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ashraf.zayed
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© © All Rights Reserved
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Introduction

Internet access and usage in the world

has been proliferating year by year(1)

Internet plays a fundamental role in

organizations and society. The term internet

is defined as a large computer network that

has many positive aspects and serves the

life. It is an easy access to information

exchange, academic research, entertainment,

communication, commerce and

business(2,3,4). So the number of internet

users is increasing intensely to reach over 41

% of the world population(5)

Frequent and prolonged periods of

internet use are associated with physical,

psychological and sociological problems in

adolescents. Adolescence is a stressful life

period, so there are many reasons that are

responsible for making the adolescents as a

probable risk group vulnerable to internet

addiction. These reasons include: settle a lot

of time on the internet for chatting, forming

sites, socialization and searching about their

peers’ acceptance(6) . In addition to, they develop a conflict with cultural and moral

norms of society; those conflicts can cause a

series of defense mechanisms that attracts

adolescents to the internet as a form of


relief(6,7)

Internet addiction is described with

terminologies such as internet addiction

disorder (IAD), Internet dependence,

problematic Internet use, and compulsive

Internet use(8,9,10)

Internet addiction (IA) always refers to

the inability of individuals to control their

Internet use, resulting in marked distress

and/or functional impairment in

psychological, physical and social daily life

activities(9,10,11)

. In 2012, Diagnostic and

Statistical Manual version fifth edition

(DSM-V) stated the criteria of IA includes:

preoccupation with internet use, tolerance,

inability to control use, withdrawal

symptoms, use the internet as a way to

escape from problems, continued use of

internet despite knowledge of negative

consequences and loss of interests in

previous hobbies (12,13,14)

Internet addiction could negatively

affect adolescent's health status. The

negative consequences of IA on the physical

health are mostly musculoskeletal disorders


which are reported as back-ache, pain in the

neck, wrist and shoulders(15)

, as well as

Computer vision syndrome, headache,

migraine(16,17), poor diet quality and lower

levels of physical activity. Sleep disturbance

is another serious problem related to internet

addiction(18,19)

Internet addiction has negative

consequences not only on physical health,

but also on social and psychological health.

Internet has the power to affect the building

and maintenance of social relations and

reduces face-to-face communication(20,21,22)

In addition to, the psychological effects of

IA which include increasing anger,

irritability, nervousness and mood change

when internet becomes offline(22).

The pediatric nurse performs

assessment to the adolescents through the

clinical interview and an appropriate

diagnosis can be given, then planning and

implementation with the adolescent and their

families can begin to learn the effective

ways to change these behaviors(22). Internet addiction, commonly known as problematic


internet use, has gained increasing attention as a significant public health issue in today's digital
landscape. With the rapid expansion of internet accessibility, individuals are spending
unprecedented amounts of time online, leading to a spectrum of compulsive behaviors. These
may include excessive social media engagement, online gaming, browsing, and even cybersex,
which can interfere with daily responsibilities and relationships.

The psychological implications of internet addiction are profound, often manifesting in anxiety,
depression, and social isolation. Studies have shown that individuals who struggle with this
addiction may exhibit symptoms similar to those of substance use disorders, including cravings,
withdrawal, and an inability to reduce use despite negative consequences. Furthermore, the
impact of internet addiction can extend to physical health, contributing to issues such as sleep
deprivation, sedentary lifestyles, and poor nutrition.

As awareness of internet addiction grows, researchers and clinicians emphasize the importance
of recognizing its signs and developing effective treatment strategies. Understanding the factors
that contribute to internet addiction—such as personality traits, environmental influences, and
social contexts—can aid in creating targeted interventions. Ultimately, fostering a balanced
relationship with technology is essential for maintaining mental health and well-being in our
increasingly connected world.

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