The Association between Smartphone Addiction and Insomnia Incidence in Students of the Faculty of Medicine Udayana University Batch of 2020 during the Coronavirus Disease-19 Pandemic

Authors

  • Anak Agung Bagus Putra Indrakusuma Medical Education Study Program, Faculty of Medicine, Udayana University, Bali, Indonesia
  • I. Made Angga Sayoga Medical Education Study Program, Faculty of Medicine, Udayana University, Bali, Indonesia
  • Stevanus Christian Surya Medical Education Study Program, Faculty of Medicine, Udayana University, Bali, Indonesia
  • Agung Wiwiek Indrayani Department of Pharmacology and Therapy, Faculty of Medicine, Udayana University, Bali, Indonesia
  • I Gusti Ayu Artini Department of Pharmacology and Therapy, Faculty of Medicine, Udayana University, Bali, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.7064

Keywords:

Coronavirus disease-19 pandemic, Insomnia, Smartphone addiction

Abstract

BACKGROUND: The use of smartphones is increasing in the coronavirus disease (COVID-19) pandemic for various purposes, this encourages smartphone addiction. In addition, the incidence of insomnia has also increased in the pandemic era.

AIM: This study was conducted to find an association between smartphone addiction and the incidence of insomnia, especially among students of the Faculty of Medicine, Udayana University.

METHOD: This research is a descriptive-analytic study with the cross-sectional method, using two main questionnaires, Smartphone Addiction Scale-Short Version, and Insomnia Severity Index. Questionnaires were distributed using Google forms and then collected and analyzed using software SPSS version 25.

RESULT: Overall the total research respondents with the inclusion criteria in this study amounted to 364 people. The results showed that 212 respondents (58.24%) had a high level of smartphone addiction and 152 respondents (41.76%) had a low level of smartphone addiction. In addition, 187 respondents (51.37%) experienced mild insomnia, 87 respondents (23.9%) experienced moderate insomnia, 13 respondents (3.57%) experienced severe insomnia, and 77 respondents (21.15%) did not experience insomnia. Based on the results of data analysis, it was found that smartphone addiction had a significant relationship (p = 0.002) with weak and positive correlation (r = 0.162) to the incidence of insomnia.

CONCLUSION: It was found that the majority of respondents experienced high levels of smartphone addiction and mild insomnia. Another finding suggests the higher addiction to the smartphones, the more severe insomnia suffered.

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References

World Health Organization. WHO Director-General’s Opening Remarks at the Media Briefing on COVID-19 Internet. Geneva: World Health Organization; 2020.

Ristyawati A. The effectiveness of large scale social restriction policy from government as stated on UUD NKRI Year 1945 during corona virus 2019 pandemic. Adm Law Gov J. 2020;3(2):240-9. https://doi.org/10.14710/alj.v3i2.240-249 DOI: https://doi.org/10.14710/alj.v3i2.240-249

Azzahra NF. Indonesia during covid-19 pandemic crisis era. Summary of the policy. Ringkasan Kebijak. 2020;19(2):1-9.

Sari W, Rifki AM, Karmila M. Distance learning in the covid-19 era. J Mappesona. 2020;(1):12. https://doi.org/10.18860/mad.v13i2.11330 DOI: https://doi.org/10.18860/mad.v13i2.11330

Maknuni J, Artikel I. Indonesian education pengaruh media belajar smartphone terhadap belajar siswa di era pandemi Covid-19 (The influence of smartphone learning media on student learning in the era pandemi Covid-19). Indones Educ Adm Leadersh J. 2020;2:94-106.

