Abstract
Objectives
The Internet, an integral part of modern life, can lead to internet addiction, which negatively affects academic performance, family relationships, and emotional development. This study aimed to evaluate the Internet addiction scores (IAS) during COVID-19 in children with type 1 diabetes mellitus (T1DM) compared with healthy controls.
Methods
Children with T1DM and healthy controls aged 8–18, were evaluated with the Parent–Child Internet Addiction Test (PCIAT20). Internet addiction scores of the participants were assessed. The relationship between diabetes duration, mean HbA1c level and IAS were also examined in children with T1DM.
Results
The study included 139 patients with T1DM and 273 controls. The IAS were significantly lower in patients compared with controls (25.28 ± 15.52 vs. 29.69 ± 19.08, p=0.019). There was a weak negative correlation between the duration of diabetes and IAS in children with diabetes (r=−0.21, p=0.021). There was no significant association between IAS and mean HbA1c (r=0.14, p=0.128) or age (r=0.08, p=0.115). Furthermore, there was no statistically significant difference in IAS between children with well-controlled diabetes (n=17) and those with poorly-controlled diabetes (n=122) (IAS: 27.1 ± 17.2; 24.8 ± 15.5, p=0.672, respectively).
Conclusions
Internet addiction scores were lower in patients with T1DM compared with their healthy peers. Unlike previous studies reporting an increase in problematic internet use, the results of the present study did not confirm internet use as a real challenge in front of the diabetes management for the majority of children with T1DM. This result may be attributed to the important role played by families in the management of T1DM.
-
Research funding: None declared.
-
Author contributions: All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
-
Competing interests: Authors state no conflict of interest.
-
Informed consent: Informed consent was obtained from all individuals included in this study.
-
Ethical approval: The study was approved by the clinical research ethics committee of Kayseri City Hospital with decision no 717 dated October 25, 2022.
References
1. Yang, SY, Fu, SH, Chen, KL, Hsieh, PL, Lin, PH. Relationships between depression, health related behaviors, and internet addiction in female junior college students. PLoS One 2019;14:e0220784. https://doi.org/10.1371/journal.pone.0220784.Suche in Google Scholar PubMed PubMed Central
2. Holden, C. ’Behavioral’ addictions: do they exist? Science 2001;294:980–2. https://doi.org/10.1126/science.294.5544.980.Suche in Google Scholar PubMed
3. Young, KS. Internet addiction: the emergence of a new clinical disorder. In: Paper presented at the 104th annual meeting of the American Psychological Association. Toronto, Canada; 1996a.Suche in Google Scholar
4. Cao, F, Su, L. Internet addiction among Chinese adolescents: prevalence and psychological features. Child Care Health Dev 2007;33:275–81. https://doi.org/10.1111/j.1365-2214.2006.00715.x.Suche in Google Scholar PubMed
5. Bozkurt, H, Coskun, M, Ayaydin, H, Adak, I, Zoroglu, SS. Prevalence and patterns of psychiatric disorders in referred adolescents with Internet addiction. Psychiatry Clin Neurosci 2013;67:352–9. https://doi.org/10.1111/pcn.12065.Suche in Google Scholar PubMed
6. Tang, J, Yu, Y, Du, Y, Ma, Y, Zhang, D, Wang, J. Prevalence of internet addiction and its association with stressful life events and psychological symptoms among adolescent internet users. Addict Behav 2014;39:744–7. https://doi.org/10.1016/j.addbeh.2013.12.010.Suche in Google Scholar PubMed
7. Ha, JH, Kim, SY, Bae, SC, Bae, S, Kim, H, Sim, M, et al.. Depression and Internet addiction in adolescents. Psychopathol 2007;40:424–30. https://doi.org/10.1159/000107426.Suche in Google Scholar PubMed
8. Jang, KS, Hwang, SY, Choi, JY. Internet addiction and psychiatric symptoms among Korean adolescents. J Sch Health 2008;78:165–71. https://doi.org/10.1111/j.1746-1561.2007.00279.x.Suche in Google Scholar PubMed
9. Durkee, T, Carli, V, Floderus, B, Wasserman, C, Sarchiapone, M, Apter, A, et al.. Pathological internet use and risk-behaviors among European adolescents. Int J Environ Res Publ Health 2016;13:294. https://doi.org/10.3390/ijerph13030294.Suche in Google Scholar PubMed PubMed Central
10. Kim, Y, Park, JY, Kim, SB, Jung, IK, Lim, YS, Kim, JH. The effects of Internet addiction on the lifestyle and dietary behavior of Korean adolescents. Nutr Res Prac 2010;4:51–7. https://doi.org/10.4162/nrp.2010.4.1.51.Suche in Google Scholar PubMed PubMed Central
11. Felner, EI, Klitz, W, Ham, M, Lazaro, AM, Stastny, P, Dupont, B, et al.. Genetic interaction among three genomic regions creates distinct contributions to early- and late-onset type 1 diabetes mellitus. Pediatr Diabetes 2005;6:213–20. https://doi.org/10.1111/j.1399-543X.2005.00132.x.Suche in Google Scholar PubMed
