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Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students

Yıl 2025, Cilt: 52 Sayı: 4, 671 - 681, 12.12.2025
https://doi.org/10.5798/dicletip.1840633

Öz

Introduction: Prolonged internet and social media use among university students is increasingly associated with adverse health outcomes, particularly in relation to musculoskeletal health and sleep quality. Extended screen exposure often leads to sustained non-ergonomic postures and physical inactivity, contributing to discomfort and pain in the neck, back, and upper extremities. Additionally, nighttime screen usage disrupts circadian rhythms by suppressing melatonin secretion, thereby delaying sleep onset and reducing overall sleep quality. This study aims to investigate the impact of internet and social media usage on musculoskeletal disorders and sleep quality in university students.
Methods: A cross-sectional study was conducted involving 386 undergraduate students from nine academic programs at Dicle University. Data were collected through validated self-report instruments: the Young’s Internet Addiction Test (IAT) for assessing internet addiction, the Pittsburgh Sleep Quality Index (PSQI) for evaluating sleep quality, and the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ) for identifying musculoskeletal symptoms. Sociodemographic characteristics were also recorded.
Results: Results indicated that 69.4% of participants reported daily smartphone use ranging from 3 to 5 hours. A significant proportion of students experienced sleep-related problems (58.3%), eye strain (53.1%), and neck pain (46.6%). The mean IAT score indicated a moderate level of internet addiction (50.19/95), which was inversely correlated with sleep quality. CMDQ findings highlighted that discomfort was most prevalent in the right upper extremity, followed by the neck and back regions. These outcomes were strongly associated with prolonged screen exposure, poor posture, inadequate ergonomic conditions, and low levels of physical activity.
Conclusion: The findings underscore the multifaceted negative impact of excessive digital media use on both physical and sleep health in university students. Preventive strategies such as promoting ergonomic awareness, encouraging routine physical activity, and implementing screen-time management interventions are essential to mitigate these health risks and enhance student well-being.

Etik Beyan

The study was approved by the local university’s ethics committee (Decision No: 26, Date: 16/12/2024).

