Araştırma Makalesi
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THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS

Yıl 2024, Cilt: 5 Sayı: 3, 209 - 219, 30.11.2024

Öz

Objective: An association between sleep quality, depression, and internet addiction has been established by studies. However, there is a gap in the literature regarding the relationship between hopelessness, an early indicator of mental health issues such as depression, and internet addiction, as well as sleep quality..
Aim: This study aimed to examine the prevalence of internet addiction, hopelessness, and sleep quality in adolescents and explore the associations among these variables.
Method: This cross-sectional survey was conducted between January -February 2024 and involved 660 high school students. Data were collected using the Internet Addiction Test, the Pittsburgh Sleep Quality Index, and the Beck Hopelessness Scale. Data analysis employed descriptive statistics, Pearson correlation analysis, and multiple linear regression.
Results: The mean Internet Addiction Test score was 47.92 ± 8.2, indicating that 15.8% of students exhibited dependent internet use. The average Pittsburgh Sleep Quality Index score was 6.82 ± 6.2, with 27.7% of students experiencing poor sleep quality. The mean Beck Hopelessness Scale score was 7.54 ± 8.4. Results revealed a positive moderate correlation between internet addiction and sleep quality, as well as between internet addiction and hopelessness. A positive, weak correlation existed between sleep quality and hopelessness.
Conclusion: Overall, this study confirms the presence of internet addiction, poor sleep quality, and hopelessness among adolescents. Given these relationships, interventions should address not only internet addiction but also aim to enhance sleep quality and reduce hopelessness in this population.

