Naslov (srp)

Faktori rizika za nastanak zavisnosti od pametnih mobilnih telefona kod studenata medicine : doktorska disertacija

Autor

Nikolić, Aleksandra, 1989-

Doprinosi

Šipetić-Grujičić, Sandra, 1965-
Kocić, Biljana, 1963-
Vuković, Dejana, 1966-
Pavlović, Zorana, 1974-

Opis (srp)

U posljednjih nekoliko godina prisutna je sve veća zabrinutost zbog negativnih posledicakorišćenja pametnih telefona (PT). Uprkos brojnim prednostima korišćenja, istraživanja pokazuju damnogi ljudi preterano koriste svoje telefone na način koji narušava njihov svakodnevni život,bezbednost i zdravlje.Cilj: Ciljevi istraživanja bili su prevod, kulturološka adaptacija i validacija Skale zavisnosti odpametnih telefona – kratka verzija (Smartphone Addiction Scale-Short Version – SAS–SV) i upitnikaza strah od propuštanja (Fear of missing out – FoMO), identifikovanje značajnih nezavisnih faktorazavisnosti od PT kod studenata medicine, kao i analiziranje da li postoji razlika u nezavisnimfaktorima u odnosu na pol, kao i između staudenata medicine u Beogradu i Nišu.Materijal i metode: Istraživanje je sprovedeno kao studija preseka na studentima Medicinskogfakulteta u Beogradu (MFUB) i Nišu (MFUN) tokom jednog meseca (decembra 2018). U studiju jeuključeno 2103 studenta (1564 studenta MFUB i 539 studenata MFUN). Podaci su od ispitanikaprikupljeni upitnicima. Pored opšteg upitnika korišćeni su i sledeći upitnici: Skala zavisnosti odpametnih telefona – kratka verzija (Smartphone Addiction Scale – Short Version – SAS –SV), Upitniko strahu od propuštanja (Fear of Missing Out – FoMO), Skala za procenu depresije, anksioznosti istresa (Depression Anxiety Stress Scale – DASS-21), Multidimenziona skala percipirane personalnepodrške (Multidimensional Scale of Perceived Social Support – MSPSS), Pitsburški indeks kvalitetaspavanja (Pittsburgh Sleep Quality Index – PSQI) i upitnik o fizičkoj aktivnosti - kratka verzija(International Physical Activity Questionnaire - IPAQ-SV). U statističkoj analizi podataka korišćenesu metode deskriptivne statistike: srednja vrednost, standardna devijacija, medijana, minimum imaksimum). Za poređenje dve grupe ispitanika korišćen je parametarski test (t-test za nezavisneuzorke), a ukoliko nisu ispunjeni uslovi za primenu parametarskog testa korišćen odgovarajućineparametarski test (χ2 test, Mann-Whitney U test). Za procenu korelacije korišćeni su Pirsonov,odnosno Spirmanov koeficijent korelacije. Za ispitivanje prediktora zavisnosti od PT korišćene suunivarijantna (ULRA) i multivarijantna regresiona analiza (MLRA). Za ispitivanje faktorskestrukture upitnika SAS-SV i FoMO korišćena je eksploratorna faktorska analiza, a ekstrakcija faktoravršena je metodom analize glavnih komponenti.Rezultati: Srpska verzija upitnika pod nazivom Skala zavisnosti od pametnih telefona - kratka verzijaima odličan nivo unutrašnje konzistentnosti (Kronbahov alfa koeficijent = 0,893) i test-retestpouzdanost (ICC=0,942). Srpska verzija upitnika pod nazivom Strah od propuštanja ima odličan nivounutrašnje konzistentnosti (Kronbahov alfa koeficijent = 0,872) i test-retest pouzdanost (ICC=0,920).Kod studenata oba fakulteta prevalencija zavisnosti od pametnih telefona (prema SAS-SV skoru) jebila 20,8% (22,3% za muškarce i 22,3% kod žena). Studenti zavisni od PT značajno su češćekonzumirali alkohol, koka-kolu i energetska pića, kraće vreme su provodili na fakultetu, kraće učili,češće su koristili telefon duže od 3 sata na dan i društvene mreže duže od 2 sata na dan (kako radnimdanom tako i vikendom), a od društvenih mreža češće su koristili Instagram od onih koji nisu bilizavisni od PT. Studenti koji su zavisni od PT imali su značajno češće povišene nivoe stresa,anksioznosti i depresivnosti, češće su imali veće vrednosti FoMO skora i češće su imali lošiji kvalitetspavanja u odnosu na studente bez zavisnosti od PT. Između studenata koji su zavisni od PT i onihkoji nisu, nije bilo značajne razlike u sprovođenju fizičke aktivnosti i stepenu uhranjenosti. PremaMLRA, značajni nezavisni prediktori zavisnosti od PT za studente medicinskih fakulteta sukorišćenje telefona više od 3h na dan, i strah od propuštanja, a dobijeni su kao značajni nezavisniprediktori i stres, anksioznost i depresivnost kada su zasebno ubacivani u model MLRA, jermeđusobno visoko značajno koreliraju. Značajni nezavisni prediktori zavisnosti od pametnih telefonaza muškarce, kao i za žene, oba fakulteta, su korišćenje telefona više od 3h na dan i strah odpropuštanja, a dobijeni su kao značajni nezavisni prediktori i anksioznost i depresivnost kada suzasebno uključeni u model MLRA, jer međusobno visoko značajno koreliraju...

