Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1405
4
1
gregorian
2026
7
1
25
2
online
1
fulltext
fa
مقایسه استرس ادراک شده و کیفیت خواب در دانشآموزان مبتلا و غیر مبتلا به اختلال اعتیاد به بازیهای اینترنتی شهر اهواز در سال 1403: یک مطالعه توصیفی
Comparison of Perceived Stress and Sleep Quality in Students with and without Internet Gaming Disorder in Ahvaz in 2024: A Descriptive Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">زمینه و هدف:</span></span></span></b> <span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">سلامت روانی-جسمی نوجوانان در معرض تهدید عواملی نوظهور همچون اعتیاد به بازی اینترنتی است و شناسایی عوامل مرتبط با این اختلال میتواند پنجرهای امیدبخش برای کمک به نسل دیجیتال بگشاید. هدف مطالعه حاضر، </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مقایسه استرس ادراکشده و کیفیت خواب در دانشآموزان مبتلا و غیر مبتلا به اختلال اعتیاد به بازیهای اینترنتی شهر اهواز بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> پژوهش توصیفی حاضر در سال 1403 بر 200 نفر از دانشآموزان انجام </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">شد. اعضای نمونه به شیوه تصادفی خوشهای چندمرحلهای انتخاب شدند. ابزارهای پژوهش شامل فرم اطلاعات جمعیتشناختی و پرسشنامه اختلال بازی اینترنتی </span></span></span>Putz<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، مقیاس فشار روانی ادراک شده </span></span></span>Cohen<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> و پرسشنامه کیفیت خواب </span></span></span>Pittsburgh<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> بود. تجزیه و تحلیل دادهها با استفاده از </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">تحلیل واریانس چندمتغیره انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b> <span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتایج نشان داد در متغیر استرس ادراکشده و اختلال خواب بهترتیب دانشآموزان مبتلا به اعتیاد به بازی اینترنتی دارای میانگین و انحراف معیار 11‏/6 </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> 46‏/39 و 13‏/2 </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%">±<span style="font-family:"B Nazanin""> 82‏/21 و دانشآموزان غیر مبتلا بهترتیب ‏29/82 5/21</span>± <span style="font-family:"B Nazanin""> و 35‏/30</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%">±</span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">3‏/14 بودند و</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> بین </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">دانشآموزان مبتلا به اعتیاد به بازیهای اینترنتی با دانشآموزان غیر مبتلا </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">در متغیر استرس ادراکشده (31‏/28=</span></span></span>F<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">001‏/0</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">></span></span></span>P<span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، اندازه اثر=84/0</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">) و متغیر </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">کیفیت خواب (59‏/31=</span></span></span>F<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">001‏/0</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">، </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">اندازه اثر=84/0</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">) </span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">تفاوت معنیدار مشاهده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> مطالعه حاضر نشان داد که </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">استرس ادراکشده و اختلالات خواب به صورت معنیداری در دانشآموزان دارای اعتیاد به بازی اینترنتی بیشتر از افراد غیر مبتلا است. بهکارگیری این یافتهها در برنامههای پیشگیرانه و مداخلات مناسب و زودهنگام برای ارتقاء نظام سلامت آموزشی ضروری بهنظر میرسد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:120%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin""> اعتیاد به بازی اینترنتی، استرس ادراک</span></span></span><b> </b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:120%"><span style="font-family:"B Nazanin"">شده، کیفیت خواب، دانشآموزان</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:140%">Background and Objectives:</span></span></b></a> <span style="font-size:9.0pt"><span style="line-height:140%">The mental and physical health of adolescents is threatened by emerging factors such as Internet gaming addiction, and identifying factors related to this disorder can open a promising window to help the digital generation. This study aimed to compare perceived stress and sleep quality in students with and without Internet gaming disorder in Ahvaz.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Materials and Methods:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This descriptive study was conducted on 200 students in 2024. The sample members were selected using a multistage cluster random sampling method. The research instruments included a demographic information form, Putz Internet Gaming Disorder Questionnaire, Cohen Perceived Stress Scale, and Pittsburgh Sleep Quality Questionnaire. Data analysis was performed using multivariate analysis of variance (MANOVA).