Kaynakça

  • 1.Pirnes KP, Kallio J, Hakonen H, et al. Physicalactivity, screen time and the incidence of neck andshoulder pain in school-aged children. Sci Rep.2022;12(1):10635.
  • 2.Aghaei H, Abdolalizadeh P. Computer visionsyndrome. In: Recent Advances in Dry Eye Disease.IntechOpen; 2023.
  • 3.Kong SC, Cheung WM, Tsang O. Evaluating anartificial intelligence literacy programme forempowering and developing concepts, literacy andethical awareness in senior secondary students.Educ Inf Technol. 2023;28(4):4703-24.
  • 4.Arca M, Oğuzöncül AF. Frequency of internetaddiction and impact on the musculoskeletal system in high school students. Curr Psychol.2024;43(13):11559-68.
  • 5.Bozzola E, Spina G, Ruggiero M, et al. Media useduring adolescence: The recommendations of theItalian Pediatric Society. Ital J Pediatr. 2019;45(1),149.
  • 6.Özceylan G, Toprak D, Dogan N. Can PhysicalComplaints in High School Students be Symptoms ofInternet Addiction?. Turk J Fam Med Prim Care.2021;15(1):154-63.
  • 7.Cerutti R, Presaghi F, Spensieri, V, et al. Thepotential impact of internet and mobile use onheadache and other somatic symptoms inadolescence. Headache. 2016;56(7):1161-70.
  • 8.Li W, O’Brien JE, Snyder SM, et al. Characteristicsof internet addiction/pathological internet use in USuniversity students: a qualitative-methodinvestigation. PLoS One. 2015;10(2):e0117372.
  • 9.Novaković S, Milenković S, Srećković M, et al.Children’s Internet use and physical andpsychosocial development. Front Public Health.2023;11:1163458.
  • 10.Young KS. Internet addiction: The emergence ofa new clinical disorder. Cyberpsychol Behav.1998;1(3):237-44.
  • 11.Kutlu M, Savcı M, Demir Y, et al. Young InternetBagimliligi Testi Kisa Formunun Türkçe uyarlamasi:Üniversite ögrencileri ve ergenlerde geçerlilik vegüvenilirlik çalismasi. Anadolu Psikiyatri Derg.2016;17 (1):69-76.
  • 12.Buysse DJ. The Pittsburgh Sleep Quality Index: anew instrument for psychiatric practice andresearch. Psychiatry. 2003; 18, 498.
  • 13.Ağargün MY. Pittsburgh uyku kalitesi indeksiningeçerliği ve güvenirliği. Turk Psikiyatri Derg.1996;7:107-15.
  • 14.Hedge A, Morimoto S, Mccrobie D. Effects ofkeyboard tray geometry on upper body posture andcomfort. Ergonomics. 1999;42(10):1333-49.
  • 15.Erdinç O, Hot K, Özkaya M. Cross-culturaladaptation, validity and reliability of CornellMusculoskeletal Discomfort Questionnaire (CMDQ).Ergonomics. 2008;42(10):1333-49.
  • 16.Rodríguez-Torrico P, San-Martín S, Jiménez N.Smartphones, the new addiction: causes andconsequences for elementary and high schoolstudents according to teachers and experts. ComputSch. 2023;40(2):194-212.
  • 17.Rashid MK, Jadoo SAA, Alhusseiny AH, et al.Prevalence of text neck syndrome among Iraqimedical students: a cross-sectional study. J IdeasHealth. 2022;5(Special1):693-9.
  • 18.Aliberti S, Invernizzi PL, Scurati R, et al. Postureand skeletal muscle disorders of the neck due to theuse of smartphones. 2020.
  • 19.Jain J, Bhende R, Shinde S. Estimation of IntrinsicAnd Extrinsic Hand Muscle Performance in ChronicSmartphone Users. Int J Occup Saf Health.2024;14(3):327-34.
  • 20.Khalifeh A, Al Khasawneh MH, Alrousan M, et al.Influence of students’ self-control and smartphoneE-Learning readiness on Smartphone-Cyberloafing.J Inf Technol Educ Res. 2024;23:016.
  • 21.Straker L, Howie EK, Cliff DP, et al. Australia andother nations are failing to meet sedentarybehaviour guidelines for children: implications anda way forward. J Phys Act Health. 2016;13(2):177-88.
  • 22.Gandhi K, Sukumar M, Mahaver D, et al. Analysisof correlation between anthropometry of hand andsmartphone overuse on musculoskeletal pain inthumb/wrist in medical students: a cross sectionalstudy at tertiary care center of Central India. Int JKinanthropom. 2023;3(1):47-57.
  • 23.Chang AM, Aeschbach D, Duffy JF, et al. Eveninguse of light-emitting eReaders negatively affectssleep, circadian timing, and next-morning alertness.Proc Natl Acad Sci U S A. 2015;112(4):1232-7.
  • 24.Lemola S, Perkinson-Gloor N, Brand S, et al.Adolescents’ electronic media use at night, sleepdisturbance, and depressive symptoms in thesmartphone age. J Youth Adolesc. 2015;44(2):405-18.
  • 25.Levenson JC, Shensa A, Sidani JE, et al. Theassociation between social media use and sleepdisturbance among young adults. Prev Med.2016;85:36-41.
  • 26.Chen YL, Gau SSF. Sleep problems and internetaddiction among children and adolescents: alongitudinal study. J Sleep Res. 2016;25(4):458-65.
  • 27.Wei LW, Chang CC, Sikakaew P, et al. FromInsomnia to Exhaustion: Repercussions of PervasiveInternet Use on Sleep Quality and Social MediaFatigue. Eur J Educ Stud. 2024;11(7).
  • 28.Pierides Jr NN, An Ergonomic Approach ForEsport Athletes: The Potential For Less Injury AndIncreased Occupational Performance [dissertation].Las Vegas: University of Nevada; 2023.

Üniversite Öğrencilerinin İnternet, Sosyal Medya Bağımlılığı, Kas İskelet Sistemi ve Uyku Kalitesi Üzerindeki Etkilerinin İncelenmesi

Yıl 2025, Cilt: 52 Sayı: 4, 671 - 681, 12.12.2025
https://doi.org/10.5798/dicletip.1840633