Kaynakça

  • International Telecommunication Union. Global Connectivity Report. 2022. Available From: https://situdreports.wpengine.com/statistics/2022/05/30/gcr-chapter-9
  • Türkiye İstatistik Kurumu. Hanehalkı Bilişim Teknolojileri (BT) Kullanım Araştırması, 2023. Available From: https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2023-49407
  • TC Kültür ve Turizm Bakanlığı. Türkiye'de İnternet Kullanımı Yüzde 1750 Arttı. 2022. Available From: https://sgb.ktb.gov.tr/TR-15252/turkiyede-internet-kullanimi-yuzde-1750-artti.html#:~:text=T%C3%BCrkiye%2C%20yakla%C5%9F%C4%B1k%2078%20milyonluk%20n%C3%BCfusunun,oran%C4%B1%20y%C3%BCzde%2044'%C3%BC%20ge%C3%A7
  • El Fiky R, Mansour M, Fekry M, ElHabiby M, Elkholy H, Morsy M. Occurrence of problematic Internet use and its correlates among Egyptian adolescent students in international schools in Cairo. Middle East Current Psychiatry. 2022;29(1):1-10.
  • Young KS. Internet addiction: A new clinical phenomenon and its consequences. American Behavioral Scientist. 2004;48(4):402-415.
  • Alpaslan AH, Soylu N, Kocak U, Guzel HI. Problematic Internet use was more common in Turkish adolescents with major depressive disorders than controls. Acta Paediatrica. 2016;105(6):695-700.
  • Balhara YPS, Singh S, Bhargava R. The pattern of problematic internet use and mental health-related internet use among psychiatric outpatients at a tertiary care center. Tzu-Chi Medical Journal. 2020;32(2):198.
  • Karki K, Singh DR, Maharjan DKCS, Shrestha S, Thapa DK. Internet addiction and sleep quality among adolescents in a peri-urban setting in Nepal: A cross-sectional school-based survey. PLoS ONE. 2021;16(2):e0246940.
  • Shek DT, Liang LY. Psychosocial factors influencing individual well-being in Chinese adolescents in Hong Kong: A six-year longitudinal study. Applied Research in Quality of Life. 2018;13:561-584. Liu Q, Martin NC, Findling RL, Youngstrom EA, Garber J, Curry JF, et al. Hopelessness and depressive symptoms in children and adolescents: An integrative data analysis. Journal of Abnormal Psychology. 2021;130(6):594.
  • Ye XL, Zhang W, Zhao FF. Depression and Internet Addiction among Adolescents: A Meta-Analysis. Psychiatry Research. 2023;115311.
  • Dondi A, Fetta A, Lenzi J, Morigi F, Candela E, Rocca A, et al. Sleep disorders reveal distress among children and adolescents during the Covid-19 first wave: Results of a large web-based Italian survey. Italian Journal of Pediatrics. 2021;47:130.
  • Öz BO, Miniksar DY. Çocuk ve Ergenlerde İnternet Bağımlılığının Uyku Kalitesi Üzerine Etkisi. Turkish Journal of Child & Adolescent Mental Health. 2023;30(2).
  • Kocamaz D, Badat T, Maden T, Tuncer A. Üniversite Öğrencilerinde Akıllı Telefon Kullanımının, Uyku Kalitesi ve Depresyon ile İlişkisi. Journal of Exercise Therapy and Rehabilitation. 2020;7(3):253-259.
  • Van Mol C. Improving web survey efficiency: the impact of an extra reminder and reminder content on web survey response. International Journal of Social Research Methodology. 2017;20(4):317-327.
  • Young KS, Rodgers RC. The relationship between depression and Internet addiction. Cyberpsychol Behaviour. 1998;1:25–28.
  • Bayraktar F, Gün Z. Incidence and correlates of Internet usage among adolescents in North Cyprus. Cyberpsychol Behaviour. 2006;10(2):191-197.
  • Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213.
  • Agargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Dergisi. 1996;7(2):107-115.
  • Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology. 1974;42(6):861-865.
  • Durak A. Beck hopelessness scale (BHS) validity and reliability study. Turk Psikoloji Dergisi. 1994;9:1–11.
  • Bickham DS. Current research and viewpoints on internet addiction in adolescents. Current Pediatrics Reports. 2021;9:1-10.
  • Akdeniz B, Gunduz M, Calli S, Demirdogen Sen E, Yavuz M. Parental Attachment and the Theory of Mind Abilities as Predictors of Internet Addiction in Turkish Adolescents. Psychiatry and Clinical Psychopharmacology. 2020;30(3):222-229.
  • Cam HH, Top FU. Prevalence and risk factors of problematic internet use and its relationships to self-esteem and health-related quality of life: Data from a high-school survey in Giresun Province, Turkey. Journal of Addictions Nursing. 2020;31(4):253-260.
  • Karaca A, Demirci N, Caglar E, Unlu HK. Correlates of Internet addiction in Turkish adolescents. Children and Youth Services Review. 2021; 126, 106050.
  • Çelebioğlu A, Aytekin Özdemir A, Küçükoğlu S, Ayran G. The effect of Internet addiction on sleep quality in adolescents. Journal of Child and Adolescent Psychiatric Nursing. 2020;33(4):221-228.
  • Lin MP. Prevalence of Internet Addiction during the COVID-19 Outbreak and Its Risk Factors among Junior High School Students in Taiwan. International Journal of Environmental Research and Public Health. 2020; 17(22):8547.
  • Moreno-Guerrero AJ, Gómez-García G, López-Belmonte J, Rodríguez-Jiménez C. Internet addiction in the Web of Science database: A review of the literature with scientific mapping. International Journal of Environmental Research and Public Health. 2020;17(8):2753.
  • Ozturk FO, Ayaz-Alkaya S. Internet addiction and psychosocial problems among adolescents during the COVID-19 pandemic: A cross-sectional study. Archives of Psychiatric Nursing. 2021;35(6):595-601.
  • Zhou Z, Shek DT, Zhu X. The importance of positive youth development attributes to life satisfaction and hopelessness in mainland Chinese adolescents. Frontiers in Psychology. 2020;11:553313.
  • Bolland JM. Hopelessness and risk behavior among adolescents living in high-poverty inner-city neighborhoods. Journal of Adolescence. 2003;26(2):145–158.
  • Liang, M., Guo, L., Huo, J., & Zhou, G. (2021). Prevalence of sleep disturbances in Chinese adolescents: A systematic review and meta-analysis. Plos one, 16(3), e0247333.
  • Mitchell JA, Morales KH, Williamson AA, Huffnagle N, Ludwick A, Grant SF, Dinges D, Zemel BA. Changes in sleep duration and timing during the middle-to-high school transition. Journal of Adolescent Health. 2020;67(6), 829-836.
  • Matricciani L, Olds T, Petkov J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep Medicine Reviews. 2012;16:203-211.
  • Lin PH, Lee YC, Chen KL, Hsieh PL, Yang SY, Lin YL. The relationship between sleep quality and internet addiction among female college students. Frontiers Neuroscience. 2019;13:599.
  • Kokka I, Mourikis I, Nicolaides NC, Darviri C, Chrousos GP, Kanaka-Gantenbein C, Bacopoulou F. Exploring the effects of problematic ınternet use on adolescent sleep: a systematic review. International Journal of Environmental Research and Public Health. 2021; 18(2):760.
  • Yu L, Shek DTL. Testing longitudinal relationships between internet addiction and well-being in Hong Kong adolescents: cross-lagged analyses based on three waves of data. Child Indicators Research. 2018;11:1545–1562.
  • O'Callaghan VS, Couvy-Duchesne B, Strike LT, McMahon KL, Byrne EM, Wright MJ. A meta-analysis of the relationship between subjective sleep and depressive symptoms in adolescence. Sleep Medicine. 2021;79:134-144.
  • Egbegi DR, Bella-Awusah T, Omigbodun O, Ani C. A controlled trial of cognitive behavioural therapy-based strategies for insomnia among in-school adolescents in southern Nigeria. Child and Adolescent Psychiatry and Mental Health.2021;15:1-11.

