Medical Students' Internet Addiction And Its Impact On Academic Achievement

Medical Students' Internet Addiction And Its Impact On Academic Achievement | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Medical Students' Internet Addiction And Its Impact On Academic Achievement Nour Al-Nahar, Heba Mardini This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4117958/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Introduction Addiction is a chronic, recurrent, relapsing disorder characterized by the compulsive pursuit of certain substances or certain behaviors, and the continuation of them despite the harmful consequences resulting from them and the long-term changes that occur in the brain. Excessive computer use meets the criteria for addiction. There are two types of addiction, physical addiction and non-physical addiction, such as Internet addiction. Methods and Materials A pivotal cross-sectional study, in which data were collected on a simple, random basis through an electronic questionnaire with three sections that was distributed to medical students at the Syrian Private University. 219 students were accepted into the sample (n = 219). Results The results presented that there is a significant correlation between Internet addiction and the percentile in the last academic year (P = .015), and there is a significant correlation between Internet addiction and the presence of previous traumas (P = .016) and the presence of severe family problems (P = .000). Discussion The results of our study were consistent with most of the results of previous studies, except that our study did not present any association of Internet addiction with gender, which has been proven to exist in other studies. Conclusion As evidenced by this brief study, the field of Internet addiction is advancing rapidly even without formal recognition of it as a separate and distinct behavioral addiction and with continuing disagreement over diagnostic criteria. The debate over whether IAD should be classified as a (behavioral) addiction, an impulse control disorder, or even obsessive-compulsive disorder cannot be satisfactorily resolved. But the symptoms we have observed in clinical practice present a great deal of overlap with symptoms typically associated with (behavioral) addiction. Psychiatry Internet Addiction Medical Students' Introduction The definition of addiction is "the fact or condition of being addicted to a particular substance, thing, or activity." Medically, it is a "chronic, recurrent, relapsing disorder characterized by a compulsive pursuit of certain substances or certain behaviors, and the continuation of them despite the harmful consequences resulting from them and the long-term changes that occur in the brain". There are two main concepts of addiction which include physical addiction (drug addiction), and non-physical addictions (behavioral addictions). There is complex interplay between neurobiology, genetics, and environment—that is, natural and acquired factors—that play a role in the development of addiction, alcohol, and other substance use disorders. The five stages of addiction (First use, Continued use, Endurance, Accreditation, Addiction). These stages of addiction apply to either physical addiction or non-physical addiction. Excessive computer use meets the criteria for addiction. Internet addiction (misuse) (IAD) has been studied extensively and is already currently under consideration for inclusion in the DSM-V. Some researchers and mental health practitioners consider excessive Internet use as a symptom of another disorder such as anxiety or depression rather than a separate entity. Internet addiction can also be considered an impulse control disorder (not otherwise specified). However, there is a growing consensus that this set of symptoms is addictive. All addictions, whether chemical or behavioral, share certain characteristics including salience, compulsive use (loss of control), mood modification, relief of distress, tolerance, withdrawal, and persistence despite negative consequences. Types of Internet Addiction are Net Compulsions, Information Seeking, Gaming, Cybersex, Cyber Relationships. Researchers have presented that younger populations, especially college students, are at greater risk of addiction due to their psychological, social, and environmental characteristics. Many factors have been attributed to this weakness, such as unstructured time, unlimited access to the Internet, a greater desire to use the latest tools and technologies, with less parental control, as well as the desire to develop a sense of identity and develop a close and meaningful relationship. Material and Methods Aimes This research aims were studying spread of Internet addiction among medical students at the Syrian Private University; the impact of Internet addiction on students’ academic achievement; studying statistically significant correlations between variables. Study Design Type of study: Observational study in the form of a cross-sectional study. Target group: Clinical years students (4th, 5th, and 6th years) at the Faculty of Human Medicine at the Syrian Private University (SPU) in Syria. Sampling: The sample selection was simple and random. Data were collected in the form of electronic questionnaires designed for this research purpose, based on the adapted Young's test. These questionnaires were published on university students' social networking sites. This takes place at 2020. Data collection tool The data collection tool in the research was an electronic questionnaire. It was published on the social networking sites of clinical years students at the Faculty of Human Medicine at the Syrian Private University. The published questionnaire included 3 sections of questions. The first section of the questionnaire contained questions related to demographic information. Among the personal information that was asked about were: age, gender, year of study, smoking, and percentage rate for the last year of study. As for the second section of the questionnaire, it included questions about the impact of the Internet on study and social life. In the third section questions were included, which included a survey about the most popular sites used on the Internet, the number of hours of daily Internet use, and the number of daily study hours. Approvals: Ethical approval was obtained from the Deanship of the Faculty of Human Medicine at the Syrian Private University to conduct this research and collect data from students. Informed consent was also obtained from the students by informing them of their participation in this research in the first part of the electronic questionnaire that was published. Statistical Analyses The data were entered into the Statistical Package for the Social Sciences (SPSS V.22), where all variables were coded and both descriptive and inferential statistical methods were followed to analyze the data and answer the research hypotheses. Descriptive statistics were used to extract percentages, standard deviation, and most frequent values in the sample. The internal consistency test of the questionnaire (Cronbach Alpha test) was used to study the internal consistency between the research elements and variables. The Shapiro-Wilk test for normal distribution was also used to study the pattern of data distribution and thus determine the appropriate statistical tests for the type of data, whether parametric or non-parametric tests. Results Internal consistency test for the questionnaire: Table 1 presents the result of the Cronbach Alpha test, where the result indicates a value equal to (0.735), which indicates good internal consistency and that the questionnaire is applicable and used to collect data and answer research hypotheses, (acceptable if test result value exceeds (0.60)). Table 1 Internal consistency test (Cronbach’s alpha) for the questionnaire Frequency Percentage Test result Number of elements Elements Included 219 100.0 0.735 22 Excluded 0 .0 Total 219 100.0 Testing the normal distribution of data: Table 2 presents the result of the Shaprio-Wilk test. This test is used to determine the pattern of data distribution, whether normally or non-normally distributed, whether for quantitative or significant data. It appears from the table that the test result for all studied variables was less than (0.05), which indicates an abnormal distribution of the data, and therefore nonparametric tests must be used to answer the research hypotheses. Table 2 Test of normal distribution of data Variables Shapiro-Wilk value df Significance level Age .843 219 .000 Gender .629 219 .000 Academical year .776 219 .000 smoking .592 219 .000 Academic average percentage .714 219 .000 Father's education .582 219 .000 Mother's education .697 219 .000 Number of siblings .740 219 .000 Current residence .430 219 .000 Place of birth .629 219 .000 Are there severe family problems? .407 219 .000 Are there previous severe traumas in life?? .632 219 .000 Study time wasted because of the Internet? .664 219 .000 Has excessive Internet use affected the grades? .742 219 .000 Table 2 - Test of normal distribution of data Variables Shapiro-Wilk value df Significance level Do you find more attention online than you get in real life?? .801 219 .000 Do you find it difficult to concentrate while studying and escape to the virtual world? .777 219 .000 Have you faced family problems due to spending a long time on the Internet and neglecting your studies? .809 219 .000 Have you tried to control your Internet use and failed? .809 219 .000 Do you miss lectures because you are busy on the Internet? .368 219 .000 Can you study for two hours continuously without wanting to open the Internet? .708 219 .000 Did your academic grades decline due to excessive use of the Internet? .805 219 .000 Do you find it difficult to concentrate with the doctor during the lecture because of the intense desire to access the Internet?? .673 219 .000 Does the Internet cause you to stay up late?? .765 219 .000 Does your preoccupation with the Internet prevent you from spending enough time with your family?? .787 219 .000 Do you feel regret after spending a long time online?? .789 219 .000 What is the social networking site you spend the most time on: .661 219 .000 How much social media sites take up your time? .733 219 .000 How much time does studying take from your day? .698 219 .000 Demographic variables of the sample (1st section of questionnaire) Table 3 presents the descriptive analysis of the demographic variables, which include (age, gender, year of study, smoking, father’s and mother’s education, percentage, number of siblings, place of residence, place of birth, presence of family problems, and presence of previous psychological traumas). Table 3 Descriptive analysis of demographic variables for the sample Frequency Percentage Mean Minimum value Supreme value standard deviation Age 219 23.36 22.00 28.00 1.25 Gender Female 125 57.1% Male 94 42.9% Academical Year 4th year 50 22.8% 5th year 71 32.4% 6th year 98 44.7% Smoking Yes 72 32.9% No 147 67.1% Academic average percentage 219 78.84 62.00 94.00 9.93 Father’s education University 162 74.0% High school 40 18.3% Preparatory 17 7.8% Mother’s education University 133 60.7% High school 59 26.9% Preparatory 27 12.3% Number of siblings 219 3.42 .00 23.00 2.31 Residential place Damascus 187 85.4% Other 32 14.7% Place of birth Damascus 125 57.1% Other 94 42.9% severe family problems Yes 30 13.7% No 189 86.3% severe psychological trauma Yes 97 44.3% No 122 55.7% Descriptive analysis of Internet addiction variables ( 2nd section questionnaire) The addiction questionnaire, consisting of ( 17 ) statements, was designed on the basis of a three-way Likert scale, which is considered one of the best methods for measuring attitudes. The answer method was for the participant to choose one of the three answers (yes, a little, no). yes = 3, a little = 2; no = 1. The lowest score is 17, and the highest score is 51. As presented in Table 4 . Table 4 Descriptive analysis of Internet addiction variables A little No Yes Wasting study time due to the Internet 127 58.0% 17 7.8% 75 34.2% The effect of excessive Internet use on grades 91 41.6% 42 19.2% 86 39.3% Difficulty stopping using the Internet, even with fatigue and drowsiness 58 26.5% 98 44.7% 63 28.8% Suffering from blackout symptoms when you stop using the Internet 25 11.4% 114 52.1% 80 36.5% There is an urgent desire to return to the Internet after it is closed 83 37.9% 39 17.8% 97 44.3% Thinking about the Internet while studying 42 19.2% 95 43.4% 82 37.4% Get more attention online than in real life 47 21.5% 118 53.9% 54 24.7% Difficulty concentrating while studying and escaping from it to the virtual world 72 32.9% 62 28.3% 85 38.8% Family problems due to spending a long time on the Internet and neglecting studies 54 24.7% 105 47.9% 60 27.4% Previous failed attempts to control Internet use 64 29.2% 101 46.1% 54 24.7% Absence from lectures due to your preoccupation with the Internet 5 2.3% 201 91.8% 13 5.9% The ability to study for two hours continuously without wanting to open the Internet 126 57.5% 46 21.0% 47 21.5% Academic degrade due to excessive Internet use 51 23.3% 95 43.4% 73 33.3% Difficulty concentrating with the lecturer due to the intense desire to access the Internet 18 8.2% 163 74.4% 38 17.4% Staying up late because of the internet 93 42.5% 56 25.6% 70 32.0% Being busy with the Internet limits spending enough time with the family 40 18.3% 87 39.7% 92 42.0% Feeling remorse after spending long time online 87 39.7% 75 34.2% 57 26.0% Descriptive analysis of secondary variables (3rd section of the questionnaire) Table 5 presents the descriptive analysis of the