Öz

Öz
Giriş: Üniversite öğrencileri arasında uzun süreli internet ve sosyal medya kullanımı, özellikle kas-iskelet sistemi sağlığı ve uyku kalitesi açısından olumsuz sağlık sonuçlarıyla ilişkilendirilmektedir. Uzun ekran maruziyeti, sürdürülen ergonomik olmayan duruşlar ve fiziksel hareketsizlikle birlikte boyun, sırt ve üst ekstremitelerde rahatsızlık ve ağrıya yol açmaktadır. Ayrıca, gece saatlerinde ekran kullanımı melatonin salgısını baskılayarak sirkadiyen ritmi bozar; bu durum uykuya dalmayı geciktirir ve uyku kalitesini düşürür. Bu çalışma, üniversite öğrencilerinde internet ve sosyal medya kullanımının kas-iskelet sistemi rahatsızlıkları ve uyku kalitesi üzerindeki etkilerini araştırmayı amaçlamaktadır.
Yöntemler: Kesitsel tasarımla yürütülen çalışmaya Dicle Üniversitesi’nin dokuz fakültesinden 386 öğrenci katılmıştır. Veri toplama araçları olarak Young’un İnternet Bağımlılığı Testi (IAT), Pittsburgh Uyku Kalitesi İndeksi (PSQI) ve Cornell Kas-İskelet Sistemi Rahatsızlıkları Anketi (CMDQ) kullanılmıştır. Ayrıca sosyodemografik bilgiler de kayıt edilmiştir.
Bulgular: Katılımcıların %69,4’ü günlük 3-5 saat arasında akıllı telefon kullanmaktadır. Öğrencilerin önemli bir kısmı uyku sorunları (%58,3), göz yorgunluğu (%53,1) ve boyun ağrısı (%46,6) yaşamaktadır. Ortalama IAT puanı 50,19 olup orta düzey internet bağımlılığı göstermektedir ve internet bağımlılığı ile uyku kalitesi arasında negatif korelasyon bulunmuştur. CMDQ sonuçları, en çok rahatsızlığın sağ üst ekstremite, boyun ve sırt bölgelerinde olduğunu ortaya koymuştur. Bu sonuçlar uzun ekran süresi, kötü duruş, yetersiz ergonomi ve düşük fiziksel aktiviteyle yakından ilişkilidir.
Sonuç: Bulgular, dijital medya kullanımının üniversite öğrencilerinde hem fiziksel hem de uyku sağlığı üzerinde çok yönlü olumsuz etkileri olduğunu göstermektedir. Ergonomik farkındalığın artırılması, düzenli fiziksel aktivitenin teşvik edilmesi ve ekran süresinin yönetilmesi gibi önleyici stratejiler bu sağlık risklerinin azaltılmasında kritik öneme sahiptir.

Kaynakça

  • 1.Pirnes KP, Kallio J, Hakonen H, et al. Physicalactivity, screen time and the incidence of neck andshoulder pain in school-aged children. Sci Rep.2022;12(1):10635.
  • 2.Aghaei H, Abdolalizadeh P. Computer visionsyndrome. In: Recent Advances in Dry Eye Disease.IntechOpen; 2023.
  • 3.Kong SC, Cheung WM, Tsang O. Evaluating anartificial intelligence literacy programme forempowering and developing concepts, literacy andethical awareness in senior secondary students.Educ Inf Technol. 2023;28(4):4703-24.
  • 4.Arca M, Oğuzöncül AF. Frequency of internetaddiction and impact on the musculoskeletal system in high school students. Curr Psychol.2024;43(13):11559-68.
  • 5.Bozzola E, Spina G, Ruggiero M, et al. Media useduring adolescence: The recommendations of theItalian Pediatric Society. Ital J Pediatr. 2019;45(1),149.
  • 6.Özceylan G, Toprak D, Dogan N. Can PhysicalComplaints in High School Students be Symptoms ofInternet Addiction?. Turk J Fam Med Prim Care.2021;15(1):154-63.
  • 7.Cerutti R, Presaghi F, Spensieri, V, et al. Thepotential impact of internet and mobile use onheadache and other somatic symptoms inadolescence. Headache. 2016;56(7):1161-70.
  • 8.Li W, O’Brien JE, Snyder SM, et al. Characteristicsof internet addiction/pathological internet use in USuniversity students: a qualitative-methodinvestigation. PLoS One. 2015;10(2):e0117372.
  • 9.Novaković S, Milenković S, Srećković M, et al.Children’s Internet use and physical andpsychosocial development. Front Public Health.2023;11:1163458.
  • 10.Young KS. Internet addiction: The emergence ofa new clinical disorder. Cyberpsychol Behav.1998;1(3):237-44.
  • 11.Kutlu M, Savcı M, Demir Y, et al. Young InternetBagimliligi Testi Kisa Formunun Türkçe uyarlamasi:Üniversite ögrencileri ve ergenlerde geçerlilik vegüvenilirlik çalismasi. Anadolu Psikiyatri Derg.2016;17 (1):69-76.
  • 12.Buysse DJ. The Pittsburgh Sleep Quality Index: anew instrument for psychiatric practice andresearch. Psychiatry. 2003; 18, 498.
  • 13.Ağargün MY. Pittsburgh uyku kalitesi indeksiningeçerliği ve güvenirliği. Turk Psikiyatri Derg.1996;7:107-15.
  • 14.Hedge A, Morimoto S, Mccrobie D. Effects ofkeyboard tray geometry on upper body posture andcomfort. Ergonomics. 1999;42(10):1333-49.
  • 15.Erdinç O, Hot K, Özkaya M. Cross-culturaladaptation, validity and reliability of CornellMusculoskeletal Discomfort Questionnaire (CMDQ).Ergonomics. 2008;42(10):1333-49.
  • 16.Rodríguez-Torrico P, San-Martín S, Jiménez N.Smartphones, the new addiction: causes andconsequences for elementary and high schoolstudents according to teachers and experts. ComputSch. 2023;40(2):194-212.
  • 17.Rashid MK, Jadoo SAA, Alhusseiny AH, et al.Prevalence of text neck syndrome among Iraqimedical students: a cross-sectional study. J IdeasHealth. 2022;5(Special1):693-9.
  • 18.Aliberti S, Invernizzi PL, Scurati R, et al. Postureand skeletal muscle disorders of the neck due to theuse of smartphones. 2020.
  • 19.Jain J, Bhende R, Shinde S. Estimation of IntrinsicAnd Extrinsic Hand Muscle Performance in ChronicSmartphone Users. Int J Occup Saf Health.2024;14(3):327-34.
  • 20.Khalifeh A, Al Khasawneh MH, Alrousan M, et al.Influence of students’ self-control and smartphoneE-Learning readiness on Smartphone-Cyberloafing.J Inf Technol Educ Res. 2024;23:016.
  • 21.Straker L, Howie EK, Cliff DP, et al. Australia andother nations are failing to meet sedentarybehaviour guidelines for children: implications anda way forward. J Phys Act Health. 2016;13(2):177-88.
  • 22.Gandhi K, Sukumar M, Mahaver D, et al. Analysisof correlation between anthropometry of hand andsmartphone overuse on musculoskeletal pain inthumb/wrist in medical students: a cross sectionalstudy at tertiary care center of Central India. Int JKinanthropom. 2023;3(1):47-57.
  • 23.Chang AM, Aeschbach D, Duffy JF, et al. Eveninguse of light-emitting eReaders negatively affectssleep, circadian timing, and next-morning alertness.Proc Natl Acad Sci U S A. 2015;112(4):1232-7.
  • 24.Lemola S, Perkinson-Gloor N, Brand S, et al.Adolescents’ electronic media use at night, sleepdisturbance, and depressive symptoms in thesmartphone age. J Youth Adolesc. 2015;44(2):405-18.
  • 25.Levenson JC, Shensa A, Sidani JE, et al. Theassociation between social media use and sleepdisturbance among young adults. Prev Med.2016;85:36-41.
  • 26.Chen YL, Gau SSF. Sleep problems and internetaddiction among children and adolescents: alongitudinal study. J Sleep Res. 2016;25(4):458-65.
  • 27.Wei LW, Chang CC, Sikakaew P, et al. FromInsomnia to Exhaustion: Repercussions of PervasiveInternet Use on Sleep Quality and Social MediaFatigue. Eur J Educ Stud. 2024;11(7).
  • 28.Pierides Jr NN, An Ergonomic Approach ForEsport Athletes: The Potential For Less Injury AndIncreased Occupational Performance [dissertation].Las Vegas: University of Nevada; 2023.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi, Tıp Eğitimi, Sağlık Hizmetleri ve Sistemleri (Diğer)
Bölüm Araştırma Makalesi
Yazarlar

