The Relationship of University Students’ Internet Addiction Levels with Alexithymia, Depression, Anxiety, and Stress: A Cross-Sectional Study in Bangladesh
Abstract
OBJECTIVE: The current study was conducted to examine the association between the level of internet addiction and alexithymia, depression, anxiety, and stress levels among university students in Bangladesh.
MATERIALS and METHODS: This analytical cross-sectional study was conducted with 1,274 undergraduate students recruited from four universities in Dhaka, Bangladesh, using the Personal Information Form, Young Internet Addiction Test Short Form (YIAT-SF), Toronto Alexithymia Scale (TAS-20), and Depression, Anxiety, and Stress Scale (DASS-21).
RESULTS: The study revealed moderate positive correlations between students’ alexithymia, depression, anxiety, and stress levels and internet addiction (r=0.37–0.45, all p<0.001). In a simultaneous multiple linear regression model, alexithymia and the three DASS-21 dimensions jointly explained 28.4% of the variance in internet addiction scores (Adjusted R²=0.284, p<0.001), with alexithymia emerging as the strongest independent predictor.
CONCLUSION: Internet addiction among university students is associated with both alexithymic traits and common indicators of psychological distress. It is recommended to evaluate the multiple factors that influence the emergence of internet addiction in students and to carry out studies to increase awareness within the South Asian context.
Keywords
Supporting Institution
Ethical Statement
References
- Fineberg NA, Menchón JM, Hall N, Dell’Osso B, Brand M, Potenza MN, et al. Advances in problematic usage of the internet research – A narrative review by experts from the European network for problematic usage of the internet. Compr Psychiatry. 2022; 118: 152346. doi: 10.1016/j. comppsych.2022.152346.
- Anderson EL, Steen E, Stavropoulos V. Internet use and problematic internet use: a systematic review of longitudinal research trends in adolescence and emergent adulthood. Int J Adolesc Youth. 2017; 22(4): 430–454. doi: 10.1080/02673843.2016.1227716
- Cheng C, Li AYL. Internet addiction prevalence and quality of (real) life: a meta-analysis of 31 nations across seven world regions. Cyberpsychol Behav Soc Netw. 2014; 17(12): 755–760. doi: 10.1089/cyber.2014.0317
- Islam MA, Hossin MZ. Prevalence and risk factors of problematic internet use and the associated psychological distress among graduate students of Bangladesh. Asian J Gambl Issues Public Health. 2016; 6(1): 11. doi: 10.1186/s40405-016-0020-1
- Hassan T, Alam MM, Wahab A, Hawlader MDH. Prevalence and associated factors of internet addiction among young adults in Bangladesh. J Egypt Public Health Assoc. 2020; 95(1): 3. doi: 10.1186/s42506-019-0032-7
- Hossin MZ, Islam A, Billah M, Haque M, Uddin J. Is there a gradient in the association between internet addiction and health? PLoS One. 2022; 17(3): e0264716. doi: 10.1371/journal.pone.0264716
- Islam Z, Hsan K, Islam S, Gozal D, Hossain M. Assessment of sleep quality and its association with problematic internet use among university students: a cross-sectional investigation in Bangladesh. Sleep Sci. 2021; 14(Spec 1): 8–15. doi: 10.5935/1984-0063.20200069
- Younes F, Halawi G, Jabbour H, El Osta N, Karam L, Hajj A, et al. 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. doi: 10.1371/journal.pone.0161126
Details
Primary Language
English
Subjects
Applied and Developmental Psychology (Other)
Journal Section
Research Article
Authors
Fatema K. Begum
0009-0003-0478-165X
Bangladesh
Publication Date
August 31, 2026
Submission Date
April 11, 2026
Acceptance Date
June 29, 2026
Published in Issue
Year 2026 Volume: 9 Number: 2