PREVALENCE OF INTERNET USE DISORDER

AMONG MEDICAL COLLEGE STUDENTS

FOR THE DEGREE OF M.D PSYCHIATRY (2022-2023)

SUBMITTED BY : DR. DRON BHATIA, JUNIOR RESIDENT, DEPARTMENT OF PSYCHIATRY

To,
The Registrar
Atal Bihari Vajpayee Medical University, Lucknow.

Subject: Submission of Plan of Dissertation entitled

“PREVALENCE OF INTERNET USE DISORDER AMONG MEDICAL

COLLEGE STUDENTS”
Respected Sir/Madam,
I am enclosing herewith copies of my plan of dissertation on the subject cited above for M.D Psychiatry batch
2022-23, my particulars are as follows Name : Dron Bhatia, Post graduate student (Psychiatry) Prasad Institute
Of Medical Sciences, Lucknow
University Registration Number:
Date of Admission:
Name of Our HOD sir: DR.S.K VERMA
Name of the Guide: DR.ISHA SHARMA
I shall be highly obliged if you kindly convey the approval of the plan of dissertation at your earliest.
Thanking you Yours Faithfully,
Dr. Dron Bhatia,
PG Student,
PIMS Lucknow .
INDEX

1. INTRODUCTION
2. AIMS AND OBJECTIVE
3. METHODOLOGY
4. PROFORMA & Consent Form
5. REFERENCE
INTRODUCTION
• Addiction is a maladaptive behaviour pattern that is caused by
unregulated(compulsive) reward stimuli despite facing adverse effect of using that
substance.

• Addiction does not mean only of substance abuse (chemical) but it also includes
behavioral addiction like internet addiction, gambling shopping, food addiction etc.

• The introduction of the government's Digital India initiative hand in hand with the
increasing internet penetration over the recent years, resulted in the country's
digital population amounting to approximately 692 million active users as of
February 2023.

• In recent years, the exponential growth and omnipotence of the Internet has transformed the way we live, work, and
communicate. Although the Internet has brought numerous benefits, there is growing concern about its potential
negative impact on the mental health and well-being of individuals. This concern has led to the conceptualization of
Internet use disorder (IUD), a condition characterized by excessive and problematic Internet use that disrupts daily
functioning.

• The risk of internet addiction has increased after the year (2020), possibly due to the 2019 coronavirus pandemic
(COVID -19), where most people confine themselves to their homes to avoid social gatherings and therefore rely on
social media apps to keep in touch with everyone; in addition, home-based work and online learning practices increase
time spent exposed to screens and the internet.
• Internet Use Disorder (IUD) refers to a behavioral addiction characterized by excessive and compulsive internet use,
resulting in significant impairment in daily functioning, academic performance, and mental health (American
Psychiatric Association, 2013).2
• Disorders attributable to addictive behaviors include gambling disorder and gaming disorder, which can include both
online and offline behaviors (ICD-11)3. To seek temporary relief on the internet, which can lead to using the internet
for longer duration(especially scrolling through social media aimlessly), on line gaming, on line gambling spend up to
18 hours a day online, which can also lead to physical problems, such as back strain, eye strain and carpal tunnel
syndrome4.
• The prevalence of internet addiction was 61.5% (300/488). The level of internet addiction was mild among 41%
(200/488), moderate among 19.7% (96/488) and 4 (0.8%) participants had severe addiction. While 38.5 % ( 188/488)
of the participants were completely free from internet addiction5.
AIMS AND OBJECTIVES
Aim: This study aims to investigate the prevalence of internet use
disorder (IUD) among medical students in P.I.M.S Lucknow and to
examine the association between Internet Use Disorder and
demographic characteristics, academic performance with anxiety and
sleep disturbances among medical college students.
OBJECTIVES
1. To determine the prevalence of internet use disorder among
medical college students.
2. To identify the factors associated with Internet use disorder , such
as age, gender, stress, and internet usage patterns.
3 .To explore the impact of internet use disorder on academic
performance, and attendance.
4. To examine the relationship between internet use disorder and
psychological distress, depression, anxiety, and sleep problems.
METHODOLOGY
• STUDY LOCATION: - study will be conducted in PIMS Lucknow with
due permission from the institutional ethical committee and review
board and written informed consent.
• STUDY PERIOD: - over eighteen months time period. (i.e) from June
2023 to December 2024.
• TYPE OF STUDY : CROSS SECTIONAL STUDY.
INCLUSION CRITERIA
• Only medical college students belonging to PIMS, LUCKNOW.
• Age group-{18-25 years}.
• Subjects/ students having regular access to internet.
• Student have access to multimedia smart phone.
• Student have an active on social media platforms , video streaming
apps , online gaming apps.
EXCLUSION CRITERIA
• Medical students not currently enrolled at PIMS, Lucknow.
• Medical students who are younger than 18 years or older than 25
years.
• Medical students who have not given informed consent to participate
in the study.
PROCEDURE
Cross sectional survey will be conducted to study the prevalence of IUD
among medical students in P.I.M.S, Lucknow with significant association
between Internet use disorder and gender, age, academic performance,
and mental health. In this study, we embark on a compelling journey to
uncover the prevalence of Internet Use Disorder among medical college
students in P.I.M.S ,Lucknow.
PRO FORMA
The proforma for this study will include the following sections:
1. Demographic information.
2.Consent form.
3.Internet Addiction Test (IAT) to assess the severity of IUD symptoms.
4.Generalized Anxiety Disorder-7 (GAD-7) scale to assess anxiety
symptoms.
5.General health questionnaire (GHQ-12).
6.Insomnia Severity Index (ISI) scale to assess sleep problems.
 PRO FORMA
TITLE OF STUDY :_- PREVALENCE OF INTERNET USE DISORDER AMONG UNDERGRADUATE MEDICAL STUDENTS.