Adölesanlarda İnternet Bağımlılığı, Uyku Kalitesi ve Umutsuzluk Arasındaki İlişki

Yıl 2024, Cilt: 5 Sayı: 3, 209 - 219, 30.11.2024

Öz

Giriş: Yapılan çalışmalarla uyku kalitesi, depresyon ve internet bağımlılığı arasında bir ilişki kurulmuştur. Ancak literatürde depresyon gibi ruh sağlığı sorunlarının erken bir göstergesi olan umutsuzluk ile internet bağımlılığı ve uyku kalitesi arasındaki ilişki konusunda bir boşluk bulunmaktadır.
Amaç: Bu çalışma, adölesanlarda internet bağımlılığı, umutsuzluk ve uyku kalitesinin yaygınlığını değerlendirmek ve adölesanlar arasındaki internet bağımlılığı, uyku kalitesi ve umutsuzluk arasındaki ilişkiyi araştırmak amacıyla yürütülmüştür.
Yöntem: Çalışma kesitsel, tanımlayıcı ve korelasyonel tasarımla 660 lise öğrencisi ile Ocak -Şubat 2024 tarihleri arasında yapılmıştır. Verilerin toplanmasında İnternet Bağımlılığı Testi, Pittsburgh Uyku Kalitesi İndeksi ve Beck Umutsuzluk Ölçeği kullanılmıştır. Verilerin analizinde tanımlayıcı istatistikler, Pearson korelasyon analizi ve çoklu doğrusal regresyon analizi kullanılmıştır.
Bulgular: Ortalama internet bağımlılığı puanı 47.92 ± 8.2 olarak bulunmuş olup, öğrencilerin %15.8'inde bağımlı internet kullanımı saptandı. Ortalama uyku kalitesi indeks puanı 6.82±6.2 olup, öğrencilerin %27.7'sinin kötü uyku kalitesine sahipti. Umutsuzluk ölçek puan ortalaması 7.54±8.4 olarak bulunmuştur. Internet bağımlılığı ile uyku kalitesi arasında pozitif orta düzeyde ve internet bağımlılığı ile umutsuzluk arasında pozitif orta düzeyde bir ilişki bulunmuştur. Uyku kalitesi ile umutsuzluk arasında pozitif ve zayıf düzeyde ilişki bulunmuştur.
Sonuç: Bu çalışmanın genel sonuçları, adölesanlar arasında internet bağımlılığı, kötü uyku kalitesi ve umutsuzluğu doğrulamaktadır. İnternet bağımlılığının yaygınlığı ile düşük uyku kalitesi ve umutsuzluk arasındaki ilişki göz önüne alındığında, sadece internet bağımlılığını değil aynı zamanda uyku kalitesini artırmak ve umutsuzluğu azaltmak için müdahalelerin planlanması önerilmektedir.

