Document Type : Research Article (s)

Authors

1 Clinical Services, Federal Neuropsychiatric Hospital, Benin City, Nigeria

2 Department of Mental Health, University of Benin, Benin City, Nigeria

Abstract

Background: Internet addiction is increasingly recognized as a public health concern among children and adolescents. Its psychological and behavioural associates should be closely investigated in Nigeria. The present study aimed to report how prevalent problematic internet use is and examine its associations with psychological problems, such as depression and anxiety, and neuro-behavioural issues like drug use.
Methods: Two public and two private schools were selected by convenience. Thereafter, a total of 420 secondary school students were randomly selected to fill a questionnaire. The data collection sheet comprised a socio-demographic section, the WHO Questionnaire for Student Drug Use Survey, Hospital Anxiety and Depression Scale, and the Internet Addiction Test. Frequency was used to determine the prevalence, while a Chi-square and an independent t-test were conducted to examine the relationship between problematic internet use and other variables.
Results: A total of 378 questionnaires were analysed. Eighty-eight (23.3%) of the participants had scores indicating problematic internet use. While participants who had cases of anxiety (p <0.001), poor academic performance (P=0.04), used alcohol (P=0.03), and caffeine (P=0.04) over the past 30 days were associated with problematic internet use. Following a logistic regression, only students with cases of anxiety had a significant independent association with problematic internet use (AOR=1.09, 95%CI:1.02-1.16).
Conclusions: Problematic internet use is not only common among students, it also has a relationship with commonly occurring worrisome psycho-behavioural variables, requiring further research.

