Asian Journal of Healthy and Science

p-ISSN: 2980-4302 

e-ISSN: 2980-4310

         Vol. 3 No. 7 July, 2024

 

 

The Relationship of Doomscrolling with Anxiety in Students of the Faculty of Medicine, Islamic University of North Sumatra

 

Muhammad Adib Al Wafa1*, Tezar Samekto Darungan2, Surya Akbar3, Rosa Zorayatamin Damanik4

1,2,3,4Islamic University of North Sumatra, Medan, North Sumatra, Indonesia

Email: muhammadadibbb20@gmail.com1*, darungantezarsamekto@gmail.com2, dr.akbar9@gmail.com3, Rosadamanik@fk.uisu.ac.id4

 

Abstract

Doomscrolling is a new term which is commonly used as a tendency to keep scrolling on the bad news, even though the news is miserable, hurtful, and scary. This new term affects society at various ages, gender, caste, class, religion, and national boundaries. Doomscrolling comes up as a vicious cycle, which is when users stick to a pattern to search for negative information, no matter how bad the news is. It is hard to distinguish which is the trusted news on social media. This spread of misleading propaganda creates fear, anxiety, and confusion. This research design is observational analytics with cross-sectional design. The sample of this study was 216 respondents, which was included in the inclusion and exclusion criteria at the Faculty of Medicine, Universitas Islam Sumatera Utara. The data was taken in February 2024 using stratified random sampling. Data collection was carried out using the HAM-A and Doomscrolling scale questionnaires. In this study,found that the value of p=0.000 (p<0.05) which shows that there is a significant relationship between Doomscrolling and Anxiety which has a value of r=0.303 where the strength of this relationship is weak (p=0.2-0.4) and the direction of the correlation is positive (+) means there is a unidirectional relationship at the Faculty of Medicine,  Islamic University of North Sumatra. There is a relationship between Doomscrolling and Anxiety in Students at the Faculty of Medicine, Islamic University of North Sumatra.

Keywords: Doomscrolling, Anxiety

 

INTRODUCTION

Background

Technology is the easiest and most important means of communication in this day and age, especially related to the use of social media. Social media is closely related to people's daily lives. Based on a research conducted by DataReportal, it shows that social media users in Indonesia have reached 191.4 million users in January 2022. This figure can be said to be equivalent to 68.9 percent of Indonesia's total population, which now stands at 277.7 million as of January 2022 (Kemp S, 2022).

Users access social media content, messaging communications, games and online shopping more often. The area with the highest rate of internet users is still on the island of Java, which is 56.4%, Sumatra 22.1%, Sulawesi 7%, Kalimantan 6.3%, Bali-Nusa Tenggara 5.2% and Maluku-Papua 3%. Active internet users in North Sumatra also increased from 10.9 million in 2018 to 11.7 million in 2019.(APJII, 2020)

The use of the internet and mobile phones makes it very easy to access various information anywhere and anytime, both through websites and various applications provided, resulting in many people, especially teenagers, lingering on accessing the internet, thus causing internetharassment, especially the use of social media.(Tomczyk & Selmanagic -Lizde, 2018)

In 2021 (Covid-19), there has been a 35% increase in news consumption through digital platforms, and a 47% increase in social media use. Despite the enormous positive effects, the overuse and dependence on online platforms has caused people to become addicted to online use, and in some cases has led to an increase in phenomena such as "doom surfing" and "doom scrolling"(M. K. Sharma et al., 2022).

Istilah doomscrolling emerged in early 2020 to become common, describing digital media practices that took a bigger life during the coronavirus disease (COVID-19) pandemic and social distancing (Barabak, 2020). Created in 2018, and later popularized by journalist Karen Ho (Garcia-Navarro, 2020). Doomscrolling are new words that are commonly used to describe the tendency to keep surfing or browsing bad news, even if the news is sad, hurtful, and scary. This new term affects all of us regardless of age, gender, caste, class, religion, and national boundaries. Consciously or unconsciously doomscrolling has entered our lives. It can affect and is easily seen (Rodrigues, 2022).

Doomscrolling emerged as a vicious circle where users were trapped in a pattern of searching for negative information no matter how bad the news was. In addition, since online platforms are well aware of what is most searched for using algorithmic systems, they deliver content that will grab the attention of social media users based on what they searched for before on the internet (Nguyen, 2020).

