Centre for Occupational Medicine, Medical School, University of Pécs, 7624 Pécs, Hungary.
Department of Primary Health Care, University of Pécs, 7623 Pécs, Hungary.
Int J Environ Res Public Health. 2021 Dec 31;19(1):438. doi: 10.3390/ijerph19010438.
The extensive availability of Internet has led to the recognition of problematic Internet use (so called Internet addiction, IA) mostly involving adolescents. There are limited data about the prevalence and consequences of IA in adults especially among high school teachers. Here, we present a cross-sectional prospective study focusing on the association of Internet addiction with burnout, depression, insomnia, and lower quality of life among high school teachers taking many co-variates into account. Overall, 623 males (34.3%) and 1194 females (65.7%) participated in our study. Internet addiction was detected in 5.2% (95/1817) based on the Problematic Internet Use Questionnaire. Internet addiction was associated with severe burnout (10.5 vs. 2.7%, < 0.001), moderate (36.8 vs. 1.7%, < 0.001), and severe (6.3 vs. 0.1%, < 0.001) depression, insomnia (23.1 vs. 11.4%, < 0.001), and severe sleep disturbance (severe insomnia, 27.4 vs. 3.8%, < 0.001) and lower quality of life in all domains ( < 0.001). There was also a significant correlation of the severity of the above-mentioned parameters and the severity of IA (overall scores, < 0.001 in all cases). In a multivariate analysis including demographic criteria, risk factors medical conditions and the above-mentioned parameters as co-variates internet addiction was significantly associated with depression (OR = 3.836, CI: 2.92-5.44, = 0.03), and insomnia (OR: 3.932, CI: 3.6-5.69, = 0.002). This is the first study from Hungary and is one of the first studies showing the association of IA with mental issues, burnout, and lower quality of life among adults. It underlines the clinical importance of problematic Internet use among adults.
互联网的广泛普及使得人们认识到一种主要涉及青少年的问题性互联网使用(即所谓的网络成瘾,IA)。然而,关于成年人,特别是高中教师中网络成瘾的流行程度和后果的数据有限。在这里,我们进行了一项横断面前瞻性研究,重点关注在考虑到许多协变量的情况下,网络成瘾与高中教师的倦怠、抑郁、失眠和生活质量下降之间的关联。共有 623 名男性(34.3%)和 1194 名女性(65.7%)参与了我们的研究。根据《问题性互联网使用问卷》,我们发现 5.2%(95/1817)的人存在网络成瘾。网络成瘾与严重倦怠(10.5%对比 2.7%,<0.001)、中度(36.8%对比 1.7%,<0.001)和重度(6.3%对比 0.1%,<0.001)抑郁、失眠(23.1%对比 11.4%,<0.001)以及严重睡眠障碍(重度失眠,27.4%对比 3.8%,<0.001)和所有领域的生活质量下降有关(<0.001)。上述参数的严重程度与网络成瘾的严重程度也存在显著相关性(所有情况下的总分均<0.001)。在包括人口统计学标准、风险因素、医学状况和上述参数作为协变量的多变量分析中,网络成瘾与抑郁(OR=3.836,CI:2.92-5.44,=0.03)和失眠(OR:3.932,CI:3.6-5.69,=0.002)显著相关。这是匈牙利的第一项研究,也是第一项表明网络成瘾与成年人的精神问题、倦怠和生活质量下降之间存在关联的研究之一。它强调了成年人中存在问题的互联网使用的临床重要性。