Internet addiction and its relationship with mental disorders in adolescents

Authors

DOI:

https://doi.org/10.25118/2763-9037.2025.v15.1414

Keywords:

Internet addiction, teenagers, mental disorders, nomophobia

Abstract

Introduction: Adolescence is a challenging period for the construction of identity and personality. The easy access to and deliberate use of the Internet can lead to various mental health disorders in adolescents. Objective: To quantify the prevalence of Internet addiction and to analyze its impact on the development and/or maintenance of mental health disorders in adolescents. Method: CEP opinion and TCLE were delivered. The study was carried out with high school students from public schools in Passo Fundo (RS), in November and December 2023. Questionnaires containing sociodemographic and behavioral characteristics were applied, along with two tests: the Internet Addiction Test [1] and the Depression, Anxiety, and Stress Test [2]. Absolute and relative frequencies of the dependent and independent variables were calculated, as well as the prevalence of Internet addiction and its relationship with disorders and other variables. Results: The sample (n=139) is predominantly composed of women (53.2%), 16-year-olds (47.5%), white individuals (61.2%), and those from low-income families (33.1%). Regarding internet usage: 75.5% spend more than 3 hours per day online, and 89.2% use smartphones to access the Internet. Seventeen percent exhibit some degree of Internet addiction; 42% show symptoms consistent with anxiety disorder; 25% display signs of depression; and 22% show indications of stress. A positive association was found between depression, anxiety, stress, and internet addiction (p<0.05). Conclusion: Internet addiction is associated with the development or maintenance of mental health disorders. Its negative impact on mental health is evident, highlighting the need for measures aimed at better support and guidance for adolescents.

 

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Fabriti Rivelto Sokolowski, Graduando, Medicina, Universidade Federal da Fronteira Sul, UFFS, Passo Fundo, RS, Brasil

Bruna Chaves Lopes, Psiquiatra, Professora, Universidade Federal da Fronteira Sul, UFFS, Passo Fundo, RS, Brasil

Athany Gutierres, Professora, Universidade Federal da Fronteira Sul, UFFS, Passo Fundo, RS, Brasil

References

1. Young KS, Abreu CN. Dependência de internet: manual e guia de avaliação e tratamento. Porto Alegre: Artmed; 2011.

2. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33(3):335-43. https://doi.org/10.1016/0005-7967(94)00075-u PMID:7726811 DOI: https://doi.org/10.1016/0005-7967(94)00075-U

3. Eisenstein E. Adolescência: definições, conceitos e critérios. Adolesc Saude. 2005;2(2):6-7. https://extensao.cecierj.edu.br/material_didatico/sau2202/pdf/aula%201%20_leitura_adolescencia_def_conc_criterios.pdf

4. Tanner JM. Growth at adolescence. 2nd ed. Oxford: Blackwell Scientific Publications, 1962.

5. Osório LC. Adolescente hoje. Porto Alegre: Artmed, 1992.

6. Instituto Brasileiro de Geografia e Estatística. PNAD contínua - pesquisa nacional por amostra de domicílios contínua: acesso à internet e à televisão e posse de telefone móvel celular para uso pessoal. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2022. https://www.ibge.gov.br/estatisticas/sociais/trabalho/17270-pnad-continua.html?edicao=38243&t=resultados

7. Sanchez-Carbonell X, Beranuy M, Castellana M, Chamarro A, Oberst U. La adiccion a Internet y al movil: ¿moda o trastorno? Adicciones. 2008;20(2):149-59. PMID: 18551228 DOI: https://doi.org/10.20882/adicciones.279

8. Moromizato MS, Ferreira DBB, Souza LSM, Leite RF, Macedo FN, Pimentel D. O Uso de internet e redes sociais e a relação com indícios de ansiedade e depressão em estudantes de medicina. Rev Bras Educ Med. 2017;41(4):497-504. https://doi.org/10.1590/1981-52712015v41n4rb20160118 DOI: https://doi.org/10.1590/1981-52712015v41n4rb20160118