12. Fluck, CE, Kuhlmann, BV, Mullis, PE. Metabolic control in children and adolescents with diabetes mellitus type 1 in berne: a cross-sectional study. Schweiz Med Wochenschr 1999;129:1650–5.Suche in Google Scholar
13. Berger, G, Waldhoer, T, Barrientos, I, Kunkel, D, Rami-Merhar, BM, Schober, E, et al.. Association of insulin-manipulation and psychiatric disorders: a systematic epidemiological evaluation of adolescents with type 1 diabetes in Austria. Pediatr Diabetes 2019;20:127–36. https://doi.org/10.1111/pedi.12784.Suche in Google Scholar PubMed PubMed Central
14. Butwicka, A, Frisén, L, Almqvist, C, Zethelius, B, Lichtenstein, P. Risks of psychiatric disorders and suicide attempts in children and adolescents with type 1 diabetes: a population-based cohort study. Diabetes Care 2015;38:453–9. https://doi.org/10.2337/dc14-0262.Suche in Google Scholar PubMed PubMed Central
15. Suris, JC, Akré, C, Berchtold, A, Bélanger, RE, Michaud, PA. Chronically connected? Internet use among adolescents with chronic conditions. J Adolesc Health 2010;46:200–2. https://doi.org/10.1016/j.jadohealth.2009.07.008.Suche in Google Scholar PubMed
16. Young, KS. Internet addiction: the emergence of a new clinical disorder. CyberPsychol Behav 1998;1:237–44. https://doi.org/10.1089/cpb.1998.1.237.Suche in Google Scholar
17. Eşği, N. Aile-Çocuk İnternet Bağımlılık Ölçeği’nin Türkçeye uyarlanması: geçerlik ve güvenirlik çalışması. Kastamonu Eğitim Derg 2014;22:807–39.Suche in Google Scholar
18. DiMeglio, LA, Acerini, CL, Codner, E, Craig, ME, Hofer, SE, Pillay, K, et al.. ISPAD Clinical Practice Consensus Guidelines 2018: glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes. Pediatr Diabetes 2018;19:105–14. https://doi.org/10.1111/pedi.12737.Suche in Google Scholar PubMed
19. Daniilidou, K, Triantafyllou, P, Resta, M, Dimitriadou, M, Christoforidis, A. Level of Internet use among Greek adolescents with type 1 diabetes. Int J Adolesc Med Health 2017;31. https://doi.org/10.1515/ijamh-2016-0140.Suche in Google Scholar PubMed
20. Lin, MP. Prevalence of internet addiction during the COVID-19 outbreak and its risk factors among junior high school students in taiwan. Int J Environ Res Publ Health 2020;17:8547. https://doi.org/10.3390/ijerph17228547.Suche in Google Scholar PubMed PubMed Central
21. Sun, Y, Li, Y, Bao, Y, Meng, S, Sun, Y, Schumann, G, et al.. Brief report: increased addictive internet and substance use behavior during the COVID-19 pandemic in China. Am J Addict 2020;29:268–70. https://doi.org/10.1111/ajad.13066.Suche in Google Scholar PubMed PubMed Central
22. Duan, L, Shao, X, Wang, Y, Huang, Y, Miao, J, Yang, X, et al.. An investigation of mental health status of children and adolescents in China during the outbreak of COVID-19. J Affect Disord 2020;275:112–8. https://doi.org/10.1016/j.jad.2020.06.029.Suche in Google Scholar PubMed PubMed Central
23. Li, YY, Sun, Y, Meng, SQ, Bao, YP, Cheng, JL, Chang, XW, et al.. Internet addiction increases in the general population during COVID-19: evidence from China. Am J Addict 2021;30:389–97. https://doi.org/10.1111/ajad.13156.Suche in Google Scholar PubMed PubMed Central
24. Elhai, JD, Yang, H, McKay, D, Asmundson, GJG. COVID-19 anxiety symptoms associated with problematic smartphone use severity in Chinese adults. J Affect Disord 2020;274:576–82. https://doi.org/10.1016/j.jad.2020.05.080.Suche in Google Scholar PubMed PubMed Central
25. Ozturk, FO, Ayaz-Alkaya, S. Internet addiction and psychosocial problems among adolescents during the COVID-19 pandemic: a cross-sectional study. Arch Psychiatr Nurs 2021;35:595–601. https://doi.org/10.1016/j.apnu.2021.08.007.Suche in Google Scholar PubMed PubMed Central
26. Li, X, Li, D, Newman, J. Parental behavioral and psychological control and problematic internet use among Chinese adolescents: the mediating role of self-control. Cyberpsychol Behav Soc Netw 2013;16:442–7. https://doi.org/10.1089/cyber.2012.0293.Suche in Google Scholar PubMed
27. Martins, MV, Formiga, A, Santos, C, Sousa, D, Resende, C, Campos, R, et al.. Adolescent internet addiction - role of parental control and adolescent behaviours. Int J Pediatr Adolesc Med 2020;7:116–20. https://doi.org/10.1016/j.ijpam.2019.12.003.Suche in Google Scholar PubMed PubMed Central
28. Horton, D, Berg, CA, Butner, J, Wiebe, DJ. The role of parental monitoring in metabolic control: effect on adherence and externalizing behaviors during adolescence. J Pediatr Psychol 2009;34:1008–18. https://doi.org/10.1093/jpepsy/jsp022.Suche in Google Scholar PubMed PubMed Central
