Depression, anxiety, and stress associated with Internet addiction in Iranian general population: A cross-sectional study.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2025-02-28 eCollection Date: 2025-01-01 DOI:10.4103/jehp.jehp_1766_23
Abouzar Nazari, Maede Hosseinnia, Hassan Heydari, Gholamreza Garmaroudi
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引用次数: 0

Abstract

Background: This study aims to comprehensively investigate the association between Internet addiction (IA) and mental health, focusing on depression, anxiety, and stress in the Iranian general population. By employing a cross-sectional design, we surveyed 2012 individuals using a validated questionnaire. Our primary objectives were to assess the prevalence of IA, identify demographic factors influencing addiction scores, and explore the interplay between addiction, depression, anxiety, and stress. The findings contribute to the understanding of IA's impact on mental health in the Iranian context.

Materials and methods: In 2023, 2012 Iranian individuals were surveyed using convenience sampling. Participants completed a questionnaire on demographics, internet addiction (Internet Addiction Test), and mental health (Depression, Anxiety, and Stress Scale). Statistical analysis with SPSS 27.0 included normal distribution assessment, descriptive statistics, and group comparisons using Chi-square, Mann-Whitney, and Kruskal-Wallis tests. Multiple linear regression explored the relationships between mental health, problematic social media use, and overall social media use. Generalized Linear Models assessed the nuanced association between mental health and internet addiction, addressing collinearity. This comprehensive approach unveils the complex relationships in demographic factors, internet addiction, and mental health outcomes.

Results: The 2012 participants were predominantly men (60.3%), married (59.3%), and of age 26-35 (45.8%); the mean IA score was 45.67 (SD = 15.49). Notably, lower income (5-10 million tomans) correlated with reduced IA scores (P < 0.05). Multivariable models identified significant associations. Participants with Master's and Ph.D. degrees had higher IA scores (β* = 2.59, 95% confidence interval: 0.75-4.43, P = 0.006). Increasing severity in depression and anxiety consistently correlated with higher addiction scores (P < 0.001), with substantial impact (β* = 12.02 and 10.66, respectively). Correlation analysis revealed strong positive relationships between depression, anxiety, and stress (r = 0.747, 0.775, and 0.786, respectively). Variations in depression by marital status, anxiety by BMI, and stress by both income and BMI were significant (P < 0.05).

Conclusion: The study highlights IA as a prevalent and significant issue in Iran, influenced by diverse psychological and demographic factors. The findings suggest that interventions targeting IA should take into account the roles of depression, anxiety, stress, education, income, marital status, and BMI. The study recommends further research to delve into the causal mechanisms and long-term consequences of IA in Iran.

伊朗普通人群中与网络成瘾相关的抑郁、焦虑和压力:一项横断面研究。
背景:本研究旨在全面调查网络成瘾(IA)与心理健康之间的关系,重点关注伊朗普通人群的抑郁、焦虑和压力。通过采用横断面设计,我们使用有效的问卷调查了2012个人。我们的主要目的是评估IA的患病率,确定影响成瘾评分的人口统计学因素,并探索成瘾、抑郁、焦虑和压力之间的相互作用。研究结果有助于了解IA对伊朗心理健康的影响。材料与方法:2023年,2012名伊朗人进行了方便抽样调查。参与者完成了一份关于人口统计、网络成瘾(网络成瘾测试)和心理健康(抑郁、焦虑和压力量表)的调查问卷。使用SPSS 27.0进行统计分析,包括正态分布评估、描述性统计和使用卡方检验、Mann-Whitney检验和Kruskal-Wallis检验进行组间比较。多元线性回归探讨了心理健康、有问题的社交媒体使用和整体社交媒体使用之间的关系。广义线性模型评估了心理健康和网络成瘾之间的微妙联系,解决了共线性问题。这种综合方法揭示了人口因素、网络成瘾和心理健康结果之间的复杂关系。结果:2012年的参与者主要是男性(60.3%),已婚(59.3%),年龄在26-35岁(45.8%);IA平均评分为45.67分(SD = 15.49)。值得注意的是,收入较低(5-10百万人口)与IA评分降低相关(P < 0.05)。多变量模型确定了显著关联。具有硕士和博士学位的参与者具有更高的IA得分(β* = 2.59, 95%置信区间:0.75-4.43,P = 0.006)。抑郁和焦虑的加重程度与较高的成瘾评分持续相关(P < 0.001),具有显著影响(β*分别= 12.02和10.66)。相关分析显示,抑郁、焦虑和压力之间存在显著正相关(r分别为0.747、0.775和0.786)。婚姻状况对抑郁的影响、BMI对焦虑的影响、收入和BMI对压力的影响均有显著性差异(P < 0.05)。结论:该研究强调IA在伊朗是一个普遍而重要的问题,受多种心理和人口因素的影响。研究结果表明,针对IA的干预措施应考虑到抑郁、焦虑、压力、教育、收入、婚姻状况和体重指数的作用。该研究建议进一步研究伊朗IA的因果机制和长期后果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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