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Dergiler / Anatolian Current Medical Journal / 2026 / Volume: 8 Issue: 4

Depressive symptoms and sleep quality in adolescents with problematic internet use symptoms: a cross-sectional clinical study

Bari Ay0000-0002-9740-3716
Umut Balatacı0000-0002-1562-1673
Sayfa
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Yayın Tarihi
2026-07-16
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

A multidimensional clinical evaluation including depressive symptoms, sleep quality, and psychiatric comorbidities, particularly ADHD, may be useful in adolescents presenting with problematic internet use symptoms.

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Amaç & Hipotez:Aims: This study aimed to evaluate depressive symptoms, sleep quality, and psychiatric diagnoses in adolescents aged 11-18 years presenting with problematic internet use symptoms and to examine their associations with internet addiction severity.
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Temel Bulgular & Veri:Methods: A total of 107 adolescents admitted to a child and adolescent psychiatry outpatient clinic were included.
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Sonuç & Katkı:A multidimensional clinical evaluation including depressive symptoms, sleep quality, and psychiatric comorbidities, particularly ADHD, may be useful in adolescents presenting with problematic internet use symptoms.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Problematic internet use · adolescent · depression

Abstract

Aims: This study aimed to evaluate depressive symptoms, sleep quality, and psychiatric diagnoses in adolescents aged 11-18 years presenting with problematic internet use symptoms and to examine their associations with internet addiction severity. Methods: A total of 107 adolescents admitted to a child and adolescent psychiatry outpatient clinic were included. Data were collected using a Sociodemographic Data Form, the Young Internet Addiction Scale to assess problematic internet use symptom severity, the Beck Depression Inventory, and the Pittsburgh Sleep Quality Index. Psychiatric diagnoses were assessed with K-SADS-PL. Results: The mean age of the participants was 14.42±2.27 years. At least one psychiatric diagnosis was identified in 41.1% of participants, and ADHD was the most common diagnosis. YIAS scores were positively correlated with BDI scores (r=.385, p<.001) and PSQI scores (r=.325, p<.001), while BDI scores were also positively correlated with PSQI scores (r=.554, p<.001). In multivariable regression analysis, internet addiction symptom severity remained independently associated with sleep quality after controlling for depressive symptoms and other covariates (β=.205, p=.031). Depressive symptom severity was the strongest predictor of poor sleep quality (β=.463, p<.001). In addition, internet addiction symptom severity, female sex, and high school level were independently associated with higher depressive symptom scores. Conclusion: In this clinical sample of adolescents presenting with problematic internet use symptoms, internet addiction symptom severity was associated with depressive symptoms, poor sleep quality, and psychiatric comorbidity. Internet addiction symptom severity remained independently related to sleep quality after controlling for depressive symptoms and clinical covariates. These findings should be interpreted as correlational observations within a clinical outpatient sample rather than as evidence of differences compared with adolescents without problematic internet use symptoms. A multidimensional clinical evaluation including depressive symptoms, sleep quality, and psychiatric comorbidities, particularly ADHD, may be useful in adolescents presenting with problematic internet use symptoms.

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Bu Makaleye Atıf Yap

Ay, B., Balatacı, U. (2026). Depressive symptoms and sleep quality in adolescents with problematic internet use symptoms: a cross-sectional clinical study. Anatolian Current Medical Journal, Volume: 8 Issue: 4. https://doi.org/10.38053/acmj.1917039

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Kaynakça (37)