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Results:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> In terms of perceived stress and sleep disturbance, addiction to Internet gaming was associated with elevated scores (</span></span><m:omath><i><span style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"Cambria Math",serif"><m:r>39.46±6.11</m:r></span></span></span></i></m:omath><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"><span style="position:relative"><span style="top:3.0pt"> </span></span></span></span></span><span style="font-size:9.0pt"><span style="line-height:140%"> and </span></span><m:omath><i><span style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"Cambria Math",serif"><m:r>21.82±2.13</m:r></span></span></span></i></m:omath><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"><span style="position:relative"><span style="top:3.0pt"> </span></span></span></span></span><span style="font-size:9.0pt"><span style="line-height:140%">, respectively) compared to the non-addicted group (</span></span><m:omath><i><span style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"Cambria Math",serif"><m:r>29.82±5.21</m:r></span></span></span></i></m:omath><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"><span style="position:relative"><span style="top:3.0pt"> </span></span></span></span></span><span style="font-size:9.0pt"><span style="line-height:140%"> and </span></span><m:omath><i><span style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"Cambria Math",serif"><m:r>14.30±3.35</m:r></span></span></span></i></m:omath><span style="font-size:10.0pt"><span style="line-height:107%"><span style="font-family:"Times New Roman",serif"><span style="position:relative"><span style="top:3.0pt"> </span></span></span></span></span><span style="font-size:9.0pt"><span style="line-height:140%">, respectively). There was a significant difference between students with Internet gaming addiction and non-addicted students in the variables of perceived stress (F=28.31, p<0.001, effect size=0.84) and sleep quality (F=31.59, p<0.001, effect size=0.84).</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conclusion:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> The current study indicated that perceived stress and sleep disturbance were significantly higher in students with Internet gaming addiction than in non-addicted students. Applying these findings to preventive programs and to appropriate, early interventions seems essential to improving the educational health system.</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Keywords:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Internet gaming addiction, Perceived stress, Sleep quality, Students</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> This study did not receive any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Ethical considerations</span></span></b><b><span style="font-size:9.0pt"><span style="line-height:140%">: </span></span></b><span style="font-size:9.0pt"><span style="line-height:140%">The Ethics Committee of Payam-e-Noor University approved the study (</span></span><span style="font-size:9.0pt"><span style="line-height:140%">IR.PNU.REC.1403.242).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">Authors’ contributions:</span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marzieh Mashalpourfard</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marzieh Mashalpourfard, Zeinab Bavi</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Zeinab Bavi</span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marzieh Mashalpourfard, Zeinab Bavi</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marzieh Mashalpourfard</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marzieh Mashalpourfard</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writing – original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Zeinab Bavi </span></span><span dir="RTL" lang="AR-SA" style="font-size:9.0pt"><span style="line-height:140%"><span style="font-family:"B Nazanin""></span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:140%">- Writnig – review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Marzieh Mashalpourfard</span></span><span style="font-size:9.0pt"><span style="line-height:140%"></span></span></span></span></span></span></span><br>
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<div><span style="font-size:10pt"><span style="line-height:150%"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Citation: </span></span></b><span style="font-size:9.0pt"><span style="line-height:150%">Mashalpourfard M, Bavi Z. Comparison of Perceived Stress and Sleep Quality in Students with and without Internet Gaming Disorder in Ahvaz in 2024: A Descriptive Study. <i>J Rafsanjan</i> <i>Univ Med Sci</i> 2026; 25 (2): 117-32. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">doi: 10.66224/jrums.25.2.117. </span></span><span style="font-size:9.0pt"><span style="line-height:150%">[Farsi]. </span></span></span></span></span></div>
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اعتیاد به بازی اینترنتی, استرس ادراک شده, کیفیت خواب, دانشآموزان
Internet gaming addiction, Perceived stress, Sleep quality, Students
117
132
http://journal.rums.ac.ir/browse.php?a_code=A-10-6545-4&slc_lang=fa&sid=1
Marzieh
Mashalpourfard
مرضیه
مشعل پورفرد
mmashalpoor@yahoo.com
6900319475328460063090
6900319475328460063090
Yes
Assistant Professor, Faculty of Educational sciences and Psychology, Payame Noor University, Tehran, Iran
دانشگاه پیام نور
Zeinab
Bavi
زینب
باوی
zeinbbavi148@gmail.com
6900319475328460063091
0009-0004-1920-2259
No
Assistant ProfessPayame Noor University, Tehran, Iran
دانشگاه پیام نور