Individuals who performdoomscrollingOften become aware of their behavior and make some efforts to reduce it. Individuals also consider negative news to be uncomfortable to read, and want to reduce their habit of reading such negative news (Valerie, 2023).

The urge to get all the facts to protect oneself from danger makes a person keep scrolling through his gadgets for hours to get information and news, which is especially negative news. Constant exposure to negative news on social media can take the form of "doomscrollingwhich is generally defined as the habit of browsing social media where users obsessively search for sad and negative information (B. Sharma et al., 2022). 

Distinguishing accurate and inaccurate information spread through social media can be difficult. This Spread of misleading propaganda causes fear, anxiety, and confusion (Rosenberg et al., 2020). The uncertainty of information, makes people tend to read the news and look for clarification articles and answers to their questions incessantly. They keep browsing and reading articles one by one to gather more information. This makes a person unable to look away from their device screen which can add to their anxiety (Rodrigues, 2022).

According to the Indonesian Association of Psychiatric Specialists (PDSKJI), which examined 14,988 people from 2020-2022, it was found that the results of an increase in psychological problems that continue to increase every year, namely 70.7% had psychological problems in 2020, 80.4% had psychological problems in 2021 and 82.5% had psychological problems in 2022. For anxiety problems, there were 68.8% had anxiety problems in 2020, 76.1% had anxiety problems in 2021 and 75.8% had anxiety problems in 2022. The most age range is 20-30 years old, followed by ages less than 20 years and 31-40 years where this age range is still included in the productive age (Evan Wijaya et al., 2023).

Previous research has revealed a link between social media use and increased feelings of depression and anxiety (Vannucci et al., 2017). At the beginning of the study, individuals who reported spending more time during the COVID-19 pandemic were found to experience higher levels of anxiety, anxiety, stress, and depression (D’Hondt et al., 2020). According to Sharma, doomscrolling have a moderate positive correlation with anxiety (B. Sharma et al., 2022).

Problem Formulation

The formulation of the problem in this study is to find out the relationship between doomscrolling and anxiety of students of the Faculty of Medicine, Islamic University of North Sumatra.

Research Objectives

General Purpose

       Knowing how doomscrolling is related to anxiety in students of the Faculty of Medicine, Islamic University of North Sumatra

Special Purpose

1.      Knowing the frequency distribution  of doomscrolling events

2.      Knowing the frequency distribution of anxiety levels

3.      Knowing the frequency distribution of the sexes with doomscrolling

4.      Knowing the frequency distribution of the duration of device use with doomscrolling

5.      Knowing the frequency distribution of doomsrolling with Anxiety level

Research Benefits

Benefits for Researchers

1.      To increase insight and knowledge about the influence of doomscrolling on students

2.      To increase insight and knowledge about its impact on student anxiety

Benefits for the Institution

1.      As one of the references for agencies, especially in the health sector, in making movements to minimize this phenomenon.

Benefits for Other Researchers

1.      As one of the sources of reference for other researchers in researching the same or related variables in this study

Benefits for the Community

1.      To provide information about the impact of doomscrolling on anxiety

2.      To raise public awareness about the effects of  doomscrolling

 

 

RESULTS AND DISCUSSION

Description of the Research Location

This research was conducted at the Faculty of Medicine, Islamic University of North Sumatra (FK UISU). UISU Faculty of Medicine is one of the Private Medical Faculties established in 1965. FK UISU is located at JL. STM NO. 77 Suka Maju, Medan Johor, Medan City, North Sumatra.

Characteristics Responden

The type of research conducted uses an observational analytical study with a cross sectional design, which aims to determine the relationship  between Doomscrolling and anxiety in students of the Faculty of Medicine, Islamic University of North Sumatra. The respondents in this study are students of the Faculty of Medicine, Islamic University of North Sumatra. The number of respondents in this study was 216 students.

Data Analysis Results

Univariate Analysis

Table 4. 1 Frequency Distribution of Anxiety Levels

Feature Responden (N=216)

Frequency

Percentage

Anxiety Level

 

 

Usual

145

67,1%

Light

21

9,7%

Keep

31

14,4%

Heavy

12

5,6%

It's very heavy

7

3,2%

Total

216

100%

 

Based on the table above, of the 216 respondents showed the distribution of anxiety frequency (M = 1.68, SD = 1.11). The majority of respondents, 145 (67.1%) respondents, did not experience anxiety problems. A total of 21 (9.7%) respondents experienced mild anxiety. A total of 31 (14.4%) respondents experienced moderate level of anxiety. A total of 12 (5.6%) respondents experienced severe level of anxiety. Meanwhile, 7 (3.2%) respondents experienced anxiety at a very severe level.

