Perception of internet addiction among psychiatric residents in an urban area in Indonesia
BACKGROUND In the last two years, many suspected cases of internet addiction have been reported by the media. However, many physicians do not have comprehensive knowledge of internet addiction. Currently, there has been no study conducted among psychiatric residents. This study was aimed to determine the perception of internet addiction among psychiatric residents.
METHODS This cross-sectional study was done from April to May 2018. Subjects were recruited by a total sampling method consisting of all psychiatric residents of the Faculty of Medicine, Universitas Indonesia. Perceptions of internet addiction were measured using the illness perception questionnaire revised version for addiction. The calculation of subscales was based on the algorithms available for this instrument. The Mannâ€“Whitney U test was used to determine the association of different years of psychiatric education and the perception of internet addiction.
RESULTS Fifty-two subjects completed the survey, and 85% of them reported feeling that they did not have adequate knowledge of internet addiction. They believed that their current knowledge was not sufficient to make diagnosis and management decisions. Junior residents had significantly lower consequence scale scores, with mean (standard deviation) scores of 4.1 (0.54) for juniors and 4.4 (0.48) for seniors (p = 0.021).
CONCLUSIONS Psychiatric residents perceived internet addiction as emotionally stressful, understandable, and cyclical, but difficult to control. Senior psychiatric residents had a better perception internet addiction consequences compared with their juniors, who have received only basic knowledge about addiction without clinical exposure, but the perceptions could still be improved.
Young KS, de Abreu CN. Internet addiction: a handbook and guide to evaluation and treatment. New Jersey: John Wiley & Sons; 2011.
Montag C, Reuter M, editors. Internet addiction: neuroscientific approaches and therapeutical interventions. Switzerland: Springer International Publishing; 2015. https://doi.org/10.1007/978-3-319-07242-5
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2013. https://doi.org/10.1176/appi.books.9780890425596
World Health Organization. Gaming disorder [Internet]. Geneva: World Health Organization; 2018 [cited 2018 Oct 18]. Available from: http://www.who.int/features/qa/gaming-disorder/en/.
Avery J, Zerbo E. Improving psychiatry residents' attitudes toward individuals diagnosed with substance use disorders. Harv Rev Psychiatry. 2015;23(4):296-300. https://doi.org/10.1097/HRP.0000000000000047
Wakeman SE, Baggett MV, Pham-Kanter G, Campbell EG. Internal medicine residents' training in substance use disorders: a survey of the quality of instruction and residents' self-perceived preparedness to diagnose and treat addiction. Subst Abus. 2013;34(4):363-70. https://doi.org/10.1080/08897077.2013.797540
Wakeman SE, Pham-Kanter G, Baggett MV, Campbell EG. Medicine resident preparedness to diagnose and treat substance use disorders: impact of an enhanced curriculum. Subst Abus. 2015;36(4):427-33. https://doi.org/10.1080/08897077.2014.962722
Iannucci R, Sanders K, Greenfield SF. A 4-year curriculum on substance use disorders for psychiatry residents. Acad Psychiatry. 2009;33(1):60-6. https://doi.org/10.1176/appi.ap.33.1.60
Barral C, Eiroa-Orosa FJ, Navarro-Marfisis MC, Roncero C, Casas M. Assessing knowledge and attitudes towards addictions in medical residents of a general hospital. Drugs Educ Prev Policy. 2015;22(6):457-62. https://doi.org/10.3109/09687637.2014.987218
Renner JA Jr, Karam-Hage M, Levinson M, Craig T, Eld B. What do psychiatric residents think of addiction psychiatry as a career? Acad Psychiatry. 2009;33(2):139-42. https://doi.org/10.1176/appi.ap.33.2.139
Springer CM, Tannert Niang KM, Matte TD, Miller N, Bassett MT, Frieden TR. Do medical students know enough about smoking to help their future patients? Assessment of New York City fourth-year medical students' knowledge of tobacco cessation and treatment for nicotine addiction. Acad Med. 2008;83(10):982-9. https://doi.org/10.1097/ACM.0b013e3181850b68
Warren J, Cisler A, Weatherford J, Zakaria NS. Assessing the impact of addictions education on attitudes of students: a preliminary investigation. J Alcohol Drug Educ. 2013;57(3):18-26.
van Boekel LC, Brouwers EP, van Weeghel J, Garretsen HFL. Healthcare professionals' regard towards working with patients with substance use disorders: comparison of primary care, general psychiatry and specialist addiction services. Drug Alcohol Depend. 2014;134:92-8. https://doi.org/10.1016/j.drugalcdep.2013.09.012
Schrimsher GW, Casey L, Nelson JS, Overstreet SE, Schaefer D, Williams SC. Substance use disorder education for medical students: reflections on our Betty Ford Institute training experience. Alcohol Treat Q. 2011;29(2):158-69. https://doi.org/10.1080/07347324.2011.557981
Lindsay DL, Hagle H, Lincoln P, Williams J, Luongo PF. Exploring medical students' conceptions of substance use: a follow-up evaluation. Subst Abus. 2017;38(4):464-7. https://doi.org/10.1080/08897077.2017.1342735
Barron R, Frank E, Gitlow S. Evaluation of an experiential curriculum for addiction education among medical students. J Addict Med. 2012;6(2):131-6. https://doi.org/10.1097/ADM.0b013e3182548abd
Susanti R. Internet addiction sufferers appear, watch for symptoms [Internet]. Jakarta: PT. Kompas Cyber Media; 2019 [cited 2019 Mar 4]. Available from: https://lifestyle.kompas.com/read/2019/01/24/190000720/penderita-kecanduan-internet-bermunculan-perhatikan-gejalanya-?page=all.
Ayu AP, Dijkstra B, Golbach M, De Jong C, Schellekens A. Good psychometric properties of the addiction version of the revised illness perception questionnaire for health care professionals. PLoS One. 2016;11(11):e0164262. https://doi.org/10.1371/journal.pone.0164262
Raistrick D, Russell D, Tober G, Tindale A. A survey of substance use by health care professionals and their attitudes to substance misuse patients (NHS staff survey). J Subst Use 2008;13(1):57-69. https://doi.org/10.1080/14659890701237082
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