Background: Many evidences have been suggested the psychiatric illness associated with the internet usage. As the internet and smart phone usage has been observe to be increased since few years, we had conducted the present study to analyse the severity of internet addiction and its correlation with the various psychiatric illness. Methods: A cross-sectional study, 400 medical students, 100 each from first, second, third and final year were included. Young Internet Addiction Test, Depression, Anxiety, and Stress Scale 2021 and Insomnia severity index were used as tool for analysis. Results: The average age of the study participants was 20.91±5.8 years with male predominance. 36 (9%) of the participants were alcoholics. Internet addiction was observed among 53% of the study population followed by Depression among 46%, insomnia among 40% and stress was observed among 33% of the students. 100 (25%) with moderate grade. 84 (21%) and 28 (7%) had mild and severe grade of internet addiction respectively. 23% had moderate depression followed by 13% with mild depression and 12 of them were extremely depressed. 23% of them had moderate anxiety, followed by 52 (13%) had mild anxiety. The rest 28 (7%) and 12 (3%) had severe and extremely severe anxiety. 76 (19%) had Sub-threshold insomnia followed by 68 (17%) with Moderate insomnia and 16 (4%) had Severe insomnia. All the psychiatric signs and symptoms had positive correlation with the internet addiction score. Conclusion: Incidence of Internet addiction is more among the medical students and it has strong positive correlation with the depression anxiety stress and insomnia
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