secondary variables of the research, where the most frequently used social networking site was Facebook (65.3%). Social networking sites also take up (43.4%) of the sample two or more hours of their time daily. The major of hours allocated to study was two hours or more (42.5%). Table 5 Descriptive analysis of secondary variables Frequency Percentage The social networking site most spent on Facebook 143 65.3% Instagram 46 21.0% YouTube 30 13.7% Hours spent on social networking sites 2 ≤ hours 95 43.4% 6 ≤ hours 38 17.4% 4 ≤ hours 86 39.3% Study hours per day 2 ≤ hours 93 42.5% 6 ≤ hours 23 10.5% 4 ≤ hours 103 47.0% Study of Internet addiction index The value of the addiction index was calculated by replacing one of the three answers (no, a little, yes) with the values ( 1 – 2 – 3 ). Table 6 presents the analysis of the Internet addiction index, where the value ranged between 17–46, and was mean (34.1), with a standard deviation of 5.1. Table No. 6 - Calculating the value of the internet addiction index Frequency Minimum value Supreme value Mean standard deviation addiction index 219 17.00 46.00 34.1963 5.19463 Valid N (listwise) 219 Table 7 presents the percentage of people who are addicted to the Internet and those who are not. The percentage of addiction to the Internet was (60.3%), while there was no addiction to the Internet (39.7%). The percentage of addiction to the Internet was also distributed according to the Gender variable, where the number of males addicted to the Internet was equal to (19.2%), while the number of females addicted to the Internet was equal to (20.5%). Table No. 7 - Percentage of Internet addiction within the sample Frequency Percentage Real Percentage Cumulative Percentage Not addicted 87 39.7 39.7 39.7 Internet addicted 132 60.3 60.3 100.0 Total 219 100.0 100.0 Gender Female Male Not addicted 45 20.5% 42 19.2% Internet addicted 80 36.5% 52 23.7% Inferential analysis Studying the correlation between the degree of addiction and age, academical average percentage, and number of siblings The Spearman test was conducted to study the correlation between the value of the addiction index and each of the quantitative variables (age, academical average percentage, and number of siblings). There was a significant correlation between the Internet addiction index and the academical average percentage, but this relationship was negative, that is, the higher the academical average percentage, the lower the Internet addiction. Table No. 8 - The correlation between the Internet addiction index with age, academical average percentage, and number of siblings Correlation value Significance level value Test significance Spearman's correlation Internet addiction index Age .323 .067 No significant difference Academical percentage .432- .015 Significant difference number of siblings .830 .053 No significant difference Studying the correlation between the degree of addiction and gender, smoking, current residence, and the presence of (severe family problems) or (severe previous traumas in life) The Mann-Whitney U test was conducted to study the relationship between gender, smoking, housing, family problems, and previous traumas with the feeling of Internet addiction. Table 9 shows the results of this test. A significant difference was found in the value of the Internet addiction index with the presence of severe family problems, as the value of the significance level was smaller than (0.05), and the same was true between the value of the Internet addiction index and the presence of severe traumas (0.016). Table No. 9 - correlation between addiction and gender, smoking, housing, the presence of severe family problems, or psychological traumas Variables Frequency Average rank Total rank Value of z Significance level value Significance of the test Gender Female 125 113.41 14176.50 − .921 .357 No significant difference Male 94 105.46 9913.50 Total 219 Smoking Yes 72 106.02 7633.50 − .652 .514 No significant difference No 147 111.95 16456.50 Total 219 Residence Damascus 187 109.47 20470.00 − .020 .984 No significant difference other 31 109.71 3401.00 Total 218 family problems Yes 30 53.18 1595.50 -5.300 .000 Significant difference between variables No 189 119.02 22494.50 Total 219 severe traumas Yes 97 98.49 9553.50 -2.403 .016 Significant difference between variables No 122 119.15 14536.50 Total 219 Studying the correlation between the degree of addiction and the academic year, the parents’ education Table 10 summarizes the result of the Kruskal-Wallis test to study the correlation between academic year, father’s education, and mother’s education with the value of the Internet addiction index. There was no significant difference in the values of the Internet addiction index with academic year (P = 0.390), father’s education (P = 0.474), and mother’s education (P = 0.586). Table 10 The correlation between the addiction index and the academic year of school, the parents’ education Variables frequency Average rank chi square value Significance level value Significance of the test Academic year 4th year 50 109.07 1.883 .390 No significant difference 5th year 71 118.08 6th year 98 104.62 Total 219 Father’s education University 162 108.84 1.494 .474 No significant difference Secondary 40 107.11 Preparatory 17 127.85 Total 219 Mother’s education University 133 108.89 1.069 .586 No significant difference Secondary 59 107.18 Preparatory 27 121.61 Total 219 Discussion In our study, the age ranged between 22–28 years, the percentage of females (57.1%) was greater than that of males, and the percentage of sixth-year students was the largest (44.7%). The majority of them were non-smokers, and the academic average percentile was about (78.8%). As for the level of education of the mother and father, the majority of the sample had a university level. The majority of the sample was born in Damascus (47.1%), and the vast majority still lives in Damascus (85.4%). The majority of the sample did not have any severe family problems (13.1%) or previous traumas in their lives (44.3%). By studying the index of addiction to the Internet, it was found that the prevalence of addiction to the Internet in the sample studied reached (34.2%). The inferential analysis in our study showed a significant correlation between Internet addiction and the presence of family problems (P = 0.00), with previous traumas in life (P = 0.016), and with the first semester grade point average (P = 0.015). While we did not find a significant correlation with the rest of the variables. Recommendations Based on the above, it is recommended to Conduct further studies to investigate risk factors for Internet addiction among medical students. And for Universities to adopt effective policies to confront this problem among their students. Conclusion As evidenced by this brief study, the field of Internet addiction is advancing rapidly even without formal recognition of it as a separate and distinct behavioral addiction and with continuing disagreement over diagnostic criteria. The debate over whether IAD should be classified as a (behavioral) addiction, an impulse control disorder, or even obsessive-compulsive disorder cannot be satisfactorily resolved. But the symptoms we have observed in clinical practice show a great deal of overlap with symptoms typically associated with (behavioral) addiction. It also remains unclear to this day whether the underlying mechanisms responsible for addictive behavior are the same in different types of IAD (e.g., online gaming, excessive browsing). Declarations Ethics approval and consent to participate. Syrian Private University Ethics committee provided the Ethical approval for the study (IRB-MNNF245), and we confirm that all experiments were performed in accordance with the Declaration of Helsinki. The participants inform their consent to participate in the study. Consent for publication The informed consent was obtained from all subjects. References Hayhurst, Christina J. and Durieux, Marcel E , “What is Addiction?” Psychology Today. No date shown. Accessed August 15, 2016. Kranzler HR, Li TK. What is addiction? Alcohol Res Health. 2008;31(2):93-5. [PMC free article] Grant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010 Sep;36(5):233-41. [PMC free article] [PubMed] Shaffer HJ, LaPlante DA, LaBrie RA, Kidman RC, Donato AN, Stanton MV. Toward a syndrome model of addiction: multiple expressions, common etiology. Harv Rev Psychiatry. 2004 Nov-Dec;12(6):367-74. doi: 10.1080/10673220490905705. PMID: 15764471. Blum K, Oscar-Berman M, Demetrovics Z, Barh D, Gold MS. Genetic Addiction Risk Score (GARS): molecular neurogenetic evidence for predisposition to Reward Deficiency Syndrome (RDS). Mol Neurobiol. 2014 Dec;50(3):765-96. [PMC free article] [PubMed] Koob GF, Le Moal M. Drug addiction, dysregulation of reward, and allostasis. Neuropsychopharmacology. 2001 Feb;24(2):97-129. [PubMed] Nestler EJ, Barrot M, Self DW. DeltaFosB: a sustained molecular switch for addiction. Proc Natl Acad Sci U S A. 2001 Sep 25;98(20):11042-6. [PMC free article] [PubMed] Perrotti LI, Hadeishi Y, Ulery PG, Barrot M, Monteggia L, Duman RS, Nestler EJ. Induction of deltaFosB in reward-related brain structures after chronic stress. J Neurosci. 2004 Nov 24;24(47):10594-602. [PMC free article] [PubMed] Torres-Berrio A, Cuesta S, Lopez-Guzman S, Nava-Mesa MO. Interaction Between Stress and Addiction: Contributions From Latin-American Neuroscience. Front Psychol. 2018;9:2639. [PMC free article] [PubMed] Harford TC, Grant BF, Yi HY, Chen CM. Patterns of DSM-IV alcohol abuse and dependence criteria among adolescents and adults: results from the 2001 National Household Survey on Drug Abuse. Alcohol Clin Exp Res. 2005 May;29(5):810-28. [PubMed] Weaver MF, Hopper JA, Gunderson EW. Designer drugs 2015: assessment and management. Addict Sci Clin Pract. 2015 Mar 25;10:8. [PMC free article] [PubMed] Egan KL, Suerken CK, Reboussin BA, Spangler J, Wagoner KG, Sutfin EL, Debinski B, Wolfson M. K2 and Spice use among a cohort of college students in southeast region of the USA. Am J Drug Alcohol Abuse. 2015;41(4):317-22. [PMC free article] [PubMed] Meyer R, Patel AM, Rattana SK, Quock TP, Mody SH. Prescription opioid abuse: a literature review of the clinical and economic burden in the United States. Popul Health Manag. 2014 Dec;17(6):372-87. [PMC free article] [PubMed] Gould TJ. Addiction and cognition. Addict Sci Clin Pract. 2010 Dec;5(2):4-14. [PMC free article] Shippenberg TS, Zapata A, Chefer VI. Dynorphin and the pathophysiology of drug addiction. Pharmacol Ther. 2007 Nov;116(2):306-21. [PMC free article] [PubMed] Volkow ND, Fowler JS, Wang GJ. The addicted human brain: insights from imaging studies. J Clin Invest. 2003 May;111(10):1444-51. [PMC free article] [PubMed] Samet S, Waxman R, Hatzenbuehler M, Hasin DS. Assessing addiction: concepts and instruments. Addict Sci Clin Pract. 2007 Dec;4(1):19-31. [PMC free article] [PubMed] Lacey SJ, Street TD. Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners. Biopsychosoc Med. 2017;11:30. [PMC free article] [PubMed] American Psychiatric Association. Diagnostic and statistical manual of mental disorders. (4th ed., text rev.) Washington, DC: 2000. Author. [Google Scholar] Young KS. Internet addiction: The emergence of a new clinical disorder. 104th annual meeting of the American Psychological Association; August 11 1996; Toronto, Canada. [Google Scholar] American Psychiatric Association. DSM-5 Publication Date Moved to May 2013. 2009 [cited 2011 August 21]; [Press release]. Available from: http: //www.psych.org/MainMenu/Newsroom/ NewsReleases/2009NewsReleases/DSM-5-Publication-Date- Moved-.aspx . Block JJ. Issues for DSM-V: Internet addiction. The American Journal of Psychiatry. 2008 Mar;165(3 ):306–7. [Editorial] [PubMed] [Google Scholar] Pies R. Should DSM-V designate "Internet addiction" a mental disorder? Psychiatry. 2009 Feb;6(2 ):31–7. [PMC free article] [PubMed] [Google Scholar] O'Brien CP. Commentary on Tao et al. (2010): Internet addiction and DSM-V. Addiction. [Comment/Reply] 2010 Mar;105(3 ):565. [Google Scholar] Beard KW. Internet addiction: a review of current assessment techniques and potential assessment questions. CyberPsychology & Behavior. 2005 Feb;8(1 ):7–14. [PubMed] [Google Scholar] Young KS. Caught in the net: how to recognize the signs of Internet addiction and a winning strategy for recovery. New York: J. Wiley; 1998. [Google Scholar] Young KS. Internet addiction: the emergence of a new clinical disorder. CyberPsychology & Behavior. 1998 Fal ;1(3 ):237–44. [Google Scholar] Kratzer S, Hegerl U. Is "Internet Addiction" a disorder of its own? A study on subjects with excessive internet use. Psychiatrische Praxis. 2008 Mar;35(2 ):80–3. [PubMed] [Google Scholar] Grant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to behavioral addictions. The American Journal of Drug and Alcohol Abuse. 2010 Aug;36(5 ):233–41. [PMC free article] [Google Scholar] American Society of Addiction Medicine. Public Policy Statement: Definition of Addiction. 2011 [cited 2011 August 21]; http: //www.asam.org/1DEFINITION_OF_ ADDICTION_LONG_4-11.pdf. Public Policy Statement: Definition of Addiction. 2011 [cited 2011 Augus. Davis RA. A cognitive behavioral model of pathological internet use (PIU) Computers in Human Behavior. 2001;17(2 ):187–95. [Google Scholar] Dowling NA, Quirk KL. Screening for Internet dependence: Do the proposed diagnostic criteria differentiate normal from dependent Internet use? CyberPsychology & Behavior. 2009 Feb;12(1 ):21–7. [PubMed] [Google Scholar] Caplan SE. Problematic Internet use and psychosocial well-being: development of a theory-based cognitive-behavioral measurement instrument. Computers in Human Behavior. 