Background: Internet has become an indispensable part of medical student’s life. They may experience difficulty in reducing the duration and frequency of internet use, gradually getting addicted to it. The literature on internet usage among Indian medical students is limited and there are hardly any Indian studies correlating Internet addiction and academic performance. This study aimed to determine the prevalence of Internet addiction among medical students and its correlation with academic performance.

Methods: A cross sectional study was performed among first year to final year medical students from a medical college in South India. Their internet activities were assessed using Internet addiction Questionnaire developed by Kimberly Young. Academic performance was assessed based on the sessional marks obtained in respective subjects. Descriptive / inferential statistics including correlation and ordinal regression was used for analysis.

Results: A total of 381 students participated in the study. Out of them, females were 294(71.9%) and males were 107 (28.1%). Prevalence of internet addiction was found to be 61.4%. Among them 149 students (63.7%) had mild, 83 had moderate (35.5%) and 2 (.8%) had severe addiction. Academic performance had a negative association with internet addiction.

Conclusion: Prevalence of internet addiction was very high among Indian medical students .Internet Addiction had a negative impact on their academic performance. Early prevention from internet addiction should be emphasized .Awareness is very much important to take up the issue at higher level and to implement measures for preventing it.

Keywords: Internet Addiction, medical students, Indian, academic performance.

1. Young KS. Caught in the net: How to recognise the signs of internet addiction and a winning strategy for recovery: John Wiley & Sons;
2. Ng, C. G., Isa, S. M., Hashim, A. H., Pillai, S. K., & Harbajan Singh, M. K. (2012). Validity of the Malay version of the Internet Addiction Test: A study on a group of medical students in Malaysia. Asia- Pacific Journal of Public Health, 8, 3528-3552. ISSN: 1941- 2479. doi: 10.1177/1010539512447808
3. Brewer G, Hiscock D. Medical education and practice in the information age. Postgrad Med J. 2001 Jul;77(909):425-7
4. Akin A, İskender M. Internet addiction and depression, anxiety and stress. International online journal of educational sciences. 2011; 3: 138–148.
5. Greenfield DN. Psychological characteristics of compulsive internet use: a preliminary analysis. Cyberpsychol Behav. 1999;2(5):403-12. doi: 10.1089/cpb.1999.2.403
6. Antony M, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and community a sample. Psychological Assessment. 1998;10:176–181.
7. Young, “Internet Addiction: A New Clinical Phenomenon and Its Consequences,” American Behavioral Scientist, Vol. 48, No. 4, 2004, pp. 402-415. doi:10.1177/0002764204270278
8. Cheung LM, Wong WS. The effects of insomnia and internet addiction on depression in Hong Kong Chinese adolescents: an exploratory cross sectional analysis. J Sleep Res 2011; 20(3): 311-17 doi:10.1111/j.1365-2869.2010.00883.
9. Mainul Haque, Nor Azlina, A Rahman, Md Anwarul Azim Majumder, Seraj Zohurul Haque et al. Internet use and addiction among medical students of Universiti Sultan Zainal Abidin, Malaysia. Psychol Res Behav Manag. 2016; 9: 297–307 doi: 10.2147/PRBM.S11927
10. Ronald Pies. Should DSM-V Designate “Internet Addiction” a Mental Disorder? Psychiatry (Edgmont) 2009 Feb; 6(2): 31–37. Published online 2009 Feb. PMCID: PMC2719452
11. Block JJ. Issues for DSM-V: internet addiction. Am J Psychiatry. 2008; 165(3):306–307. DOI: 10.1176/appi.ajp.2007.07101556
12. Ching SM, Hamidin A, Vasudevan R, Sazlyna MS, Wan Aliaa WS, Foo YL et al. Prevalence and factors associated with internet addiction among medical students- A cross sectional study in Malaysia. Med J Malaysia. 2017 Feb;72(1):7-11.
13. Liu X, Bao Z, Wang Z. Internet use and Internet addiction disorder among medical students: a case from China. Asian Social Science 2010; 6(1): 28- 34. DOI:5539/ass.v6n1p28
14. Young KS [webpage on the Internet]. Internet addiction: symptoms,evaluation, and treatment. innovations in clinical practice. In Vande Creek L, Jackson T, editors. Innovations in Clinical Practice: A Source Book (Vol. 17; pp. 19–31). Sarasota, FL: Professional Resource Press;1999:1-17. Available from: http://treatmentcenters.com/downloads/internet-addiction.pdf.
15. Young, K. S. (1996). Internet Addiction: The Emergence of a New Clinical Disorder. CyberPsychology & Behavior, 1, 237-244. doi.org/10.1089/cpb.1998.1.23
16. Net Addiction [webpage on the Internet]. The Center for Internet Addiction. Internet Addiction Test (IAT . Availablefrom: http://netaddiction.com/internet-addiction-test.
17. Ghamari F, Mohammadbeigi A, Mohammadsalehi N, Hashiani AA. Internet Addiction and Modeling its Risk Factors in Medical Students Iran. Indian J Psychol Med 2011; 33(2): 158-6 doi: 10.4103/0253-7176.92068
18. Sonia Garg, Naveenta Gupta, Shilekh Mittal .Trends of Internet use and its Psychosocial and physical impacts among medical students. Journal of research in medical education and ethics 2015;5(2):120-28
19. Schere K. College life on-line: healthy and unhealthy internet use. Journal of college students development 1997;38:655-65.

Dr Athulya G Asokan

Assistant Professor of Medicine, Pushpagiri Institute of Medical Sciences and Research Centre Tiruvalla, Kerala Pin: 689101, India

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Phone no: 8156813625