Skip to main content
Top
Published in: BMC Medicine 1/2011

Open Access 01-12-2011 | Research article

Problematic internet usage in US college students: a pilot study

Authors: Dimitri A Christakis, Megan M Moreno, Lauren Jelenchick, Mon T Myaing, Chuan Zhou

Published in: BMC Medicine | Issue 1/2011

Login to get access

Abstract

Background

Internet addiction among US college students remains a concern, but robust estimates of its prevalence are lacking.

Methods

We conducted a pilot survey of 307 college students at two US universities. Participants completed the Internet Addiction Test (IAT) as well as the Patient Health Questionnaire. Both are validated measures of problematic Internet usage and depression, respectively. We assessed the association between problematic Internet usage and moderate to severe depression using a modified Poisson regression approach. In addition, we examined the associations between individual items in the IAT and depression.

Results

A total of 224 eligible respondents completed the survey (73% response rate). Overall, 4% of students scored in the occasionally problematic or addicted range on the IAT, and 12% had moderate to severe depression. Endorsement of individual problematic usage items ranged from 1% to 70%. In the regression analysis, depressive symptoms were significantly associated with several individual items. Relative risk could not be estimated for three of the twenty items because of small cell sizes. Of the remaining 17 items, depressive symptoms were significantly associated with 13 of them, and three others had P values less than 0.10. There was also a significant association between problematic Internet usage overall and moderate to severe depression (relative risk 24.07, 95% confidence interval 3.95 to 146.69; P = 0.001).

