Document Type : Original Article


Psychiatry, All India Institute of Medical Sciences, Delhi, India


INTRODUCTION: Use of technology and ICT tools is ubiquitous among college students including
medical students. However overuse or misuse may lead to many physical and psychological problems
including the risk of harming professional standing in the long term. The purpose of this study was
to explore techno stress among freshmen at a medical institute and to suggest measures to reduce
problematic use of technology pertaining to internet.
OBJECTIVES: (i) To explore the extent of technology use including internet among medical
freshmen, (ii) To identify the content of usage (iii) To quantify the extent of techno stress and iv. To
suggest measures to reduce problematic use of technology.
MATERIALS AND METHODS: The sample comprised all the freshmen at a medical institute (n = 61).
A semi structured questionnaire was used to collect socio demographic details of students and their
patterns of technology usage. Perceived Stress Scale was used to measure stress.
RESULTS: The mean age of the sample was 18.34 (±0.58) years comprising 68% males and 32%
females. Students spent a mean time of 3.96 h/day on the technology tools (standard deviation = 4.99).
Ninety-two percent of the students used technology for educational purposes followed by
entertainment (89%), social networking (77.78%), watching films (70.37%), communication (66.67%)
and watching pornography (46.3%). 11.47% had symptoms suggestive of problematic internet use.
One percent had craving suggestive of addiction. All these had stress out of which 43% had high
and 57% had moderate levels of stress.
DISCUSSION: Considering the students’ present usage of social media, it can serve as a potent
academic tool. However, awareness is required to be raised with regard to its use as a medical
CONCLUSION: Use of technology is crucial in the current academic world and restrictions on usage
may neither be practical nor feasible. However, understanding patterns of usage among students is a
preliminary step that can enable educators and administrators to formulate guidelines to channelise
their usage in more productive ways.