Ramadhani IR, Fathurohman I, Fardani MA. Efek Penggunaan Smartphone berkelanjutan pada Masa Pandemi Covid-19 terhadap Perilaku Anak. J Amal Pendidik. 2020;1(2):10. http://doi.org/10.36709/japend.v1i2.13293

Panova T, Carbonell X. Is smartphone addiction really an addiction? J Behav Addict. 2018;7(2):252-9. http://doi.org/10.1556/2006.7.2018.49 PMid:29895183 DOI: https://doi.org/10.1556/2006.7.2018.49

Boumosleh JM, Jaalouk D. Depression, anxiety, and smartphone addiction in university students a cross sectional study. PLoS One. 2017;12(8):e0182239. http://doi.org/10.1371/journal.pone.0182239 PMid:28777828 DOI: https://doi.org/10.1371/journal.pone.0182239

Alhassan AA, Alqadhib EM, Taha NW, Alahmari RA, Salam M, Almutairi AF. The relationship between addiction to smartphone usage and depression among adults: A cross sectional study. BMC Psychiatry. 2018;18(1):148. https://doi.org/10.1186/s12888-018-1745-4 DOI: https://doi.org/10.1186/s12888-018-1745-4

Rini MK, Huriah T. The prevalence and impact of smartphone addiction in adolescent: Literature review. J Keperawatan Muhammadiyah. 2020;5(1):185-94. http://doi.org/10.30651/jkm.v5i1.4609 DOI: https://doi.org/10.30651/jkm.v5i1.4609

Patel D, Steinberg J, Patel P. Insomnia in the elderly: A review. J Clin Sleep Med. 2018;14(6):1017-24. http://doi.org/10.5664/jcsm.7172 PMid:29852897 DOI: https://doi.org/10.5664/jcsm.7172

Voitsidis P, Gliatas I, Bairachtari V, Papadopoulou K, Papageorgiou G, Parlapani E, et al. Insomnia during the COVID-19 pandemic in a Greek population. Psychiatry Res. 2020;289:113076. http://doi.org/10.1016/j.psychres.2020.113076 Mid:32434093 DOI: https://doi.org/10.1016/j.psychres.2020.113076

Kokou-Kpolou CK, Megalakaki O, Laimou D, Kousouri M. Insomnia during COVID-19 pandemic and lockdown: Prevalence, severity, and associated risk factors in French population. Psychiatry Res. 2020;290:113128. http://doi.org/10.1016/j.psychres.2020.113128 PMid:32563951 DOI: https://doi.org/10.1016/j.psychres.2020.113128

Kumar VA, Vigneshvar C, Brahadeeswari H. Prevalence of smartphone addiction and its effects on sleep quality: A cross-sectional study among medical student. Ind Psychiatry J. 2019;28(1):82-5. http://doi.org/10.4103/ipj.ipj_56_19 PMid:31879452 DOI: https://doi.org/10.4103/ipj.ipj_56_19

Al Battashi N, Al Omari O, Sawalha M, Al Maktoumi S, Alsuleitini A, Al Qadire M. The relationship between smartphone use, insomnia, stress, and anxiety among university students: A cross-sectional study. Clin Nurs Res. 2021;30(6):734-40. http://doi.org/10.1177/1054773820983161 PMid:33375850 DOI: https://doi.org/10.1177/1054773820983161

Ibrahim NK, Baharoon BS, Banjar WF, Jar AA, Ashor RM, Aman AA, et al. Mobile phone addiction and its relationship to sleep quality and academic achievement of medical students at King Abdulaziz University, Jeddah, Saudi Arabia. J Res Health Sci. 2018;18(3):e00420. PMid:30270211

Bhatt S, Gaur A. Psychological risk factors associated with internet and smartphone addiction among students of an Indian dental institute. Indian J Public Health. 2019;63(4):313-7. http://doi.org/10.4103/ijph.IJPH_330_18 PMid:32189650 DOI: https://doi.org/10.4103/ijph.IJPH_330_18

Mazaheri MA, Karbasi M. The use of mobile phone features among students in isfahan university of medical sciences in Iran. Scimetr. 2014;2(3):101-5. http://doi.org/10.5812/scimetr.18760 DOI: https://doi.org/10.5812/scimetr.18760