9. Kemp S. Digital 2024: global overview report. [place unknown]: DataReportal; 2024. https://datareportal.com/reports/digital-2024-global-overview-report

10. Andrade ALM, Scatena A, Bedendo A, Enumo SRF, Dellazzana-Zanon LL, Prebianchi HB, Machado WL, Micheli D. Findings on the relationship between Internet addiction and psychological symptoms in Brazilian adults. Int J Psychol. 2020;55(6):941-50. https://doi.org/10.1002/ijop.12670 PMID:32266726 DOI: https://doi.org/10.1002/ijop.12670

11. Ávila GB, Santos ÉN, Jansen K, Barros FC. Internet addiction in students from an educational institution in Southern Brazil: prevalence and associated factors. Trends Psychiatry Psychother. 2020;42(4):302-10. https://doi.org/10.1590/2237-6089-2019-0098 PMID:32520170 - PMCID:PMC7879091 DOI: https://doi.org/10.1590/2237-6089-2019-0098

12. Terroso LB, Argimon IIL. Dependência de internet e habilidades sociais em adolescentes. Estud Pesqui Psicol. 2016;16(1):200-19. https://doi.org/10.12957/epp.2016.24839 DOI: https://doi.org/10.12957/epp.2016.24839

13. Dalamaria T, Pinto WJ, Farias EDS, Souza OF. Internet addiction among adolescents in a western Brazilian Amazonian city. Rev Paul Pediatr. 2021;39:e2019270. https://doi.org/10.1590/1984-0462/2021/39/2019270 PMID:32638945 - PMCID:PMC7333942. DOI: https://doi.org/10.1590/1984-0462/2021/39/2019270

14. Thiengo DL, Cavalcante MT, Lovisi GM. Prevalência de transtornos mentais entre crianças e adolescentes e fatores associados: uma revisão sistemática. J Bras Psiquiatr. 2014;63(4):360-72. https://doi.org/10.1590/0047-2085000000046 DOI: https://doi.org/10.1590/0047-2085000000046

15. Hoare E, Milton K, Foster C, Allender S. Depression, psychological distress and Internet use among community-based Australian adolescents: a cross-sectional study. BMC Public Health. 2017;17:365. https://doi.org/10.1186/s12889-017-4272-1 PMID:28449667 - PMCID:PMC5406913 DOI: https://doi.org/10.1186/s12889-017-4272-1

16. Fleitlich-Bilyk B, Goodman R. Prevalence of child and adolescent psychiatric disorders in southeast Brazil. J Am Acad Child Adolesc Psychiatry. 2004;43(6):727-34. https://doi.org/10.1097/01.chi.0000120021.14101.ca PMID:15167089 DOI: https://doi.org/10.1097/01.chi.0000120021.14101.ca

17. Soh PCH, Teh BH, Hong YH, Ong TS, Charlton JP. Exploring gender differences in Malaysian urban adolescent Internet usage. First Monday. 2013;18(9). https://doi.org/10.5210/fm.v18i9.4334 DOI: https://doi.org/10.5210/fm.v18i9.4334

18. Costello EJ. Developments in child psychiatric epidemiology. J Am Acad Child Adolesc Psychiatry. 1989;28(6):836-41. https://doi.org/10.1097/00004583-198911000-00004 PMID:2681135 DOI: https://doi.org/10.1097/00004583-198911000-00004

19. Spence SH. A measure of anxiety symptoms among children. Behav Res Ther. 1998;36(5):545-66. https://doi.org/10.1016/s0005-7967(98)00034-5 PMID:9648330 DOI: https://doi.org/10.1016/S0005-7967(98)00034-5

20. Ford T, Goodman R, Meltzer H. The british child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. J Am Acad Child Adolesc Psychiatry. 2003;42(10):1203-11. https://doi.org/10.1097/00004583-200310000-00011 PMID:14560170 DOI: https://doi.org/10.1097/00004583-200310000-00011

