Abstract

Studies have identified high rates and severe consequences of Internet Addiction/Pathological Internet Use (IA/PIU) in university students. However, most research concerning IA/PIU in U.S. university students has been conducted within a quantitative research paradigm, and frequently fails to contextualize the problem of IA/PIU. To address this gap, we conducted an exploratory qualitative study using the focus group approach and examined 27 U.S. university students who self-identified as intensive Internet users, spent more than 25 hours/week on the Internet for non-school or non-work-related activities and who reported Internet-associated health and/or psychosocial problems. Students completed two IA/PIU measures (Young’s Diagnostic Questionnaire and the Compulsive Internet Use Scale) and participated in focus groups exploring the natural history of their Internet use; preferred online activities; emotional, interpersonal, and situational triggers for intensive Internet use; and health and/or psychosocial consequences of their Internet overuse. Students’ self-reports of Internet overuse problems were consistent with results of standardized measures. Students first accessed the Internet at an average age of 9 (SD = 2.7), and first had a problem with Internet overuse at an average age of 16 (SD = 4.3). Sadness and depression, boredom, and stress were common triggers of intensive Internet use. Social media use was nearly universal and pervasive in participants’ lives. Sleep deprivation, academic under-achievement, failure to exercise and to engage in face-to-face social activities, negative affective states, and decreased ability to concentrate were frequently reported consequences of intensive Internet use/Internet overuse. IA/PIU may be an underappreciated problem among U.S. university students and warrants additional research.

Highlights

  • Each generation is more familiar with and more reliant upon the Internet

  • In order to address this critical gap, our research team conducted an exploratory qualitative study to investigate a range of issues relating to Internet Addiction/Pathological Internet Use (IA/Pathological Internet use (PIU)) including the natural history of Internet addiction (IA)/PIU problems; common affective, interpersonal, and situational triggers of intensive Internet use; preferred patterns of Internet activity; and adverse psychiatric, psychosocial, and health consequences of intensive Internet use

  • We employed focus group methods in this study because: a) the target population, university students who self-identify as Internet over-users, could directly provide insights and knowledge regarding their intensive Internet use; and b) group dialogue tends to generate rich information as group discussions inspire participants to share personal experiences and perspectives in a way that teases out the nuances and tensions of complex topics [50]

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Summary

Introduction

Each generation is more familiar with and more reliant upon the Internet. The number of U.S Internet users increased 257% between 2000 and 2012 [1]. In order to address this critical gap, our research team conducted an exploratory qualitative study to investigate a range of issues relating to IA/PIU including the natural history of IA/PIU problems; common affective, interpersonal, and situational triggers of intensive Internet use; preferred patterns of Internet activity; and adverse psychiatric, psychosocial, and health consequences of intensive Internet use. Findings of this qualitative research will provide a more detailed picture about IA/PIU in university students that may help us to contextualize the results from previous quantitative research and discover all relevant IA/PIU-related experiences in U.S university students

Methods
Participants
Descriptive Results
Qualitative Results
Discussion

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