Lopez-Fernandez O, Honrubia-Serrano L, Freixa-Blanxart M, Gibson W. Prevalence of problematic mobile phone use in british adolescents. Cyberpsychol Behav Soc Netw. 2014;17(2):91-8. http://doi.org/10.1089/cyber.2012.0260 PMid:23981147 DOI: https://doi.org/10.1089/cyber.2012.0260

Haug S, Castro RP, Kwon M, Filler A, Kowatsch T, Schaub MP. Smartphone use and smartphone addiction among young people in Switzerland. J Behav Addict. 2015;4(4):299-307. http://doi.org/10.1556/2006.4.2015.037 PMid:26690625 DOI: https://doi.org/10.1556/2006.4.2015.037

Chen B, Liu F, Ding S, Ying X, Wang L, Wen Y. Gender differences in factors associated with smartphone addiction: A cross-sectional study among medical college students. BMC Psychiatry. 2017;17(1):341. http://doi.org/10.1186/s12888-017-1503-z PMid:29017482 DOI: https://doi.org/10.1186/s12888-017-1503-z

Alhazmi AA, Alzahrani SH, Baig M, Salawati EM, Alkatheri A. Prevalence and factors associated with smartphone addiction among medical students at King Abdulaziz University, Jeddah. Pakistan J Med Sci. 2018;34(4):984-8. PMid:30190766 DOI: https://doi.org/10.12669/pjms.344.15294

Zencirci SA, Aygar H, Göktaş S, Önsüz MF, Alaiye M, Metintaş S. Evaluation of smartphone addiction and related factors among university students. Int J Res Med Sci. 2018;6(7):2210. http://doi.org/10.18203/2320-6012.ijrms20182805 DOI: https://doi.org/10.18203/2320-6012.ijrms20182805

Tateno M, Teo AR, Ukai W, Kanazawa J, Katsuki R, Kubo H, et al. Internet addiction, smartphone addiction, and hikikomori trait in Japanese young adult: Social isolation and social network. Front Psychiatry. 2019;10:455. http://doi.org/10.3389/fpsyt.2019.00455 PMid:31354537 DOI: https://doi.org/10.3389/fpsyt.2019.00455

Buctot DB, Kim N, Park KE. Development and evaluation of smartphone detox program for university students. Int J Contents. 2018;14(4):1-9. https://doi.org/10.1016/j.ssaho.2020.100035 DOI: https://doi.org/10.1016/j.ssaho.2020.100035

Ramadhani S. Hubungan Lama Penggunaan Gadget Dengan Kejadian Insomnia Pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara. Medan, Indonesia: Repository University of Sumatera Utara. 2021.

Sohn SY, Krasnoff L, Rees P, Kalk NJ, Carter B. The association between smartphone addiction and sleep: A UK cross-sectional study of young adults. Front Psychiatry. 2021;12:629407. https://doi.org/10.3389/fpsyt.2021.629407 DOI: https://doi.org/10.3389/fpsyt.2021.629407

Sahin S, Ozdemir K, Unsal A, Temiz N. Evaluation of mobile phone addiction level and sleep quality in university students. Pakistan J Med Sci. 2013;29(4):913-8. https://doi.org/10.12669/pjms.294.3686 PMid:24353658 DOI: https://doi.org/10.12669/pjms.294.3686

Demirci K, Akgönül M, Akpinar A. Relationship of smartphone use severity with sleep quality, depression, and anxiety in university students. J Behav Addict. 2015;4(2):85-92. PMid:26132913 DOI: https://doi.org/10.1556/2006.4.2015.010

Suh S, Cho N, Zhang J. Sex differences in insomnia: From epidemiology and etiology to intervention. Curr Psychiatry Rep. 2018;20(9):69. https://doi.org/10.1007/s11920-018-0940-9 PMid:30094679 DOI: https://doi.org/10.1007/s11920-018-0940-9

