Exploring the effects of Internet on cognition and sleep in Indian medical students – a cross sectional study (Preprint)

2020 ◽  
Author(s):  
Megha Agrawal ◽  
Sowmya Rajaram ◽  
Girija B

BACKGROUND As per global reports, India has seen the largest growth in use of Internet in 2019. Therefore, it has become crucial to understand how Internet affects our life. There is significant variation in the way Internet is used worldwide. The mechanisms and causal relationships are not very clear. Not many studies on Internet addiction have been done in India. Hence this study has been done to assess the effect of Internet on the sleep pattern of students in their late adolescence, as they are most vulnerable to the effects of Internet at this age. OBJECTIVE 1. To find the extent of problematic Internet use in first year medical students 2. To explore its effects on cognition and sleep. METHODS 100 students of BMCRI, aged 17-20 years were administered 2 questionnaires – Davis online cognition scale (DOCS) and Pittsburg Sleep Quality Index Questionnaire (PSQI) to assess Internet addiction and sleep respectively. RESULTS Out of 100 medical students, Problematic Internet usage/ PIU was found in 46% students with slight preponderance in males. 84% students had good sleep. There was significant positive correlation of DOCS scores with its all four cognitive dimensions/subscales - social comfort, loneliness/depression, diminished impulse control and distraction (r≥ 0.9, p<.0001). DOCS scores were very highly significantly worse in PIU group in both the sleep categories (p<.0001). However sleep had no significant correlation with PIU. ( r= -0.0463, p=.65). CONCLUSIONS 46% of the medical students showed problematic Internet usage with significant correlation with distraction, impulsivity, depression/ loneliness and dependence on Internet for social comfort. However, sleep was good in the study population with no significant correlation with PIU. Thus, contrary to popular belief, judicious use of Internet may not lead to maladaptive patterns of sleep. The psychosocial factors linked to Internet use need to be further explored in more diverse groups with a deeper insight into its mechanism, effects, individual variation and regulation. This may help alleviate the adverse effects on Internet on human cognition. CLINICALTRIAL N/A

Author(s):  
Aswin Kumar ◽  
Ayesha S. Nawaz ◽  
Ravi Kumar ◽  
Yamuna B. N.

Background: India is not only growing in terms of population but also developing in terms of communication. Internet has become an essential tool for education, entertainment, communication and sharing of information. Excessive and undisciplined use of internet has led to emergence of internet addiction (IA), especially among students. The objective of the study was to know the magnitude of internet addiction among medical students and to determine the factors associated with it.Methods: The present cross sectional study was carried out over a period of two months among 138 medical students of SSIMS and RC Davangere. Data was collected using a pre designed, pretested questionnaire, with questions adapted from Young’s internet addiction questionnaire to test internet addiction.Results: In our study 30% students had mild internet addiction and 10% had moderate internet addiction. Male gender, internet usage of more than 5 hours per day and expenditure on the monthly internet pack of more than Rs. 400 were found to be significantly associated with internet addiction.Conclusions: More than one third of the students, especially males had internet addiction. It is essential for the parents and institutions to supervise the medical students and limit the time as well as expenditure on the internet usage.


Author(s):  
Priyanka . ◽  
R K Pal

Introduction: Excessive use of the Internet affects the academic achievements of students. This study aimed to investigate the prevalence of Internet addiction and the pattern of Internet use among undergraduate medical students. Method: This analytical cross-sectional study conducted on 177 undergraduate medical students in batch 2016, 2017 and 2018, who were included in this study by convenience sampling method. The study tool was  Young’s Internet Addiction Test containing questions regarding the pattern of Internet use. Data entry and analysis was done by using Microsoft excel and SPSS version 21. Qualitative data were described in terms of frequency and percentage while quantitative data were expressed as mean and standard deviation. Chi square test and multiple linear regression were used to find out the relationship between various factors and Internet Addiction (IA).  The significance level was considered 0.05. Results: The mean age of the participants was 20.3 years (± 1.19), and 62 % of the subjects were males. The prevalence rate of Internet Addiction (IA) was found to be 56.5% and 42.9% of them were in mild and 13.6% were in moderate addiction category. Being male (β= -0.143, p=0.038), staying at a hostel (β= 0.167, p=0.018), not having a time preference for using the Internet (β= -0.174, p=0.012), spending more time on the Internet everyday (β= 0.201, p=0.000), being always online (β= 0.276, p=0.000) and more years of using the Internet (β= 0.175, p=0.015) were significantly related with IA in students. Conclusion: A large proportion of medical students were found to be addicted to the Internet. Therefore, this issue should be addressed immediately.


