Tıp Fakültesi̇ Öğrenci̇leri̇nde İnternet Bağımlılık Düzeyi̇ ve Etki̇leyen Faktörleri̇n Değerlendi̇rilmesi

Öz

Amaç: İnternet bağımlılığı, son yıllarda tanımlanan, giderek artan bir hastalıktır. İnternet bağımlılığı, özellikle ergenlik çağındaki çocuklar ve genç yetişkinler arasında artmıştır. Bu çalışmada Tıp Fakültesi dönem I-III öğrencilerinde internet bağımlılık düzeyi ve internet bağımlılığı ile ilişkili faktörleri araştırmak amaçlanmıştır.

Gereç ve Yöntem: Bu çalışma, kesitsel bir çalışma olup Tıp Fakültesi dönem I-III öğrencileri araştırma kapsamına alınmıştır. Çalışmaya 407 öğrenci (%80.1) katılmıştır. Sosyo-demografik bilgiler, internet kullanım durumlarına yönelik 42 soru ve Young’ın “İnternet Bağımlılığı Ölçeğinin” Türkçe çevirisi sorularını içeren anket kullanılmıştır. Öğrencilerin internet bağımlılık durumları Likert Ölçeği ile saptanmıştır. Etik izin alındıktan sonra 1Nisan- 31 Mayıs 2018 tarihleri arasında gönüllü öğrencilere sınıf ortamında anket uygulanmıştır.

Bulgular: Çalışmaya katılanların %99,5’i internet kullanmaktaydı. Young İnternet Bağımlılık Testi puan ortalaması 29,92 ±16,33 olarak bulundu. Öğrencilerin %19,4 ü (79 kişi) muhtemel internet bağımlısı, %3’ü (12 kişi) ise internet bağımlısı olarak bulundu. İnternet bağımlısı olarak saptanan öğrencilerle, diğer öğrenciler arasında; internette günde iki saatten fazla zaman geçirilmesi, bilgi aranması, ders-eğitim-araştırma yapılması, haber okunması, görüntülü konuşma yapılması ve internet kullanımına bağlı uykusuzluk şikâyetlerinin olması açısından anlamlı fark bulundu (p<0,05). İnternete bağlanma yeri olarak, evde wireless veya cep telefonundan internete bağlanma açısından anlamlı fark bulunmamışken (p>0.05); kütüphane, üniversite ağı, kahve-restoran gibi yerlerden internete bağlanma, bağımlı ve muhtemel bağımlı öğrencilerde diğer öğrencilere göre anlamlı olarak daha yüksek bulunmuştur (p<0,05).

Sonuç: Tıp Fakültesi öğrencileri arasında internet bağımlılığı düşük bulundu. Öğrenciler arasında internet bağımlılığının engellenmesi için risk faktörleri ve tedbirler konusunda yeni çalışmaların yapılmasına ihtiyaç vardır

Anahtar Kelimeler

• İnternet bağımlılığı,problemli internet kullanımı,tıp fakültesi öğrencileri

Evaluation of Internet Addiction Level of Medical Faculty Students And Affecting Factors

Öz

Aim: Internet addiction is a growing disease and has increased especially among adolescents and young adults. In this study, it was aimed to investigate internet addiction of 1.-3. grade Medical Faculty students and related factors.

Materials and Methods: 1.-3. grade Medical Faculty students were included in this cross-sectional study, 407 students (80.1%) participated. A questionnaire including 42 questions about internet usage and Young’s Internet Addiction Scale was used to collect socio-demographic data. The internet addiction of the students was determined by the Likert Scale. After obtaining the ethics permission, the questionnaire was applied between April 1 - May 31, 2018.

Results: 99.5% of the participants were using internet. Young Internet Addiction Test mean score was found to be 29.92±16.33. 19.4% of the students (79 people) were possible addicts and 3%(12 people) were addicts. Between addicted students and others there was a significant difference according to use of internet for; more than two hours a day, searching information, lesson-training-research, news reading, video conversation and having complaints of sleeplessness because of internet usage. In terms of ways which students use to connect to the internet, there was no significant difference between wireless and mobile phone at home however, connections from library, university, cafe-restaurant networks were found to be significantly higher in addicted and probable addicted students than others.

Conclusion: The internet addiction among the Medical Faculty students was found to be low. New studies on risk factors and measures are needed to prevent internet addiction among students.