Kurugodiyavar MD, Sushma HR, Godbole M, Nekar MS. Impact of smartphone use on quality of sleep among medical students. Int J Community Med Public Health. 2017;5(1):101. http://doi.org/10.18203/2394-6040.ijcmph20175604 DOI: https://doi.org/10.18203/2394-6040.ijcmph20175604

Gowda GS, Komal S, Sanjay TN, Mishra S, Kumar CN, Math SB. Sociodemographic, legal, and clinical profiles of female forensic inpatients in Karnataka: A retrospective study. Indian J Psychol Med. 2019;41(2):138-43. http://doi.org/10.4103/IJPSYM.IJPSYM_152_18 PMid:30983661 DOI: https://doi.org/10.4103/IJPSYM.IJPSYM_152_18

Shakeel HA, Maqsood H, Ishaq A, Ali B, Hussain H, Khan AR, et al. Insomnia among medical students: A cross-sectional study. Int J Res Med Sci. 2019;7(3):893. http://doi.org/10.18203/2320-6012.ijrms20190944 DOI: https://doi.org/10.18203/2320-6012.ijrms20190944

Al-Shahrani M. Smartphone addiction among medical students in Bisha, Saudi Arabia. J Fam Med Prim Care. 2020;9(12):5916-20. http://doi.org/10.4103/jfmpc.jfmpc_1205_20 PMid:33681019 DOI: https://doi.org/10.4103/jfmpc.jfmpc_1205_20

Lukman. Penggunaan dan Adiksi Smartphone di Kalangan Mahasiswa Fakultas Kedokteran Universitas Hasanuddin Angkatan 2015 Dan 2016. Indonesia: Hasanuddin University; 2018.

Mak YW, Wu CS, Hui DW, Lam SP, Tse HY, Yu WY, et al. Association between screen viewing duration and sleep duration, sleep quality, and excessive daytime sleepiness among adolescents in Hong Kong. Int J Environ Res Public Health. 2014;11(11):11201-19. http://doi.org/10.3390/ijerph111111201 PMid:25353062 DOI: https://doi.org/10.3390/ijerph111111201

Tamura H, Nishida T, Tsuji A, Sakakibara H. Association between excessive use of mobile phone and insomnia and depression among Japanese adolescents. Int J Environ Res Public Health. 2017;14(7):701. http://doi.org/10.3390/ijerph14070701 PMid:28661428 DOI: https://doi.org/10.3390/ijerph14070701

Kaya F, Daştan NB, Durar E. Smart phone usage, sleep quality and depression in university students. Int J Soc Psychiatry. 2021;67(5):407-14. http://doi.org/10.1177/0020764020960207 PMid:32969293 DOI: https://doi.org/10.1177/0020764020960207

Abdalqader MA, Ariffin IA, Ghazi HF, AboBakr MF, Fadzil MA. Prevalence of insomnia and its association with social media usage among university students in Selangor, Malaysia, 2018. Folia Med Indones. 2018;54(4):289-93. http://doi.org/10.20473/fmi.v54i4.10715 DOI: https://doi.org/10.20473/fmi.v54i4.10715

Van Cauter E, Copinschi G. Interrelationships between growth hormone and sleep. Growth Horm IGF Res. 2000;10(Suppl B):S57-62. http://doi.org/10.1016/s1096-6374(00)80011-8 PMid:10984255 DOI: https://doi.org/10.1016/S1096-6374(00)80011-8

Paruthi S, Brooks LJ, D’Ambrosio C, Hall WA, Kotagal S, Lloyd RM, et al. Consensus statement of the american academy of sleep medicine on the recommended amount of sleep for healthy children: Methodology and discussion. J Clin Sleep Med. 2016;12(11):1549-61. PMid:27707447 DOI: https://doi.org/10.5664/jcsm.6288

Buctot DB, Kim N, Kim JJ. Factors associated with smartphone addiction prevalence and its predictive capacity for health- related quality of life among Filipino adolescents. Child Youth Serv Rev. 2020;110:104758. http://dx.doi.org/10.1016/j.childyouth.2020.104758 DOI: https://doi.org/10.1016/j.childyouth.2020.104758