2002;18(5 ):553–75. Winkler A, Dörsing B. Treatment of internet addiction disorder: a first meta-analysis [Diploma thesis] Marburg: University of Marburg; 2011. [Google Scholar] JORDANNA KALKHOF, 5 Types of Internet Addiction, June 9, 2020. Beard KW. Internet addiction: a review of current assessment techniques and potential assessment questions. CyberPsychology & Behavior. 2005 Feb;8(1 ):7–14. [PubMed] [Google Scholar] Demetrovics Z, Szeredi B, Rozsa S. The three-factor model of Internet addiction: the development of the Problematic Internet Use Questionnaire. Behavior Research Methods. 2008;40(2 ):563–74. [PubMed] [Google Scholar] Meerkerk G, Van Den Eijnden R, Vermulst A, Garretsen H. The Compulsive Internet Use Scale (CIUS): some psychometric properties. CyberPsychology & Behavior. 2009 Feb;12(1 ):1–6. [PubMed] [Google Scholar] Linden DJ. The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel So Good. Viking Adult. 2011. Gabor Maté MD. In the Realm of Hungry Ghosts: Close Encounters with Addiction. North Atlantic Books. 2010. Bai Y-M, Lin C-C, Chen J-Y. Internet Addiction Disorder Among Clients of a Virtual Clinic. Psychiatric Services. 2001;52(10 ):1397. [Letter] [PubMed] [Google Scholar] Ko C-H, Liu G-C, Hsiao S, Yen J-Y, Yang M-J, Lin W-C, et al. Brain activities associated with gaming urge of online gaming addiction. Journal of Psychiatric Research. 2009;43(7 ):739–47. [PubMed] Young KS, Nabuco de Abreu C. Internet Addiction: A handbook and guide to evaluation and treatment. New Jersey: John Wiley & Sons Inc; 2011. [Google Scholar] michai-Hamburger Y, Ben-Artzi E. Loneliness and Internet use. Computers in Human Behavior. 2003;19(1 ):71–80. [Google Scholar] Eisen S, Lin N, Lyons M, Scherrer J, Griffith K, True W, et al. Familial influences on gambling behavior: an analysis of 3359 twin pairs. Addiction. 1998 Sep;1998:1375–84. [PubMed] [Google Scholar] Grant JE, Brewer JA, Potenza MN. The neurobiology of substance and behavioral addictions. CNS Spectrums. 2006. 2006 Dec;11(12 ):924–30. [PubMed] [Google Scholar] Dong G, Lu Q, Zhou H, Zhao X. Precursor or sequela: pathological disorders in people with Internet addiction disorder. Public Library of Science One [serial on the Internet] 2011;6(2 ) Available from: http: //www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal. pone.0014703 . [PMC free article] [PubMed] [Google Scholar] Petersen KU, Weymann N, Schelb Y, Thiel R, Thomasius R. Pathological Internet use - epidemiology, diagnostics, co-occurring disorders and treatment. Fortschritte Der Neurologie Psychiatrie. [Review] 2009 May;77(5 ):263–71. [PubMed] [Google Scholar] Young KS. Internet Addiction: Symptoms, Evaluation, And Treatment. Innovations in Clinical Practice [serial on the Internet]. 1999;17 Available from: http: //treatmentcenters.com/downloads/ internet-addiction.pdf . [Google Scholar] Arisoy O. Internet addiction and its treatment. Psikiyatride Guncel Yaklasimlar. 2009;1(1 ):55–67. [Google Scholar] Atmaca M. A case of problematic Internet use successfully treated with an SSRI-antipsychotic combination. Progress in Neuro-Psychopharmacology & Biological Psychiatry. 2007 May;31(4 ):961–2. [Letter] [PubMed] [Google Scholar] Huang X-q, Li M-c, Tao R. Treatment of Internet addiction. Current Psychiatry Reports. 2010 Oct ;12(5 ):462–70. [PubMed] [Google Scholar] Sattar P, Ramaswamy S. Internet gaming addiction. Canadian Journal of Psychiatry. 2004 Dec;49(12 ):871–2. [Google Scholar] Wieland DM. Computer addiction: implications for nursing psychotherapy practice. Perspectives in Psychiatric Care. 2005 Oct-Dec;41(4 ):153–61. [PubMed] [Google Scholar] Dell'Osso B, Hadley S, Allen A, Baker B, Chaplin WF, Hollander E. Escitalopram in the treatment of impulsive-compulsive Internet usage disorder: an open-label trial followed by a double-blind discontinuation phase. Journal of Clinical Psychiatry. 2008 Mar;69(3 ):452–6. [Google Scholar] Han DH, Hwang JW, Renshaw PF. Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Experimental and Clinical Psychopharmacology. 2010 Aug;18(4 ):297–304. [PubMed] [Google Scholar] Han DH, Lee YS, Na C, Ahn JY, Chung US, Daniels MA, et al. The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Comprehensive Psychiatry. 2009 May-Jun;50(3 ):251 –6. [PubMed] [Google Scholar] Shapira NA, Goldsmith TD, Keck PE , Jr, Khosla UM, McElroy SL. Psychiatric features of individuals with problematic Internet use. Journal of affective disorders. 2000 Jan-Mar;57(1-3 ):267–72. [PubMed] [Google Scholar] Greenfield DN. Suchtfalle Internet. Hilfe fuer Cyberfreaks, Netheads und ihre Partner. Virtual addiction: Zuerich: Walter. 2000. Lanjun Z. The applications of group mental therapy and sports exercise prescriptions in the intervention of Internet addiction disorder. Psychological Science (China) 2009 May;32(3 ):738–41. iller WR, Rollnick S. In: Motivational interviewing: preparing people for change. 2nd ed. Miller WR, Rollnick S, editors. New York: Guilford Press; 2002. [Google Scholar] Miller NH. Motivational interviewing as a prelude to coaching in healthcare settings. Journal of Cardiovascular Nursing. 2010 May-Jun;25(3 ):247–51. [PubMed] [Google Scholar] Burke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal of consulting and clinical psychology. 2003 Oct;71(5 ):843–61. [PubMed] [Google Scholar] Kim J-U. A reality therapy group counseling program as an Internet addiction recovery method for college students in Korea. International Journal of Reality Therapy. 2007 Spr ;26(2 ):3–9. Kim J-U. The effect of a R/T group counseling program on the Internet addiction level and self-esteem of Internet addiction university students. International Journal of Reality Therapy. 2008 Spr; 27(2 ):4–12. [Google Scholar] Widyanto L, Griffiths MD. 'Internet addiction': a critical review. International Journal of Mental Health and Addiction. 2006 Jan;4(1 ):31–51. [Google Scholar] Abreu CN, Goes DS. Psychotherapy for Internet addiction. In: Young KS, de Abreu CN, editors. Internet addiction: A handbook and guide to evaluation and treatment. Hoboken, NJ: John Wiley & Sons Inc; US; 2011. pp. 155–71. [Google Scholar] Young KS. Cognitive behavior therapy with Internet addicts: treatment outcomes and implications. CyberPsychology & Behavior. 2007 Oct;10(5 ):671–9. [PubMed] [Google Scholar] Orzack MH, Orzack DS. Treatment of computer addicts with complex co-morbid psychiatric disorders. Cyberpsychology & Behavior. 1999;2(5 ):465–73. [PubMed] [Google Scholar] Du Y-s, Jiang W, Vance A. Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai. Australian and New Zealand Journal of Psychiatry. 2010;44(2 ):129–34. [PubMed] [Google Scholar] Fang-ru Y, Wei H. The effect of integrated psychosocial intervention on 52 adolescents with Internet addiction disorder. Chinese Journal of Clinical Psychology. 2005 Aug;13(3 ):343–5. [Google Scholar] Rong Y, Zhi S, Yong Z. Comprehensive intervention on Internet addiction of middle school students. Chinese Mental Health Journal. 2006 Jul;19(7 ):457–9. [Google Scholar] Neha Alawadhi, IAMAI report. ET Bureau Sep 3, 2015. Available form: http://articles.economictimes.indiatimes.com/2015-09-03/news/66178659_1_user-base-iamaiinternet-and-mobile-association . Widyanto L, Griffiths M. Internet addiction: A critical review. Int J Ment Health Addict. 2006;4:31–51. [Google Scholar] Chou C, Condron L, Belland JC. A review of the research on internet addiction. Educ Psychol Rev. 2005;17:363–88. [Google Scholar] Young KS, Rogers RC. The relationship between depression and internet addiction. Cyberpsychol Behav. 1998;1:25–8. [Google Scholar] Sharma A, Sahu R, Kasar PK, Sharma R. Internet addiction among professional courses students: A study from Central India. Int J Med Sci Public Health. 2014;3:1069–73. [Google Scholar] Kandell JJ. Internet addiction on campus: The vulnerability of college students. Cyberpsychol Behav. 1998;1:11–7. [Google Scholar] Chakraborty K, Basu D, Kumar K. Internet addiction: Consensus, controversies, and the way ahead. East Asian Archives of Psychiatry. 2010 Sep;20(3 ):123–32. [PubMed] [Google Scholar] Peukert P, Sieslack S, Barth G, Batra A. Internet- and computer game addiction: Phenomenology, comorbidity, etiology, diagnostics and therapeutic implications for the addictives and their relatives. Psychiatrische Praxis. 2010 Jul;37(5 ):219–24. [PubMed] [Google Scholar] Weinstein A, Lejoyeux M. Internet addiction or excessive Internet use. The American Journal of Drug and Alcohol Abuse. 2010 Aug;36(5 ):277–83. [PubMed] [Google Scholar] Young KS, Nabuco de Abreu C. Internet Addiction: A handbook and guide to evaluation and treatment. New Jersey: John Wiley & Sons Inc; 2011. [Google Scholar] Winkler A, Dörsing B. Treatment of internet addiction disorder: a first meta-analysis [Diploma thesis] Marburg: University of Marburg; 2011. [Google Scholar] Haroon MZ, Zeb Z, Javed Z, Awan Z, Aftab Z, Talat W. Internet Addiction In Medical Students. J Ayub Med Coll Abbottabad. 2018 Oct-Dec;30(Suppl 1)(4):S659-S663. PMID: 30838826. Taha MH, Shehzad K, Alamro AS, Wadi M. Internet Use and Addiction Among Medical Students in Qassim University, Saudi Arabia. Sultan Qaboos Univ Med J. 2019 May;19(2):e142-e147. doi: 10.18295/squmj.2019.19.02.010. Epub 2019 Sep 8. PMID: 31538013; PMCID: PMC6736271. Nath K, Naskar S, Victor R. A Cross-Sectional Study on the Prevalence, Risk Factors, and Ill Effects of Internet Addiction Among Medical Students in Northeastern India. Prim Care Companion CNS Disord. 2016 Mar 31;18(2):10.4088/PCC.15m01909. doi: 10.4088/PCC.15m01909. PMID: 27486546; PMCID: PMC4956431. Additional Declarations The authors declare no competing interests. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4117958","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":280558541,"identity":"3a951d47-b8a9-4b3a-82a4-510c49c10e62","order_by":0,"name":"Nour Al-Nahar","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAABAUlEQVRIiWNgGAWjYDCCA1Caj4GBDUjZJIB5CQVEaGGDaElLAFMJBsRrOQzRwoBHC9/tA2wPPrbdk2eTbn724Oee83n88t2JHx4YMMjzix3AqkXyXAK74cy2YsM2mWPmhj3PbhdLtvFulgA6zHDm7ASsWgzOMLBJ87YlMLZJJJhJ8By4nbjhGO8GkJYEg9v4tdi3SaR/k/xz4BxIy+YfxGhJbJPIMZPmOXAApGUbXlskzzC2Sc44l5AM1FImLXMgOXFmW+42iwQDCZx+4TvDfEziQ1mCbb9E+jbJNwfsEvuZz26++aPCRp5fGrsWBgbGBqzCEjiUj4JRMApGwSggBgAAA3hbf+dlqSwAAAAASUVORK5CYII=","orcid":"","institution":"Syrian Private University","correspondingAuthor":true,"prefix":"","firstName":"Nour","middleName":"","lastName":"Al-Nahar","suffix":""},{"id":280558573,"identity":"b120472e-27f7-495d-9edb-c025f86ae29c","order_by":1,"name":"Heba Mardini","email":"","orcid":"","institution":"Damascus University, Faculty of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Heba","middleName":"","lastName":"Mardini","suffix":""}],"badges":[],"createdAt":"2024-03-17 16:34:39","currentVersionCode":1,"declarations":{"humanSubjects":true,"vertebrateSubjects":false,"conflictsOfInterestStatement":false,"humanSubjectEthicalGuidelines":true,"humanSubjectConsent":true,"humanSubjectClinicalTrial":false,"humanSubjectCaseReport":false,"vertebrateSubjectEthicalGuidelines":false,"coiExplicitlySet":false},"doi":"10.21203/rs.3.rs-4117958/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4117958/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":52883278,"identity":"755fcb03-12a2-4f81-8cc0-d3451d5a97a0","added_by":"auto","created_at":"2024-03-18 09:56:31","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1065014,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4117958/v1/f15389a6-98d5-47d0-bcff-55cc157927cb.pdf"}],"financialInterests":"The authors declare no competing interests.","formattedTitle":"\u003cp\u003eMedical Students' Internet Addiction And Its Impact On Academic Achievement\u003c/p\u003e","fulltext":[{"header":"Introduction","content":"\u003cp\u003eThe definition of addiction is \"the fact or condition of being addicted to a particular substance, thing, or activity.\" Medically, it is a \"chronic, recurrent, relapsing disorder characterized by a compulsive pursuit of certain substances or certain behaviors, and the continuation of them despite the harmful consequences resulting from them and the long-term changes that occur in the brain\". There are two main concepts of addiction which include physical addiction (drug addiction), and non-physical addictions (behavioral addictions).\u003c/p\u003e \u003cp\u003eThere is complex interplay between neurobiology, genetics, and environment\u0026mdash;that is, natural and acquired factors\u0026mdash;that play a role in the development of addiction, alcohol, and other substance use disorders. The five stages of addiction (First use, Continued use, Endurance, Accreditation, Addiction). These stages of addiction apply to either physical addiction or non-physical addiction.\u003c/p\u003e \u003cp\u003eExcessive computer use meets the criteria for addiction. Internet addiction (misuse) (IAD) has been studied extensively and is already currently under consideration for inclusion in the DSM-V. Some researchers and mental health practitioners consider excessive Internet use as a symptom of another disorder such as anxiety or depression rather than a separate entity. Internet addiction can also be considered an impulse control disorder (not otherwise specified). However, there is a growing consensus that this set of symptoms is addictive.\u003c/p\u003e \u003cp\u003eAll addictions, whether chemical or behavioral, share certain characteristics including salience, compulsive use (loss of control), mood modification, relief of distress, tolerance, withdrawal, and persistence despite negative consequences. Types of Internet Addiction are Net Compulsions, Information Seeking, Gaming, Cybersex, Cyber Relationships.