نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار روان شناسی بالینی، مرکز تحقیقات روانپزشکی و علوم رفتاری،دانشگاه علوم پزشکی شیراز، شیراز، ایران

2 پزشک عمومی، دانشکده پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران

چکیده

مقدمه: با توجه به گسترش روزافزون استفاده از اینترنت مخصوصاً در میان دانشجویان، پیامدهای ناشی از اینترنت  نیازمند توجه بیشتر مسئولان می باشد. بنابراین این پژوهش با هدف ارتباط بین اعتیاد به اینترنت با علائم اضطراب درتعاملات اجتماعی و سبک های مقابله با استرس در بین دانشجویان پزشکی دانشگاه علوم پزشکی شیرازدر سال 1397 انجام گرفته است.
روش ­ها: در یک مطالعه مقطعی و تحلیلی، به بررسی ارتباط بین اعتیاد به اینترنت با علائم اضطراب درتعاملات اجتماعی و سبک های مقابله با استرس در بین دانشجویان پزشکی دانشگاه علوم پزشکی شیراز بر روی 120نفر از دانشجویان پزشکی پرداخته شد. جمع آوری داده ها با استفاده از پرسشنامه‌ های اعتیاد به اینترنت یانگ و مقیاس اضطراب تعامل اجتماعی (SIAS) و پرسشنامه مقابله ای بلینگز و موس انجام شد، پس از جمع‌آوری داده‌ها، اطلاعات  به نرم‌افزار SPSS ورژن 21 وارد شدند. در سطح توصیفی با استفاده از مشخصه آماری میانگین، انحراف معیار و در سطح استنباطی جهت تحلیل و تبیین داده‌ها از ضریب همبستگی پیرسون استفاده گردید.
یافته­ ها: از بین 120دانشجو مورد بررسی در این پژوهش 3/43 درصد مونث و 7/56 درصد مذکر بوده که 8/30 درصد مقطع علوم پایه و 2/19 درصد مقطع فیزیوپاتولوژی و50 درصد مقطع بالینی بودند. ضمنا تحلیل یافته رابطه مستقیم بین اعتیاد به اینترنت با علائم اضطراب در تعاملات اجتماعی (p =0/001) و رابطه مستقیم بین اعتیاد به اینترنت با سبک های مقابله با استرس
(p =0/001) رانشان دادند. همچنین رابطه مستقیم بین اعتیاد به اینترنت با علائم اضطراب در تعاملات اجتماعی و سبک های مقابله با استرس بر حسب جنسیت در هر دو گروه (p =0/001)، و رابطه مستقیم بین اعتیاد به اینترنت با علائم اضطراب در تعاملات اجتماعی و سبک های مقابله با استرس بر حسب مقطع تحصیلی می‌باشد.
نتیجه­ گیری: بر اساس مطالعات مختلف و همچنین یافته های بدست آمده در این مطالعه در خصوص اعتیاد به اینترنت در دانشجویان پزشکی شیراز، اعتیاد اینترنتی با علائم اضطراب در تعاملات اجتماعی و سبک های مقابله با استرس رابطه مستقیم دارند بنابراین لازم است به منظورکاهش پیامدهای روانشناختی استفاده سوء ازاینترنت تدابیر پایه ای لازم اندیشیده شود.