Anahtar Kelimeler

• Internet addiction,university students,problematic internet use

Kaynakça

1. Weinstein, A., Feder, LC., Rosenberg, KP., Dannon, P. (2014). Internet addiction disorder: Overview and controversies. Behavioral Addictions: Criteria, Evidence, and Treatment, 99-117.
2. Young, KS. (1998). Internet addiction: The emergence of a new clinical disorder. Cyberpsychology and Behavior, 1, 237-244.
3. Chang, JPC., Hung, CC. (2012). Problematic internet use. Rey, JM.(Ed.). Textbook of Child and Adolescent Mental Health (Chapter H.6),1-12. Geneva: IACAPAP.
4. Fernandez, OL., Blanxart,MF., Serrano, MLH. (2013). The problematic internet entertainment use scale for adolescents: Prevalence of problem internet use in spanish high school students. Cyberpsychology, Behavior, and Social Networking, 16, 108-118.
5. Wallace, BE., Masiak, JA. (2011). review of internet addiction with regards to assessment method design and the limited parameters examine. Current Problems of Psychiatry, 12, 558-561.
6. Ko, CH.,Yen, JY., Yen, CF., Chen, CS., Chen, CC,. (2012). The association between internet addiction and psychiatric disorder: a review of the literature. European Psychiatry , 27: 1-8
7. Carli, V., Durkee, T., Wasserman, D., Hadlaczky, G., Despalins, R., Kramarz, E.,et all. (2013). M. The association between pathological internet use and comorbid psychopathology: A systematic review. Psychopathology, 46, 1-13.
8. Kuss, DJ., Griffiths, MD., Karila, L., Billieux, J.(2014). Internet addiction: A systematic review of epidemiological research for the last decade. Current Pharmaceutical Design, 20, 4026-4052.

