Emotional intelligence, perceived stress, and internet use behaviour among undergraduate medical students - a cross sectional study


  • R S Parvathy Junior Resident in Psychiatry, Government. Medical College, Kozhikode
  • CA Smitha Assistant Professor, Government Medical College, Kozhikkode.




Keywords:Internet Addiction, Perceived stress, Emotional intelligence,  Medical students


Aim: To find the pattern and characteristics of Problematic internet use and to determine the relationship between Internet Addiction, Perceived stress and Emotional Intelligence among medical students.

Materials and methods:

In this cross-sectional study, using convenience sampling, 368 study participants were selected from the undergraduate medical students of a medical college in North Kerala. After getting written informed consent, socio-demographic data sheet, Internet Addiction Test (IAT), Schutte Self Report Emotional Intelligence Test (SSEIT) and Perceived Stress Scale (PSS) were filled up by the participants. Completed responses were scored and analyzed using SPSS 18.0.

Results: Problematic internet use among the participants was 65.7%. In the sample, 42.9% had mild internet addiction, and 22.8% had moderate internet addiction. There was a positive correlation between scores of IAT and PSS and a negative correlation between scores of IAT and SSEIT. A pattern of increased levels of perceived stress and decreased levels of emotional intelligence was noticed with increasing levels of internet addiction scores.

Conclusion: Young medical students were found to have mild and moderate levels of internet addiction and were high in perceived stress. Those with an addiction pattern of internet use also showed lower levels of emotional intelligence. It is crucial to identify those with lower levels of emotional intelligence and intervene effectively for stress management to reduce the internet overuse and emotional sequelae of it.


Internet worlds stats-[Internet] [accessed on 2020 June 6]. Available from: https://www.internetworldstats.com/stats.htm

Young KS, Rogers RC. The relationship between depression and internet addiction. Cyberpsychology Behav. 1998;1:25-28.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlingon, VA: American Psychiatric Publishing. 2013

Mayer JD, Salovey P, Caruso DR. Emotional intelligence: Theory, findings, and implications. Psychological Inquiry. 2004;15:97-215

Aghdasi S, Kiamanesh AR, Ebrahim AN. Emotional intelligence and organizational commitment: Testing the mediatory role of occupational stress and job satisfaction. In: Procedia - Social and Behavioral Sciences. 2011; 29:1965-1976

Jun S, Choi E. Academic stress and Internet addiction from general strain theory framework. Comput Human Behav. 2015;49:282-287

Grover S, Sahoo S, Bhalla A, Avasthi A. Problematic internet use and its correlates among resident doctors of a tertiary care hospital of North India: A cross-sectional study. Asian J Psychiatr. 2019;39:42-47

Young KS caught in the Net: How to Recognize the signs of Internet Addiction- and a Winning Strategy for Recovery. NewYork: John Wiley;1998.

Brackett MA, Rivers SE, Shiffman S, Lerner N, Salovey P. Relating emotional abilities to social functioning: A comparison of self-report and performance measures of emotional intelligence. J Pers Soc Psychol. 2006;91:780-795

Li W, O'Brien JE, Snyder SM, Howard MO. Characteristics of internet addiction/pathological internet use in US university students: a qualitative-method investigation. PLoS One. 2015;10(2): e 0117372.

Fatehi F, Monajemi A, Sadeghi A, Mojtahedzadeh R, Mirzazadeh A. Quality of life in medical students with Internet addiction. Acta Med Iran. 2016;54(10):662–6.

Krishnamurthy S, Chetlapalli S. Internet addiction: Prevalence and risk factors: A cross-sectional study among college students in Bengaluru, the Silicon Valley of India. Indian J Public Health. 2015;59:115–21.

Chaudhari B, Menon P, Saldanha D, Tewari A, Bhattacharya L. Internet addiction and its determinants among medical students. Ind Psychiatry J. 2015;24:158–162.

Ali R, Mohammed N, Aly H. Internet addiction among medical students of Sohag University, Egypt. J Egypt Public Health Assoc. 2017;92(2):86-95.

Malviya A, Dixit S, Shukla H, Mishra A, Jain A, Tripathi A. A Study to Evaluate Internet Addiction Disorder among Students of a Medical College and Associated Hospital of Central India. Natl J Community Med. 2014; 5:93–95.

Grover S, Chakraborty K, Basu D. Pattern of Internet use among professionals in India: Critical look at a surprising survey result. Ind Psychiatry J. 2010;19(2):94?100.

Grover S, Sahoo S, Bhalla A, Avasthi A. Psychological problems and burnout among medical professionals of a tertiary care hospital of North India: A cross-sectional study. Indian J Psychiatry. 2018;60:175–88.