کلیدواژه‌ها

  1. Lashgarara B, Taghavi Shahri M, Maheri AB, Sadeghi R. Internet addiction and general health of dormitory students of TehranUniversity of Medical Sciences in 2010. Journal of School of Public Health and Institute of Public Health Research. 2012;10(1):67-76. (Persian)
  2. Rasoli MR, Azadmajd A. Internet addiction and its effects,Social Sciences book. 2013;67(17):90-97. (Persian)
  3. Kim S, Kim R. A study of internet
    addiction: status, causes, and remedies. Journal of Korean Home Economics Association English Edition. 2002;3(1).
  4. Bidi F, Namdari Pezhman M, Amani A, Ghanbari S, Kareshki H. Structural analysis of relationship of internet addiction with depression, social adjustment and self-esteem. Avicenna Journal of Clinical Medicine. 2012;19(3):41-8. (Persian)
  5. Kandell JJ. Internet addiction on campus: The vulnerability of college students. Cyberpsychology & behavior. 1998;1(1):11-7.
  6. Kooraki M, Yazdkhasti F, Ebrahimi A, Oreizi HR. Effectiveness of psychodrama in improving social skills and reducing internet addiction in female students. Iranian Journal of Psychiatry and Clinical Psychology. 2012;17(4):279-88. (Persian)
  7. Shahbazi S, Heydari M, Shaykhi RA. The effect of problem solving course on student&# 039 s stress intolerance. Journal of Shahrekord Uuniversity of Medical Sciences. 2011;13. (Persian)
  8. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed). Arlington VA: American Psychiatric Publishing; 2013.
  9. Sung J, Lee J, Noh HM, Park YS, Ahn EJ. Associations between the risk of internet addiction and problem behaviors among Korean adolescents. Korean journal of family medicine. 2013;34(2):115.
  10. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, Text revision (4th ed). Washington DC: American Psychiatric Association; 2000.
  11. Ha JH, Yoo HJ, Cho IH, Chin B, Shin D, Kim JH. Psychiatric comorbidity assessed in Korean children and adolescents who screen positive for Internet addiction. The Journal of clinical psychiatry. 2006.
  12. Dargahi H, Razavi SM. Internet addiction and its related factors: a study of an Iranian population. Payesh, Journal of the Iranian Institute For Health Sciences Research. 2007; 6(3): 265-272. (Persian)
  13. Villella C, Martinotti G, Di Nicola M, Cassano M, La Torre G, Gliubizzi MD, Messeri I, Petruccelli F, Bria P, Janiri L, Conte G. Behavioural addictions in adolescents and young adults: results from a prevalence study. Journal of gambling studies. 2011;27(2):203-14.
  14. Kuh GD, Vesper N. Do computers enhance or detract from student learning?. Research in Higher Education. 2001;42(1):87-102.
  15. Motamednejad K. UNESCO and the protection of children against Internet. Resaneh Journal 2002; 12: 28-33.
  16. Zenozian S, Gharai B, Yazdandoost R. Effects of teaching problem solving in change student coping strategies. Tabriz Journal of Psychology. 2010;5:20. (Persian).
  17. Jalali D, Aghababai A, Bagheri S. A Study of Factors Involved in Internet-Use among the Youth: An Analysis of the Survey Results from the Province of Charmahal and Bakhtiari. University of Tehran Electronic Journals Database. Global Media. 2008;6. (Persian)
  18. Ebrahimi S, Khammarnia M, Porvazn N, Karamipur M, Jamshidzahi H, Setoodezadeh F, Peyvand M. The prevalence of internet addiction and its relationship with quality of sleep and quality of life among students of zahedan University of medical Sciences. Journal of School of Public Health and Institute of Public Health Research. 2018 Sep 10;16(2):126-37. (Persian)
  19. Niemz K, Griffiths M, Banyard P. Prevalence of pathological Internet use among university students and correlations with self-esteem, the General Health Questionnaire (GHQ), and disinhibition. Cyberpsychology & behavior. 2005;8(6):562-70.
  20. Dong B, Zhao F, Wu XS, Wang WJ, Li YF, Zhang ZH, Sun YH. Social anxiety may modify the relationship between internet addiction and its determining factors in Chinese adolescents. International Journal of Mental Health and Addiction. 2019;17(6):1508-20.
  21. Mozafari S, Sepahvandi MA, Ghazanfari F. Study of the relationship between Internet addiction with social Anxiety and Loneliness among high school students in Yasuj. Journal of Advanced Pharmacy Education & Research| Oct-Dec. 2018;8(S2):143. (Persian)
  22. Folkman S, Lazarus RS. An analysis of coping in a middle-aged community sample. Journal of health and social behavior. 1980:219-39.
  23. Lazarus RS, Lazarus RS. Emotion and adaptation. Oxford University Press on Demand; 1991.
  24. Naeim M, Rezaeisharif A, Zandian H. The Relationship Between Internet Addiction and Social Adjustment, and Test Anxiety of the Students of Ardabil University of Medical Sciences. Shiraz E-Medical Journal. 2020;21(11). (Persian)
  25. Turi A, Miri M, Beheshti D, Yari E, Khodabakhshi H, Anani Sarab G. Prevalence of Internet addiction and its relationship with anxiety, stress, and depression in intermediate students in Birjand city in 2014. Journal of Birjand University of Medical Sciences. 2015;22(1):67-75. (Persian)