Conclusion

The prevalence of problematic Internet usage among US college students is a cause for concern, and potentially requires intervention and treatment amongst the most vulnerable groups. The prevalence reported in this study is lower than that which has been reported in other studies, however the at-risk population is very high and preventative measures are also recommended.
Literature
1.
go back to reference Christakis DA, Moreno MA: Trapped in the net: will internet addiction become a 21st-century epidemic?. Arch Pediatr Adolesc Med. 2009, 163: 959-960. 10.1001/archpediatrics.2009.162.CrossRefPubMed Christakis DA, Moreno MA: Trapped in the net: will internet addiction become a 21st-century epidemic?. Arch Pediatr Adolesc Med. 2009, 163: 959-960. 10.1001/archpediatrics.2009.162.CrossRefPubMed
2.
go back to reference Block JJ: Issues for DSM-V: Internet addiction. Am J Psychiatry. 2008, 165: 306-307. 10.1176/appi.ajp.2007.07101556.CrossRefPubMed Block JJ: Issues for DSM-V: Internet addiction. Am J Psychiatry. 2008, 165: 306-307. 10.1176/appi.ajp.2007.07101556.CrossRefPubMed
3.
go back to reference Aboujaoude E, Koran LM, Gamel N, Large MD, Serpe RT: Potential markers for problematic Internet use: a telephone survey of 2,513 adults. CNS Spectr. 2006, 11: 750-755.PubMed Aboujaoude E, Koran LM, Gamel N, Large MD, Serpe RT: Potential markers for problematic Internet use: a telephone survey of 2,513 adults. CNS Spectr. 2006, 11: 750-755.PubMed
4.
go back to reference Grant JE, Potenza MN, Weinstein A, Gorelick DA: Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010, 36: 233-241. 10.3109/00952990.2010.491884.CrossRefPubMedPubMedCentral Grant JE, Potenza MN, Weinstein A, Gorelick DA: Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010, 36: 233-241. 10.3109/00952990.2010.491884.CrossRefPubMedPubMedCentral
5.
go back to reference Kaltiala-Heino R, Lintonen T, Rimpelä A: Internet addiction? Potentially problematic use of the Internet in a population of 12-18 year-old adolescents. Addict Res Theory. 2004, 12: 89-96. 10.1080/1606635031000098796.CrossRef Kaltiala-Heino R, Lintonen T, Rimpelä A: Internet addiction? Potentially problematic use of the Internet in a population of 12-18 year-old adolescents. Addict Res Theory. 2004, 12: 89-96. 10.1080/1606635031000098796.CrossRef
6.
go back to reference Pallanti S, Bernardi S, Quercioli L: The Shorter PROMIS Questionnaire and the Internet Addiction Scale in the assessment of multiple addictions in a high-school population: prevalence and related disability. CNS Spectr. 2006, 11: 966-974.CrossRefPubMed Pallanti S, Bernardi S, Quercioli L: The Shorter PROMIS Questionnaire and the Internet Addiction Scale in the assessment of multiple addictions in a high-school population: prevalence and related disability. CNS Spectr. 2006, 11: 966-974.CrossRefPubMed
7.
go back to reference Siomos KE, Dafouli ED, Braimiotis DA, Mouzas OD, Angelopoulos NV: Internet addiction among Greek adolescent students. Cyberpsychol Behav. 2008, 11: 653-657. 10.1089/cpb.2008.0088.CrossRefPubMed Siomos KE, Dafouli ED, Braimiotis DA, Mouzas OD, Angelopoulos NV: Internet addiction among Greek adolescent students. Cyberpsychol Behav. 2008, 11: 653-657. 10.1089/cpb.2008.0088.CrossRefPubMed
8.
go back to reference Villella C, Martinotti G, Di Nicola M, Cassano M, La Torre G, Gliubizzi MD, Messeri I, Petruccelli F, Bria P, Janiri L, Conte G: Behavioural addictions in adolescents and young adults: results from a prevalence study. J Gambl Stud. Villella C, Martinotti G, Di Nicola M, Cassano M, La Torre G, Gliubizzi MD, Messeri I, Petruccelli F, Bria P, Janiri L, Conte G: Behavioural addictions in adolescents and young adults: results from a prevalence study. J Gambl Stud.
9.