  1. Shaw M, Black DW. Internet addiction: definition, assessment, epidemiology and clinical management. CNS Drugs. 2008;22(5):353-365. doi:10.2165/00023210-200822050-00001
  2. Carli V, Durkee T, Wasserman D, et al. The association between pathological internet use and comorbid psychopathology: a systematic review. Psychopathology. 2013;46(1):1-13. doi:10.1159/000337971
  3. Ko CH, Yen JY, Chen CC, Chen SH, Yen CF. Psychiatric comorbidity of internet addiction in college students: an interview study. CNS Spectr. 2008;13(2):147-153. doi:10.1017/S1092852900016308
  4. Kuss DJ, Van Rooij AJ, Shorter GW, Griffiths MD, van de Mheen D. Internet addiction in adolescents: prevalence and risk factors. Comput Hum Behav. 2013;29(5):1987-1996. doi:10.1016/j.chb.2013.04.002
  5. Anderson EL, Steen E, Stavropoulos V. Internet use and problematic internet use: a systematic review of longitudinal research trends in adolescence and emergent adulthood. Int J Adolesc Youth. 2017;22(4): 430-454. doi:10.1080/02673843.2016.1227716
  6. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561-571. doi:10.1001/archpsyc.1961.01710120031004
  7. Hisli N. Beck Depresyon Envanteri’nin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Derg. 1989;7(23):3-13.
  8. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781(89)90047-4
  9. Ağargün MY, Kara H, Anlar Ö. Pittsburgh Uyku Kalitesi İndeksi’nin geçerliği ve güvenirliği. Türk Psikiyatri Derg. 1996;7(2):107-115.
  10. Young KS. Internet addiction: the emergence of a new clinical disorder. Cyberpsychol Behav. 1998;1(3):237-244. doi:10.1089/cpb.1998.1.237
  11. Bayraktar F. İnternet kullanımının ergen gelişimindeki rolü [Yüksek lisans tezi]. İzmir, Türkiye: Ege Üniversitesi Sosyal Bilimler Enstitüsü; 2001.
  12. Ozuysal M, Ozcelik EG, Gucuk S. Internet addiction and its effect on sleep quality among medical students. Euras J Fam Med. 2024;13(1):29-38. doi:10.33880/ejfm.2024130104
  13. Mastorci F, Lazzeri MFL, Vassalle C, Pingitore A. The transition from childhood to adolescence: between health and vulnerability. Children (Basel). 2024;11(8):989. doi:10.3390/children11080989
  14. Harrist AW, Criss MM. Parents and peers in child and adolescent development: preface to the special issue on additive, multiplicative, and transactional mechanisms. Children (Basel). 2021;8(10):831. doi:10.3390/children8100831
  15. Zhou X, Huang J, Qin S, et al. Family intimacy and adolescent peer relationships: investigating the mediating role of psychological capital and the moderating role of self-identity. Front Psychol. 2023;14:1165830. doi:10.3389/fpsyg.2023.1165830
  16. Geng X, Zhang J, Liu Y, et al. Problematic use of the internet among adolescents: a four-wave longitudinal study of trajectories, predictors and outcomes. J Behav Addict. 2023;12(2):435-447. doi:10.1556/2006.2023.00021
  17. Chung TWH, Sum SMY, Chan MWL. Adolescent internet addiction in Hong Kong: prevalence, psychosocial correlates, and prevention. J Adolesc Health. 2019;64(6 Suppl):S34-S43. doi:10.1016/j.jadohealth.2018.12.016
  18. Kuss DJ, Griffiths MD, Karila L, Billieux J. Internet addiction: a systematic review of epidemiological research for the last decade. Curr Pharm Des. 2014;20(25):4026-4052. doi:10.2174/13816128113199990617
  19. Weinstein A, Lejoyeux M. Internet addiction or excessive internet use. Am J Drug Alcohol Abuse. 2010;36(5):277-283. doi:10.3109/00952990.2010.491880
  20. Kaltiala-Heino R, Lintonen T, Rimpelä A. Internet addiction? Potentially problematic use of the internet in a population of 12-18-year-old adolescents. Addict Res Theory. 2004;12(1):89-96. doi:10.1080/1606635031000098796