Author(s):  
Neha Priya ◽  
Samreen Khan ◽  
Sachin Lal

Background: Internet is a boon and has certainly helped to bring the world closer. It has been a great medium for students to communicate and get information by transforming the academic landscape. However the excessive and undisciplined use of internet by individuals especially in the last decade, has led to the emergence of the concept of internet addiction. Therefore, a cross sectional study has been conducted to investigate the use of internet facility among undergraduate students from Teerthankar Mahaveer University using a validated questionnaire. There were about 42 million active internet users in urban India in 2008 when compared to 5 million in 2000. India now has the world’s third-largest national digital population, with approximately, 159 million Internet users in 2014, which is projected to reach 314 million by 2017 (IMRB 2014). The aim was to study prevalence and pattern of internet usage among undergraduate students in Moradabad. Methods: A cross sectional study was conducted among medical students (n=382) belonging to all the professionals of medical college, to assess the pattern of internet usage. A semi-structured proforma along with Young’s internet addiction scale was used. Results: Of the 382 adolescents who took part in the study, 150 (39.27%) were female and 232 (60.73%) were males. Their mean age was 16.20 years. Using Young’s original criteria, 22 (5.76%) were found to be addicts, 230 (60.21%) were moderately addicted, 45 (11.78%) were average users while in 85 (22.25%) of student’s internet use was less than average. Most of internet use was for social networking 183(47.9%), downloading media files 125 (32.7%), online gaming 45 (11.8%), academic purposes 10 (2.6%) and others 19 (5%). About 275 (72%) of the students were using smart phones to access the internet. Conclusions: Most of the internet usage was for the purpose of social networking (Facebook, Whats App, Mails, etc). Availability of high speed free wi-fi internet on mobile phones as well as more reliance on virtual friendship than real may be the reason for spending more time on social network websites. 


Author(s):  
Megha Agrawal ◽  
◽  
Sowmya Rajaram ◽  
Girija Kumar ◽  
◽  
...  

Background: With the inclusion of Internet in daily lifestyle, it has become crucial to explore its purpose, effects on mental health and to understand the implications. As adolescence is a vulnerable age group, this study has taken Indian medical students in late adolescence to understand how Internet impacts their lives. Objectives: 1. To explore the severity of problematic Internet use ‘PIU’ in Indian medical students. 2. To assess its effects on psychological health and loneliness. 3. To correlate problematic Internet use with the purpose of use. Materials And Methods:185 first MBBS students of BMCRI (Mean age- 18.075 years) were administered 4 questionnaires- Young’s Internet Addiction test, UCLA loneliness questionnaire (Version 3), General Health Questionnaire (GHQ12) and a self administered questionnaire to assess purpose of Internet usage. Results: Out of 185 students, 67 were average users who showed control over their use of Internet and 118 had PIU (113 with frequent, 5 with significant problems). Significant positive correlation was found between PIU and psychological morbidity (r=0.3442, p<0.0001) as well as loneliness (r=0.2045, p= 0.0051). Daily average use of Internet was mostly for social media (51.2%) followed by academics (20%), others (20%) and gaming (8.2%). PIU was significantly positively correlated to social media usage (r=0.2666, p= 0.0002) as well as negatively correlated to academics (r= -0.372, p<0.0001). Conclusion: In our study, PIU was positively correlated to poor psychological health, loneliness and use for social media. It showed negative correlation with academics. This may suggest that PIU is linked to psychosocial implications. It may be worthwhile correlating purpose of use with severity of PIU. Social media seems to be of importance in India as opposed to China, where gaming is the major concern. As some activities could be more addictive than others leading to dysfunctional lifestyle, Internet use must be regulated and used judiciously.Method: A total of 22 patients (out of initial 24 referrals) who met DSM IV criteria for MDD were enrolled into the study. The subjects all had to fail at least one prior treatment for depression. The patients received the FDA approved protocol of high-frequency (10 Hz) rTMS over the left dorsolateral prefrontal cortex. Results: Seventeen cases out of twenty-two cases showed significant improvements after two weeks of treatment. Only six patients continued their treatments for the next two to four weeks. Conclusions: We have replicated other studies showing that using rTMS is effective with no major side effects for many patients with MDD and their improvements are measurable mostly after two weeks. Our data highlights the importance of application of more convenient protocols which require fewer sessions on fewer days to help with compliance and outcome particularly in large populated cities and countries like Iran going through economic hardship.