Williams N. Social distancing in the Covid-19 pandemic. Occup Med (Chic Ill). 2020;70(5):305. DOI: https://doi.org/10.1093/occmed/kqaa072

David ME, Roberts JA. Smartphone use during the COVID-19 pandemic: Social versus physical distancing. Int J Environ Res Public Health. 2021;18(3):1034. http://doi.org/10.3390/ijerph18031034 PMid:33503907 DOI: https://doi.org/10.3390/ijerph18031034

Li T, Zhang M, Li Y, Lagerspetz E, Tarkoma S, Hui P. The impact of Covid-19 on smartphone usage. IEEE Internet Things J. 2021;1:99. http://doi.org/10.1109/JIOT.2021.3073864 DOI: https://doi.org/10.1109/JIOT.2021.3073864

MMA. Covid19 Effects on Mobile and Digital Media Mobile Time in Italy and China Increased. MMA; 2020. p. 1-14.

Bueno-Notivol J, Gracia-García P, Olaya B, Lasheras I, López- Antón R, Santabárbara J. Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies. Int J Clin Heal Psychol. 2021;21(1):100196. http://doi.org/10.1016/j.ijchp.2020.07.007 PMid:32904715 DOI: https://doi.org/10.1016/j.ijchp.2020.07.007

Clipper B. The influence of the COVID-19 Pandemic on Technology: Adoption in Health Care. Nurse Lead. 2020;18(5):500-3. http://doi.org/10.1016/j.mnl.2020.06.008 PMid:32837346 DOI: https://doi.org/10.1016/j.mnl.2020.06.008

Mbunge E, Akinnuwesi B, Fashoto SG, Metfula AS, Mashwama P. A critical review of emerging technologies for tackling COVID-19 pandemic. Hum Behav Emerg Technol. 2021;3(1):25-39. https://doi.org/10.1002/hbe2.237 DOI: https://doi.org/10.1002/hbe2.237

Sophie H, Ortner C, Sophie H. Ortner Christina on the Role of Smartphones for Family Relationships. Children and Adolescents in a Mobile Media World. Pre-Conference to ECREA’s; 2018.

Ccama YP. Use of smartphones in family relationships of university students of the Nacional del Altiplano University of Puno. Comun Rev Investig. 2019;10(2):151-9. https://doi.org/10.33595/2226-1478.10.2.387 DOI: https://doi.org/10.33595/2226-1478.10.2.387

Nurhayati P, Nugraha PD, Devi HP, Utomo AW. Impact analysis of smartphone use and youth family development (BKR) program on family disharmony in Magetan Regency. Simulacra J Sosiol. 2020;3(1):95-107. https://doi.org/10.21107/sml.v3i1.7038 DOI: https://doi.org/10.21107/sml.v3i1.7038

Haile YG, Alemu SM, Habtewold TD. Insomnia and its temporal association with academic performance among university students: A cross-sectional study. Biomed Res Int. 2017;2017:2542367. https://doi.org/10.1155/2017/2542367 PMid:28752093 DOI: https://doi.org/10.1155/2017/2542367

Magar S, Mali P, Baskota S, Pandey KR. Insomnia and its associated factor among young adults in selected college of kathmandu valley province-3. Nepal Med J. 2019;2(2):28-32. https://doi.org/10.37080/nmj.66 DOI: https://doi.org/10.37080/nmj.66

Choueiry N, Salamoun T, Jabbour H, El Osta N, Hajj A, Khabbaz LR. Insomnia and relationship with anxiety in university students: A cross-sectional designed study. PLoS One. 2016;11(2):e0149643. PMid:26900686 DOI: https://doi.org/10.1371/journal.pone.0149643

