Clinical Scorecard: Exploring the Connection Between Internet Addiction and Daytime Sleepiness in Nursing Students: Insights from a Moderated Mediation Analysis

At a Glance

Key Highlights

• Internet addiction positively correlates with daytime sleepiness, poor sleep quality, and depression in nursing students.
• Sleep quality partially mediates the relationship between internet addiction and daytime sleepiness.
• Depression strengthens the relationship between internet addiction and sleep quality, exacerbating daytime sleepiness.

Guideline-Based Recommendations

Diagnosis

• Assess internet addiction levels using validated self-report measures in nursing students.
• Evaluate daytime sleepiness and sleep quality through standardized questionnaires.
• Screen for depressive symptoms as a potential moderating factor.

Management

• Implement interventions targeting reduction of internet addiction to improve sleep quality and reduce daytime sleepiness.
• Address depressive symptoms to mitigate their exacerbating effect on sleep disturbances.
• Promote sleep hygiene education tailored for nursing students with high internet use.

Monitoring & Follow-up

• Regularly monitor sleep quality and daytime sleepiness in nursing students, especially those with high internet addiction scores.
• Track depressive symptom severity to identify students at risk of worsened sleep outcomes.

Risks

• High internet addiction may lead to poor sleep quality and increased daytime sleepiness.
• Depression can intensify the negative impact of internet addiction on sleep quality.
• Daytime sleepiness may impair academic performance, attention, and emotional stability.

Patient & Prescribing Data

Nursing students experiencing internet addiction and daytime sleepiness

Addressing internet addiction and depressive symptoms may improve sleep quality and reduce daytime sleepiness, enhancing academic and clinical performance.

Clinical Best Practices

• Incorporate screening for internet addiction, sleep quality, and depression in routine assessments of nursing students.
• Develop targeted psychological and behavioral interventions focusing on reducing internet addiction and managing depression.
• Educate nursing students on the importance of sleep hygiene and its impact on academic and clinical functioning.
• Consider the role of depression as a moderator when designing interventions for sleep disturbances related to internet addiction.

References

• DSM-5 Recognition of Internet Addiction
• Meta-analysis on Internet Addiction and Sleep Quality
• Daytime Sleepiness Prevalence and Impact