PROBLEMATIC INTERNET USE (PIU) AND ITS IMPACT ON MENTAL HEALTH IN THE MALAYSIAN CONTEXT
Keywords:
Problematic Internet Use, Mental Health, Smartphone Addiction, Social Media Addiction, Internet Pornography UseAbstract
With the rapid advancement in technology, problematic internet use (PIU) has received increasing attention over the years. Different perspectives view PIU differently, such as viewing it as an addiction, impulse control disorder, or/and relationship-building deficits. A lack of an agreed definition could be problematic in accurately measuring how PIU affects mental health. This article aims to explore the disagreement in defining PIU in the context of Malaysia. A narrative review was conducted to examine various aspects of PIU, including smartphone addiction, social media addiction, Internet Pornography Use (IPU), and online game addiction, shedding light on their associations with weight-related self-stigma, nomophobia and psychological distress, particularly in the context of the COVID-19 pandemic. The research uncovers gender differences, revealing socially acceptable IPU among males and potential distress among females. Cultural and social factors contribute to diverse patterns of internet overdependence, influenced by early exposure and gender roles. Emotional stability emerges as a crucial factor, with higher PIU correlating with increased emotional distress. The study calls for tailored interventions, considering demographic nuances and cultural contexts.
References
Akin, A., & Iskender, M. (2011). Internet addiction and depression, anxiety, and stress. International Online Journal of Educational Sciences (IOJES), 3, 138-148. https://www.ajindex.com/dosyalar/makale/acarindex-1423904412.pdf
Bridges, A., & Morokoff, P. (2011). Sexual media use and relational satisfaction in heterosexual couples. Personal Relationships, 18. https://doi.org/10.1111/j.1475-6811.2010.01328.x
Burkauskas, J., Gecaite-Stonciene, J., Demetrovics, Z., Griffiths, M. D., & Király, O. (2022). Prevalence of problematic Internet use during the coronavirus disease 2019 pandemic. Current Opinion in Behavioral Sciences, 46, 101179. https://doi.org/10.1016/j.cobeha.2022.101179
Cawston, A. (2019). The feminist case against pornography: A review and re-evaluation. Inquiry, 62(6), 624–658. https://doi.org/10.1080/0020174X.2018.1487882
Chang, F. C., Chiu, C. H., Lee, C. M., Chen, P. H., & Miao, N. F. (2014). Predictors of the initiation and persistence of Internet addiction among adolescents in Taiwan. Addictive Behaviors, 39(10), 1434-1440. https://doi.org/10.1016/j.addbeh.2014.05.010
Charlton, J. P., Soh, P. C., Ang, P. H., & Chew, K. W. (2013). Religiosity, adolescent internet usage motives and addiction: An exploratory study. Information, Communication & Society, 16(10), 1619-1638.
Clark, O., Lee, M. M., Jingree, M. L., O'Dwyer, E., Yue, Y., Marrero, A., ... & Mattei, J. (2021). Weight stigma and social media: evidence and public health solutions. Frontiers in Nutrition, 8, 739056. https://doi.org/10.3389/fnut.2021.739056
Costa, R. M., Patrão, I., & Machado, M. (2018). Problematic internet use and feelings of loneliness. International Journal of Psychiatry in Clinical Practice, 23(2), 160–162. https://doi.org/10.1080/13651501.2018.1539180
Di Carlo, F., Pettorruso, M., Alessi, M. C., Picutti, E., Collevecchio, R., Migliara, G., ... & di Giannantonio, M. (2021). Characterizing the building blocks of Problematic Use of the Internet (PUI): The role of obsessional impulses and impulsivity traits among Italian young adults. Comprehensive Psychiatry, 106, 152225. https://doi.org/10.1016/j.comppsych.2021.152225
