Department of Community Medicine, North Delhi Municipal Corporation Medical College & Hindurao Hospital, New Delhi, India.
Amity Institute of Public Health, Amity University, Noida, India.
Community Ment Health J. 2021 May;57(4):771-776. doi: 10.1007/s10597-020-00697-2. Epub 2020 Aug 27.
Today, the internet has become an important element in people's lives, and owing to internet access becoming widespread, it has resulted in internet addiction. It is a major concern amongst medical students aiming to develop into health professionals. The implications of this addiction as well as its association with sleep and depression affects their studies, impacts their career goals and has detrimental consequences for society as a whole. The objectives of this study were to assess the proportion of medical undergraduate students and interns with internet addiction (IA), depressive symptoms and poor sleep quality and to study the association of IA with sleep quality and depressive symptoms. A cross-sectional questionnaire-based study was carried out in a medical college in Delhi. Universal sample consisting of all the medical students from first to final year (n = 185) and interns (n = 37) enrolled during the time of the study were included. Sleep quality, internet addiction and depressive symptoms in these students was assessed using Pittsburgh Sleep Quality Index (PSQI) Young's Internet Addiction Test (YIAT) and Patient Health Questionnaire-9 (PHQ) respectively. The average YIAT score was 33.16 ± 15.68. Overall 18%, 59.9%, 46.8% of students scored above validated cutoff scores for internet addiction, poor sleep quality and depression respectively. Prevalence of IA among males and females were 20.4% and 12.9% respectively. Significant correlations were found between potential IA, sleep quality and depression (p < 0.001). The study concluded a strong correlation between IA, disturbed sleep quality and depression. Identifying medical students with potential IA is important because this addiction often coexists with other psychological problems. Thus timely remedial actions and tailored interventions are required to combat IA among medical students.
如今，互联网已成为人们生活中的重要组成部分，由于互联网的普及，人们开始出现网络成瘾的现象。这是医学生作为未来健康专业人士所面临的主要问题之一。网络成瘾对他们的学习、职业目标都会产生影响，也会给整个社会带来负面影响。本研究的目的是评估医学生和实习医生中网络成瘾（IA）、抑郁症状和睡眠质量差的比例，并研究 IA 与睡眠质量和抑郁症状的关系。这是一项在德里一所医学院进行的基于问卷调查的横断面研究。研究纳入了当时正在学习的所有医学生（n=185）和实习医生（n=37），包括从一年级到最后一年的所有学生。使用匹兹堡睡眠质量指数（PSQI）、Young 的互联网成瘾测试（YIAT）和患者健康问卷-9（PHQ）分别评估这些学生的睡眠质量、网络成瘾和抑郁症状。平均 YIAT 得分为 33.16±15.68。总的来说，分别有 18%、59.9%、46.8%的学生在网络成瘾、睡眠质量差和抑郁方面的得分超过了验证性的截断值。男性和女性的 IA 患病率分别为 20.4%和 12.9%。潜在的 IA、睡眠质量和抑郁之间存在显著相关性（p<0.001）。研究得出结论，IA、睡眠质量差和抑郁之间存在很强的相关性。确定有潜在 IA 的医学生很重要，因为这种成瘾通常与其他心理问题同时存在。因此，需要及时采取补救措施和有针对性的干预措施来对抗医学生的 IA。