Keywords

1. Statista [Internet]. Nigeria mobile phone internet users from 2017 to 2023. c2017 - [cited 2020 Apr 22]. Available from: https://www.statista.com/statistics/972896/nigeria-mobile-phone-internet-users/## 2. Samuel NO. [Internet]. An Evaluation of Internet Usage among Senior Secondary School Students in Public Schools in Lagos State. 2010. A project submitted to the School of Communication Technology Lagos State University, Ojo, Lagos, Nigeria. [cited 2020 Apr 22]. Available from: https://www.ideals.illinois.edu/handle/2142/96266. ## 3. Almasi M, Machumu H, Zhu C. Internet use among secondary school students and its effects on their learning. 11th International Technology, Education and Development Conference. 6-8 March, 2017. Valencia, Spain. doi:10.21125/inted.2017.0680. ## 4. Lam LT, Peng Z-W. Effect of Pathological Use of the Internet on Adolescent Mental Health: A Prospective Study. Arch Pediatr Adolesc Med. 2010;164:901–6. doi:10.1001/archpediatrics.2010.159. [PubMed: 20679157]. ## 5. Meerkerk G-J, van den Eijnden RJJM, Franken IHA, Garretsen HFL. Is compulsive internet use related to sensitivity to reward and punishment, and impulsivity? Computers in Human Behavior. 2010;26:729–35. doi:10.1016/j.chb.2010.01.009. ## 6. Shapira NA, Lessig MC, Goldsmith TD, Szabo ST, Lazoritz M, Gold MS, et al. Problematic internet use: Proposed classification and diagnostic criteria. Depress Anxiety 2003;17:207–16. doi:10.1002/da.10094. [PubMed: 12820176]. ## 7. Vigna-Taglianti F, Brambilla R, Priotto B, Angelino R, Cuomo G, Diecidue R. Problematic internet use among high school students: Prevalence, associated factors and gender differences. Psychiatry Res 2017;257:163–71. doi:10.1016/j.psychres.2017.07.039. [PubMed: 28759791]. ## 8. Wang H, Zhou X, Lu C, Wu J, Deng X, Hong L. Problematic Internet Use in high school students in Guangdong Province, China. PloS One. 2011;6:e19660. doi:10.1371/journal.pone.0019660. [PubMed: 21573073]; [PubMed Central: PMC3089638]. ## 9. Mohamed G, Bernouss R. A cross-sectional study on Internet addiction among Moroccan high school students, its prevalence and association with poor scholastic performance. Int J Adolesc Youth. 2020;25:479–90. doi:10.1080/02673843.2019.1674165. ## 10. Okwaraji FE, Aguwa EN, Onyebueke GC, Shiweobi-Eze C. Assessment of Internet Addiction and Depression in a Sample of Nigerian University Undergraduates. Int Neuropsychiatr Dis J. 2015:114–22. doi:10.9734/INDJ/2015/19096. ## 11. Chinatu-Nwankwo OM. Prevalence of Internet Addiction among Medical Students in Abia State University, Uturu, Nigeria. Abia State Univ Med Stud Assoc J. 2015;10. doi:10.4314/asumsaj.v10i1. ## 12. Omoyemiju MA, Popoola BI. Prevalence of internet addiction among students of Obafemi Awolowo University, Ile-Ife, Nigeria. Br J Guid Couns. 2020;0:1–11. doi:10.1080/03069885.2020.1729339. ## 13. Kitazawa M, Yoshimura M, Murata M, Sato‐Fujimoto Y, Hitokoto H, Mimura M, et al. Associations between problematic Internet use and psychiatric symptoms among university students in Japan. Psychiatry Clin Neurosci. 2018;72:531–9. doi:10.1111/pcn.12662. [PubMed 29652105]. ## 14. Science Daily [Internet]. European College of Neuropsychopharmacology. c2016 - [cited 2020 Apr 22]. Available from: https://www.sciencedaily.com/releases/2016/09/ 160918180002.htm. ## 15. Alavi SS, Ferdosi M, Jannatifard F, Eslami M, Alaghemandan H, Setare M. Behavioral Addiction versus Substance Addiction: Correspondence of Psychiatric and Psychological Views. Int J Prev Med. 2012;3:290–4. [PubMed: 22624087]; [PubMed Central: PMC3354400]. ## 16. Lee YS, Han DH, Kim SM, Renshaw PF. Substance abuse precedes internet addiction. Addict Behav. 2013;38:2022–5. doi:10.1016/j.addbeh.2012.12.024. [PubMed 23384457]; [PubMed Central: PMC4651446]. ## 17. NetAddiction [Internet] Internet Addiction Test (IAT). c2009 - [cited 2020 Apr 22] Available from: http://netaddiction.com/internet-addiction-test/.## 18. Khazaal Y, Billieux J, Thorens G, Khan R, Louati Y, Scarlatti E, et al. French Validation of the Internet Addiction Test. Cyberpsychol Behav. 