Ding, Y. J., Lau, C. H., Sou, K. L., Abraham, A. A., Griffiths, S. M., & Kim, J. H. (2016). Association between internet addiction and high-risk sexual attitudes in Chinese university students from Hong Kong and Macau. Public Health, 132, 60–63. https://doi.org/10.1016/j.puhe.2015.11.009
El Asam, A., Samara, M., & Terry, P. (2019). Problematic internet use and mental health among British children and adolescents. Addictive Behaviors, 90, 428-436. https://doi.org/10.1016/j.addbeh.2018.09.007
Fineberg, N. A., Demetrovics, Z., Stein, D. J., Ioannidis, K., Potenza, M. N., Grünblatt, E., ... & Chamberlain, S. R. (2018). Manifesto for a European research network into problematic usage of the internet. European Neuropsychopharmacology, 28(11), 1232-1246. https://doi.org/10.1016/j.euroneuro.2018.08.004
Fu, S. C., Pang, N. T. P., & Wider, W. (2022). Relationship between Internet Addiction, Personality Factors, and Emotional Distress among Adolescents in Malaysia. Children, 9(12), 1883. https://doi.org/10.3390/children9121883
Gecaite-Stonciene, J., Saudargiene, A., Pranckeviciene, A., Liaugaudaite, V., Griskova-Bulanova, I., Simkute, D., ... & Burkauskas, J. (2021). Impulsivity mediates associations between problematic internet use, anxiety, and depressive symptoms in students: a cross-sectional COVID-19 study. Frontiers in Psychiatry, 12, 634464. https://doi.org/10.3389/fpsyt.2021.634464
Gentile, D. A., Choo, H., Liau, A., Sim, T., Li, D., Fung, D., & Khoo, A. (2011). Pathological video game use among youths: A two-year longitudinal study. Pediatrics, 127(2), e319-e329. https://doi.org/10.1542/peds.2010-1353
Giordano, A., & Cashwell, C. (2017). Cybersex addiction among college students: A prevalence study. Sexual Addiction & Compulsivity, 24, 1-11. https://doi.org/10.1080/10720162.2017.1287612
Goodman, A., & Goodman, R. (2009). Strengths and difficulties questionnaire as a dimensional measure of child mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 400–403. https://doi.org/10.1097/CHI.0b013e3181985068.
Hartanto, A., Quek, F. Y., Tng, G. Y., & Yong, J. C. (2021). Does social media use increase depressive symptoms? A reverse causation perspective. Frontiers in Psychiatry, 12, 641934. https://doi.org/10.3389/fpsyt.2021.641934
Huckins, J. F., DaSilva, A. W., Wang, W., Hedlund, E., Rogers, C., Nepal, S. K., ... & Campbell, A. T. (2020). Mental health and behavior of college students during the early phases of the COVID-19 pandemic: Longitudinal smartphone and ecological momentary assessment study. Journal of Medical Internet Research, 22(6), e20185. https://doi/org/10.2196/20185
Jaafar, N. R. N, Bahar, N., Ibrahim, N., Baharudin, A., Wan Ismail, W. S., Sim, S. T., ... & Tan, K. A. (2021). Are Malaysian Youths Overdependent on the Internet?: A narrative review. Frontiers in Psychiatry, 1349. https://doi.org/10.3389/fpsyt.2021.710790
Jaafar, N. S., Idris, I. B., Ahmad, N., Hod, R., Baddiri, B., & Hod, R. (2022). Internet addiction and its association with depression, anxiety, and stress symptoms among allied health students in Malaysia. Medical Journal of Indonesia, 31(1), 56–61. https://doi.org/10.13181/mji.oa.225820
Jia, Y. F., & Loo, Y. T. (2018). Prevalence and determinants of perceived stress among undergraduate students in a Malaysian University. Journal of Health and Translational Medicine (JUMMEC), 21(1). https://ijie.um.edu.my/index.php/jummec/article/view/11016/7823
Kandell, J. J. (1998). Internet addiction on campus: the vulnerability of college students. Cyberpsychology Behaviour. 1:11–7. doi: 10.1089/cpb.1998.1.11