1. Prensky M. Digital natives, Digital Immigrants; 2001. Available
Digital%20Natives,%20Digital%20Immigrants%20-%20Part 1.
pdf. [Last accessed on 2017 Jun 05].
2. Brod C. Technostress: The Human Cost of the Computer
Revolution. Reading, MA: Addison-Wesley; 1984.
3. Cohen S, Kamarck T, Mermelstein R. A global measure of
perceived stress. J Health Soc Behav 1983;24:385-96.
4. Tarentino AL, Maley F. A comparison of the substrate specificities
of endo-beta-N-acetylglucosaminidases from Streptomyces griseus
and Diplococcus pneumoniae. Biochem Biophys Res Commun
5. Balhara YP, Gupta R, Atilola O, Knez R, Mohorović T, Gajdhar W,
et al. Problematic internet use and its correlates among students
from three medical schools across three countries. Acad
Psychiatry 2015;39:634-8.
6. Inamdar SC, Rotti SB. Computer use among medical students in
an institution in Southern India. Natl Med J India 2004;17:8-10.
7. Gour N, Srivastava D, Shahi A, Adhikari P. Use and need of
computer among medical students. J Community Med Health
Educ 2011;1:104.
8. Lal P, Malhotra R, Ahuja, C, Ingle GK. Internet use among medical
students and residents of a medical college of North India. Indian
J Community Med 2006;31:293-4.
9. Senok AC, Pipan C, Edan Y, Botta GA. Internet and computer use
by medical students in traditional and problem based learning
systems. Kuwait Med J 2008;40:196-201.
10. Kaplan AM, Haenlein M. Users of the world, unite! The challenges
and opportunities of social media. Bus Horiz 2010;53:59-68.
11. Guraya SY. The usage of social networking sites by medical
students for educational purposes: A meta-analysis and
systematic review. N Am J Med Sci 2016;8:268-78.
12. Duggan M, Ellison NB, Lampe C, Lenhart A, Madden M. Social
Media Update; 2014. Available from: http://www.pewinternet.
org/2015/01/09/social-media-update-2014/. [Last accessed on
2018 Jun 02].
13. O’Sullivan E, Cutts E, Kavikondala S, Salcedo A, D’Souza K,
Hernandez-Torre M, et al. Social media in health science
education: An international survey. JMIR Med Educ 2017;3:e1.
14. Greysen SR, Kind T, Chretien KC. Online professionalism and
the mirror of social media. J Gen Intern Med 2010;25:1227-9.
15. Chretien KC, Greysen SR, Chretien JP, Kind T. Online posting of
unprofessional content by medical students. JAMA 2009;302:1309-
16. Griffith R, Tengnah C. District nurses’ use of social networking
sites: Caution required. Br J Community Nurs 2011;16:455-7.
17. Kind T, Genrich G, Sodhi A, Chretien KC. Social media policies
at US medical schools. Med Educ Online 2010;15:1. doi: 10.3402/
18. Chretien KC, Kind T. Social media and clinical care:
Ethical, professional, and social implications. Circulation
19. Farnan JM, Snyder Sulmasy L, Worster BK, Chaudhry HJ,
Rhyne JA, Arora VM, et al. Online medical professionalism:
Patient and public relationships: Policy statement from the
American College of Physicians and the Federation of State
Medical Boards. Ann Intern Med 2013;158:620-7.
20. Kaczmarczyk JM, Chuang A, Dugoff L, Abbott JF, Cullimore AJ,
Dalrymple J, et al. e-Professionalism: A new frontier in medical
education. Teach Learn Med 2013;25:165-70.
21. Kesselheim JC, Schwartz A, Belmonte F, Boland KA, Poynter S,
Batra M, et al. A National survey of pediatric residents’
professionalism and social networking: Implications for
curriculum development. Acad Pediatr 2016;16:110-4.
22. El Bialy S, Jalali A. Go where the students are: A comparison of
the use of social networking sites between medical students and
medical educators. JMIR Med Educ 2015;1:e7.
23. Downes S. E-learning 2.0. e Learn magazine; 2005. Available from: [Last accessed
on 2018 Jul 15].
24. Couros A. Open, connected, social – implications for educational
design. Campus-Wide Info Systems 2009;26:232-9. https://doi.
25. Guedes E, Sancassiani F, Carta MG, Campos C, Machado S,
King AL, et al. Internet addiction and excessive social networks
use: What about facebook? Clin Pract Epidemiol Ment Health
26. Ley D, Prause N, Finn P. The emperor has no clothes: A review
of the ‘pornography addiction’ model. Curr Sex Health Rep
27. Sabina C, Wolak J, Finkelhor D. The nature and dynamics of
internet pornography exposure for youth. Cyberpsychol Behav
28. CrooksR, Baur K. Our Sexuality. 12th ed. CA: Wadsworth Cengage
Learning; 2014.
29. Sun C, Bridges A, Johnson JA, Ezzell MB. Pornography and
the male sexual script: An analysis of consumption and sexual
relations. Arch Sex Behav 2016;45:983-94.
30. Phillips B, Hajela R, Hilton DL Jr. Sex addiction as a disease:
Evidence for assessment, diagnosis, and response to critics. Sex
Addict Compulsivity 2015;22:167-92.
31. Zimbardo PG, Duncan N. The Demise of Guys. Psychology Today
2012. Available from:
hero/201205/the-demise-guys. [Last accessed on 2018 Mar 02].
32. Scherer K. College life online: Healthy and unhealthy Internet
use. J Coll Stud Dev 1997;38:655-65.
33. Salehi M, Norozi Khalili M, Hojjat SK, Salehi M, Danesh A.
Prevalence of internet addiction and associated factors among
medical students from Mashhad, Iran in 2013. Iran Red Crescent
Med J 2014;16:e17256.
34. Mazhari S. The prevalence of problematic internet use and the
related factors in medical students, Kerman, Iran. Addict Health
35. Zhang MW, Lim RB, Lee C, Ho RC. Prevalence of internet
addiction in medical students: A meta-analysis. Acad Psychiatry
36. Nath K, Naskar S, Victor R. A cross‑sectional study on the
prevalence, risk factors, and ill effects of internet addiction among
medical students in Northeastern India. Prim Care Companion
CNS Disord 2016;18. doi: 10.4088/PCC.15m01909.