Merve AKTAŞ TERZİOĞLU, Tuğçe TOKER UĞURLU

COVID-19 Pandemisinde Tıp Fakültesi Öğrencilerinde Algılanan Stres ve Nomofobi

Amaç: Tıp fakültesi öğrencilerinin COVID-19 pandemisi sırasında algıladıkları stres ve cep telefonlarından mahrum kalma korkusunun (nomofobi) araştırılması amaçlanmıştır. Yöntem: Algılanan Stres Ölçeği (ASÖ), Nomofobi Ölçeği (NÖ) ve sosyodemografik verilerden oluşan çevrimiçi anket 341 öğrencinin katılımıyla tamamlandı. Bulgular: COVID-19 pandemisi sırasında akıllı telefon kullanımının her iki cinsiyette istatistiksel olarak benzer şekilde arttığı bildirildi. NÖ’ye göre, kadınların %67'si hafif, %32,1'i orta, %0,9'u aşırı derecede nomofobikken; erkeklerin %55'i hafif, %39,3'ü orta ve %5,7'si aşırı derecede nomofobikti. Erkeklerin ortalama ASÖ puanlarının kadınlardan anlamlı derecede yüksek olduğu bulundu. 20 yaş ve altındaki öğrencilerin ASÖ ve NÖ puan ortalamalarının 20 yaşın üzerindeki öğrencilerin puanlarına benzer olduğu görüldü. ASÖ puanları ile NÖ’nün tüm boyutları arasında pozitif bir korelasyon vardır. Sonuç: Tıp fakültesi öğrencileri hafif/orta düzeyde nomofobik bulundu. COVID-19 pandemisi sırasında erkek tıp öğrencilerinin kız öğrencilere göre daha fazla etkilendikleri, kendilerini stres altında hissettikleri ve nomofobi eğilimlerinin daha yüksek olduğu saptandı.

Perceived Stress and Nomophobia in Medical Faculty Students during COVID-19 Pandemic

Objective: This study aimed at investigating the stress levels of medical students during the COVID-19 pandemic and their fear of being deprived of their mobile phones (nomophobia). Method: An online questionnaire consisting of the Perceived Stress Scale (PSS), Nomophobia Scale (NMP-Q) and sociodemographic data was completed with the participation of 341 students. Results: The use of smartphones increased during the COVID-19 pandemic andthis increase was statistically similar in both sexes. According to NMP-Q results, 67% of females were mildly, 32.1% were moderate, and 0.9% were severe nomophobic. Of the males 55% were mildly, while 39.3% were moderate, and 5.7% were found to be severe nomophobic. It was determined that the mean PSS scores of males were significantly higher than females. Mean scores of PSS and NMP-Q for students aged 20 and under were found to be similar to those of students over 20. There was a positive correlation between PSS scores and all dimensions of NMP-Q. Conclusion: Medical faculty students were found to be mild/moderate level nomophobic. During the COVID-19 pandemic, male medical students were more affected than female students, they felt greater stress, and had a higher tendency toward nomophobia.

Keywords:

mobile phone addiction, nomophobia stress, COVID-19,

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1. Jiao WY, Wang LN, Liu J, et al. Behavioral and emotional disorders in children during the COVID-19 epidemic. J Pediatr 2020; 221: 264-266.e1.
2. Lu R, Zhao X, Li J, et al. Genomic characterisation and epidemiology of 2019 novel coronavirus: implications for virus origins and receptor binding. Lancet 2020; 395(10224): 565-574.
3. Fauci AS, Lane HC, Redfield RR. Covid-19 - Navigating the uncharted. N Engl J Med 2020; 382): 1268-1269.
4. Davico C, Ghiggia A, Marcotulli D, et al. Psychological impact of the COVID-19 pandemic on adults and their children in Italy. Front Psychiatry 2021; 12: 572997.
5. Cao W, Fang Z, Hou G, et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Res 2020; 287: 112934.
6. Mei S, Yu J, He BW, et al. Psychological investigation of university students in a university in Jilin Province. Med Soc 2011; 24(5): 84-86.
7. Auerbach RP, Mortier P, Bruffaerts R, et al. WHO world mental health surveys international college student project: prevalence and distribution of mental disorders. J Abnorm Psychol 2018; 127(7): 623-638.
8. Rubley JN. The student-centered university: Pressures and challenges faced by college presidents and student affairs leaders. Chron High Educ 2017; 3-26.
9. Hao F, Tan W, Jiang L, et al. Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain Behav Immun 2020; 87: 100-106.
10. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res 2020; 288: 112954.
11. Lai J, Ma S, Wang Y, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open 2020; 3(3): e203976.
12. Rajkumar RP. COVID-19 and mental health: A review of the existing literature. Asian J Psychiatr 2020; 52: 102066.
13. Wang C, Pan R, Wan X, et al. A longitudinal study on the mental health of general population during the COVID19 epidemic in China. Brain Behav Immun 2020; 87: 40-48.
14. Wang C, Pan R, Wan X, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020; 17(5): 1729.
15. Çevik A, Şentürk V. Historical development of psychosomatic medicine and review of psychosomatic disorders. Türkiye Klinikleri Psikiyatri-Özel Konular 2008; 1(2): 1-11.
16. Schneiderman N, Ironson G, Siegel SD. Stress and health:psychological, behavioral, and biological determinants. Annu Rev Clin Psychol 2005; 1: 607-628.
17. Taylor AH, Dorn L. Stress, fatigue, health, and risk of road traffic accidents among professional drivers: the contribution of physical inactivity. Annu Rev Public Health 2006; 27: 371-391.
18. Shors TJ. Stressful experience and learning across the lifespan. Annu Rev Psychol 2006; 57: 55-85.
19. King AL, Valença AM, Silva AC, et al. "Nomophobia": Impact of cell phone use interfering with symptoms and emotions of individuals with panic disorder compared with a control group. Clin Pract Epidemiol Ment Health 2014; 10: 28-35.
20. Augner C, Hacker GW. Associations between problematic mobile phone use and psychological parameters in young adults. Int J Public Health 2012; 57(2): 437-441.
21. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983; 24(4): 385-396.
22. Eskin M, Harlak H, Demirkıran F, et al. The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. Yeni Symposium 2013; 51(3): 132-140.
23. Yıldırım C, Correia AP. Exploring the dimensions of nomophobia: Development and validation of a self-reported questionnaire. Comput Human Behav 2015; 49: 130-137.
24. Yıldırım C, Sumuer E, Adnan M, et al. A growing fear: Prevalence of nomophobia among Turkish college students. Inf Dev 2016; 32(5): 1322-1331.
25. Göksu Ö, Kumcağız H. Perceived stress level and anxiety levels in individuals in Covid-19 outbreak. Turkish Studies 2020; 15(4): 463-479.
26. Savcı M, Aysan F. The relationship between the perceived stress level and the stress coping strategies in university students. International Journal of Turkish Education Sciences 2014; 2(3): 44-56.
27. Misra R, McKean M, West S, et al. Academic stress of college students: Comparison of student and faculty perceptions. College Student Journal 2000; 34(2): 236-245.
28. Aysan F, Özben Ş. Coping Strategies Used by a group of elderly living in nursing homes. Ege Eğitim Dergisi 2004; 2(5): 1-12.
29. Cornine A. Reducing nursing student anxiety in the clinical setting: An integrative review. Nurs Educ Perspect 2020; 41(4): 229-234.
30. Wang C, Horby PW, Hayden FG, et al. A novel coronavirus outbreak of global health concern. Lancet 2020; 395(10223): 470-473.
31. Xiao C. A Novel approach of consultation on 2019 novel Coronavirus (COVID-19)-related psychological and mental problems: Structured letter therapy. Psychiatry Investig 2020; 17(2): 175-176.
32. Bao Y, Sun Y, Meng S, et al. 2019-nCoV epidemic: Address mental health care to empower society. Lancet 2020; 395(10224): e37-e38.
33. Ayittey FK, Ayittey MK, Chiwero NB, et al. Economic impacts of Wuhan 2019-nCoV on China and the world. J Med Virol 2020; 92(5): 473-475.
34. Durak HY. Investigation of nomophobia and smartphone addiction predictors among adolescents in Turkey: Demographic variables and academic performance. Soc Sci J 2019; 56(4): 492-517.
35. Burucuoğlu M. A research on nomophobia levels of vocational college students. Karabuk University Journal of Institute of Social Science 2017; 7(2): 482-489.
36. Erdem H, Türen U, Kalkın G. No Mobile Phone Phobia (Nomophobia) prevalence: samples of undergraduate students and public employees from Turkey. Bilişim Teknolojileri Dergisi 2017; 10(1): 1-12.
37. Akıllı GK, Gezgin DM. Üniversite öğrencilerinin nomofobi düzeyleri ile farklı davranış örüntülerinin arasındaki ilişkilerin incelenmesi. Mehmet Akif Ersoy Üniversitesi Eğitim Fakültesi Dergisi 2016; 40: 51-69.
38. Eren B, Kiliç ZN, Günal SE, et al. Evaluation of nomophobia and related factors in high school students. Anadolu Psikiyatri Derg 2020; 21(2): 133-140.
39. De-Sola Gutiérrez J, Rodríguez de Fonseca F, Rubio G. Cell-phone addiction: A review. Front Psychiatry 2016; 7: 175.
40. Şar AH, Işıklar A. Adaptation of problem mobile phone use scale to Turkish. International Journal of Human Sciences 2012; 9(2): 264-275.
41. Yücens B, Üzer A. The relationship between internet addiction, social anxiety, impulsivity, self-esteem, and depression in a sample of Turkish undergraduate medical students. Psychiatry Res 2018; 267: 313-318.
42. Bilge Y, Baydili KN, Göktaş SŞ. Sosyal Medya Bağımlılığını Yordamada Anksiyete, Stres ve Günlük Sosyal Medya Kullanımı: Meslek Yüksekokulu Örneği. Bağımlılık Dergisi 2020; 21(3): 223-235.
43. Lin CY, Broström A, Nilsen P, et al. Psychometric validation of the Persian Bergen Social Media Addiction Scale using classic test theory and Rasch models. J Behav Addict 2017; 6(4): 620-629.
44. Demirci İ. The adaptation of the Bergen Social Media Addiction Scale to Turkish and its evaluation of relationship with depression and anxiety symptoms. Anadolu Psikiyatri Derg 2019; 20(1): 15-22.
45. Elhai JD, Hall BJ, Erwin MC. Emotion regulation’s relationships with depression, anxiety and stress due to imagined smartphone and social media loss. Psychiatry Res 2018; 261: 28-34.
46. Müezzin E. An investigation of high school students’ internet addiction with respect to withdrawal, controlling difficulty, disorder in functionality and social isolation. Sakarya University Journal of Education 2017; 7(3): 541- 551.
47. Aykut S, Aykut SS. The importance of social work on the basis of post-traumatic stress disorder and the Covid19 pandemic. Toplumsal Politika Dergisi 2020; 1(1): 56-66.