Kaynakça

  • International Telecommunication Union. Global Connectivity Report. 2022. Available From: https://situdreports.wpengine.com/statistics/2022/05/30/gcr-chapter-9
  • Türkiye İstatistik Kurumu. Hanehalkı Bilişim Teknolojileri (BT) Kullanım Araştırması, 2023. Available From: https://data.tuik.gov.tr/Bulten/Index?p=Hanehalki-Bilisim-Teknolojileri-(BT)-Kullanim-Arastirmasi-2023-49407
  • TC Kültür ve Turizm Bakanlığı. Türkiye'de İnternet Kullanımı Yüzde 1750 Arttı. 2022. Available From: https://sgb.ktb.gov.tr/TR-15252/turkiyede-internet-kullanimi-yuzde-1750-artti.html#:~:text=T%C3%BCrkiye%2C%20yakla%C5%9F%C4%B1k%2078%20milyonluk%20n%C3%BCfusunun,oran%C4%B1%20y%C3%BCzde%2044'%C3%BC%20ge%C3%A7
  • El Fiky R, Mansour M, Fekry M, ElHabiby M, Elkholy H, Morsy M. Occurrence of problematic Internet use and its correlates among Egyptian adolescent students in international schools in Cairo. Middle East Current Psychiatry. 2022;29(1):1-10.
  • Young KS. Internet addiction: A new clinical phenomenon and its consequences. American Behavioral Scientist. 2004;48(4):402-415.
  • Alpaslan AH, Soylu N, Kocak U, Guzel HI. Problematic Internet use was more common in Turkish adolescents with major depressive disorders than controls. Acta Paediatrica. 2016;105(6):695-700.
  • Balhara YPS, Singh S, Bhargava R. The pattern of problematic internet use and mental health-related internet use among psychiatric outpatients at a tertiary care center. Tzu-Chi Medical Journal. 2020;32(2):198.
  • Karki K, Singh DR, Maharjan DKCS, Shrestha S, Thapa DK. Internet addiction and sleep quality among adolescents in a peri-urban setting in Nepal: A cross-sectional school-based survey. PLoS ONE. 2021;16(2):e0246940.
  • Shek DT, Liang LY. Psychosocial factors influencing individual well-being in Chinese adolescents in Hong Kong: A six-year longitudinal study. Applied Research in Quality of Life. 2018;13:561-584. Liu Q, Martin NC, Findling RL, Youngstrom EA, Garber J, Curry JF, et al. Hopelessness and depressive symptoms in children and adolescents: An integrative data analysis. Journal of Abnormal Psychology. 2021;130(6):594.
  • Ye XL, Zhang W, Zhao FF. Depression and Internet Addiction among Adolescents: A Meta-Analysis. Psychiatry Research. 2023;115311.
  • Dondi A, Fetta A, Lenzi J, Morigi F, Candela E, Rocca A, et al. Sleep disorders reveal distress among children and adolescents during the Covid-19 first wave: Results of a large web-based Italian survey. Italian Journal of Pediatrics. 2021;47:130.
  • Öz BO, Miniksar DY. Çocuk ve Ergenlerde İnternet Bağımlılığının Uyku Kalitesi Üzerine Etkisi. Turkish Journal of Child & Adolescent Mental Health. 2023;30(2).
  • Kocamaz D, Badat T, Maden T, Tuncer A. Üniversite Öğrencilerinde Akıllı Telefon Kullanımının, Uyku Kalitesi ve Depresyon ile İlişkisi. Journal of Exercise Therapy and Rehabilitation. 2020;7(3):253-259.
  • Van Mol C. Improving web survey efficiency: the impact of an extra reminder and reminder content on web survey response. International Journal of Social Research Methodology. 2017;20(4):317-327.
  • Young KS, Rodgers RC. The relationship between depression and Internet addiction. Cyberpsychol Behaviour. 1998;1:25–28.
  • Bayraktar F, Gün Z. Incidence and correlates of Internet usage among adolescents in North Cyprus. Cyberpsychol Behaviour. 2006;10(2):191-197.
  • Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213.
  • Agargun MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Dergisi. 1996;7(2):107-115.
  • Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: the hopelessness scale. Journal of Consulting and Clinical Psychology. 1974;42(6):861-865.
  • Durak A. Beck hopelessness scale (BHS) validity and reliability study. Turk Psikoloji Dergisi. 1994;9:1–11.
  • Bickham DS. Current research and viewpoints on internet addiction in adolescents. Current Pediatrics Reports. 2021;9:1-10.
  • Akdeniz B, Gunduz M, Calli S, Demirdogen Sen E, Yavuz M. Parental Attachment and the Theory of Mind Abilities as Predictors of Internet Addiction in Turkish Adolescents. Psychiatry and Clinical Psychopharmacology. 2020;30(3):222-229.
  • Cam HH, Top FU. Prevalence and risk factors of problematic internet use and its relationships to self-esteem and health-related quality of life: Data from a high-school survey in Giresun Province, Turkey. Journal of Addictions Nursing. 2020;31(4):253-260.
  • Karaca A, Demirci N, Caglar E, Unlu HK. Correlates of Internet addiction in Turkish adolescents. Children and Youth Services Review. 2021; 126, 106050.
  • Çelebioğlu A, Aytekin Özdemir A, Küçükoğlu S, Ayran G. The effect of Internet addiction on sleep quality in adolescents. Journal of Child and Adolescent Psychiatric Nursing. 2020;33(4):221-228.
  • Lin MP. Prevalence of Internet Addiction during the COVID-19 Outbreak and Its Risk Factors among Junior High School Students in Taiwan. International Journal of Environmental Research and Public Health. 2020; 17(22):8547.
  • Moreno-Guerrero AJ, Gómez-García G, López-Belmonte J, Rodríguez-Jiménez C. Internet addiction in the Web of Science database: A review of the literature with scientific mapping. International Journal of Environmental Research and Public Health. 2020;17(8):2753.
  • Ozturk FO, Ayaz-Alkaya S. Internet addiction and psychosocial problems among adolescents during the COVID-19 pandemic: A cross-sectional study. Archives of Psychiatric Nursing. 2021;35(6):595-601.
  • Zhou Z, Shek DT, Zhu X. The importance of positive youth development attributes to life satisfaction and hopelessness in mainland Chinese adolescents. Frontiers in Psychology. 2020;11:553313.
  • Bolland JM. Hopelessness and risk behavior among adolescents living in high-poverty inner-city neighborhoods. Journal of Adolescence. 2003;26(2):145–158.
  • Liang, M., Guo, L., Huo, J., & Zhou, G. (2021). Prevalence of sleep disturbances in Chinese adolescents: A systematic review and meta-analysis. Plos one, 16(3), e0247333.
  • Mitchell JA, Morales KH, Williamson AA, Huffnagle N, Ludwick A, Grant SF, Dinges D, Zemel BA. Changes in sleep duration and timing during the middle-to-high school transition. Journal of Adolescent Health. 2020;67(6), 829-836.
  • Matricciani L, Olds T, Petkov J. In search of lost sleep: secular trends in the sleep time of school-aged children and adolescents. Sleep Medicine Reviews. 2012;16:203-211.
  • Lin PH, Lee YC, Chen KL, Hsieh PL, Yang SY, Lin YL. The relationship between sleep quality and internet addiction among female college students. Frontiers Neuroscience. 2019;13:599.
  • Kokka I, Mourikis I, Nicolaides NC, Darviri C, Chrousos GP, Kanaka-Gantenbein C, Bacopoulou F. Exploring the effects of problematic ınternet use on adolescent sleep: a systematic review. International Journal of Environmental Research and Public Health. 2021; 18(2):760.
  • Yu L, Shek DTL. Testing longitudinal relationships between internet addiction and well-being in Hong Kong adolescents: cross-lagged analyses based on three waves of data. Child Indicators Research. 2018;11:1545–1562.
  • O'Callaghan VS, Couvy-Duchesne B, Strike LT, McMahon KL, Byrne EM, Wright MJ. A meta-analysis of the relationship between subjective sleep and depressive symptoms in adolescence. Sleep Medicine. 2021;79:134-144.
  • Egbegi DR, Bella-Awusah T, Omigbodun O, Ani C. A controlled trial of cognitive behavioural therapy-based strategies for insomnia among in-school adolescents in southern Nigeria. Child and Adolescent Psychiatry and Mental Health.2021;15:1-11.
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği, Halk Sağlığı Hemşireliği, Ruh Sağlığı Hemşireliği
Bölüm Araştırma Makaleleri
Yazarlar

