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2023, vol. 151, br. 7-8, str. 440-446
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Povezanost korišćenja interneta i simptoma depresije kod srednjoškolaca
The relationship between internet use and depressive symptoms among high school students
aUniverzitet u Beogradu, Medicinski fakultet, Institut za higijenu i medicinsku ekologiju, Srbija bPožarevac Public Health Institute, Požarevac cŠabac Public Health Institute, Šabac + Šabac Academy of Applied Studies, Šabac + University of Novi Sad, Faculty of Medicine, Novi Sad dUniverzitet u Beogradu, Medicinski fakultet, Institut za medicinsku statistiku i informatiku, Srbija
e-adresa: jelena.ilic-zivojinovic@med.bg.ac.rs
Sažetak
Uvod/Cilj Problematično korišćenje interneta povezano je sa različitim problemima mentalnog zdravlja. Cilj ovog istraživanja je bio da se ispita upotreba interneta i njegova povezanost sa simptomima depresije među srednjoškolcima. Metode Ova opservaciona studija preseka obuhvatila je 620 učenika od prvog do četvrtog razreda četiri požarevačke srednje škole. Podaci istraživanja su dobijeni iz ad hoc dizajniranog upitnika o sociodemografskim podacima, zdravstvenim navikama i upotrebi i navikama vezanim za internet, testa zavisnosti od interneta (IAT) i skale depresije za decu Centra za epidemiološke studije (CES-DC). Rezultati Od 620 učenika (66,9% devojčica) bilo je 389 ispitanika (62,7%) koji su prijavili normalnu (n = 40) ili prosečnu upotrebu interneta (n = 349) sa blagim stepenom zavisnosti, dok 226 (36,5%) ispitanika pripada grupi problematične upotrebe interneta, a pet učenika (0,8%) pokazalo je visok stepen zavisnosti od interneta. CES-DC skor ≥ 15, koji se smatra indikativnim za klinički značajne simptome depresije, bio je značajno češći među zavisnicima od interneta u poređenju sa normalnim korisnicima interneta (78,4% prema 46,5%, respektivno). Među zavisnicima od interneta značajno je veći procenat onih koji su koristili pomoć psihologa/psihoterapeuta u odnosu na normalne korisnike interneta (29,4% prema 12,1%, respektivno). Logistička regresiona analiza je pokazala da je najjači nezavisni prediktor klinički značajnih simptoma depresije zavisnost od interneta (IAT skor ≥ 50) (OR = 3,32; 95% CI = 2,24-4,91), posle prilagođavanja (ženski pol, urbani život, korišćenje Tik Toka i Tvitera, sportske aktivnosti i korišćenje interneta za učenje ili za besciljno "surfovanje"). Zaključak Pokazali smo da je zavisnost od interneta pozitivno povezana sa klinički značajnim simptomima depresije kod srednjoškolaca. Zdravstveno obrazovanje usmereno na pravilno korišćenje interneta može se smatrati promocijom mentalnog zdravlja.
Abstract
Introduction/Objective Problematic internet use has been associated with various mental health problems. The objective of this study was to investigate the internet use and its relationship with depressive symptoms among high school students. Methods This cross-sectional observational study included 620 students from the first to the fourth grade of four high schools in Požarevac, Serbia. The research data were obtained from an ad hoc designed questionnaire on socio-demographic data, health habits, and the internet use, Internet Addiction Test (IAT) and Center for Epidemiological Studies Depression Scale for Children (CES-DC). Results Out of 620 students (66.9% girls) there were 389 respondents (62.7%) who reported normal (n = 40), or average internet use (n = 349) with a mild level of addiction, while 226 (36.5%) subjects belonged to problematic internet use group, and five students (0.8%) showed a high level of internet addiction. A CES-DC score ≥ 15, considered indicative of clinically significant depressive symptoms, was found significantly more frequent among internet addicts compared to internet normal users (78.4% vs. 46.5%, respectively). Among internet addicts there was a significantly higher percentage of those who used psychologist/psychotherapist help compared to internet normal users (29.4% vs. 12.1%, respectively). The logistic regression analysis showed that internet addiction (IAT score ≥ 50) was the strongest independent predictor of clinically significant depressive symptoms (OR = 3.32; 95% CI = 2.24-4.91), after adjusting for confounders (female gender, urban living, Tik Tok and Twitter use, sports activities, and the use of the internet for learning or for aimless "surfing"). Conclusion We show that internet addiction is positively related to clinically significant depressive symptoms among high school students. Health education focused on the proper use of the internet may be regarded as mental health promotion.
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