Király, O., Potenza, M. N., Stein, D. J., King, D. L., Hodgins, D. C., Saunders, J. B., ... & Demetrovics, Z. (2020). Preventing problematic internet use during the COVID-19 pandemic: Consensus guidance. Comprehensive Psychiatry, 100, 152180. https://doi.org/10.1016/j.comppsych.2020.152180
Ko, C. H., Yen, J. Y., Yen, C. F., Lin, H. C., & Yang, M. J. (2007). Factors predictive for incidence and remission of internet addiction in young adolescents: A prospective study. Cyberpsychology & Behavior, 10, 545–551. https://doi.org/10.1089/cpb.2007.9992
Konkolÿ Thege, B., Woodin, E. M., Hodgins, D. C., & Williams, R. J. (2015). Natural course of behavioral addictions: A 5-year longitudinal study. BMC psychiatry, 15(1), 1-14. https://doi.org/10.1186/s12888-015-0383-3
Lau, J. T. F., Wu, A. M. S., Gross, D. L., Cheng, K., & Lau, M. M. C. (2017). Is Internet addiction transitory or persistent? Incidence and prospective predictors of remission of Internet addiction among Chinese secondary school students. Addictive Behaviors, 74, 55–62. https://doi.org/10.1016/j.addbeh.2017.05.034
Li, S. M., & Chung, T. M. (2006). Internet function and Internet addictive behavior. Computers in Human Behavior, 22(6), 1067-1071. https://doi.org/10.1016/j.chb.2004.03.030
Litsou, K., Byron, P., McKee, A., & Ingham, R. (2021). Learning from pornography: Results of a mixed methods systematic review. Sex Education, 21(2), 236-252. https://doi.org/10.1080/14681811.2020.1786362
Liu, W., Chen, J. S., Gan, W. Y., Poon, W. C., Tung, S. E. H., Lee, L. J., ... & Lin, C. Y. (2022). Associations of problematic internet use, weight-related self-stigma, and nomophobia with physical activity: findings from mainland China, Taiwan, and Malaysia. International Journal of Environmental Research and Public Health, 19(19), 12135. https://doi.org/10.3390/ijerph191912135
Malaysian Communications and Multimedia Commission (2017). Internet Users Survey 2016. https://www.mcmc.gov.my/skmmgovmy/media/General/pdf/IUS2016.pdf
Malaysian Communications and Multimedia Commission (2022). Internet User Survey 2022. https://www.mcmc.gov.my/skmmgovmy/media/General/IUS-2022.pdf
Mooi, C. S., Ali, H., Theng, C. A., & Salim, H. S. (2019). Psychological distress and internet addiction among medical students from a Malaysian public university: A comparison between gender. Malays. J. Med. Health Sci, 15, 3-8. https://medic.upm.edu.my/upload/dokumen/2019060311235201_MJMHS_June_2019.pdf
Nasser, N. S., Ling, L. J., Rashid, A. A., Sharifat, H., Ahmad, U., Ibrahim, B., ... & Suppiah, S. (2020). A cross-sectional survey on smartphone usage pattern, the level of mobile phone dependence and psychosocial effects among undergraduate students in a Malaysian University. Medical Journal of Malaysia, 75, 356–362. https://doi.org/10.1101/2020.01.06.20016592
Nikmat, A. W., Mohd Yusof, N. F., & Suddin, L. S. (2022). Prevalence of problematic internet use and its association with psychological distress and coping strategies among Universiti Teknologi Mara Students during the COVID-19 Pandemic. IIUM Medical Journal Malaysia, 21(3). https://doi.org/10.31436/imjm.v21i3.1904
Peeters, M., Koning, I., Lemmens, J., & Eijnden, R. V. D. (2019). Normative, passionate, or problematic? Identification of adolescent gamer subtypes over time. Journal of Behavioral Addictions, 8(3), 574-585. https://doi.org/10.1556/2006.8.2019.55
Radeef, A. S., & Faisal, G. G. (2017). Psychological distress and sources of stressors amongst medical and science undergraduate students in Malaysia. Makara Journal of Health Research, 21. https://doi.org/10.7454/msk.v21i2.6697