go back to reference Zboralski K, Orzechowska A, Talarowska M, Darmosz A, Janiak A, Janiak M, Florkowski A, Gałecki P: The prevalence of computer and Internet addiction among pupils. Postepy Hig Med Dosw (Online). 2009, 63: 8-12. Zboralski K, Orzechowska A, Talarowska M, Darmosz A, Janiak A, Janiak M, Florkowski A, Gałecki P: The prevalence of computer and Internet addiction among pupils. Postepy Hig Med Dosw (Online). 2009, 63: 8-12.
10.
go back to reference Ghassemzadeh L, Shahraray M, Moradi A: Prevalence of Internet addiction and comparison of Internet addicts and non-addicts in Iranian high schools. Cyberpsychol Behav. 2008, 11: 731-733. 10.1089/cpb.2007.0243.CrossRefPubMed Ghassemzadeh L, Shahraray M, Moradi A: Prevalence of Internet addiction and comparison of Internet addicts and non-addicts in Iranian high schools. Cyberpsychol Behav. 2008, 11: 731-733. 10.1089/cpb.2007.0243.CrossRefPubMed
11.
go back to reference Canbaz S, Sunter AT, Peksen Y, Canbaz MA: Prevalence of the pathological Internet use in a sample of Turkish school adolescents. Iran J Public Health. 2009, 38: 64-71. Canbaz S, Sunter AT, Peksen Y, Canbaz MA: Prevalence of the pathological Internet use in a sample of Turkish school adolescents. Iran J Public Health. 2009, 38: 64-71.
12.
go back to reference Canan F, Ataoglu A, Nichols LA, Yildirim T, Ozturk O: Evaluation of psychometric properties of the Internet Addiction Scale in a sample of Turkish high school students. Cyberpsychol Behav Soc Netw. 2010, 13: 317-320. 10.1089/cyber.2009.0160.CrossRefPubMed Canan F, Ataoglu A, Nichols LA, Yildirim T, Ozturk O: Evaluation of psychometric properties of the Internet Addiction Scale in a sample of Turkish high school students. Cyberpsychol Behav Soc Netw. 2010, 13: 317-320. 10.1089/cyber.2009.0160.CrossRefPubMed
13.
go back to reference Cao F, Su L: Internet addiction among Chinese adolescents: prevalence and psychological features. Child Care Health Dev. 2007, 33: 275-281. 10.1111/j.1365-2214.2006.00715.x.CrossRefPubMed Cao F, Su L: Internet addiction among Chinese adolescents: prevalence and psychological features. Child Care Health Dev. 2007, 33: 275-281. 10.1111/j.1365-2214.2006.00715.x.CrossRefPubMed
14.
go back to reference Deng YX, Hu M, Hu GQ, Wang LS, Sun ZQ: An investigation on the prevalence of Internet addiction disorder in middle school students of Hunan province in Chinese. Zhonghua Liu Xing Bing Xue Za Zhi. 2007, 28: 445-448.PubMed Deng YX, Hu M, Hu GQ, Wang LS, Sun ZQ: An investigation on the prevalence of Internet addiction disorder in middle school students of Hunan province in Chinese. Zhonghua Liu Xing Bing Xue Za Zhi. 2007, 28: 445-448.PubMed
15.
go back to reference Ko CH, Yen JY, Yen CF, Lin HC, Yang MJ: Factors predictive for incidence and remission of Internet addiction in young adolescents: a prospective study. Cyberpsychol Behav. 2007, 10: 545-551. 10.1089/cpb.2007.9992.CrossRefPubMed Ko CH, Yen JY, Yen CF, Lin HC, Yang MJ: Factors predictive for incidence and remission of Internet addiction in young adolescents: a prospective study. Cyberpsychol Behav. 2007, 10: 545-551. 10.1089/cpb.2007.9992.CrossRefPubMed
16.
go back to reference Park SK, Kim JY, Cho CB: Prevalence of Internet addiction and correlations with family factors among South Korean adolescents. Adolescence. 2008, 43: 895-909.PubMed Park SK, Kim JY, Cho CB: Prevalence of Internet addiction and correlations with family factors among South Korean adolescents. Adolescence. 2008, 43: 895-909.PubMed
17.
go back to reference Song XQ, Zheng L, Li Y, Yu DX, Wang ZZ: Status of 'Internet addiction disorder' (IAD) and its risk factors among first-grade junior students in Wuhan. Zhonghua Liu Xing Bing Xue Za Zhi. 2010, 31: 14-17. [in Chinese]PubMed Song XQ, Zheng L, Li Y, Yu DX, Wang ZZ: Status of 'Internet addiction disorder' (IAD) and its risk factors among first-grade junior students in Wuhan. Zhonghua Liu Xing Bing Xue Za Zhi. 2010, 31: 14-17. [in Chinese]PubMed