NAME: DATE:

FATHER’S NAME:

AGE:

M.B.B.S PROFF:

DATE OF TAKING QUESTIONNAIRE:

H/O ANY PAST ILLNESS:

H/O ANY PSYCHIATRIC ILLNESS IN FAMILY MEMBER:

DEVICE USED TO ACCESS INTERNET:

 सहम त पत्र

अध्ययन का शीषर्डक:

अध्ययन की त थ:

प्र तभागी का ववरण:

नाम:
जन्म की तारीख:
पता:

1. मुझे इस बारे में पूरी तरह स्पष्ट कर दया गया है क मैं कस प्रकार के अध्ययन में भाग लूंगा।

2. इस अध्ययन में , मैं इंटरनेट उपयोग वकार के प्रसार का अध्ययन करने में पूरी तरह से सहयोग करूंगा।

3. मैं समझ गया हूं क इस अध्ययन में मेरी भागीदारी मेरी इच्छा पर है । और अगर यह मेरे लए कष्टदायक हो जाता है तो मैं कसी भी समय बना कोई कारण

बताए अध्ययन छोड़ सकता हू ँ।

4. मैं समझता हूं क च कत्सा प्रायोजक की ओर से कायर्ड करने वाली अन्य आचार स म त और नयामक अ धकारी वतर्डमान अध्ययन और इससे संबं धत कसी भी

शोध के संबंध में मेरे स्वास्थ्य और रकॉडर्ड की समीक्षा करने के लए इस लए अगर मैं इस सुरक्षा से हटता हूं तो भी मेरी अनुम त की आवश्यकता नहीं होगी।

5. मैं समझता हू ँ क तीसरे पक्ष को दी गई या दी गई कसी भी जानकारी में मेरी पहचान का खुलासा नहीं कया जाएगा।

हस्ताक्षर
तारीख:
• Internet Addiction Scale: The IAS is a 20-item scale that
measures the presence and severity of Internet dependency.
This questionnaire is scored on a 5-point scale ranging from 1 to
5. The marking for this questionnaire ranges from 20 to 100, the
higher the marks, the greater the dependence on the Internet.
• This study was conducted using an Internet Addictions Scale
developed by Young (1998) to measure the level of internet
addiction.
 REFERENCES
1. Basuroy T. India: digital population by type 2023 [Internet]. Statista. [cited 2023 May
21]. Available from:
https://www.statista.com/statistics/309866/india-digital-population-by-type/
2. . APA Dictionary of Psychology [Internet]. [cited 2023 May 20]. Available from:
https://dictionary.apa.org/internet-addiction
3. ICD-11 for mortality and morbidity statistics. (n.d.). Retrieved April 19, 2023, from
https://icd.who.int/browse11/l-m/en#/https%3A%2F%2Ffanyv88.com%3A443%2Fhttp%2Fid.who.int%2Ficd%2Fentity%2
F499894965
4. Collier R. Internet addiction: New-age diagnosis or symptom of age-old problem?
CMAJ. 2009 Oct 27;181(9):575–6.
5. Aqeel KI, Misra SK. A cross-sectional study to assess internet addiction
among medical undergraduate students of government medical college
in Agra, India. International Journal Of Community Medicine And Public
Health. 2020 Oct 26;7(11):4578.
6. Young KS. Internet Addiction Test. PsycTESTS Dataset. 1998;
7. General Health Questionnaire-12 reliability, factor... : Indian Journal of
Psychiatry [Internet]. LWW. [cited 2023 May 20]. Available from:
https://journals.lww.com/indianjpsychiatry/Fulltext/2018/60010/General
_Health_Questionnaire_12_reliability,.10.aspx
8. Morin CM, Belleville G, Bélanger L, Ivers H. The Insomnia Severity
Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate
Treatment Response. Sleep. 34(5).
9. Dhira TA, Rahman MA, Sarker AR, Mehareen J. Validity and reliability
of the Generalized Anxiety Disorder-7 (GAD-7) among university students
of Bangladesh. PLoS ONE. 2021 Jan 1;16(12).