Opis (srp)

Medicina - Epidemiologija / Medicine - Epidemiology Datum odbrane: 25.09.2023.

Opis (eng)

In the last few years, there has been increasing concern about the negativeconsequences of using smartphones. Despite its many benefits, research shows that many peopleoveruse their phones in ways that disrupt their daily lives, safety, and health.Objective: The objectives of the research were the translation, cultural adaptation, and validation ofthe Smartphone Addiction Scale ‒ Short Version (SAS-SV) and the Fear of missing out (FoMO)questionnaire; identifying significant independent factors of smartphone addiction (SA) amongmedical students, as well as analyzing whether there is a difference in independent factors in relationto gender; to examine whether there is a significant difference in prevalence and factors of SAbetween medical students in Belgrade and Niš.Material and methods: The research was conducted as a cross-sectional study on students of theFaculty of Medicine in Belgrade (MFUB) and Niš (MFUN) for one month (December 2018). 2103students were included in the study (1564 students of MFUB and 539 students of MFUN). The datawere collected from the respondents through questionnaires. In addition to the general questionnaire,the following questionnaires were also used: the Smartphone Addiction Scale (SAS-SV), the Fear ofMissing Out (FoMO), the Depression Anxiety Stress Scale Scale (DASS-21), the MultidimensionalScale of Perceived Social Support (MSPSS), the Pittsburgh Sleep Quality Index (PSQI), theInternational Physical Activity Questionnaire (IPAQ-SV). Descriptive statistics methods were usedin the statistical analysis of the data: mean value, standard deviation, median, minimum, andmaximum). A parametric test (t-test for independent samples) was used to compare two groups ofsubjects. If the conditions for applying a parametric test were not met, a corresponding non-parametric test (χ2 test, Mann-Whitney U test) was used. Pearson's and Spearman's correlationcoefficients were used to assess the correlation. Univariate (ULRA) and multivariate regressionanalysis (MLRA) were used to examine predictors of SA. Exploratory factor analysis was used toexamine the factor structure of the SAS-SV and FoMO questionnaires. Factor extraction wasperformed using the method of principal component analysis.Results: The Serbian version of the questionnaire called the Smartphone Addiction Scale - ShortVersion has excellent internal consistency (Cronbach's alpha coefficient = 0.893) and test-retestreliability (ICC=0.942). The Serbian version of the questionnaire called Fear of missing out has anexcellent level of internal consistency (Cronbach's alpha coefficient = 0.872) and test-retest reliability(ICC=0.920). Among students of both faculties, the prevalence of smartphone addiction (accordingto the SAS-SV score) was 20.8% (22.3% for men and 22.3% for women). Students addicted tosmartphones consumed alcohol, Coca-Cola, and energy drinks significantly more often, spent lesstime at university, studied less, used the phone more often for more than 3 hours a day and socialnetworks for more than 2 hours a day (both on weekdays as well as on weekends), and they usedInstagram more often than those who were not addicted to smartphones. Students with SA hadsignificantly higher levels of stress, anxiety, and depression, more often had higher FoMO scorevalues, and more often had poorer sleep quality compared to students without SA. Between studentswho were addicted to SA and those who were not, there was no significant difference in theimplementation of physical activity and the level of nutrition. According to the MLRA, significantindependent predictors of SA for medical students were using the phone for more than 3 hours a day,and fear of missing out, and stress, anxiety, and depression were obtained as significant independentpredictors when they were separately entered into the MLRA model because they were mutuallyhighly significantly correlated. Significant independent predictors of smartphone addiction for men,as well as for women, both faculties, were using the phone more than 3 hours a day and fear of missingout, and anxiety and depression were obtained as significant independent predictors when separatelyincluded in the MLRA model because they correlated highly with each other...

Jezik

srpski

Datum

2023

Licenca

Ovo delo je licencirano pod uslovima licence
Creative Commons CC BY-NC-ND 3.0 AT - Creative Commons Autorstvo - Nekomercijalno - Bez prerada 3.0 Austria License.

http://creativecommons.org/licenses/by-nc-nd/3.0/at/legalcode

Predmet

OSNO - Opšta sistematizacija naučnih oblasti, Epidemiologija

smartphones, addiction, students, FoMO, sleep quality, depression, anxiety, stress

613.8-057.875/036.22(043.3)

OSNO - Opšta sistematizacija naučnih oblasti, Epidemiologija

pametni telefoni, zavisnost, studenti, FoMO, kvalitet spavanja, depresija, anksioznost, stres