Abdulkadir Aydın

Mehmet Ali Şen

Gönderilme Tarihi 5 Haziran 2025
Kabul Tarihi 19 Eylül 2025
Yayımlanma Tarihi 12 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 52 Sayı: 4

Kaynak Göster

APA Aydın, A., & Şen, M. A. (2025). Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students. Dicle Medical Journal, 52(4), 671-681. https://doi.org/10.5798/dicletip.1840633
AMA Aydın A, Şen MA. Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students. diclemedj. Aralık 2025;52(4):671-681. doi:10.5798/dicletip.1840633
Chicago Aydın, Abdulkadir, ve Mehmet Ali Şen. “Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students”. Dicle Medical Journal 52, sy. 4 (Aralık 2025): 671-81. https://doi.org/10.5798/dicletip.1840633.
EndNote Aydın A, Şen MA (01 Aralık 2025) Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students. Dicle Medical Journal 52 4 671–681.
IEEE A. Aydın ve M. A. Şen, “Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students”, diclemedj, c. 52, sy. 4, ss. 671–681, 2025, doi: 10.5798/dicletip.1840633.
ISNAD Aydın, Abdulkadir - Şen, Mehmet Ali. “Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students”. Dicle Medical Journal 52/4 (Aralık2025), 671-681. https://doi.org/10.5798/dicletip.1840633.
JAMA Aydın A, Şen MA. Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students. diclemedj. 2025;52:671–681.
MLA Aydın, Abdulkadir ve Mehmet Ali Şen. “Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students”. Dicle Medical Journal, c. 52, sy. 4, 2025, ss. 671-8, doi:10.5798/dicletip.1840633.
Vancouver Aydın A, Şen MA. Investigation of the Effects of Internet, Social Media Addiction, Musculoskeletal System and Sleep Quality of University Students. diclemedj. 2025;52(4):671-8.