Sun Yuanlin, Wang Zhen, Liu Tianzhi
Institute of Psychology, Liaoning Normal University, Dalian Liaoning, China.
Front Psychol. 2025 Apr 17;16:1573058. doi: 10.3389/fpsyg.2025.1573058. eCollection 2025.
Maladaptive Internet use is defined as Internet addiction disorders (IAD), which can lead to psychological problems and sleep disorders. Although many studies on the correlation between Internet addiction, psychiatric symptom levels, and sleep disorders have been conducted in recent years, there is no meta-analysis to substantiate the connection between these variables.
We systematically searched databases including Web of Science, PubMed, Embase, and the Cochrane Library to collect relevant studies using keywords associated with Internet addiction, psychological problems, and sleep disorders. All comparable studies that provided sufficient data (e.g., correlation coefficients) were included in our analysis.
41 studies were included, and the results indicated that IAD was associated with psychological problems and sleep quality at moderate to low levels (depression: = 0.39, 95%CI = 0.34-0.45; SMD = 1.34, 95%CI = 0.81-1.86; OR = 0.86, 95%CI = 0.46-1.26; anxiety: = 0.30, 95%CI = 0.23-0.37; OR = 0.90, 95%CI = 0.29-1.52; stress: = 0.34, 95%CI = 0.29-0.38; OR = 1.76, 95%CI = 0.37-3.16; sleep problems: = 0.26, 95%CI = 0.19-0.33).
This meta-analysis reveals that IAD is positively associated with depression, anxiety, and sleep problems, which indicates that individuals with IAD have an increased risk of depression, anxiety, and sleep problems. Hence, high attention should be paid to Internet addictive behaviors, and preventive and treatment measures should be adopted timely.
The publicly accessible registration record can be found at: https://www.crd.york.ac.uk/prospero/.
适应不良的互联网使用被定义为网络成瘾障碍（IAD），它会导致心理问题和睡眠障碍。尽管近年来已经进行了许多关于网络成瘾、精神症状水平和睡眠障碍之间相关性的研究，但尚无荟萃分析来证实这些变量之间的联系。
我们系统地检索了包括科学引文索引、医学期刊数据库、荷兰医学文摘数据库和考克兰图书馆在内的数据库，以使用与网络成瘾、心理问题和睡眠障碍相关的关键词收集相关研究。所有提供了足够数据（如相关系数）的可比研究都纳入了我们的分析。
纳入了41项研究，结果表明网络成瘾障碍与心理问题和睡眠质量呈中低水平相关（抑郁：r = 0.39，95%置信区间 = 0.34 - 0.45；标准化均数差 = 1.34，95%置信区间 = 0.81 - 1.86；比值比 = 0.86，95%置信区间 = 0.46 - 1.26；焦虑：r = 0.30，95%置信区间 = 0.23 - 0.37；比值比 = 0.90，95%置信区间 = 0.29 - 1.52；压力：r = 0.34，95%置信区间 = 0.29 - 0.38；比值比 = 1.76，95%置信区间 = 0.37 - 3.16；睡眠问题：r = 0.26，95%置信区间 = 0.19 - 0.33）。
这项荟萃分析表明，网络成瘾障碍与抑郁、焦虑和睡眠问题呈正相关，这表明患有网络成瘾障碍的个体患抑郁、焦虑和睡眠问题的风险增加。因此，应高度重视网络成瘾行为，并及时采取预防和治疗措施。
可在以下网址找到公开可访问的注册记录：https://www.crd.york.ac.uk/prospero/ 。