18.
go back to reference Wu J, Lin G, Lin L: Analysis of the situation of internet use and the related health-risky behaviors among the youngsters in Guangzhou City. J Trop Med (Guangzhou). 2007, 7: 816-818. Wu J, Lin G, Lin L: Analysis of the situation of internet use and the related health-risky behaviors among the youngsters in Guangzhou City. J Trop Med (Guangzhou). 2007, 7: 816-818.
19.
go back to reference Xu J, Shen LX, Yan CH, Wu ZQ, Ma ZZ, Jin XM, Shen XM: Internet addiction among Shanghai adolescents: prevalence and epidemiological features. Zhonghua Yu Fang Yi Xue Za Zhi. 2008, 42: 735-738. [in Chinese]PubMed Xu J, Shen LX, Yan CH, Wu ZQ, Ma ZZ, Jin XM, Shen XM: Internet addiction among Shanghai adolescents: prevalence and epidemiological features. Zhonghua Yu Fang Yi Xue Za Zhi. 2008, 42: 735-738. [in Chinese]PubMed
20.
go back to reference Wang YL, Wang JP, Fu DD: Epidemiological investigation on Internet addiction among Internet users in elementary and middle school students. Chin Ment Health J. 2008, 22: 678-682. Wang YL, Wang JP, Fu DD: Epidemiological investigation on Internet addiction among Internet users in elementary and middle school students. Chin Ment Health J. 2008, 22: 678-682.
21.
go back to reference Young KS, Rogers RC: The relationship between depression and Internet addiction. Cyberpsychol Behav. 1998, 1: 25-28. 10.1089/cpb.1998.1.25.CrossRef Young KS, Rogers RC: The relationship between depression and Internet addiction. Cyberpsychol Behav. 1998, 1: 25-28. 10.1089/cpb.1998.1.25.CrossRef
22.
go back to reference Young KS: Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav. 1998, 1: 237-244. 10.1089/cpb.1998.1.237.CrossRef Young KS: Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav. 1998, 1: 237-244. 10.1089/cpb.1998.1.237.CrossRef
23.
go back to reference Scherer K: College life on-line: healthy and unhealthy Internet use. J Coll Stud Dev. 1997, 38: 655-665. Scherer K: College life on-line: healthy and unhealthy Internet use. J Coll Stud Dev. 1997, 38: 655-665.
24.
go back to reference Lavin M, Marvin K, McLarney A, Nola V, Scott L: Sensation seeking and collegiate vulnerability to Internet dependence. Cyberpsychol Behav. 1999, 2: 425-430. 10.1089/cpb.1999.2.425.CrossRefPubMed Lavin M, Marvin K, McLarney A, Nola V, Scott L: Sensation seeking and collegiate vulnerability to Internet dependence. Cyberpsychol Behav. 1999, 2: 425-430. 10.1089/cpb.1999.2.425.CrossRefPubMed
25.
go back to reference Morahan-Martin J, Schumacher P: Incidence and correlates of pathological Internet use among college students. Comput Human Behav. 2000, 16: 13-29. 10.1016/S0747-5632(99)00049-7.CrossRef Morahan-Martin J, Schumacher P: Incidence and correlates of pathological Internet use among college students. Comput Human Behav. 2000, 16: 13-29. 10.1016/S0747-5632(99)00049-7.CrossRef
26.
go back to reference Anderson KJ: Internet use among college students: an exploratory study. J Am Coll Health. 2001, 50: 21-26. 10.1080/07448480109595707.CrossRefPubMed Anderson KJ: Internet use among college students: an exploratory study. J Am Coll Health. 2001, 50: 21-26. 10.1080/07448480109595707.CrossRefPubMed
27.
go back to reference Lavin MJ, Yuen CN, Weinman M, Kozak K: Internet dependence in the collegiate population: the role of shyness. Cyberpsychol Behav. 2004, 7: 379-383. 10.1089/cpb.2004.7.379.CrossRefPubMed Lavin MJ, Yuen CN, Weinman M, Kozak K: Internet dependence in the collegiate population: the role of shyness. Cyberpsychol Behav. 2004, 7: 379-383. 10.1089/cpb.2004.7.379.CrossRefPubMed
28.
