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. 2023 Sep 27:16:4015-4032.
doi: 10.2147/PRBM.S423194. eCollection 2023.

The Effect of Distress Tolerance Training on Problematic Internet Use and Psychological Wellbeing Among Faculty Nursing Students: A Randomized Control Trial

Ayman Mohamed El-Ashry  1 , Mohamed Hussein Ramadan Atta  1 , Samira Ahmed Alsenany  2 , Sally Mohammed Farghaly Abdelaliem  3 , Mahmoud Abdelwahab Khedr  1
Affiliations

The Effect of Distress Tolerance Training on Problematic Internet Use and Psychological Wellbeing Among Faculty Nursing Students: A Randomized Control Trial

Ayman Mohamed El-Ashry et al. Psychol Res Behav Manag. .

Abstract

Background: Distress tolerance skills have the potential to decrease problematic internet use and improve psychological wellbeing by cognitive reframing and goal-oriented problem-solving.

Aim: To assess the impact of distress tolerance training on problematic internet use and psychological wellbeing among university nursing students.

Methods: A randomized control trial used at the faculty of nursing using simple random sampling method. Tools: Distress Tolerance Scale, problematic internet use questionnaire, and Ryff psychological wellbeing scale. Data were collected from 60 nursing students over a period of 4 months.

Results: Distress tolerance level was increased among study group from 20.75±14.29 to 72.75±24.09 and sustained for 3 months to 62.44 ±20.77 with statistically significant (f=7.090, p=0.006) and large effect size 0.75. When compared to no change among the control group as mean scare start by 22.35±14.29 to 23.44±16.09 and after 3 months to 21.75± 17.44 with insignificant difference (f=0.454, p=0.574). The mean score of problematic internet use shows highly statistically significant decrement in the study group between three period of time (pretest= 62.93, immediately post= 52.13, and post 3 months=52.70) with large effect size 0.78 (f=95.029, p<0.001), in compared to control group that showed insignificant no changes (pretest= 64.0±14.54, immediately post= 63.13±12.87, and post 3 months=63.53±11.36) with (f=1.012, p=0.332). In addition, the total mean score of psychological well-being was increased immediately after therapy and later for three months of therapy (pretest= 128.47, immediately post=148.77, and post 3 months= 153.60) with highly statistically significant (f=41.197, p<0.001) with effect size 0.85, compared to no change among control group (pretest=125.97±32.58, immediately post= 126.23±30.86, and post 3 months=126.43±29.78) with (f=0.208, p=0.698).

Conclusion: Efficacy of distress tolerance skills intervention had been proven in altering poor psychological wellbeing among students with problematic internet use. It helps students to learn new skills and use more adaptive strategies to overcome distress tolerance difficulties.

Keywords: distress tolerance training; nursing students; problematic internet use; psychological wellbeing.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
CONSORT Flow Diagram.
See this image and copyright information in PMC

References

    1. King DL, Delfabbro PH, Billieux J, Potenza MN. Problematic online gaming and the COVID-19 pandemic. J Behav Addict. 2020;9(2):184–186. doi: 10.1556/2006.2020.00016 - DOI - PMC - PubMed
    1. Schmidt SC, Anedda B, Burchartz A, et al. Physical activity and screen time of children and adolescents before and during the COVID-19 lockdown in Germany: a natural experiment. Sci Rep. 2020;10(1):1–2. doi: 10.1038/s41598-020-78438-4 - DOI - PMC - PubMed
    1. Gong Z, Wang L, Wang H. Perceived stress and internet addiction among Chinese college students: mediating effect of procrastination and moderating effect of flow. Front Psychol. 2021;28(12):632461. doi: 10.3389/fpsyg.2021.632461 - DOI - PMC - PubMed
    1. World Health Organization. Excessive screen use and gaming considerations during COVID19; 2020. Available from: http://www.emro.who.int/mnh/news/considerations-for-young-people-on-exce.... Accessed September 18, 2023.
    1. Király O, Potenza MN, Stein DJ, et al. Preventing problematic internet use during the COVID-19 pandemic: consensus guidance. Compr Psychiatry. 2020;100:152180. doi: 10.1016/j.comppsych.2020.152180 - DOI - PMC - PubMed