指数、抑郁焦虑压力量表（DASS-21）和罗森伯格自尊量表（RSES）。
青少年网络成瘾测试（YIAT）的平均得分为30±18.474；潜在网络成瘾患病率为16.8%（95%置信区间：13.81-19.79%），且在男性和女性之间存在显著差异（p值=0.003），男性患病率更高（23.6%对13.9%）。发现潜在网络成瘾与失眠、压力、焦虑、抑郁和自尊之间存在显著相关性（p值<0.001）；潜在网络成瘾的学生失眠严重程度指数（ISI）和DASS子量表得分更高，自尊更低。
识别有潜在网络成瘾的学生很重要，因为这种成瘾往往与其他心理问题并存。因此，干预措施不仅应包括网络成瘾管理，还应包括相关的社会心理压力源，如失眠、焦虑、抑郁、压力和自尊。