Albasheer OB, Al Bahhawi T, Ryani MA, Arishi AM, Hakami OM, Maashi SM, et al. Prevalence of insomnia and relationship with depression, anxiety and stress among Jazan university students: A cross-sectional study. Cogent Psychol. 2020;7(1):1789424. https://doi.org/10.1080/23311908.2020.1789424 DOI: https://doi.org/10.1080/23311908.2020.1789424

Ting CH, Chen YY. Adolescent addiction. In: Smartphone Addiction. 2nd ed. Amsterdam, Netherlands: Elsevier Inc.; 2020. p. 215-40. DOI: https://doi.org/10.1016/B978-0-12-818626-8.00008-6

Mehrnaz M, Farahnaz M, Gholamreza K, Mohseni KH, Homayoon SS, Majid N. Smartphone addiction, sleep quality and mechanism. Int J Cogn Behav. 2018;1(1):2. https://doi.org/10.23937/IJCB-2017/1710002 DOI: https://doi.org/10.23937/ijcb-2017/1710002

De Pasquale C, Sciacca F, Hichy Z. Italian validation of smartphone addiction scale short version for adolescents and young adults (SAS-SV). Psychology. 2017;8(10):1513-8. https://doi.org/10.4236/psych.2017.810100 DOI: https://doi.org/10.4236/psych.2017.810100

Akın A, Altundağ Y, Turan ME, Akın U. The validity and reliability of the turkish version of the smart phone addiction scale-short form for adolescent. Proc Soc Behav Sci. 2014;152:74-7. https://doi.org/10.1371/journal.pone.0083558 DOI: https://doi.org/10.1016/j.sbspro.2014.09.157

Pelayo R, Yuen K. Pediatric sleep pharmacology. Child Adolesc Psychiatr Clin North Am. 2012;21(4):861-83. https://doi.org/10.1016/j.chc.2012.08.001 PMid:23040905 DOI: https://doi.org/10.1016/j.chc.2012.08.001

Bruni O, Alonso-Alconada D, Besag F, Biran V, Braam W, Cortese S, et al. Current role of melatonin in pediatric neurology: Clinical recommendations. Eur J Paediatr Neurol. 2015;19(2):122-33. https://doi.org/10.1016/j.ejpn.2014.12.007 PMid:25553845 DOI: https://doi.org/10.1016/j.ejpn.2014.12.007

Clarke G, McGlinchey EL, Hein K, Gullion CM, Dickerson JF, Leo MC, et al. Cognitive-behavioral treatment of insomnia and depression in adolescents: A pilot randomized trial. Behav Res Ther. 2015;69:111-8. https://doi.org/10.1016/j.brat.2015.04.009 PMid:25917009 DOI: https://doi.org/10.1016/j.brat.2015.04.009

Ayar D, Bektas M, Bektas I, Kudubes AA, Ok YS, Altan SS, et al. The effect of adolescents’ internet addiction on smartphone addiction. J Addict Nurs. 2017;28(4):210-4. https://doi.org/10.1097/JAN.0000000000000196 PMid:29200048 DOI: https://doi.org/10.1097/JAN.0000000000000196

Cheung LM, Wong WS. The effects of insomnia and internet addiction on depression in Hong Kong Chinese adolescents: An exploratory cross-sectional analysis. J Sleep Res. 2011;20(2):311-7. http://doi.org/10.1111/j.1365-2869.2010.00883.x PMid:20819144 DOI: https://doi.org/10.1111/j.1365-2869.2010.00883.x

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2021-09-20

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1.
Indrakusuma AABP, Sayoga IMA, Surya SC, Indrayani AW, Artini IGA. The Association between Smartphone Addiction and Insomnia Incidence in Students of the Faculty of Medicine Udayana University Batch of 2020 during the Coronavirus Disease-19 Pandemic. Open Access Maced J Med Sci [Internet]. 2021 Sep. 20 [cited 2024 Nov. 21];9(B):1207-14. Available from: https://oamjms.eu/index.php/mjms/article/view/7064