Prakash S. Internet addiction among junior doctors: A cross-sectional study. Indian J Psychol Med. 2017; 39:422–25.

Zhang MWB, Lim RBC, Lee C, Ho RCM. Prevalence of Internet Addiction in Medical Students: A Meta-analysis. Acad Psychiatry. 2018;42(1):88-93.

Kumar S, Singh S, Singh K, Rajkumar S, Singh Balhara YP. Prevalence and pattern of problematic internet use among engineering students from different colleges in India. Indian J Psychiatry. 2019;61(6):578-83.

Greenfield DN. What makes internet use addictive? In: Young K, Abreu CN, editors. Internet addiction: a handbook for evaluation and treatment. New York: Wiley; 2010. p. 135–53.

Greenfield DN. Treatment Considerations in Internet and Video Game Addiction: A Qualitative Discussion. Child Adolesc Psychiatr Clin N Am. 2018;27(2):327-44.

Javaeed A, Jeelani R, Gulab S, Ghauri SK. Relationship between internet addiction and academic performance of undergraduate medical students of Azad Kashmir. Pakistan J Med Sci. 2020;36(2):229-33.

Kitazawa M, Yoshimura M, Hitokoto H, Sato-Fujimoto Y, Murata M, Negishi K, et al. Survey of the effects of internet usage on the happiness of Japanese university students. Health Qual Life Outcomes [Internet]. 2019;17(1):151. Available from: https://doi.org/10.1186/s12955-019-1227-5

Strittmatter E, Kaess M, Parzer P, Fischer G, Carli V, Hoven CW, et al. Pathological Internet use among adolescents: Comparing gamers and non-gamers. Psychiatry Res. 2015;228:128-35

Sayyah M, Khanafereh S. Prevalence of internet addiction among medical students: a study from Southwestern Iran. Cent Eur J Public Health. 2019;27(4):326-29.

Chen SW, Gau SSF, Pikhart H, Peasey A, Chen ST, Tsai MC. Work stress and subsequent risk of internet addiction among information technology engineers in Taiwan. Cyberpsychology, Behav Soc Netw. 2014; 17:542-55

Feng Y, Ma Y, Zhong Q. The Relationship Between Adolescents' Stress and Internet Addiction: A Mediated-Moderation Model. Front Psychol. 2019;10:2248. DOI: 10.3389/fpsyg.2019.02248.

Wu W, Wu X, Yuan F, Zheng Y, Zheng X. The relationship between stress, coping styles and internet addiction of adolescents. Chinese J Clin Psychol. 2009; 6: 721–22.

Snodgrass JG, Lacy MG, Dengah F, Eisenhauer S, Batchelder G, Cookson RJ. A vacation from your mind: Problematic online gaming is a stress response. Comput Human Behav. 2014;38: 248-60

Al-Gamal E, Alzayyat A, Ahmad MM. Prevalence of Internet Addiction and Its Association with Psychological Distress and Coping Strategies Among University Students in Jordan. Perspect Psychiatr Care. 2016;52(1):49?61.

Haroon MZ, Zeb Z, Javed Z, Awan Z, Aftab Z, Talat W. Internet Addiction In Medical Students. J Ayub Med Coll Abbottabad. 2018;30(Suppl 1)(4): S659?S663.

Meyer JD, Salovey P. What is emotional intelligence? In: Salovey P, Sluyter D. (Eds.), Emotional Development, Emotional Literacy, and Emotional Intelligence. New York: Basic Books:1997. pp.3-31

Engelberg E, Sjöberg L. Internet Use, Social Skills, and Adjustment. Cyberpsychology Behav. 2004;7(1):41-47.

Ranjbar H, Bakhshi M. The Association between Internet Addiction and Emotional Intelligence: A Meta-Analysis study. Acta Facultatis Medicae Naissensis.2018;35(1):17-29

Sanghvi H, Rai U. Internet addiction and its relationship with Emotional Intelligence and Perceived Stress experienced by Young Adults, The International Journal of Indian Psychology. 2015;7(1):64-76

Sarrionandia A, Ramos-Díaz E, Fernández-Lasarte O. Resilience as a Mediator of Emotional Intelligence and Perceived Stress: A Cross-Country Study. Front. Psychol. 2018;9:2653. DOI: https://doi.org/10.3389/fpsyg.2018.02653




How to Cite

Parvathy, R. S., & Smitha , C. A. (2020). Emotional intelligence, perceived stress, and internet use behaviour among undergraduate medical students - a cross sectional study. Kerala Journal of Psychiatry, 33(2), 105–113. https://doi.org/10.30834/KJP.33.2.2020.202



Research Report