Suzan Tek Ayaz 0000-0002-4969-9348

Erken Görünüm Tarihi 6 Aralık 2024
Yayımlanma Tarihi 30 Kasım 2024
Gönderilme Tarihi 22 Şubat 2024
Kabul Tarihi 5 Ağustos 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 5 Sayı: 3

Kaynak Göster

APA Tek Ayaz, S. (2024). THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, 5(3), 209-219.
AMA Tek Ayaz S. THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. Kasım 2024;5(3):209-219.
Chicago Tek Ayaz, Suzan. “THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 5, sy. 3 (Kasım 2024): 209-19.
EndNote Tek Ayaz S (01 Kasım 2024) THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 5 3 209–219.
IEEE S. Tek Ayaz, “THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS”, YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 5, sy. 3, ss. 209–219, 2024.
ISNAD Tek Ayaz, Suzan. “THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi 5/3 (Kasım 2024), 209-219.
JAMA Tek Ayaz S. THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2024;5:209–219.
MLA Tek Ayaz, Suzan. “THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS”. YOBÜ Sağlık Bilimleri Fakültesi Dergisi, c. 5, sy. 3, 2024, ss. 209-1.
Vancouver Tek Ayaz S. THE RELATIONSHIP BETWEEN INTERNET ADDICTION, SLEEP QUALITY, AND HOPELESSNESS IN ADOLESCENTS. YOBÜ Sağlık Bilimleri Fakültesi Dergisi. 2024;5(3):209-1.