go back to reference Fortson BL, Scotti JR, Chen YC, Malone J, Del Ben KS: Internet use, abuse, and dependence among students at a southeastern regional university. J Am Coll Health. 2007, 56: 137-144. 10.3200/JACH.56.2.137-146.CrossRefPubMed Fortson BL, Scotti JR, Chen YC, Malone J, Del Ben KS: Internet use, abuse, and dependence among students at a southeastern regional university. J Am Coll Health. 2007, 56: 137-144. 10.3200/JACH.56.2.137-146.CrossRefPubMed
29.
go back to reference Niemz K, Griffiths M, Banyard P: Prevalence of pathological Internet use among university students and correlations with self-esteem, the General Health Questionnaire (GHQ), and disinhibition. Cyberpsychol Behav. 2005, 8: 562-570. 10.1089/cpb.2005.8.562.CrossRefPubMed Niemz K, Griffiths M, Banyard P: Prevalence of pathological Internet use among university students and correlations with self-esteem, the General Health Questionnaire (GHQ), and disinhibition. Cyberpsychol Behav. 2005, 8: 562-570. 10.1089/cpb.2005.8.562.CrossRefPubMed
30.
go back to reference Zhu K, Wu H: Psychosocial factors of to Internet addiction disorder in college students. Chin Ment Health J. 2004, 18: 796-798. Zhu K, Wu H: Psychosocial factors of to Internet addiction disorder in college students. Chin Ment Health J. 2004, 18: 796-798.
31.
go back to reference Ni XL, Yan H, Chen S, Liu Z: Factors influencing Internet addiction in a sample of freshmen university students in China. Cyberpsychol Behav. 2009, 12: 327-330. 10.1089/cpb.2008.0321.CrossRefPubMed Ni XL, Yan H, Chen S, Liu Z: Factors influencing Internet addiction in a sample of freshmen university students in China. Cyberpsychol Behav. 2009, 12: 327-330. 10.1089/cpb.2008.0321.CrossRefPubMed
32.
go back to reference Davis SF, Smith BG, Rodrigue K, Pulvers K: An examination of Internet usage on two college campuses. Coll Stud J. 1999, 33: 257-260. Davis SF, Smith BG, Rodrigue K, Pulvers K: An examination of Internet usage on two college campuses. Coll Stud J. 1999, 33: 257-260.
35.
go back to reference Pempek TA, Yermolayeva YA, Calvert SL: College students' social networking experiences on Facebook. J Appl Dev Psychol. 2009, 20: 227-238.CrossRef Pempek TA, Yermolayeva YA, Calvert SL: College students' social networking experiences on Facebook. J Appl Dev Psychol. 2009, 20: 227-238.CrossRef
36.
go back to reference Ross C, Orr ES, Sisic M, Arseneault JM, Simmering MG, Orr RR: Personality and motivations associated with Facebook use. Comput Hum Behav. 2009, 25: 578-586. 10.1016/j.chb.2008.12.024.CrossRef Ross C, Orr ES, Sisic M, Arseneault JM, Simmering MG, Orr RR: Personality and motivations associated with Facebook use. Comput Hum Behav. 2009, 25: 578-586. 10.1016/j.chb.2008.12.024.CrossRef
37.
go back to reference Ellison NB, Steinfield C, Lampe C: The benefits of Facebook 'friends': social capital and college students' use of online social network sites. J Comput Mediat Commun. 2007, 12: 1143-1168. 10.1111/j.1083-6101.2007.00367.x.CrossRef Ellison NB, Steinfield C, Lampe C: The benefits of Facebook 'friends': social capital and college students' use of online social network sites. J Comput Mediat Commun. 2007, 12: 1143-1168. 10.1111/j.1083-6101.2007.00367.x.CrossRef
38.
go back to reference Lewis K, Kaufman J, Christakis N: The taste for privacy: an analysis of college student privacy settings in an online social network. J Comput Mediat Commun. 2008, 14: 79-100. 10.1111/j.1083-6101.2008.01432.x.CrossRef Lewis K, Kaufman J, Christakis N: The taste for privacy: an analysis of college student privacy settings in an online social network. J Comput Mediat Commun. 2008, 14: 79-100. 10.1111/j.1083-6101.2008.01432.x.CrossRef
39.
go back to reference Widyanto L, McMurran M: The psychometric properties of the Internet addiction test. Cyberpsychol Behav. 2004, 7: 443-450. 10.1089/cpb.2004.7.443.CrossRefPubMed Widyanto L, McMurran M: The psychometric properties of the Internet addiction test. Cyberpsychol Behav. 2004, 7: 443-450. 10.1089/cpb.2004.7.443.CrossRefPubMed
41.