2020 ◽  
Vol 7 (51) ◽  
pp. 3105-3109
Author(s):  
Haobijam Nirendrakumar Singh ◽  
Tonjam Hemchand Singh ◽  
Nongthonbam Surajkumar ◽  
Agatha Gangmei

BACKGROUND Internet is a widely used tool. With its addictive property, this may lead to public health problems. The study intended to assess the prevalence & risk factors for Internet addiction in medical students of Manipur. METHODS This is a cross-sectional study conducted among medical students of Jawaharlal Nehru Institute of Medical Sciences (JNIMS) using Young’s 20-items Internet Addiction Test (IAT) questionnaire. RESULTS The response rate was 83.79 %. About 1 / 5 th of the students were Internet users with frequent or significant problems in their life. CONCLUSIONS About 1 / 5th of students in JNIMS reported problems from use of Internet. Semester, age, sex & religion of the students did not have any relationship with Internet addiction scores. KEYWORDS Internet Addiction, Validity, Reliability


Healthline ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 89-93
Author(s):  
Swati Misra ◽  
Pradeep Pithadia ◽  
Dipesh Parmar ◽  
Naresh Makwana ◽  
Sumit Unadkat

Introduction: Internet is one of the most essential elements in everyday life of everyone. Simultaneously, it’s an emerging public health issue also, especially in our country. Excessive and undisciplined use of internet may lead to many physical, social, psychological and behavioral disorders. Medical students have not only lengthy syllabus but also hefty study hours and internet addiction may affect their scholastic pattern and learning. Therefore, this study was designed to assess prevalence and pattern of internet addiction and its consequences among them. Aims and Objectives: The aim of this cross-sectional study is to determine prevalence and pattern of internet addiction and its ill-effects among medical students of M P Shah Government Medical College, Jamnagar. Methodology: We included all medical students (n=600) of all semesters of MP Shah Medical College and collected data using Dr. Kimberly Young’s Internet addiction scale from October 2019 to December 2019. Informed Consent was taken. Results: We observed that majority of students (82.67%) were average online users. The mean score of internet usage for male and female medical students was 44.22 and 38.48 respectively. Sleep disturbance, impulsiveness, anxiety, emotional liability, lack of interest in study were some of the major consequences of internet addiction among students observed in our study. The study also observed that students tried several methods like Yoga, meditation etc. to get rid of the internet addiction and concentrate on studies. Conclusion: Periodic screening of students should be carried out to identify internet addicts and a comprehensive program or strategies should be formed at institutional level for support and counselling of such students and to avert and cope up with ill effects of internet addiction.


Author(s):  
Paul Daniel

Background: Exponential increase in use of smartphones and availability of internet services makes the students and young doctors prone to internet addiction. The interns are particularly at risk because of their unique communication and academic needs. The study was conducted to evaluate the pattern of use of internet and prevalence of internet addiction among interns.Methods: This cross-sectional study was conducted using an online questionnaire related to internet use and Young’s internet addiction test.Results: All interns were using smartphones and 96.3% of them used internet daily. About 80% of them started using internet before the age of 19 years. Duration of use of internet exceeded three hours a day among 40% of them during weekdays. During the weekends 60% of interns used internet for more than three hours per day. All of them were using internet for communication specially for instant messaging. Another common use was social networking by 90% of them. Educational purpose, file sharing, web browsing and listening to music or news were also done using internet. Prevalence of internet addiction among interns was 47.9% (Mild – 36.3%, moderate – 11.3% and severe – 1.3%).Conclusions: Prevalence of internet addiction is high among the interns. Efforts should be taken to enhance awareness and prevent internet addiction among them.