  26. Scimeca G, Bruno A, Cava L, Pandolfo G, Muscatello MR, Zoccali R. The relationship between alexithymia, anxiety, depression, and internet addiction severity in a sample of Italian high school students. The Scientific World Journal. 2014;2014.
  27. Younes F, Halawi G, Jabbour H, El Osta N, Karam L, Hajj A, Rabbaa Khabbaz L. Internet addiction and relationships with insomnia, anxiety, depression, stress and self-esteem in university students: A cross-sectional designed study. PloS one. 2016;11(9):e0161126.
  28. Salehi Omran E, Azizi Shomami M, Keshavarz K. Relationship between internet addiction and depression among secondary school students in Kordkuy, Iran, with an emphasis on the type of virtual network. J Educ Community Health. 2018;5(1):13-8.
  29. Elavarasan K, Dhandapani T, Norman P, Vidya DC, Mani G. The association between Internet addiction, social phobia and depression in medical college students. Int J Community Med Public Health. 2018 Oct;5(10):4351.
  30. Feng Y, Ma Y, Zhong Q. The Relationship Between Adolescents’ Stress and Internet Addiction: A Mediated-Moderation Model. Frontiers in psychology. 2019;10.
  31. Young KS. Internet addiction: The emergence of a new clinical disorder. Cyberpsychology & behavior. 1998;1(3):237-44.
  32. Alavi SS, Maracy MR, Jannatifard F, Eslami M. The effect of psychiatric symptoms on the internet addiction disorder in Isfahan's University students. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2011;16(6):793. (Persian)
  33. Billings AG, Moos RH. Coping, stress, and social resources among adults with unipolar depression. Journal of personality and social psychology. 1984;46(4):877.
  34. Hosseini Ghadamgahi J. Investigation of association of stress, coping strategies and quality of relationship with coronary heart disease (Doctoral dissertation, MA. Dissertation. Tehran: Iran University of Medical Sciences, Tehran Psychiatric Institute, 1997: 101-2. (Persian)
  35. Li D, Zhang W, Li X, Zhou Y, Zhao L, Wang Y. Stressful life events and adolescent Internet addiction: The mediating role of psychological needs satisfaction and the moderating role of coping style. Computers in Human Behavior. 2016;63:408-15.
  36. Piri Z, Majd MA, Bazzazian S, Ghamari M. The Mediating Role of Coping Strategies in Relation with Psychological Needs and Internet Addiction among College Student. International Journal of Applied Behavioral Sciences. 2019;5(3):9-17.
  37. Heimberg RG, Mueller GP, Holt CS, Hope DA, Liebowitz MR. Assessment of anxiety in social interaction and being observed by others: The Social Interaction Anxiety Scale and the Social Phobia Scale. Behavior therapy. 1992;23(1):53-73.
  38. Tavoli A, Allahyari A, Azadfallah P, Fathi Ashtiani A, Melyani M, Sahragard M. Validity and reliability of the farsi version of social interaction anxiety scale (sias). Iranian Journal of Psychiatry and Clinical Psychology. 2012;18(3):227-32. (Persian)
  39. Dastjerdi N, Sayadi S Relationship between using social networks and internet addiction and depression among students. Journal of Research in Behavioural Sciences. 2013;10(5):332-41. (Persian)
  40. Iranlou M, Goudarzi P. Evaluation of relationship between internet addiction with social isolation and social interaction. Thesis of master degree.Science and Culture university.2011(Persian)
  41. Fayazi R. Relationship between management of social skills with internet addiction in juvenile between age  18-20 in shiraz. (Thesis) Azad university of Marvdasht. 2012. (Persian)
  42. Jafari N, Fatehizadeh M. Investigation of the relationship between internet addiction and depression, anxiety, stress and social phobia among students in Isfahan University. Scientific Journal of Kurdistan University of Medical Sciences. 2012;17(4). (Persian)
  43. Thatcher A, Wretschko G, Fisher J. Problematic Internet use among information technology workers in South Africa. CyberPsychology & Behavior. 2008;11(6):785-7.
  44. Liu TC, Desai RA, Krishnan-Sarin S, Cavallo DA, Potenza MN. Problematic Internet use and health in adolescents: data from a high school survey in Connecticut. The Journal of clinical psychiatry. 2011 ;72(6):836.
  45. Orsal O, Orsal O, Unsal A, Ozalp SS. Evaluation of internet addiction and depression among university students. Procedia-Social and Behavioral Sciences. 2013;82:445-54.
  46. Lee J, Hwang JY, Park SM, Jung HY, Choi SW, Lee JY, Choi JS. Differential resting-state EEG patterns associated with comorbid depression in Internet addiction. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2014;50:21-6.
  47. Yen JY, Ko CH, Yen CF, Wu HY, Yang MJ. The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. Journal of adolescent health. 2007;41(1):93-8.
  48. Masoudnia E. Relationship between Pathological Compulsive use of Internet and Incidence of Anxiety and insomnia symptoms among the Academic Members of Yazd University. Quarterly Journal of Research and Planning in Higher Education. 2011;17(3):75-96.