go back to reference Kroenke K, Spitzer RL, Williams JB: The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001, 16: 606-613. 10.1046/j.1525-1497.2001.016009606.x.CrossRefPubMedPubMedCentral Kroenke K, Spitzer RL, Williams JB: The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001, 16: 606-613. 10.1046/j.1525-1497.2001.016009606.x.CrossRefPubMedPubMedCentral
42.
go back to reference Zou G: A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004, 159: 702-706. 10.1093/aje/kwh090.CrossRefPubMed Zou G: A modified Poisson regression approach to prospective studies with binary data. Am J Epidemiol. 2004, 159: 702-706. 10.1093/aje/kwh090.CrossRefPubMed
44.
go back to reference Settipane GA, Greisner WA, Settipane RJ: Natural history of asthma: a 23-year followup of college students. Ann Allergy Asthma Immunol. 2000, 84: 499-503. 10.1016/S1081-1206(10)62512-4.CrossRefPubMed Settipane GA, Greisner WA, Settipane RJ: Natural history of asthma: a 23-year followup of college students. Ann Allergy Asthma Immunol. 2000, 84: 499-503. 10.1016/S1081-1206(10)62512-4.CrossRefPubMed
45.
go back to reference Hrubec Z, Omenn GS: Evidence of genetic predisposition to alcoholic cirrhosis and psychosis: twin concordances for alcoholism and its biological end points by zygosity among male veterans. Alcohol Clin Exp Res. 1981, 5: 207-215. 10.1111/j.1530-0277.1981.tb04890.x.CrossRefPubMed Hrubec Z, Omenn GS: Evidence of genetic predisposition to alcoholic cirrhosis and psychosis: twin concordances for alcoholism and its biological end points by zygosity among male veterans. Alcohol Clin Exp Res. 1981, 5: 207-215. 10.1111/j.1530-0277.1981.tb04890.x.CrossRefPubMed
47.
go back to reference Jang KS, Hwang SY, Choi JY: Internet addiction and psychiatric symptoms among Korean adolescents. J Sch Health. 2008, 78: 165-171. 10.1111/j.1746-1561.2007.00279.x.CrossRefPubMed Jang KS, Hwang SY, Choi JY: Internet addiction and psychiatric symptoms among Korean adolescents. J Sch Health. 2008, 78: 165-171. 10.1111/j.1746-1561.2007.00279.x.CrossRefPubMed
48.
go back to reference Rømer Thomsen K, Callesen MB, Linnet J, Kringelbach ML, Møller A: Severity of gambling is associated with severity of depressive symptoms in pathological gamblers. Behav Pharmacol. 2009, 20: 527-536. 10.1097/FBP.0b013e3283305e7a.CrossRefPubMed Rømer Thomsen K, Callesen MB, Linnet J, Kringelbach ML, Møller A: Severity of gambling is associated with severity of depressive symptoms in pathological gamblers. Behav Pharmacol. 2009, 20: 527-536. 10.1097/FBP.0b013e3283305e7a.CrossRefPubMed
49.
go back to reference Ko CH, Yen JY, Chen CS, Yeh YC, Yen CF: Predictive values of psychiatric symptoms for Internet addiction in adolescents: a 2-year prospective study. Arch Pediatr Adolesc Med. 2009, 163: 937-943. 10.1001/archpediatrics.2009.159.CrossRefPubMed Ko CH, Yen JY, Chen CS, Yeh YC, Yen CF: Predictive values of psychiatric symptoms for Internet addiction in adolescents: a 2-year prospective study. Arch Pediatr Adolesc Med. 2009, 163: 937-943. 10.1001/archpediatrics.2009.159.CrossRefPubMed
54.
go back to reference Christakis DA, Ebel BE, Rivara FP, Zimmerman FJ: Television, video, and computer game usage in children under 11 years of age. J Pediatr. 2004, 145: 652-656. 10.1016/j.jpeds.2004.06.078.CrossRefPubMed Christakis DA, Ebel BE, Rivara FP, Zimmerman FJ: Television, video, and computer game usage in children under 11 years of age. J Pediatr. 2004, 145: 652-656. 10.1016/j.jpeds.2004.06.078.CrossRefPubMed
Metadata
Title
Problematic internet usage in US college students: a pilot study
Authors
Dimitri A Christakis
Megan M Moreno
Lauren Jelenchick
Mon T Myaing
Chuan Zhou
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2011
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/1741-7015-9-77

Other articles of this Issue 1/2011

BMC Medicine 1/2011 Go to the issue