21. Xin S, Wang Y, Sheng L. Impact of social changes and birth cohort on anxiety in adolescents in mainland China (1992-2017): a cross-temporal meta-analysis. Child Youth Serv Rev. 2020;116:105159. https://doi.org/10.1016/j.childyouth.2020.105159 DOI: https://doi.org/10.1016/j.childyouth.2020.105159

22. Zhao C, Zhou X, Wang F, Jiang M, Hesketh T. Care for left-behind children in rural China: a realist evaluation of a community-based intervention. Child Youth Serv Rev. 2017;82:239-45. https://doi.org/10.1016/j.childyouth.2017.09.034 DOI: https://doi.org/10.1016/j.childyouth.2017.09.034

23. Bisung E, Elliott SJ. Psychosocial impacts of the lack of access to water and sanitation in low- and middle-income countries: a scoping review. J Water Health. 2017;15(1):17-30. https://doi.org/10.2166/wh.2016.158 PMID:28151436 DOI: https://doi.org/10.2166/wh.2016.158

24. Li SH, Graham BM. Why are women so vulnerable to anxiety, trauma-related and stress-related disorders? The potential role of sex hormones. Lancet Psychiatry. 2017;4(1):73-82. https://doi.org/10.1016/s2215-0366(16)30358-3 PMID:27856395 DOI: https://doi.org/10.1016/S2215-0366(16)30358-3

25. Donner NC, Lowry CA. Sex differences in anxiety and emotional behavior. Pflugers Arch. 2013;465(5):601-26. https://doi.org/10.1007/s00424-013-1271-7 PMID:23588380 - PMCID:PMC3805826 DOI: https://doi.org/10.1007/s00424-013-1271-7

26. Roberts RE, Attkisson CC, Rosenblatt A. Prevalence of psychopathology among children and adolescents. Am J Psychiatry. 1998;155(6):715-25. https://doi.org/10.1176/ajp.155.6.715 PMID:9619142 DOI: https://doi.org/10.1176/ajp.155.6.715

27. Bahls SC, Bahls FRC. Depressão na adolescência: características clínicas. Interação Psicol. 2002;6(1):49-57. https://doi.org/10.5380/psi.v6i1.3193 DOI: https://doi.org/10.5380/psi.v6i1.3193

28. Borges JA, Nakamura PM, Andaki ACR. Alta prevalência de ansiedade e sintomatologia depressiva em adolescentes na pandemia da COVID-19. Rev Bras Atividade Fis Saude. 2022;27:1-8. https://doi.org/10.12820/rbafs.27e0287 DOI: https://doi.org/10.12820/rbafs.27e0287

29. World Health Organization. World mental health report: transforming mental health for all. Geneva: World Health Organization; 2022. https://www.who.int/publications/i/item/9789240049338

30. COVID-19 Mental Disorders Collaborators. Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. Lancet. 2021;398(10312):1700-12. https://doi.org/10.1016/s0140-6736(21)02143-7 PMID:34634250 - PMCID:PMC8500697 DOI: https://doi.org/10.1016/S0140-6736(21)02143-7

31. Schermann LB, Béria JU, Jacob MHVM, Arossi G, Benchaya MC, Bisch NK, Rieth S . Estresse em adolescentes: estudo com escolares de uma cidade do sul do Brasil. Aletheia. 2014;(43-44):160-73. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1413-03942014000100012&lng=pt

32. Pinto AA, Claumann GS, Medeiros P, Barbosa RMDSP, Nahas MV, Pelegrini A. Association between perceived stress in adolescence, body weight and romantic relationships. Rev Paul Pediatr. 2017;35(4):422-8. https://doi.org/10.1590/1984-0462/;2017;35;4;00012 PMID:28977133 - PMCID:PMC5737262 DOI: https://doi.org/10.1590/1984-0462/;2017;35;4;00012