29. Lohan, A, Morawska, A, Mitchell, A. A systematic review of parenting interventions for parents of children with type 1 diabetes. Child Care Health Dev 2015;41:803–17. https://doi.org/10.1111/cch.12278.Suche in Google Scholar PubMed
30. Eberle, C, Stichling, S. Impact of COVID-19 lockdown on glycemic control in patients with type 1 and type 2 diabetes mellitus: a systematic review. Diabetol Metab Syndrome 2021;13:95. https://doi.org/10.1186/s13098-021-00705-9.Suche in Google Scholar PubMed PubMed Central
31. Pla, B, Arranz, A, Knott, C, Sampedro, M, Jiménez, S, Hernando, I, et al.. Impact of COVID-19 lockdown on glycemic control in adults with type 1 diabetes mellitus. J Endocr Soc 2020;4:bvaa149. https://doi.org/10.1210/jendso/bvaa149.Suche in Google Scholar PubMed PubMed Central
32. Di Dalmazi, G, Maltoni, G, Bongiorno, C, Tucci, L, Di Natale, V, Moscatiello, S, et al.. Comparison of the effects of lockdown due to COVID-19 on glucose patterns among children, adolescents, and adults with type 1 diabetes: CGM study. BMJ Open Diabetes Res Care 2020;8:e001664. https://doi.org/10.1136/bmjdrc-2020-001664.Suche in Google Scholar PubMed PubMed Central
Supplementary Material
The online version of this article offers supplementary material (https://doi.org/10.1515/jpem-2022-0640).
© 2023 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Original Articles
- Comparison of internet usage and internet addiction scores in healthy children and children with type 1 diabetes mellitus
- Prevalence of nonalcoholic fatty liver disease increased with type 2 diabetes mellitus in overweight/obese youth with polycystic ovary syndrome
- Comparison of regular with NPH insulin vs. premix insulin in children and adolescents with type 1 diabetes in a resources-limited setting: a retrospective data analysis
- Comparative analyses of surrogates of metabolic syndrome in children and adolescents with metabolically healthy obesity vs. metabolically unhealthy obesity according to Damanhoury’s criteria
- Response to vitamin D replacement therapy in obese children and adolescents with vitamin D deficiency: a randomized controlled trial
- Clinical profile of Laron dwarfism – experience from a tertiary care institute in Chennai
- 10.1515/jpem-2022-0462
- Identifying elevated plasma free triiodothyronine levels: age-adapted reference intervals for pediatrics
- Benefits and risks evaluation of recombinant human growth hormone replacement therapy in children with GHD after craniopharyngioma surgery
- Copeptin levels in hospitalized infants and children with suspected vasopressin-dependent disorders: a case series
- Case Reports
- Activating calcium-sensing receptor gene variants in China: a case report of hypocalcaemia and literature review
- Hypoparathyroidism and medium-chain Acyl-CoA dehydrogenase deficiency, an unusual association
- An 11-year-old girl with Autoimmune Polyglandular Syndrome (APS) type 2: a case report and review of literature
- An exceptionally rare case of Cushing’s syndrome caused by ectopic ACTH syndrome due to olfactory neuroblastoma in childhood
Artikel in diesem Heft
- Frontmatter
- Original Articles
- Comparison of internet usage and internet addiction scores in healthy children and children with type 1 diabetes mellitus
- Prevalence of nonalcoholic fatty liver disease increased with type 2 diabetes mellitus in overweight/obese youth with polycystic ovary syndrome
- Comparison of regular with NPH insulin vs. premix insulin in children and adolescents with type 1 diabetes in a resources-limited setting: a retrospective data analysis
- Comparative analyses of surrogates of metabolic syndrome in children and adolescents with metabolically healthy obesity vs. metabolically unhealthy obesity according to Damanhoury’s criteria
- Response to vitamin D replacement therapy in obese children and adolescents with vitamin D deficiency: a randomized controlled trial
- Clinical profile of Laron dwarfism – experience from a tertiary care institute in Chennai
- 10.1515/jpem-2022-0462
- Identifying elevated plasma free triiodothyronine levels: age-adapted reference intervals for pediatrics
- Benefits and risks evaluation of recombinant human growth hormone replacement therapy in children with GHD after craniopharyngioma surgery
- Copeptin levels in hospitalized infants and children with suspected vasopressin-dependent disorders: a case series
- Case Reports
- Activating calcium-sensing receptor gene variants in China: a case report of hypocalcaemia and literature review
- Hypoparathyroidism and medium-chain Acyl-CoA dehydrogenase deficiency, an unusual association
- An 11-year-old girl with Autoimmune Polyglandular Syndrome (APS) type 2: a case report and review of literature
- An exceptionally rare case of Cushing’s syndrome caused by ectopic ACTH syndrome due to olfactory neuroblastoma in childhood