2008;11:703–6. doi:10.1089/cpb.2007.0249. [PubMed 18954279]. ## 19. Abiodun OA. A validity study of the Hospital Anxiety and Depression Scale in general hospital units and a community sample in Nigeria. Br J Psychiatry J Ment Sci. 1994;165:669–72. doi:10.1192/bjp.165.5.669. [PubMed 7866683]. ## 20. Smart RG, Hughes PH, Johnston LD, Anumonye A, Khant U, Medina Mora ME, et al. [Internet]. A Methodology for student drug-use surveys. World Health Organization; 1980. [cited 2020 Apr 22]. Available from: https://apps.who.int/iris/handle/10665/37206. ## 21. Adelekan ML. [Internet] UNODC - Bulletin on Narcotics - 1989 Issue 1 - 010. [cited 2020 Apr 22]. Available from://www.unodc.org/unodc/en/data-and-analysis/bulletin/bulletin_1989-01-01_1_page011.html (accessed April 22, 2020). ## 22. Kamal NN, Mosallem FAE-H. Determinants of Problematic Internet Use Among El-Minia High School Students, Egypt. Int J Prev Med.2013;4:1429–37. [PubMed 24498499] ; [PubMed Central: PMC3898449]. ## 23. Derbyshire KL, Lust KA, Schreiber LRN, Odlaug BL, Christenson GA, Golden DJ, et al. Problematic Internet use and associated risks in a college sample. Compr Psychiatry 2013;54:415–22. doi:10.1016/j.comppsych.2012.11.003. [PubMed: 23312879]. ## 24. Odaci H, Kalkan M. Problematic Internet use, loneliness and dating anxiety among young adult university students. Comput Educ. 2010;55:1091–7. doi:10.1016/j.compedu.2010.05.006. ## 25. Wartberg L, Brunner R, Kriston L, Durkee T, Parzer P, Fischer-Waldschmidt G, et al. Psychopathological factors associated with problematic alcohol and problematic Internet use in a sample of adolescents in Germany. Psychiatry Res. 2016;240:272–7. doi:10.1016/j.psychres.2016.04.057. [PubMed 27138817]. ## 26. Kim SY, Kim M-S, Park B, Kim J-H, Choi HG. The associations between internet use time and school performance among Korean adolescents differ according to the purpose of internet use. PLoS ONE. 2017;12. doi:10.1371/journal.pone.0174878. [PubMed 28369147]; [PubMed Central: PMC5378357]. ## 27. Anyanwu OU, Ibekwe RC, Ojinnaka NC. Pattern of substance abuse among adolescent secondary school students in Abakaliki. Cogent Med. 2016;3:1272160. doi:10.1080/2331205X.2016.1272160. ## 28. Akanni OO, Adayonfo EO. Gateway Psychoactive Substances and Adolescent Secondary School Students in Benin City, Nigeria. Niger J Psychiatry. 2014;12:45–50. doi:10.4314/njpsyc.v12i2. ## 29. Liu TC, Desai RA, Krishnan-Sarin S, Cavallo DA, Potenza MN. Problematic Internet Use and Health in Adolescents: Data from a High School Survey in Connecticut. J Clin Psychiatry .2011;72:836–45. doi:10.4088/JCP.10m06057. [PubMed 21536002]; [PubMed Central: PMC3686276]. ## 30. Rücker J, Akre C, Berchtold A, Suris J-C. Problematic Internet use is associated with substance use in young adolescents. Acta Paediatr. 2015;104:504–7. doi:10.1111/apa.12971. [PubMed 25662370]. ## 31. Hong S-B, Zalesky A, Cocchi L, Fornito A, Choi E-J, Kim H-H, et al. Decreased Functional Brain Connectivity in Adolescents with Internet Addiction. PLoS ONE. 2013;8. doi:10.1371/journal.pone.0057831. [PubMed 23451272]; [PubMed Central: PMC3581468]. ## 32. Lee HW, Choi J-S, Shin Y-C, Lee J-Y, Jung HY, Kwon JS. Impulsivity in Internet Addiction: A Comparison with Pathological Gambling. Cyberpsychology Behav Soc Netw. 2012;15:373–7. doi:10.1089/cyber.2012.0063. [PubMed: 22663306]. ## 33. Chinawa A, Onukwuli V, Chinawa J, Mayike P, Nduagubam O, Odinka P, et al. Anxiety disorders among adolescents attending secondary schools in Enugu South East Nigeria. Current Pediatric Research. 2018;22(3). ## 34. Oderinde KO, Dada MU, Ogun OC, Awunor NS, Kundi BM, Ahmed HK, et al. Prevalence and Predictors of Depression among Adolescents in Ido Ekiti, South West Nigeria. Int J Clin Med. 2018;9(3):187–202. doi:10.4236/ijcm.2018.93017. ## 35. Lee BW, Stapinski LA. Seeking safety on the internet: Relationship between social anxiety and problematic internet use. J Anxiety Disord. 2012;26:197–205. doi:10.1016/j.janxdis.2011.11.001. [PubMed: 22169053]. ## 36. Azher M, Khan RB, Salim M, Bilal MF, Hussain A, Haseeb M. [Internet] The Relationship between Internet Addiction and Anxiety among students of University of Sargodha 2014. (cited 2020 Apr 22). Available from: https://www.semanticscholar.org/paper/The-Relationship-between-Internet-Addiction-and-of-Azher-Khan/001df0ef9d917c9f6e6755b24417e33dfe5a2b05. ## 37. Soulioti E, Stavropoulos V, Christidi S, Papastefanou Y, Roussos P. The relationship of internet addiction with anxiety and depressive symptomatology. [The relationship of internet addiction with anxiety and depressive symptomatology.]. Psychiatriki. 2018;29:160–71. doi:10.22365/jpsych.2018.292.160. [PubMed: 30109856]. ##