33. Casey BJ, Jones RM, Levita L, Libby V, Pattwell SS, Ruberry EJ, Soliman F, Somerville LH. The storm and stress of adolescence: insights from human imaging and mouse genetics. Dev Psychobiol. 2010;52(3):225-35. https://doi.org/10.1002/dev.20447 PMID:20222060 - PMCID:PMC2850961 DOI: https://doi.org/10.1002/dev.20447

34. Ordaz S, Luna B. Sex differences in physiological reactivity to acute psychosocial stress in adolescence. Psychoneuroendocrinology. 2012;37(8):1135-57. https://doi.org/10.1016/j.psyneuen.2012.01.002 PMID:22281210 PMCID:PMC3472630 DOI: https://doi.org/10.1016/j.psyneuen.2012.01.002

35. Gove WR, Herb TR. Stress and mental illness among the young: a comparison of the sexes. Soc Forces. 1974;53(2):256-65. https://doi.org/10.2307/2576018 DOI: https://doi.org/10.2307/2576018

36. Andrade ALM, Scatena A, Bedendo A, Machado WL, Oliveira WA, Lopes FM, De Micheli D. Uso excessivo de internet e smartphone e problemas emocionais em estudantes de psicologia e psicólogos. Estud Psicol (Campinas). 2023;40:e210010. https://doi.org/10.1590/1982-0275202340e210010 DOI: https://doi.org/10.1590/1982-0275202340e210010en

37. Meneses MO, Andrade EMLR. Relationship between depression, anxiety, stress and smartphone addiction in COVID-19 nursing students. Rev Latino-Am Enfermagem. 2024;32:e4056. https://doi.org/10.1590/1518-8345.6764.4057 DOI: https://doi.org/10.1590/1518-8345.6764.4057

38. Kraut R, Patterson M, Lundmark V, Kiesler S, Mukopadhyay T, Scherlis W. Internet paradox. A social technology that reduces social involvement and psychological well-being? Am Psychol. 1998;53(9):1017-31. https://doi.org/10.1037//0003-066x.53.9.1017 PMID:9841579 DOI: https://doi.org/10.1037//0003-066X.53.9.1017

39. Shaw M, Black DW. Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs. 2008;22(5):353-65. https://doi.org/10.2165/00023210-200822050-00001 PMID:18399706 DOI: https://doi.org/10.2165/00023210-200822050-00001

40. Weinstein A, Lejoyeux M. Internet addiction or excessive internet use. Am J Drug Alcohol Abuse. 2010;36(5):277-83. https://doi.org/10.3109/00952990.2010.491880 PMID:20545603 DOI: https://doi.org/10.3109/00952990.2010.491880

41. Li G, Hou G, Yang D, Jian H, Wang W. Relationship between anxiety, depression, sex, obesity, and internet addiction in Chinese adolescents: A short-term longitudinal study. Addict Behav. 2019;90:421-7. https://doi.org/10.1016/j.addbeh.2018.12.009 PMID:30553156 DOI: https://doi.org/10.1016/j.addbeh.2018.12.009

42. Shepherd RM, Edelmann RJ. Reasons for internet use and social anxiety. Pers Individ Dif. 2005;39(5):949-58. https://doi.org/10.1016/j.paid.2005.04.001 DOI: https://doi.org/10.1016/j.paid.2005.04.001

43. Ostovar S, Allahyar N, Aminpoor H, Moafian F, Nor MBM, Griffiths MD. Internet addiction and its psychosocial risks (depression, anxiety, stress and loneliness) among Iranian adolescents and young adults: a structural equation model in a cross-sectional study. Int J Ment Health Addict. 2016;14:257-67. https://doi.org/10.1007/s11469-015-9628-0 DOI: https://doi.org/10.1007/s11469-015-9628-0

nomofobia

Published

2025-03-19

How to Cite

1.
Sokolowski FR, Lopes BC, Gutierres A. Internet addiction and its relationship with mental disorders in adolescents. Debates em Psiquiatria [Internet]. 2025 Mar. 19 [cited 2025 May 13];15:1-25. Available from: https://revistardp.org.br/revista/article/view/1414

Issue

Section

Original Articles

Plaudit