\u003c/p\u003e \u003cp\u003eResearchers have presented that younger populations, especially college students, are at greater risk of addiction due to their psychological, social, and environmental characteristics. Many factors have been attributed to this weakness, such as unstructured time, unlimited access to the Internet, a greater desire to use the latest tools and technologies, with less parental control, as well as the desire to develop a sense of identity and develop a close and meaningful relationship.\u003c/p\u003e"},{"header":"Material and Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eAimes\u003c/h2\u003e \u003cp\u003eThis research aims were studying spread of Internet addiction among medical students at the Syrian Private University; the impact of Internet addiction on students\u0026rsquo; academic achievement; studying statistically significant correlations between variables.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eStudy Design\u003c/h2\u003e \u003cp\u003eType of study: Observational study in the form of a cross-sectional study.\u003c/p\u003e \u003cp\u003eTarget group: Clinical years students (4th, 5th, and 6th years) at the Faculty of Human Medicine at the Syrian Private University (SPU) in Syria.\u003c/p\u003e \u003cp\u003eSampling: The sample selection was simple and random.\u003c/p\u003e \u003cp\u003eData were collected in the form of electronic questionnaires designed for this research purpose, based on the adapted Young's test. These questionnaires were published on university students' social networking sites. This takes place at 2020.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec5\" class=\"Section2\"\u003e \u003ch2\u003eData collection tool\u003c/h2\u003e \u003cp\u003eThe data collection tool in the research was an electronic questionnaire. It was published on the social networking sites of clinical years students at the Faculty of Human Medicine at the Syrian Private University. The published questionnaire included 3 sections of questions.\u003c/p\u003e \u003cp\u003eThe first section of the questionnaire contained questions related to demographic information. Among the personal information that was asked about were: age, gender, year of study, smoking, and percentage rate for the last year of study. As for the second section of the questionnaire, it included questions about the impact of the Internet on study and social life. In the third section questions were included, which included a survey about the most popular sites used on the Internet, the number of hours of daily Internet use, and the number of daily study hours.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec6\" class=\"Section2\"\u003e \u003ch2\u003eApprovals:\u003c/h2\u003e \u003cp\u003eEthical approval was obtained from the Deanship of the Faculty of Human Medicine at the Syrian Private University to conduct this research and collect data from students. Informed consent was also obtained from the students by informing them of their participation in this research in the first part of the electronic questionnaire that was published.\u003c/p\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eStatistical Analyses\u003c/h2\u003e \u003cp\u003e The data were entered into the Statistical Package for the Social Sciences (SPSS V.22), where all variables were coded and both descriptive and inferential statistical methods were followed to analyze the data and answer the research hypotheses. Descriptive statistics were used to extract percentages, standard deviation, and most frequent values in the sample. The internal consistency test of the questionnaire (Cronbach Alpha test) was used to study the internal consistency between the research elements and variables. The Shapiro-Wilk test for normal distribution was also used to study the pattern of data distribution and thus determine the appropriate statistical tests for the type of data, whether parametric or non-parametric tests.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec9\" class=\"Section2\"\u003e \u003ch2\u003eInternal consistency test for the questionnaire:\u003c/h2\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e presents the result of the Cronbach Alpha test, where the result indicates a value equal to (0.735), which indicates good internal consistency and that the questionnaire is applicable and used to collect data and answer research hypotheses, (acceptable if test result value exceeds (0.60)).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eInternal consistency test (Cronbach\u0026rsquo;s alpha) for the questionnaire\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercentage\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eTest result\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNumber of elements\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eElements\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eIncluded\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e0.735\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e22\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eExcluded\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eTotal\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e100.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec10\" class=\"Section2\"\u003e \u003ch2\u003eTesting the normal distribution of data:\u003c/h2\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e presents the result of the Shaprio-Wilk test. This test is used to determine the pattern of data distribution, whether normally or non-normally distributed, whether for quantitative or significant data. It appears from the table that the test result for all studied variables was less than (0.05), which indicates an abnormal distribution of the data, and therefore nonparametric tests must be used to answer the research hypotheses.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eTest of normal distribution of data\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"3\" nameend=\"c4\" namest=\"c2\"\u003e \u003cp\u003eShapiro-Wilk\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003evalue\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003edf\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eSignificance level\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.843\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eGender\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.629\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAcademical year\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.776\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003esmoking\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.592\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAcademic average percentage\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.714\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFather's education\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.582\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMother's education\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.697\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eNumber of siblings\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.740\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCurrent residence\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.430\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003ePlace of birth\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.629\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAre there severe family problems?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.407\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAre there previous severe traumas in life??\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.632\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eStudy time wasted because of the Internet?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.664\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHas excessive Internet use affected the grades?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.742\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e - Test of normal distribution of data\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Taba\" border=\"1\"\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"3\" nameend=\"c4\" namest=\"c2\"\u003e \u003cp\u003eShapiro-Wilk\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003evalue\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003edf\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eSignificance level\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDo you find more attention online than you get in real life??\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.801\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDo you find it difficult to concentrate while studying and escape to the virtual world?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.777\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHave you faced family problems due to spending a long time on the Internet and neglecting your studies?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.809\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHave you tried to control your Internet use and failed?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.809\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDo you miss lectures because you are busy on the Internet?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.368\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eCan you study for two hours continuously without wanting to open the Internet?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.708\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDid your academic grades decline due to excessive use of the Internet?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.805\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDo you find it difficult to concentrate with the doctor during the lecture because of the intense desire to access the Internet??\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.673\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDoes the Internet cause you to stay up late??\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.765\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDoes your preoccupation with the Internet prevent you from spending enough time with your family??\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.787\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eDo you feel regret after spending a long time online??\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.789\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eWhat is the social networking site you spend the most time on:\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.661\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHow much social media sites take up your time?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.733\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eHow much time does studying take from your day?\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e.698\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.000\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eDemographic variables of the sample (1st section of questionnaire)\u003c/h2\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e presents the descriptive analysis of the demographic variables, which include (age, gender, year of study, smoking, father\u0026rsquo;s and mother\u0026rsquo;s education, percentage, number of siblings, place of residence, place of birth, presence of family problems, and presence of previous psychological traumas).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eDescriptive analysis of demographic variables for the sample\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercentage\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eMean\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eMinimum value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eSupreme value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003estandard deviation\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAge\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e23.36\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e22.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e28.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e1.25\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eGender\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFemale\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e125\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e57.1%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMale\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e94\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e42.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eAcademical Year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e4th year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e22.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e5th year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e32.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e6th year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e98\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e44.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eSmoking\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e72\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e32.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e147\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e67.1%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAcademic average percentage\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e78.84\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e62.