• In daily life, most of them used internet for personal social 

      communication (87%).

• GPA was not associated with self evaluation regarding internet addiction. 
   

• Useful of social communication.
• Next step:
  
  • feedback the result (addicted internet?) from the Internet  Addiction Score to the medical student.
  • teach the clinical and how to prevent the IAD.

• Internet Addiction Disorder (IAD)⁷

          1. Recognized as a disorder by the

              American Psychological Association.

          2.In DSM-V: the diagnosis is a compulsive-impulsive

             spectrum disorder.

          3. Internet Addiction Disorder: Diagnostic Criteria

              Five (or more) of the following:

              3.1 Is preoccupied with the Internet (think about previous

                    online activity or anticipate next online session).

              3.2 Needs to use the internet with increased amounts of

                    time in order to achieve satisfaction.
              3.3 Has made unsuccessful efforts to control, cut back, or

                    stop Internet use.

              3.4 Is restless, moody, depressed, or irritable when

                    attempting to cut down or stop Internet use.

              3.5 Has stayed online longer than originally intended.

              3.6 Has jeopardized or risked the loss of a significant

                    relationship, job, educational or career opportunity

                    because of the Internet.

              3.7 Has lied to family members, therapist, or others to

                    conceal the extent of involvement with the Internet.

              3.8 Uses the Internet as a way of escaping from problems

                    or of relieving a dysphoric mood (e.g., feelings of 

                    helplessness, guilt, anxiety, depression).

• Prevention internet addiction⁸  

          1. People must recognize pattern of overuse.

          2. Awareness of basic symptoms.

          3. To identify underlying problems and work through rather than

              escape it.

          4. Gradually decline the time to use internet.                     

1.  Yadav H, Jain S, Kapila S, Prasad G. Intrnet resourced for diabetes.

    Ind J Med Sci.2005; 59(1):32-42.

2. Grace A. Computer and internet use by the first year clinical and

    nursing students in a Nigerian teaching hospital. BMC Medical

    Informatics and decision Making.2003:3-10.

3. Piya T. Thailand Internet Snapshot 2011 bu Tuehits.net Statistics, 2011.

4. Barnergi I, Biswas S,Biswas A,et al.Trend of internet use among

    medical students.J Indian Med Assoc.2011 Jul;109(7):459-61.

5. Hattab NM, Lahmiti S, Ben Abdelaziz A, et al. Internet and medial student

    in Marrakech. Ann Afr Med. 2010 Apr-Jun;9(2):68-72. 

6. Unnikrishnan B, Kulshrestha V, Saraf A, et al. Pattern of computer and

    internet use among medical students in Coastal South India.South East Asian

    Journal of Medical Education.2008;2(2):18-25.

7. Jeral J. Issue for DSM-V:Internet Addiction. Am J Psychiatry 2008;165:

    306-7.

8. Jin-Sook L, Young-Kwon B, Seong-Sik K. A Learning System for Internet

    Addiction Prevention. Proceedings of the IEEE International Conference on

    Advanced Learning Technologies (ICALT’04).2004.