9. American Psychiatric Association.( 2013). Diagnostic and Statistical Manual of Mental Disorders (DSM 5), (5th ed.) Arlington: American Psychiatric Publishing.
10. Petry, NM., Rehbein, F., Gentile, DA., Lemmens, JS., Rumpf, HJ., Mossle, T., et al.( 2014). An international consensus for assessing internet gaming disorder using the new DSM-5 approach. addiction (abingdon, england), 109, 1399-1406.
11. Christakis, DA. (2010).Internet addiction: a 21st century epidemic? BMC Med ,8,1-3.
12. http://www.tuik.gov.tr/prehaberbultenleri.do?id=21779 access time 23.01.2017
13. Moreno, MA., Jelenchick, L., Cox, E., Young, H., Christakis, DA. (2011) Problematic internet use among us youth: a systematic review. Arch Pediatr Adolesc Med, 165, 797-805.
14. Weinstein, A., Lejoyeux, M. (2010). Internet addiction or excessive internet use. Am J Drug Alcohol Abuse, 36, 277-283.
15. Haque, M., ARahman, NA., Majumder, MAA., Haque, SZ., Kamal, ZM., et all. (2016)Internet use and addiction among medica lstudents of Sultan Zainal Abidin University, Malaysia. Psychol Res Behav Manag, 9, 297-307.
16. Fatehi, F., Monajemi,A.,Sadeghi,A., Mojtahedzadeh,R.,Mirzazadeh,A. (2016).Quality of life in medical students with internet addiction. Act a MedicaI ranica, 54, 662-666.
17. Malviya, A., Dixit, S., Shukla, H., Mishra, A., Jain, A., Tripathi, A. (2014) A study to evaluate internet addiction disorder among students of a medical college and associated hospital of central India. Natl J Community Med, 5, 93-95.
18. Chathoth, V., Kodavanji, B., Arunkumar, N., Ramesh, S. (2013). Internet behaviour pattern in undergraduate medical students in mangalore. IJIRSET, 2, 2133-2136. Balta, ÖÇ., Horzum, MB. (2008) Internet Addiction Test. Educational Sciences and Practices,7,87-102.
19. https://www.researchgate.net/publication/272357837_INTERNET_BAGIMLILIGI_TESTI
20. Likert, R.(1974). A method of constructing an attitude scale. Scaling: A source book for behavioral scientists, books.google.com.
21. Young, KS. (1998). Caught in the net.248. New York, ny: John Wiley&Sons.
22. Ergin, A., Uzun, US., Bozkurt, AI. (2013). The frequency of internet addiction in medical students and affecting factors. Pamukkale Medical Journal, 6, 134-142. http://dergipark.gov.tr/patd/issue/35375/392820
23. Arıkan, İ., Tekin, ÖF. (2017).Evaluation of risky internet users and healthy lifestyle behaviors in medical students. Kırıkkale University Faculty of Medicine Journal, 19, 173-180. http://dx.doi.org/10.24938/kutfd.306663
24. Chaudhari, B., Menon, P., Saldanha, D., Tewari, A., Bhattacharya, L.(2015). internet addiction and its determinants among medical students. Ind Psychiatry J, 24, 158–162.
25. Ghamari, F., Mohammadbeigi, A., Mohammadsalehi, N., Hashiani, AA.(2011) Internet addiction and modeling its risk factors in medical students, Iran. Indian J Psychol Med, 33, 158-62.
26. Tsimtsiou, Z., Haidich, AB., Spachos, D., Kokkali, S.(2015). Internet addiction in greek medical students: An online survey. Acad Psychiatry ,39,300–304.
27. King, DL., Haagsma, MC., Delfabbro, PH., Gradisar, M., Griffiths, MD. (2013).Toward a consensus definition of pathological video-gaming: A systematic review of psychometric assessment tools. Clin Psychol Rev, 33, 331-342.
28. Mohammadbeigi, A., Valizadeh,F., Mirshojaee, SR., Ahmadli, R., Mokhtari, M., Ghaderi,E. Et all. (2016). Self-rated health and internet addiction in iranian medical sciences students; prevalence, risk factors and complications. Int J Biomed Sci,12, 65-70.
29. Ching, SM., Awang, H., Ramachandran, V., Lim, SMS., Sulaiman, WAW., Foo, YL. (2017).Prevalence and factors associated with internet addiction among medical students - a cross-sectional study in malaysia. Med J Malaysia, 72,7-11.
30. Khan, MA., Shabbir, F., Rajput, TA. (2017). Effect of gender and physical activity on internet addiction in medical students. Pak J Med Sci, 33, 191-194.
31. Salehi, M., Khalili, MN., Hojjat, SK., Salehi, M., Danesh, A.(2014) Prevalence of internet addiction and associated factors among medical students from mashhad, Iran in 2013. Iran Red Crescent Med J, 16, e17256
32. Chathoth, V., Kodavanji, B., Kumar, NA., Pai, SR. (2014). Correlation between affect and internet addiction in undergraduate medical students in mangalore. J Addict Res Ther, 5,175-178.
33. Andreassen, CS., Pallesen, S.(2014). Social network site addiction - An overview. Curr Pharm Des, 20, 4053-4061.
34. Alabi, OF.(2012).A survey of facebook addiction level among selected nigerian university undergraduates. New Media and Mass Communications, 10,70-80.
35. Wolniczak, I., DelAguila, JAC., Ardiles, AP., Arroyo, KJ., Visscher, RS, Yauri, SP. Et all. (2013) Association between facebook dependence and poor sleep quality: A study in a sample of undergraduate students in Peru. https://doi.org/10.1371/journal.pone.0059087
36. Masters, K. (2015). Social networking addiction among health sciences students in oman. Sultan Qaboos University Med J, 15, 357–363.
37. Balcı, Ş., Gülnar, B. (2009). Profile of internet addicts and internet addiction among university students. Selcuk University Faculty of Communication Academic Journal,6, 5-22. http://josc.selcuk.edu.tr/article/view/1075000125
38. Lam, LT. (2014). Internet gaming addiction, problematic use of the internet, and sleep problems: a systematic review. Curr Psychiatry Rep,16, 444
39. Koc, M., Gulyagci, S.(2013). Facebook addiction among Turkish college students: the role of psychological health, demographic, and usage characteristics. Cyberpsychol Behav Soc Netw, 16, 279-284.
40. Mohammadbeigi, A., Absari, R., Valizadeh, F., Saadati, M., Sharifimoghadam, S., Ahmadi, A.,et all.( 2016). Sleepquality in medical students; the impact of over-use of mobile cell-phone and social networks. J Res Health Sci,16, 46-50.
41. Alaçam, H., Ateşci, FÇ., Şengül, AC., Tümkaya, S. (2015). The relationship between internet addiction and smoking and alcohol use in university students. Anatolian Journal of Psychiatry,16, 383-388. https: //www.ejmanager.com/mnstemps/91/apd_16_06_01