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e94.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e9.93\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eFather\u0026rsquo;s education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eUniversity\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e162\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e74.0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHigh school\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e18.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePreparatory\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e7.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eMother\u0026rsquo;s education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eUniversity\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e133\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e60.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eHigh school\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e26.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePreparatory\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e27\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e12.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNumber of siblings\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e3.42\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e23.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e2.31\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003eResidential place\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eDamascus\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e187\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e85.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eOther\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e32\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e14.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003ePlace of birth\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eDamascus\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e125\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e57.1%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eOther\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e94\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e42.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003esevere family problems\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e30\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e13.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e189\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e86.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e \u003cp\u003e\u003cb\u003esevere psychological trauma\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e97\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e44.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e122\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e55.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eDescriptive analysis of Internet addiction variables ( 2nd section questionnaire)\u003c/h2\u003e \u003cp\u003eThe addiction questionnaire, consisting of (\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e) statements, was designed on the basis of a three-way Likert scale, which is considered one of the best methods for measuring attitudes. The answer method was for the participant to choose one of the three answers (yes, a little, no). yes\u0026thinsp;=\u0026thinsp;3, a little\u0026thinsp;=\u0026thinsp;2; no\u0026thinsp;=\u0026thinsp;1. The lowest score is 17, and the highest score is 51. As presented in Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eDescriptive analysis of Internet addiction variables\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"7\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003eA little\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003eNo\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c7\" namest=\"c6\"\u003e \u003cp\u003eYes\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eWasting study time due to the Internet\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e127\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e58.0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e7.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e75\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e34.2%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eThe effect of excessive Internet use on grades\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e91\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e41.6%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e42\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e19.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e86\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e39.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eDifficulty stopping using the Internet, even with fatigue and drowsiness\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e58\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e26.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e98\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e44.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e63\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e28.8%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eSuffering from blackout symptoms when you stop using the Internet\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e25\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e11.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e114\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e52.1%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e80\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e36.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eThere is an urgent desire to return to the Internet after it is closed\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e83\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e37.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e39\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e17.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e97\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e44.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eThinking about the Internet while studying\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e42\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e19.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e43.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e82\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e37.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eGet more attention online than in real life\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e21.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e118\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e53.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e54\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e24.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eDifficulty concentrating while studying and escaping from it to the virtual world\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e72\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e32.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e62\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e28.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e85\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e38.8%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eFamily problems due to spending a long time on the Internet and neglecting studies\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e54\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e24.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e105\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e47.9%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e60\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e27.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003ePrevious failed attempts to control Internet use\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e64\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e29.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e101\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e46.1%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e54\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e24.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAbsence from lectures due to your preoccupation with the Internet\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e2.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e201\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e91.8%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e13\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e5.9%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eThe ability to study for two hours continuously without wanting to open the Internet\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e126\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e57.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e21.0%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e21.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eAcademic degrade due to excessive Internet use\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e51\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e23.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e43.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e73\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e33.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eDifficulty concentrating with the lecturer due to the intense desire to access the Internet\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e18\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e8.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e163\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e74.4%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e38\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e17.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eStaying up late because of the internet\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e93\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e42.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e56\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e25.6%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e70\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e32.0%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eBeing busy with the Internet limits spending enough time with the family\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e18.3%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e87\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e39.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e92\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e42.0%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eFeeling remorse after spending long time online\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e87\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e39.7%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e75\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e34.2%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e57\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e26.0%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003eDescriptive analysis of secondary variables (3rd section of the questionnaire)\u003c/h2\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e presents the descriptive analysis of the secondary variables of the research, where the most frequently used social networking site was Facebook (65.3%). Social networking sites also take up (43.4%) of the sample two or more hours of their time daily. The major of hours allocated to study was two hours or more (42.5%).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eDescriptive analysis of secondary variables\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"4\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ePercentage\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eThe social networking site most spent on\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFacebook\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e143\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e65.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eInstagram\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e21.0%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYouTube\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e30\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e13.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eHours spent on social networking sites\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e2\u0026thinsp;\u0026le;\u0026thinsp;hours\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e43.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e6\u0026thinsp;\u0026le;\u0026thinsp;hours\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e38\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e17.4%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e4\u0026thinsp;\u0026le;\u0026thinsp;hours\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e86\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e39.3%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eStudy hours per day\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e2\u0026thinsp;\u0026le;\u0026thinsp;hours\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e93\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e42.