Abstract
Background: Internet addiction (IA) has gained more and more attention for its negative impact on the subjects' study and daily life. However, in a large sample, there is little research on the association between IA and insomnia in Chinese college students. This study aimed to investigate the prevalence of insomnia and its related risk factors among Chinese college students with IA.Methods: A cross-sectional design was used to investigate 627 Chinese college students with IA. Each student completed a survey on demographic data, Internet addiction (Revised Chinese Internet Addiction Scale), depression (Self-Rating Depression Scale), insomnia (Athens Insomnia Scale), anxiety (Self-Rating Anxiety Scale), and suicidal behavior. Binary logistic regression analysis was employed to adjust for confounding factors.Results: The prevalence of insomnia among students with IA was 54.86%. Compared with IA students without insomnia, IA students with insomnia were more likely to be younger, smoking, drinking, have anxiety, depression, suicidal ideations, suicide plans, and suicide attempts (all p < 0.05). Moreover, drinking [OR, 1.664; 95% confidence interval (CI), 1.139–2.431; p = 0.008], anxiety (OR, 2.321; 95% CI, 1.116–4.826; p = 0.024), and suicidal ideation (OR, 1.942; 95% CI:1.295–2.911; p = 0.001) were independently associated with insomnia in IA students.Conclusions: Insomnia is very common in Chinese IA students. Drinking, anxiety, and suicidal ideation are independently correlated with insomnia. This study provides valuable evidence for school counselors and clinical professionals to assess Internet addiction, insomnia, and suicide risk.
Highlights
Internet addiction (IA) refers to the excessive use of the Internet, which leads to damage to personal psychological states [1]
The inclusion criteria for participation were 1) participants were between 17–25 years old; 2) their score on the Chinese Internet addiction scale (CIAS-R) reached or exceeded 53; 3) they were in good health; and 4) they agreed to sign informed consent to participate in this study
No significant group difference was observed in sex, nationality, one-child family, good relationship with parents, family income, parents’ education level, righthandedness, physical disorder history, mental disorder history, and family history of mental disorder (FHMD)
Summary
Internet addiction (IA) refers to the excessive use of the Internet, which leads to damage to personal psychological states [1]. With the development of the Internet and multimedia, the use of the Internet is becoming an essential part of people’s daily life. It is estimated that Chinese Internet users had reached 854 million by June 2019 [6]. Despite the benefits of the Internet, spending too much time on the Internet can have a negative impact on subjects’ study, work, and daily life. Internet addiction (IA) has gained more and more attention for its negative impact on the subjects’ study and daily life. In a large sample, there is little research on the association between IA and insomnia in Chinese college students.
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