Author(s):  
Rini Raveendran ◽  
Rajany Jose ◽  
Sabitha Rose Jacob ◽  
Ancy S. George ◽  
Vinayak N. ◽  
...  

Background: Among students worldwide, internet addiction is becoming a major problem. As the number of internet users continue to grow explosively, social networking too grows exponentially. Therefore, it is important to study internet behaviour patterns. The aim of the study was to estimate the prevalence and characteristics of internet usage, addiction among medical students.Methods: A cross-sectional study was done among 227 medical students. Students aged between 17-24 years was selected by simple random sampling technique from the college. A self-administered questionnaire was used. It includes questions pertaining to sociodemographic status, attitude, practice based and Young’s internet addiction test.Results: The prevalence of internet addiction was 59%.113 (49.8%) students were average online users (mild addiction), 19 (8.4%) students were experiencing occasional and frequent problems (moderate addiction) and 2 (0.8%) severely addicted students Most of the study population initiated internet use between the ages of 16 -18 years, 89 (39%). Our study revealed that 196 (86.3%) students were using internet for educational purposes, 135 (59.5%) for entertainment and 189 (83.2%) for socialising. Headache was the commonest health problem 102 (44%) followed by sleep disturbances in 40 (17.6%), back pain in 14 (6.1%) and anxiety, stress, visual difficulties in 29 (15%) students.Conclusions: This research provides an insight into the current trend towards usage of the internet for academic as well as non-academic purposes among medical students. Health issues are a long term concern which need to be addressed on a war footing. Ergonomically placed interventional strategies are pertinent as a primary level of prevention. 


Author(s):  
Rupesh D. Shinde ◽  
Shekhar S. Rajderkar

Background: Internet addiction was first studied in 1996 and findings were presented to American Psychological Association. Recent studies examined the prevalence of Internet addiction and investigated its causes. Internet users in India are around 205 million. Internet usage among medical students is high. Internet addiction has both physical and psychological withdrawal symptoms. This study aims to understand the patterns of internet use and its effects on mental health among medical college students. The objectives of the study were to study the patterns of internet usage among medical college students and to study the depression in them and its relation to internet usage.Methods: Cross sectional study was conducted in government medical college. Taking prevalence of mild internet addiction 34% from previous Indian studies, minimum sample size of 90 was calculated. 23 students of 1st, 2nd 3rd year and internship were randomly chosen for study. Pretested Young’s 20-item IAT scale and DASS 21 questionnaire was used for the study. Statistical analysis was done using percentage and chi square test.Results: Mild internet addiction was found in one third of medical students. Depression is seen in 61% of students with internet addiction.Conclusions: Internet addiction is affecting mental health of medical students.


Author(s):  
Ranganatha S. C. ◽  
Usha S.

Background: Currently internet has become an important tool for education, entertainment and communication. Increased internet usage may lead to point of habituation, addiction, adverse academic, mental, physical and social effects. Medical students are also among the vulnerable group on account of time they spend on internet, hence this study was undertaken among medical students. The objective of the study was to estimate the prevalence and pattern of internet addiction among first year medical students.Methods: A Cross sectional study was conducted among the first year medical students of Rajarajeswari Medical College and Hospital, Bengaluru. The sample size calculated was 125 as per the prevalence of internet addiction among medical students as 58.87% found in the study by Chaudhari et al. A total of 140 students present in the class at the time of data collection, who consented were considered for the study. Semi structured questionnaire with Young’s 8-item questionnaire and 20-item internet addiction scale was administered to the students. The data was analyzed using SPSS version 21.0. Pearson’s chi-square test was applied to know the association between two variables. Results: Out of 140 study subjects, majority (73.57%) were 18 yrs of age, 62.14% were females. 81 (57.86%) were hostelites. 77 (55%) of students were using internet for 4-6 hrs per day. 80 (57.14%) students have been using internet for more than 5 yrs. The prevalence of internet addiction according to Young’s 8-item questionnaire was 66 (47.14%) out of 140. Out of the 66, most common gadget used was mobile and most common purpose was social networking. The most common pattern of internet addiction according to Young’s 20-item scale was possible addict (49.29%). Internet addiction among localites was observed to be more than hostelites, this association was found to be statistically significant. Conclusions: Internet addiction was found to be substantial among medical students and most common purpose of internet usage was for social networking. 


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