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Lifestyle Factors, Depression, Anxiety and Stress Related to the Internet Addiction Among School Children

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Healthy Lifestyle

Part of the book series: Integrated Science ((IS,volume 3))

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Abstract

Aim: This study investigated the association between Internet Addition (IA) and fatigue, sleep disturbance, depression, and life style factors among school children. Subjects and Methods: A cross-sectional survey was conducted on 1366 intermediate and secondary school students in Istanbul. The study included socio-demographic, Internet Addiction (IA) test, Fatigue Scale, Epworth Sleepiness Scale [ESS], depression, anxiety and stress (DASS21), test lifestyle and dietary habits. Results: The overall prevalence of IA among school children was 22.8%. The IA score was significantly higher among males (53.7%) than in females (46.3%; p = 0.028), significantly associated with school performance (p = 0.006) and family income (p = 0.024). Also, students with IA reported significantly less hours of sleep (6.21 ± 0.87 vs. 6.51 ± 1.29; p < 0.001), higher internet use (hours spent: 3.82 ± 1.64 vs. 3.03 ± 1.64; p < 0.001), when compared to the healthy ones. The rates of internet use among students with IA were: gratifying site (17.0% vs. 12.2%; p = 0.028), browsed games (37.3% vs. 30.1%; p = 0.017), chat sites (28.6% vs. 22.7%; p = 0.013), emails (54.3% vs. 62.7%; p = 0.008), and online research (60.8% vs. 693%; p = 0.005). A multivariate stepwise regression has shown that a significantly larger proportion of IA students reported higher internet use than normal subjects (as expected; p < 0.001), more fatigue physical symptoms (p < 0.001), higher Epworth sleepiness score (p < 0.001), more stress (p < 0.001), more fatigue mental symptom (p < 0.001) and sleeping hours (p = 0.008), more depression(p = 0.009), headache (p = 0.018), dizziness (p = 0.024), anxiety (p = 0.047), and game playing problems were significantly associated to their internet addiction (p = 0.050). Conclusion This study suggested the evidence that IA children are vulnerable to physical and mental issues related to their problematic internet use.

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Acknowledgements

This work was supported by the Istanbul Medipol University, International School of Medicine. The authors would like to thank the Istanbul Medipol University for their support and ethical approval (Research Protool and IRB# 10840098-604.01.01-E.9713).

Informed Consent:

Verbal informed consent was obtained for this study due to its nature.

Authors’ Contributions:

AB, organized study, collected data, performed statistical analysis and wrote the first draft of the article, and contributed to the interpretation of the data and writing the final draft of manuscript. DB and AV contributed to the literature review, interpretation of the data, and overseeing the final writing and editing of the manuscript.

Conflict of Interest:

No conflict of interest was declared by the authors.

Financial Disclosure:

The authors declared that this study has received no financial support.

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Authors and Affiliations

  1. Department of Biostatistics and Medical Informatics, Cerrahpaşa Faculty of Medicine, Istanbul University, Istanbul, Turkey

    Abdulbari Bener

  2. Department of Evidence for Population Health Unit, School of Epidemiology and Health Sciences, University of Manchester, Manchester, UK

    Abdulbari Bener

  3. Department of Public Health, Medipol International School of Medicine, Istanbul Medipol University, Istanbul, Turkey

    Abdulbari Bener

  4. Department of Psychiatry, Section of Cultural Psychiatry, Institute of Psychiatry, King’s College London, London, UK

    Dinesh Bhugra

  5. Department of Clinical & Experimental Medicine, University of Foggia, Foggia, Italy

    Antonio Ventriglio

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  1. Abdulbari Bener
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  2. Dinesh Bhugra
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  3. Antonio Ventriglio
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Correspondence to Abdulbari Bener .

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Editors and Affiliations

  1. Pediatrics Department and USERN Office, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran

    Roya Kelishadi

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Bener, A., Bhugra, D., Ventriglio, A. (2022). Lifestyle Factors, Depression, Anxiety and Stress Related to the Internet Addiction Among School Children. In: Kelishadi, R. (eds) Healthy Lifestyle. Integrated Science, vol 3. Springer, Cham. https://doi.org/10.1007/978-3-030-85357-0_12

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