  21. Tang CSK, Wu AMS, Yan ECW, et al. Relative risks of internet-related addictions and mood disturbances among college students: a 7-country/region comparison. Public Health. 2018;165:16-25. doi:10.1016/j.puhe.2018.09.010
  22. Lin MP, Wu JY, You J, et al. Prevalence of internet addiction and its risk and protective factors in a representative sample of senior high school students in Taiwan. J Adolesc. 2018;62:38-46. doi:10.1016/j.adolescence.2017.11.004
  23. Ko CH, Yen JY, Yen CF, et al. The association between internet addiction and psychiatric disorder: a review of the literature. Eur Psychiatry. 2012; 27(1):1-8. doi:10.1016/j.eurpsy.2010.04.011
  24. Lam LT, Peng ZW. Effect of pathological use of the internet on adolescent mental health: a prospective study. Arch Pediatr Adolesc Med. 2010;164(10):901-906. doi:10.1001/archpediatrics.2010.159
  25. Schimmenti A, Passanisi A, Caretti V, et al. Traumatic experiences, alexithymia, and internet addiction symptoms among late adolescents: a moderated mediation analysis. Addict Behav. 2017;64:314-320. doi:10.1016/j.addbeh.2015.11.002
  26. Adalıer A, Balkan E. The relationship between internet addiction and psychological symptoms. Int J Glob Educ. 2012;1:42-49.
  27. Wang BQ, Yao NQ, Zhou X, Liu J, Lv ZT. The association between attention deficit/hyperactivity disorder and internet addiction: a systematic review and meta-analysis. BMC Psychiatry. 2017;17:260. doi:10.1186/s12888-017-1408-x
  28. Gonzalez-Bueso V, Santamaria JJ, Fernandez D, et al. Association between internet gaming disorder or pathological video-game use and comorbid psychopathology: a comprehensive review. Int J Environ Res Public Health. 2018;15(4):668. doi:10.3390/ijerph15040668
  29. Wang HR, Cho H, Kim DJ. Prevalence and correlates of comorbid depression in a nonclinical online sample with DSM-5 internet gaming disorder. J Affect Disord. 2018;226:1-5. doi:10.1016/j.jad.2017.08.005
  30. Han DH, Yoo M, Renshaw PF, Petry NM. A cohort study of patients seeking internet gaming disorder treatment. J Behav Addict. 2018;7(4): 930-938. doi:10.1556/2006.7.2018.102
  31. Çelebioğlu A, Aytekin Özdemir A, Küçükoğlu S, Ayran G. The effect of internet addiction on sleep quality in adolescents. J Child Adolesc Psychiatr Nurs. 2020;33(4):221-228. doi:10.1111/jcap.12287
  32. Zhang MWB, Tran BX, Huong LT, et al. Internet addiction and sleep quality among Vietnamese youths. Asian J Psychiatr. 2017;28:15-20. doi:10.1016/j.ajp.2017.03.025
  33. Acikgoz A, Acikgoz B, Acikgoz O. The effect of internet addiction and smartphone addiction on sleep quality among Turkish adolescents. PeerJ. 2022;10:e12876. doi:10.7717/peerj.12876
  34. Onat M, Ozyurt G, Ozturk Y, Akay AP. The relationship between problematic internet use, sleep quality and impulsivity in adolescents with major depressive disorder. Alpha Psychiatry. 2019;20(5):491-498. doi:10.5455/apd.17978
  35. Hekim Ö, Göker Z, Aydemir H, Çöp E, Dinç G, Üneri Ö. Ergenlerde internet bağımlılığı ve psikopatoloji ile ilişkisi: kesitsel bir çalışma. Klinik Psikiyatri Dergisi. 2019;22(3):329-337. doi:10.5505/kpd.2019.80488
  36. Kawabe K, Horiuchi F, Ochi M, et al. Internet addiction: prevalence and relation with mental states in adolescents. Psychiatry Clin Neurosci. 2016;70(9):405-412. doi:10.1111/pcn.12402
  37. Karacic S, Oreskovic S. Internet addiction through the phase of adolescence: a questionnaire study. JMIR Ment Health. 2017;4(2):e11. doi:10.2196/mental.5537