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e6\u0026thinsp;\u0026le;\u0026thinsp;hours\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e23\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e10.5%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e4\u0026thinsp;\u0026le;\u0026thinsp;hours\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e103\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e47.0%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003eStudy of Internet addiction index\u003c/h2\u003e \u003cp\u003eThe value of the addiction index was calculated by replacing one of the three answers (no, a little, yes) with the values (\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e). Table\u0026nbsp;6 presents the analysis of the Internet addiction index, where the value ranged between 17\u0026ndash;46, and was mean (34.1), with a standard deviation of 5.1.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab6\" border=\"1\"\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003eTable No. 6 - Calculating the value of the internet addiction index\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eMinimum value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eSupreme value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eMean\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003estandard deviation\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eaddiction index\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e17.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e46.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e34.1963\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e5.19463\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eValid N (listwise)\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \n\u003cp\u003eTable 7 presents the percentage of people who are addicted to the Internet and those who are not. The percentage of addiction to the Internet was (60.3%), while there was no addiction to the Internet (39.7%). The percentage of addiction to the Internet was also distributed according to the Gender variable, where the number of males addicted to the Internet was equal to (19.2%), while the number of females addicted to the Internet was equal to (20.5%).\u003c/p\u003e\n\u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabb\" border=\"1\"\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"5\" nameend=\"c5\" namest=\"c1\"\u003e \u003cp\u003eTable No. 7 - Percentage of Internet addiction within the sample\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003ePercentage\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eReal Percentage\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eCumulative Percentage\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNot addicted\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e87\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e39.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e39.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e39.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eInternet addicted\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e132\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e60.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e60.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e100.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e100.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e100.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"1\" rowspan=\"2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colspan=\"4\" nameend=\"c5\" namest=\"c2\"\u003e \u003cp\u003e\u003cb\u003eGender\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c3\" namest=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFemale\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colspan=\"2\" nameend=\"c5\" namest=\"c4\"\u003e \u003cp\u003e\u003cb\u003eMale\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eNot addicted\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e45\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e20.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e42\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e19.2%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e\u003cb\u003eInternet addicted\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e80\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e36.5%\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e52\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e23.7%\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003eInferential analysis\u003c/h2\u003e \u003cp\u003e \u003cb\u003eStudying the correlation between the degree of addiction and age, academical average percentage, and number of siblings\u003c/b\u003e \u003c/p\u003e \u003cp\u003eThe Spearman test was conducted to study the correlation between the value of the addiction index and each of the quantitative variables (age, academical average percentage, and number of siblings).\u003c/p\u003e \u003cp\u003eThere was a significant correlation between the Internet addiction index and the academical average percentage, but this relationship was negative, that is, the higher the academical average percentage, the lower the Internet addiction.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabc\" border=\"1\"\u003e \u003ccolgroup cols=\"6\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"6\" nameend=\"c6\" namest=\"c1\"\u003e \u003cp\u003eTable No. 8 - The correlation between the Internet addiction index with age, academical average percentage, and number of siblings\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"3\" nameend=\"c3\" namest=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eCorrelation value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eSignificance level value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eTest significance\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eSpearman's correlation\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eInternet addiction index\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003eAge\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.323\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e.067\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003eAcademical percentage\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.432-\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e\u003cb\u003e.015\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSignificant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e\u003cb\u003enumber of siblings\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.830\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e.053\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003cb\u003eStudying the correlation between the degree of addiction and gender, smoking, current residence, and the presence of (severe family problems) or (severe previous traumas in life)\u003c/b\u003e \u003c/p\u003e \u003cp\u003eThe Mann-Whitney U test was conducted to study the relationship between gender, smoking, housing, family problems, and previous traumas with the feeling of Internet addiction. Table\u0026nbsp;9 shows the results of this test.\u003c/p\u003e \u003cp\u003eA significant difference was found in the value of the Internet addiction index with the presence of severe family problems, as the value of the significance level was smaller than (0.05), and the same was true between the value of the Internet addiction index and the presence of severe traumas (0.016).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"No\" id=\"Tabd\" border=\"1\"\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"8\" nameend=\"c8\" namest=\"c1\"\u003e \u003cp\u003eTable No. 9 - correlation between addiction and gender, smoking, housing, the presence of severe family problems, or psychological traumas\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eFrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAverage rank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eTotal rank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eValue of z\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eSignificance level value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eSignificance of the test\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eGender\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eFemale\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e125\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e113.41\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e14176.50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.921\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e.357\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eMale\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e94\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e105.46\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e9913.50\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eSmoking\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e72\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e106.02\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e7633.50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.652\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e.514\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e147\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e111.95\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e16456.50\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003eResidence\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eDamascus\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e187\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e109.47\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e20470.00\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u0026minus;\u0026thinsp;.020\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e.984\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eother\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e31\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e109.71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e3401.00\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e218\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003efamily problems\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e30\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e53.18\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e1595.50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e-5.300\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003e.000\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eSignificant difference between variables\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e189\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e119.02\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e22494.50\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003esevere traumas\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eYes\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e97\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e98.49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e9553.50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e-2.403\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003e\u003cb\u003e.016\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\" morerows=\"2\" rowspan=\"3\"\u003e \u003cp\u003eSignificant difference between variables\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eNo\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e122\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e119.15\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e14536.50\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003eStudying the correlation between the degree of addiction and the academic year, the parents\u0026rsquo; education\u003c/h2\u003e \u003cp\u003eTable\u0026nbsp;\u003cspan refid=\"Tab7\" class=\"InternalRef\"\u003e10\u003c/span\u003e summarizes the result of the Kruskal-Wallis test to study the correlation between academic year, father\u0026rsquo;s education, and mother\u0026rsquo;s education with the value of the Internet addiction index. There was no significant difference in the values of the Internet addiction index with academic year (P\u0026thinsp;=\u0026thinsp;0.390), father\u0026rsquo;s education (P\u0026thinsp;=\u0026thinsp;0.474), and mother\u0026rsquo;s education (P\u0026thinsp;=\u0026thinsp;0.586).