{
  "abstract": "Objective To determine the prevalence of internet addiction and examine its association with psychological factors specifically depression, anxiety and loneliness among Malaysian public university students.Design Cross-sectional study.Setting All public universities in Malaysia, 20 universities.Participants The study included 7278 students from 20 public universities in Malaysia.Main outcome measures Statistical analyses were performed usingSTATA V.17 software. Descriptive statistics summarised participants’ demographic characteristics, prevalence of internet addiction and psychological distress (depression, anxiety and loneliness). Pearson’s correlation was used to assess bivariate relationships between internet addiction and psychological variables, while multiple logistic regression identified independent factors associated with internet addiction after adjusting for significant confounders.Results The study found that 38.6% of the students showed signs of internet addiction, along with a high level of psychological distress; 24.8% had depressive symptoms, 32.4% experienced anxiety and 35.5% reported loneliness. Moderate positive correlations were observed between internet addiction and depression, anxiety and loneliness (p<0.00). Multivariate analyses adjusted for field of study, gender and ethnicity confirmed these associations.Conclusion The findings indicate significant associations between internet addiction and psychological factors such as depression, anxiety and loneliness. A comprehensive, multifaceted approach is essential to address psychological distress among university students and reduce the risk of internet addiction.",
  "authors": [
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "Nor Asiah Muhamad"
    },
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "Nur Hasnah Maamor"
    },
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "Tengku Puteri Nadiah Tengku Baharudin Shah"
    },
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "Nurul Hidayah Jamalluddin"
    },
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "Fatin Norhasny Leman"
    },
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "‘Izzah ‘Athirah Rosli"
    },
    {
      "affiliations": [
        "Sector for Evidence-Based Healthcare, National Institutes of Health, Ministry of Health, Shah Alam, Selangor, Malaysia"
      ],
      "name": "Nik Athirah Farhana Nik Azhan"
    },
    {
      "affiliations": [
        "Department of Psychiatry and Mental Health, Tengku Permaisuri Norashikin Hospital, Kajang, Selangor, Malaysia"
      ],
      "name": "Norliza Chemi"
    },
    {
      "affiliations": [
        "Department of Psychiatric and Mental Health, Sultanah Bahiyah Hospital, Alor Setar, Kedah, Malaysia"
      ],
      "name": "Muhammad Arif Muhamad Rasat"
    },
    {
      "affiliations": [
        "Department of Psychiatry and Mental Health, Tengku Ampuan Rahimah Hospital, Klang, Selangor, Malaysia"
      ],
      "name": "Norni Abdullah"
    },
    {
      "affiliations": [
        "National Centre of Excellence Mental Health (NCEMH), Ministry of Health, Cyberjaya, Selangor, Malaysia"
      ],
      "name": "Norli Abdul Jabbar"
    },
    {
      "affiliations": [
        "National Centre of Excellence Mental Health (NCEMH), Ministry of Health, Cyberjaya, Selangor, Malaysia"
      ],
      "name": "Nurashikin Ibrahim"
    },
    {
      "affiliations": [
        "Department of Psychiatry and Mental Health, Kuala Lumpur Hospital, Federal Territory of Kuala Lumpur, Malaysia"
      ],
      "name": "Mohd Fadzli Mohamad Isa"
    }
  ],
  "title": "Association between depression, anxiety and loneliness with internet addictions among public university students in Malaysia",
  "uid": "e44612a4-be61-5d1a-8bd0-2a5bdc38c21b"
}