Rodríguez-García, A. M., Moreno-Guerrero, A. J., & Lopez Belmonte, J. (2020). Nomophobia: An individual’s growing fear of being without a smartphone—a systematic literature review. International Journal of Environmental Research and Public Health, 17(2), 580. https://doi.org/10.3390/ijerph17020580
Roslan, A. A., Maalim, A. N., Sabri, S. S. A., Qing, J. E. S., & Nor, M. H. M. (2021). The relationship between game addiction, psychosocial effects and academic performance among undergraduate students of university of cyberjaya. Malaysian Journal of Medicine & Health Sciences, 17. https://medic.upm.edu.my/upload/dokumen/2021122719173207_2021_0396.pdf
Rosliza, A. M., Ragubathi, M. N., MKA, M. Y., & Shaharuddin, M. S. (2018). Internet addiction among undergraduate students: Evidence from a Malaysian public university. IIUM Medical Journal Malaysia, 17(2). https://doi.org/10.31436/imjm.v17i2.270
Stanković, M., & Nešić, M. (2022). Association of internet addiction with depression, anxiety, stress, and the quality of sleep: Mediation analysis approach in Serbian medical students. Current Research in Behavioral Sciences, 3, 100071. https://doi.org/10.1016/j.crbeha.2022.100071
Tan, S. A., Goh, Y. S., Mohd Zaharim, N., Gan, S. W., Yap, C. C., Nainee, S., & Lee, L. K. (2022). Problematic internet pornography use and psychological distress among emerging adults in Malaysia: Gender as a moderator. International Journal of Environmental Research and Public Health, 19(6), 3682. https://doi.org/10.3390/ijerph19063682
Tokunaga, R. S., & Rains, S. A. (2010). An evaluation of two characterizations of the relationships between problematic Internet use, time spent using the Internet, and psychosocial problems. Human Communication Research, 36(4), 512-545. https://doi.org/10.1111/j.1468-2958.2010.01386.x
Tokunaga, R. S., & Rains, S. A. (2016). A review and meta-analysis examining conceptual and operational definitions of problematic Internet use. Human Communication Research, 42(2), 165-199. https://doi.org/10.1111/hcre.12075
Tong, W. T., Islam, M. A., Low, W. Y., Choo, W. Y., & Abdullah, A. (2019). Prevalence and determinants of pathological internet use among undergraduate students in a public university in Malaysia. The Journal of Behavioral Science, 14(1), 63-83. https://so06.tci-thaijo.org/index.php/IJBS/article/download/141412/121444
Xu, P., Chen, J. S., Chang, Y. L., Wang, X., Jiang, X., Griffiths, M. D., ... & Lin, C. Y. (2022). Gender differences in the associations between physical activity, smartphone use, and weight stigma. Frontiers in Public Health, 10, 862829. https://doi.org/10.3389/fpubh.2022.862829
Yildirim, C., & Correia, A. P. (2015). Exploring the dimensions of nomophobia: Development and validation of a self-reported questionnaire. Computers in Human Behavior, 49, 130-137. https://doi.org/10.1016/j.chb.2015.02.059
Young, K. S. (1996). Psychology of computer use: XL. Addictive use of the Internet: a case that breaks the stereotype. Psychological Reports, 79(3), 899-902. https://doi.org/10.2466/pr0.1996.79.3.899
Yurdagül, C., Kircaburun, K., Emirtekin, E., Wang, P., & Griffiths, M. D. (2021). Psychopathological consequences related to problematic Instagram use among adolescents: The mediating role of body image dissatisfaction and moderating role of gender. International Journal of Mental Health and Addiction, 19, 1385-1397. https://doi.org/10.1007/s11469-019-00071-8
Zhang, M. W., Lim, R. B., Lee, C., & Ho, R. C. (2018). Prevalence of internet addiction in medical students: a meta-analysis. Academic Psychiatry, 42, 88-93. https://doi.org/10.1007/s40596-017-0794-1