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab7\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 10\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eThe correlation between the addiction index and the academic year of school, the parents\u0026rsquo; education\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"7\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colspan=\"2\" nameend=\"c2\" namest=\"c1\"\u003e \u003cp\u003eVariables\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003efrequency\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAverage rank\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003echi square value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eSignificance level value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eSignificance of the test\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eAcademic year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e4th year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e50\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e109.07\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e1.883\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e.390\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e5th year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e71\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e118.08\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003e6th year\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e98\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e104.62\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eFather\u0026rsquo;s education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eUniversity\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e162\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e108.84\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e1.494\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e.474\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSecondary\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e40\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e107.11\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePreparatory\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e17\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e127.85\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e\u003cb\u003eMother\u0026rsquo;s education\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eUniversity\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e133\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e108.89\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e1.069\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003e.586\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\" morerows=\"3\" rowspan=\"4\"\u003e \u003cp\u003eNo significant difference\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eSecondary\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e107.18\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003ePreparatory\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e27\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e121.61\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e\u003cb\u003eTotal\u003c/b\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e219\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003c/div\u003e"},{"header":"Discussion","content":"\u003cp\u003eIn our study, the age ranged between 22\u0026ndash;28 years, the percentage of females (57.1%) was greater than that of males, and the percentage of sixth-year students was the largest (44.7%). The majority of them were non-smokers, and the academic average percentile was about (78.8%). As for the level of education of the mother and father, the majority of the sample had a university level. The majority of the sample was born in Damascus (47.1%), and the vast majority still lives in Damascus (85.4%). The majority of the sample did not have any severe family problems (13.1%) or previous traumas in their lives (44.3%).\u003c/p\u003e \u003cp\u003eBy studying the index of addiction to the Internet, it was found that the prevalence of addiction to the Internet in the sample studied reached (34.2%).\u003c/p\u003e \u003cp\u003eThe inferential analysis in our study showed a significant correlation between Internet addiction and the presence of family problems (P\u0026thinsp;=\u0026thinsp;0.00), with previous traumas in life (P\u0026thinsp;=\u0026thinsp;0.016), and with the first semester grade point average (P\u0026thinsp;=\u0026thinsp;0.015). While we did not find a significant correlation with the rest of the variables.\u003c/p\u003e \u003cp\u003eRecommendations\u003c/p\u003e \u003cp\u003eBased on the above, it is recommended to Conduct further studies to investigate risk factors for Internet addiction among medical students. And for Universities to adopt effective policies to confront this problem among their students.\u003c/p\u003e"},{"header":"Conclusion","content":"\u003cp\u003eAs evidenced by this brief study, the field of Internet addiction is advancing rapidly even without formal recognition of it as a separate and distinct behavioral addiction and with continuing disagreement over diagnostic criteria. The debate over whether IAD should be classified as a (behavioral) addiction, an impulse control disorder, or even obsessive-compulsive disorder cannot be satisfactorily resolved. But the symptoms we have observed in clinical practice show a great deal of overlap with symptoms typically associated with (behavioral) addiction.\u003c/p\u003e \u003cp\u003eIt also remains unclear to this day whether the underlying mechanisms responsible for addictive behavior are the same in different types of IAD (e.g., online gaming, excessive browsing).\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate.\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSyrian Private University Ethics committee provided the Ethical approval for the study (IRB-MNNF245), and we confirm that all experiments were performed in accordance with the Declaration of Helsinki. The participants inform their consent to participate in the study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe informed consent was obtained from all subjects.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\n\u003cli\u003eHayhurst, Christina J. and Durieux, Marcel E , \u0026ldquo;What is Addiction?\u0026rdquo; Psychology Today. No date shown. Accessed August 15, 2016.\u003c/li\u003e\n\u003cli\u003eKranzler HR, Li TK. What is addiction? Alcohol Res Health. 2008;31(2):93-5. [PMC free article] \u003c/li\u003e\n\u003cli\u003eGrant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to behavioral addictions. Am J Drug Alcohol Abuse. 2010 Sep;36(5):233-41. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eShaffer HJ, LaPlante DA, LaBrie RA, Kidman RC, Donato AN, Stanton MV. Toward a syndrome model of addiction: multiple expressions, common etiology. Harv Rev Psychiatry. 2004 Nov-Dec;12(6):367-74. doi: 10.1080/10673220490905705. PMID: 15764471.\u003c/li\u003e\n\u003cli\u003eBlum K, Oscar-Berman M, Demetrovics Z, Barh D, Gold MS. Genetic Addiction Risk Score (GARS): molecular neurogenetic evidence for predisposition to Reward Deficiency Syndrome (RDS). Mol Neurobiol. 2014 Dec;50(3):765-96. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eKoob GF, Le Moal M. Drug addiction, dysregulation of reward, and allostasis. Neuropsychopharmacology. 2001 Feb;24(2):97-129. [PubMed]\u003c/li\u003e\n\u003cli\u003eNestler EJ, Barrot M, Self DW. DeltaFosB: a sustained molecular switch for addiction. Proc Natl Acad Sci U S A. 2001 Sep 25;98(20):11042-6. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003ePerrotti LI, Hadeishi Y, Ulery PG, Barrot M, Monteggia L, Duman RS, Nestler EJ. Induction of deltaFosB in reward-related brain structures after chronic stress. J Neurosci. 2004 Nov 24;24(47):10594-602. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eTorres-Berrio A, Cuesta S, Lopez-Guzman S, Nava-Mesa MO. Interaction Between Stress and Addiction: Contributions From Latin-American Neuroscience. Front Psychol. 2018;9:2639. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eHarford TC, Grant BF, Yi HY, Chen CM. Patterns of DSM-IV alcohol abuse and dependence criteria among adolescents and adults: results from the 2001 National Household Survey on Drug Abuse. Alcohol Clin Exp Res. 2005 May;29(5):810-28. [PubMed]\u003c/li\u003e\n\u003cli\u003eWeaver MF, Hopper JA, Gunderson EW. Designer drugs 2015: assessment and management. Addict Sci Clin Pract. 2015 Mar 25;10:8. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eEgan KL, Suerken CK, Reboussin BA, Spangler J, Wagoner KG, Sutfin EL, Debinski B, Wolfson M. K2 and Spice use among a cohort of college students in southeast region of the USA. Am J Drug Alcohol Abuse. 2015;41(4):317-22. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eMeyer R, Patel AM, Rattana SK, Quock TP, Mody SH. Prescription opioid abuse: a literature review of the clinical and economic burden in the United States. Popul Health Manag. 2014 Dec;17(6):372-87. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eGould TJ. Addiction and cognition. Addict Sci Clin Pract. 2010 Dec;5(2):4-14. [PMC free article] \u003c/li\u003e\n\u003cli\u003eShippenberg TS, Zapata A, Chefer VI. Dynorphin and the pathophysiology of drug addiction. Pharmacol Ther. 2007 Nov;116(2):306-21. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eVolkow ND, Fowler JS, Wang GJ. The addicted human brain: insights from imaging studies. J Clin Invest. 2003 May;111(10):1444-51. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eSamet S, Waxman R, Hatzenbuehler M, Hasin DS. Assessing addiction: concepts and instruments. Addict Sci Clin Pract. 2007 Dec;4(1):19-31. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eLacey SJ, Street TD. Measuring healthy behaviours using the stages of change model: an investigation into the physical activity and nutrition behaviours of Australian miners. Biopsychosoc Med. 2017;11:30. [PMC free article] [PubMed]\u003c/li\u003e\n\u003cli\u003eAmerican Psychiatric Association. Diagnostic and statistical manual of mental disorders. (4th ed., text rev.) Washington, DC: 2000. Author. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS. Internet addiction: The emergence of a new clinical disorder. 104th annual meeting of the American Psychological Association; August 11 1996; Toronto, Canada. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eAmerican Psychiatric Association. DSM-5 Publication Date Moved to May 2013. 2009 [cited 2011 August 21]; [Press release]. Available from: http: //www.psych.org/MainMenu/Newsroom/ NewsReleases/2009NewsReleases/DSM-5-Publication-Date- Moved-.aspx .\u003c/li\u003e\n\u003cli\u003eBlock JJ. Issues for DSM-V: Internet addiction. The American Journal of Psychiatry. 2008 Mar;165(3 ):306\u0026ndash;7. [Editorial] [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003ePies R. Should DSM-V designate \u0026quot;Internet addiction\u0026quot; a mental disorder? Psychiatry. 2009 Feb;6(2 ):31\u0026ndash;7. [PMC free article] [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eO\u0026apos;Brien CP. Commentary on Tao et al. (2010): Internet addiction and DSM-V. Addiction. [Comment/Reply] 2010 Mar;105(3 ):565. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eBeard KW. Internet addiction: a review of current assessment techniques and potential assessment questions. CyberPsychology \u0026amp; Behavior. 2005 Feb;8(1 ):7\u0026ndash;14. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS. Caught in the net: how to recognize the signs of Internet addiction and a winning strategy for recovery. New York: J. Wiley; 1998. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS. Internet addiction: the emergence of a new clinical disorder. CyberPsychology \u0026amp; Behavior. 1998 Fal ;1(3 ):237\u0026ndash;44. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eKratzer S, Hegerl U. Is \u0026quot;Internet Addiction\u0026quot; a disorder of its own? A study on subjects with excessive internet use. Psychiatrische Praxis. 2008 Mar;35(2 ):80\u0026ndash;3. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eGrant JE, Potenza MN, Weinstein A, Gorelick DA. Introduction to behavioral addictions. The American Journal of Drug and Alcohol Abuse. 2010 Aug;36(5 ):233\u0026ndash;41. [PMC free article] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eAmerican Society of Addiction Medicine. Public Policy Statement: Definition of Addiction. 2011 [cited 2011 August 21]; http: //www.asam.org/1DEFINITION_OF_ ADDICTION_LONG_4-11.pdf. Public Policy Statement: Definition of Addiction. 2011 [cited 2011 Augus.\u003c/li\u003e\n\u003cli\u003eDavis RA. A cognitive behavioral model of pathological internet use (PIU) Computers in Human Behavior. 2001;17(2 ):187\u0026ndash;95. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eDowling NA, Quirk KL. Screening for Internet dependence: Do the proposed diagnostic criteria differentiate normal from dependent Internet use? CyberPsychology \u0026amp; Behavior. 2009 Feb;12(1 ):21\u0026ndash;7. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eCaplan SE. Problematic Internet use and psychosocial well-being: development of a theory-based cognitive-behavioral measurement instrument. Computers in Human Behavior. 2002;18(5 ):553\u0026ndash;75. \u003c/li\u003e\n\u003cli\u003eWinkler A, D\u0026ouml;rsing B. Treatment of internet addiction disorder: a first meta-analysis [Diploma thesis] Marburg: University of Marburg; 2011. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eJORDANNA KALKHOF, 5 Types of Internet Addiction, June 9, 2020.\u003c/li\u003e\n\u003cli\u003eBeard KW. Internet addiction: a review of current assessment techniques and potential assessment questions. CyberPsychology \u0026amp; Behavior. 2005 Feb;8(1 ):7\u0026ndash;14. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eDemetrovics Z, Szeredi B, Rozsa S. The three-factor model of Internet addiction: the development of the Problematic Internet Use Questionnaire. Behavior Research Methods. 2008;40(2 ):563\u0026ndash;74. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eMeerkerk G, Van Den Eijnden R, Vermulst A, Garretsen H. The Compulsive Internet Use Scale (CIUS): some psychometric properties. CyberPsychology \u0026amp; Behavior. 2009 Feb;12(1 ):1\u0026ndash;6. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eLinden DJ. The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel So Good. Viking Adult. 2011.\u003c/li\u003e\n\u003cli\u003eGabor Mat\u0026eacute; MD. In the Realm of Hungry Ghosts: Close Encounters with Addiction. North Atlantic Books. 2010.\u003c/li\u003e\n\u003cli\u003eBai Y-M, Lin C-C, Chen J-Y. Internet Addiction Disorder Among Clients of a Virtual Clinic. Psychiatric Services. 2001;52(10 ):1397. [Letter] [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eKo C-H, Liu G-C, Hsiao S, Yen J-Y, Yang M-J, Lin W-C, et al. Brain activities associated with gaming urge of online gaming addiction. Journal of Psychiatric Research. 