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Research article
Relationship between Internet addiction and sleep disturbance in high school students: a cross-sectional study
Yoshitaka Kaneita
Nihon Daigaku Byoin
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1287-7590
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Pediatrics.
Background: The increase in the number of Internet users has increased Internet dependence worldwide. In adolescents, this dependence may interfere with sleep, which is important for the development of psychophysiological capabilities. However, few large-scale surveys have described the relationship between Internet addiction (IA) and sleep disturbance using standardized questionnaires. We conducted a survey in one prefecture in Japan to determine the relationship between sleep disturbance and IA in adolescents based on the categories of the Young Diagnostic Questionnaire (YDQ).
Methods: In 2016, high school students (N=10,405, age range: 15–16 years) in all 54 daytime high schools in the selected prefecture were surveyed using a self-administered questionnaire. Participants with scores > 5.5 points on the Japanese version of the Pittsburgh Sleep Quality Index were defined as having a sleep disturbance. IA was evaluated using the YDQ: Participants with five to eight YDQ items present were classified as having IA; those with three or four items present were classified as “at risk of IA”; and those with two or less YDQ items were classified as “non-IA”. Multiple logistic regression analysis was performed with sleep disturbance as the dependent variable, IA as the explanatory variable, and adjustments for eight other variables.
Results: High YDQ scores were associated with a high prevalence of sleep disturbance in boys and girls. These findings persisted after controlling for other factors in the multiple regression model.
Conclusions: Among Japanese adolescents, there was a significant independent relationship between IA and sleep disturbance.
Keywords
Internet addiction, sleep disturbance, youth, Pittsburgh Sleep Quality Index, Young Diagnostic Questionnaire
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Received 08 Jun, 2020
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Editorial decision: Minor revision
On 01 May, 2020
Review #1 received
Received 29 Apr, 2020
Reviewer #3 agreed
On 25 Apr, 2020
Review #3 received
Received 25 Apr, 2020
Reviewer #2 agreed
On 23 Apr, 2020
Reviewers invited
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Reviewer #1 agreed
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Editor invited
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Editorial decision: Minor revision
On 30 Mar, 2020
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Reviewer #2 agreed
On 19 Mar, 2020
Reviewer #3 agreed
On 19 Mar, 2020
Review #2 received
Received 19 Mar, 2020
Review #1 received
Received 17 Mar, 2020
Reviewers invited
Invitations sent on 16 Mar, 2020
Reviewer #1 agreed
On 16 Mar, 2020
Editor assigned
On 01 Mar, 2020
Editor invited
On 29 Feb, 2020
Submission checks complete
On 27 Feb, 2020
No comments provided
Editorial decision: Major revision
On 17 Jan, 2020
Review #2 received
Received 14 Jan, 2020
Review #3 received
Received 11 Jan, 2020
Reviewer #3 agreed
On 07 Jan, 2020
Review #1 received
Received 06 Jan, 2020
Reviewer #2 agreed
On 05 Jan, 2020
Reviewer #1 agreed
On 02 Jan, 2020
Editor assigned
On 16 Dec, 2019
Reviewers invited
Invitations sent on 16 Dec, 2019
Submission checks complete
On 12 Dec, 2019
Editor invited
On 10 Dec, 2019
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This preprint is under consideration at BMC Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Relationship between Internet addiction and sleep disturbance in high school students: a cross-sectional study
Yoshitaka Kaneita
Nihon Daigaku Byoin
Corresponding Author
ORCiD: https://orcid.org/0000-0003-1287-7590
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
Version 6
Posted 10 Aug, 2020
Published
On 11 Aug, 2020
No community comments so far
Submission checks complete
On 04 Aug, 2020
Editorial decision: Accept
On 04 Aug, 2020
No comments provided
Editorial decision: Minor revision
On 31 Jul, 2020
Editor assigned
On 20 Jul, 2020
Editor invited
On 19 Jul, 2020
Submission checks complete
On 13 Jul, 2020
No comments provided
Editorial decision: Minor revision
On 25 Jun, 2020
Review #1 received
Received 08 Jun, 2020
Review #2 received
Received 08 Jun, 2020
Reviewer #2 agreed
On 04 Jun, 2020
Reviewers invited
Invitations sent on 01 Jun, 2020
Reviewer #1 agreed
On 01 Jun, 2020
Editor assigned
On 18 May, 2020
Submission checks complete
On 17 May, 2020
Editor invited
On 17 May, 2020
No comments provided
Review #2 received
Received 01 May, 2020
Editorial decision: Minor revision
On 01 May, 2020
Review #1 received
Received 29 Apr, 2020
Reviewer #3 agreed
On 25 Apr, 2020
Review #3 received
Received 25 Apr, 2020
Reviewer #2 agreed
On 23 Apr, 2020
Reviewers invited
Invitations sent on 22 Apr, 2020
Reviewer #1 agreed
On 22 Apr, 2020
Editor assigned
On 14 Apr, 2020
Editor invited
On 13 Apr, 2020
Submission checks complete
On 09 Apr, 2020
No comments provided
Editorial decision: Minor revision
On 30 Mar, 2020
Review #3 received
Received 19 Mar, 2020
Reviewer #2 agreed
On 19 Mar, 2020
Reviewer #3 agreed
On 19 Mar, 2020
Review #2 received
Received 19 Mar, 2020
Review #1 received
Received 17 Mar, 2020
Reviewers invited
Invitations sent on 16 Mar, 2020
Reviewer #1 agreed
On 16 Mar, 2020
Editor assigned
On 01 Mar, 2020
Editor invited
On 29 Feb, 2020
Submission checks complete
On 27 Feb, 2020
No comments provided
Editorial decision: Major revision
On 17 Jan, 2020
Review #2 received
Received 14 Jan, 2020
Review #3 received
Received 11 Jan, 2020
Reviewer #3 agreed
On 07 Jan, 2020
Review #1 received
Received 06 Jan, 2020
Reviewer #2 agreed
On 05 Jan, 2020
Reviewer #1 agreed
On 02 Jan, 2020
Editor assigned
On 16 Dec, 2019
Reviewers invited
Invitations sent on 16 Dec, 2019
Submission checks complete
On 12 Dec, 2019
Editor invited
On 10 Dec, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published version at BMC Pediatrics.
Background: The increase in the number of Internet users has increased Internet dependence worldwide. In adolescents, this dependence may interfere with sleep, which is important for the development of psychophysiological capabilities. However, few large-scale surveys have described the relationship between Internet addiction (IA) and sleep disturbance using standardized questionnaires. We conducted a survey in one prefecture in Japan to determine the relationship between sleep disturbance and IA in adolescents based on the categories of the Young Diagnostic Questionnaire (YDQ).
Methods: In 2016, high school students (N=10,405, age range: 15–16 years) in all 54 daytime high schools in the selected prefecture were surveyed using a self-administered questionnaire. Participants with scores > 5.5 points on the Japanese version of the Pittsburgh Sleep Quality Index were defined as having a sleep disturbance. IA was evaluated using the YDQ: Participants with five to eight YDQ items present were classified as having IA; those with three or four items present were classified as “at risk of IA”; and those with two or less YDQ items were classified as “non-IA”. Multiple logistic regression analysis was performed with sleep disturbance as the dependent variable, IA as the explanatory variable, and adjustments for eight other variables.
Results: High YDQ scores were associated with a high prevalence of sleep disturbance in boys and girls. These findings persisted after controlling for other factors in the multiple regression model.
Conclusions: Among Japanese adolescents, there was a significant independent relationship between IA and sleep disturbance.
Figure 1
Figure 2