2009;43(7 ):739\u0026ndash;47. [PubMed]\u003c/li\u003e\n\u003cli\u003eYoung KS, Nabuco de Abreu C. Internet Addiction: A handbook and guide to evaluation and treatment. New Jersey: John Wiley \u0026amp; Sons Inc; 2011. [Google Scholar]\u003c/li\u003e\n\u003cli\u003emichai-Hamburger Y, Ben-Artzi E. Loneliness and Internet use. Computers in Human Behavior. 2003;19(1 ):71\u0026ndash;80. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eEisen S, Lin N, Lyons M, Scherrer J, Griffith K, True W, et al. Familial influences on gambling behavior: an analysis of 3359 twin pairs. Addiction. 1998 Sep;1998:1375\u0026ndash;84. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eGrant JE, Brewer JA, Potenza MN. The neurobiology of substance and behavioral addictions. CNS Spectrums. 2006. 2006 Dec;11(12 ):924\u0026ndash;30. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eDong G, Lu Q, Zhou H, Zhao X. Precursor or sequela: pathological disorders in people with Internet addiction disorder. Public Library of Science One [serial on the Internet] 2011;6(2 ) Available from: http: //www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal. pone.0014703 . [PMC free article] [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003ePetersen KU, Weymann N, Schelb Y, Thiel R, Thomasius R. Pathological Internet use - epidemiology, diagnostics, co-occurring disorders and treatment. Fortschritte Der Neurologie Psychiatrie. [Review] 2009 May;77(5 ):263\u0026ndash;71. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS. Internet Addiction: Symptoms, Evaluation, And Treatment. Innovations in Clinical Practice [serial on the Internet]. 1999;17 Available from: http: //treatmentcenters.com/downloads/ internet-addiction.pdf . [Google Scholar]\u003c/li\u003e\n\u003cli\u003eArisoy O. Internet addiction and its treatment. Psikiyatride Guncel Yaklasimlar. 2009;1(1 ):55\u0026ndash;67. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eAtmaca M. A case of problematic Internet use successfully treated with an SSRI-antipsychotic combination. Progress in Neuro-Psychopharmacology \u0026amp; Biological Psychiatry. 2007 May;31(4 ):961\u0026ndash;2. [Letter] [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eHuang X-q, Li M-c, Tao R. Treatment of Internet addiction. Current Psychiatry Reports. 2010 Oct ;12(5 ):462\u0026ndash;70. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eSattar P, Ramaswamy S. Internet gaming addiction. Canadian Journal of Psychiatry. 2004 Dec;49(12 ):871\u0026ndash;2. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eWieland DM. Computer addiction: implications for nursing psychotherapy practice. Perspectives in Psychiatric Care. 2005 Oct-Dec;41(4 ):153\u0026ndash;61. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eDell\u0026apos;Osso B, Hadley S, Allen A, Baker B, Chaplin WF, Hollander E. Escitalopram in the treatment of impulsive-compulsive Internet usage disorder: an open-label trial followed by a double-blind discontinuation phase. Journal of Clinical Psychiatry. 2008 Mar;69(3 ):452\u0026ndash;6. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eHan DH, Hwang JW, Renshaw PF. Bupropion sustained release treatment decreases craving for video games and cue-induced brain activity in patients with Internet video game addiction. Experimental and Clinical Psychopharmacology. 2010 Aug;18(4 ):297\u0026ndash;304. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eHan DH, Lee YS, Na C, Ahn JY, Chung US, Daniels MA, et al. The effect of methylphenidate on Internet video game play in children with attention-deficit/hyperactivity disorder. Comprehensive Psychiatry. 2009 May-Jun;50(3 ):251 \u0026ndash;6. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eShapira NA, Goldsmith TD, Keck PE , Jr, Khosla UM, McElroy SL. Psychiatric features of individuals with problematic Internet use. Journal of affective disorders. 2000 Jan-Mar;57(1-3 ):267\u0026ndash;72. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eGreenfield DN. Suchtfalle Internet. Hilfe fuer Cyberfreaks, Netheads und ihre Partner. Virtual addiction: Zuerich: Walter. 2000.\u003c/li\u003e\n\u003cli\u003eLanjun Z. The applications of group mental therapy and sports exercise prescriptions in the intervention of Internet addiction disorder. Psychological Science (China) 2009 May;32(3 ):738\u0026ndash;41. \u003c/li\u003e\n\u003cli\u003eiller WR, Rollnick S. In: Motivational interviewing: preparing people for change. 2nd ed. Miller WR, Rollnick S, editors. New York: Guilford Press; 2002. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eMiller NH. Motivational interviewing as a prelude to coaching in healthcare settings. Journal of Cardiovascular Nursing. 2010 May-Jun;25(3 ):247\u0026ndash;51. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eBurke BL, Arkowitz H, Menchola M. The efficacy of motivational interviewing: a meta-analysis of controlled clinical trials. Journal of consulting and clinical psychology. 2003 Oct;71(5 ):843\u0026ndash;61. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eKim J-U. A reality therapy group counseling program as an Internet addiction recovery method for college students in Korea. International Journal of Reality Therapy. 2007 Spr ;26(2 ):3\u0026ndash;9. \u003c/li\u003e\n\u003cli\u003eKim J-U. The effect of a R/T group counseling program on the Internet addiction level and self-esteem of Internet addiction university students. International Journal of Reality Therapy. 2008 Spr; 27(2 ):4\u0026ndash;12. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eWidyanto L, Griffiths MD. \u0026apos;Internet addiction\u0026apos;: a critical review. International Journal of Mental Health and Addiction. 2006 Jan;4(1 ):31\u0026ndash;51. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eAbreu CN, Goes DS. Psychotherapy for Internet addiction. In: Young KS, de Abreu CN, editors. Internet addiction: A handbook and guide to evaluation and treatment. Hoboken, NJ: John Wiley \u0026amp; Sons Inc; US; 2011. pp. 155\u0026ndash;71. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS. Cognitive behavior therapy with Internet addicts: treatment outcomes and implications. CyberPsychology \u0026amp; Behavior. 2007 Oct;10(5 ):671\u0026ndash;9. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eOrzack MH, Orzack DS. Treatment of computer addicts with complex co-morbid psychiatric disorders. Cyberpsychology \u0026amp; Behavior. 1999;2(5 ):465\u0026ndash;73. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eDu Y-s, Jiang W, Vance A. Longer term effect of randomized, controlled group cognitive behavioural therapy for Internet addiction in adolescent students in Shanghai. Australian and New Zealand Journal of Psychiatry. 2010;44(2 ):129\u0026ndash;34. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eFang-ru Y, Wei H. The effect of integrated psychosocial intervention on 52 adolescents with Internet addiction disorder. Chinese Journal of Clinical Psychology. 2005 Aug;13(3 ):343\u0026ndash;5. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eRong Y, Zhi S, Yong Z. Comprehensive intervention on Internet addiction of middle school students. Chinese Mental Health Journal. 2006 Jul;19(7 ):457\u0026ndash;9. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eNeha Alawadhi, IAMAI report. ET Bureau Sep 3, 2015. Available form: http://articles.economictimes.indiatimes.com/2015-09-03/news/66178659_1_user-base-iamaiinternet-and-mobile-association .\u003c/li\u003e\n\u003cli\u003eWidyanto L, Griffiths M. Internet addiction: A critical review. Int J Ment Health Addict. 2006;4:31\u0026ndash;51. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eChou C, Condron L, Belland JC. A review of the research on internet addiction. Educ Psychol Rev. 2005;17:363\u0026ndash;88. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS, Rogers RC. The relationship between depression and internet addiction. Cyberpsychol Behav. 1998;1:25\u0026ndash;8. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eSharma A, Sahu R, Kasar PK, Sharma R. Internet addiction among professional courses students: A study from Central India. Int J Med Sci Public Health. 2014;3:1069\u0026ndash;73. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eKandell JJ. Internet addiction on campus: The vulnerability of college students. Cyberpsychol Behav. 1998;1:11\u0026ndash;7. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eChakraborty K, Basu D, Kumar K. Internet addiction: Consensus, controversies, and the way ahead. East Asian Archives of Psychiatry. 2010 Sep;20(3 ):123\u0026ndash;32. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003ePeukert P, Sieslack S, Barth G, Batra A. Internet- and computer game addiction: Phenomenology, comorbidity, etiology, diagnostics and therapeutic implications for the addictives and their relatives. Psychiatrische Praxis. 2010 Jul;37(5 ):219\u0026ndash;24. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eWeinstein A, Lejoyeux M. Internet addiction or excessive Internet use. The American Journal of Drug and Alcohol Abuse. 2010 Aug;36(5 ):277\u0026ndash;83. [PubMed] [Google Scholar]\u003c/li\u003e\n\u003cli\u003eYoung KS, Nabuco de Abreu C. Internet Addiction: A handbook and guide to evaluation and treatment. New Jersey: John Wiley \u0026amp; Sons Inc; 2011. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eWinkler A, D\u0026ouml;rsing B. Treatment of internet addiction disorder: a first meta-analysis [Diploma thesis] Marburg: University of Marburg; 2011. [Google Scholar]\u003c/li\u003e\n\u003cli\u003eHaroon MZ, Zeb Z, Javed Z, Awan Z, Aftab Z, Talat W. Internet Addiction In Medical Students. J Ayub Med Coll Abbottabad. 2018 Oct-Dec;30(Suppl 1)(4):S659-S663. PMID: 30838826.\u003c/li\u003e\n\u003cli\u003eTaha MH, Shehzad K, Alamro AS, Wadi M. Internet Use and Addiction Among Medical Students in Qassim University, Saudi Arabia. Sultan Qaboos Univ Med J. 2019 May;19(2):e142-e147. doi: 10.18295/squmj.2019.19.02.010. Epub 2019 Sep 8. PMID: 31538013; PMCID: PMC6736271.\u003c/li\u003e\n\u003cli\u003eNath K, Naskar S, Victor R. A Cross-Sectional Study on the Prevalence, Risk Factors, and Ill Effects of Internet Addiction Among Medical Students in Northeastern India. Prim Care Companion CNS Disord. 2016 Mar 31;18(2):10.4088/PCC.15m01909. doi: 10.4088/PCC.15m01909. PMID: 27486546; PMCID: PMC4956431.\u003c/li\u003e\n\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":true,"hideJournal":true,"highlight":"","institution":"Syrian Private University","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Internet Addiction, Medical Students' ","lastPublishedDoi":"10.21203/rs.3.rs-4117958/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4117958/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eIntroduction\u003c/h2\u003e \u003cp\u003eAddiction is a chronic, recurrent, relapsing disorder characterized by the compulsive pursuit of certain substances or certain behaviors, and the continuation of them despite the harmful consequences resulting from them and the long-term changes that occur in the brain. Excessive computer use meets the criteria for addiction. There are two types of addiction, physical addiction and non-physical addiction, such as Internet addiction.\u003c/p\u003e\u003ch2\u003eMethods and Materials\u003c/h2\u003e \u003cp\u003eA pivotal cross-sectional study, in which data were collected on a simple, random basis through an electronic questionnaire with three sections that was distributed to medical students at the Syrian Private University. 219 students were accepted into the sample (n\u0026thinsp;=\u0026thinsp;219).\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e \u003cp\u003eThe results presented that there is a significant correlation between Internet addiction and the percentile in the last academic year (P\u0026thinsp;=\u0026thinsp;.015), and there is a significant correlation between Internet addiction and the presence of previous traumas (P\u0026thinsp;=\u0026thinsp;.016) and the presence of severe family problems (P\u0026thinsp;=\u0026thinsp;.000).\u003c/p\u003e\u003ch2\u003eDiscussion\u003c/h2\u003e \u003cp\u003eThe results of our study were consistent with most of the results of previous studies, except that our study did not present any association of Internet addiction with gender, which has been proven to exist in other studies.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e \u003cp\u003eAs evidenced by this brief study, the field of Internet addiction is advancing rapidly even without formal recognition of it as a separate and distinct behavioral addiction and with continuing disagreement over diagnostic criteria. The debate over whether IAD should be classified as a (behavioral) addiction, an impulse control disorder, or even obsessive-compulsive disorder cannot be satisfactorily resolved. But the symptoms we have observed in clinical practice present a great deal of overlap with symptoms typically associated with (behavioral) addiction.\u003c/p\u003e","manuscriptTitle":"Medical Students' Internet Addiction And Its Impact On Academic Achievement","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-03-18 09:56:19","doi":"10.21203/rs.3.rs-4117958/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"07c658d0-e0f0-46f0-8fe7-4e5544f7c4bc","owner":[],"postedDate":"March 18th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[{"id":29542754,"name":"Psychiatry"}],"tags":[],"updatedAt":"2024-03-18T09:56:19+00:00","versionOfRecord":[],"versionCreatedAt":"2024-03-18 09:56:19","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4117958","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4117958","identity":"rs-4117958","version":["v1"]},"buildId":"_2-kVJe1T_tPrBINL-cwx","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}