 

Table 4. 2 Distribution of Doomscrolling Event Frequencies

Feature Responden (N=216)

Frequency

Percentage

Risk of Doomscrolling

 

 

Ya

95

44%

No

121

56%

 

 Based on the table above, the majority of respondents as many as 121 (56%) did not have  a doomscrolling problem. Meanwhile, as many as 95 (44%) respondents experienced doomscrolling.

Table 4. 3 Distribution of genders with Doomscrolling

Gender (N=95)

Frequency

Percentage

Law Law

38

40%

Woman

57

60%

 

Based on the table above, the majority of respondents who experienced doomscrolling were women, as many as 57 (60%) respondents.

Table 4. 4 Distribution of Duration of Gadget Use with Doomscrolling

Duration of device use (N=95)

Frequency

Percentage

1-2 Jam

12

12,6%

2-5 hours

26

27,4%

> 5 jams

57

60%

 

Based on the table above, the majority of respondents who experience doomscrolling are those who use gadgets for more than 5 hours per day 57 (60%).

Table 4.5 Frequency Distribution of Anxiety Levels of Doomscrolling Respondents

Anxiety Level (N=95)

Frequency

Percentage

Usual

52

54,7%

Light

10

10,5%

Keep

19

20%

Heavy

9

9,5%

It's very heavy

5

5,3%

 

  Based on the table above, the anxiety level of respondents who experienced doomscrolling was mostly not anxiety, which was 52 (54.7%) of respondents.

Bivariate Analysis

The spearman correlation test aims to see if there is a linear correlation between the two variables that we want to investigate (Akoglu, 2018). The following are the results obtained from the Spearman test

Table 4. 6 Relationship between Doomscrolling and Anxiety

Variable

Mean

Standard Deviation

Skewness

Kurtosis

Spearman Correlation

Significance

Doomscrolling

36,6

18,9

1,272

2,000

0,303

0,000

Anxiety

11,3

11,07

1,154

1,393

0,303

0,000

 

Based on table 4.6 above, the results of the statistical test using the Spearman correlation test with a significance value of p=0.000 (p<0.05) which means that there is a significant relationship between Doomscrolling and anxiety. Based on these results, H1 was accepted. The correlation strength between variables is r=0.303 which means that the strength of the Doomscrolling is weak (r=0.21-0.40) with a positive (+) or unidirectional correlation direction, the higher the level  of Doomscrolling, the higher the anxiety experienced and vice versa.

Discussion

In this study, the gender of female respondents was 157 (72.7%) more than male 59 (27.3%). When the researcher distributed the questionnaire, female respondents were more engaged and willing to take the time to fill out the questionnaire. Number of respondents at risk doomscrolling is 95 (44%). The majority of respondents who experienced this doomsrolling were women (60%). This is in line with the article (Evan Starkman, 2022) which states that women do more often doomscrolling compared to men.

Table 4.3 shows many gadget users with a fairly high duration of use. From the number of respondents at risk doomscrolling, 57 (60%) of which the duration of daily gadget use is >5 hours.  Research (Price et al., 2022) found that higher smartphone use was associated with increased anxiety, depression, and lower life satisfaction. In China, the average duration of device use is 17.2 hours/week. Meanwhile, gadget users in Indonesia experienced an increase in Internet duration during the COVID-19 pandemic and both women and men experienced an average increase of 3.43 hours per day compared to usage before and during the COVID-19 pandemic. In the midst of the pandemic, 25.4% of respondents used the Internet for 0–5 hours per day, 34.2% for 6–10 hours daily, and 40.3% for ≥11 hours (Siste et al., 2020).

In this study, a significant relationship between Doomscrolling with anxiety. This is in line with research Similar to this finding, research conducted by (Satici et al., 2022) which indicates a positive relationship between psychological distress and Doomscrolling. The first study of the concept doomscrolling which entered our lives with the pandemic, was carried out during the COVID-19 period. Therefore, there are studies investigating the relationship of this concept with other mental health variables during the COVID-19 process (Merriam-Webster, 2020a). In another research study by (Karakose et al., 2022) found a positive association between psychological distress and social media addiction in their research conducted during the COVID-19 process. The level of psychological pressure has increased along with the increase in Internet-related behavior during the COVID-19 process (Chen et al., 2020).

In the study (Shabahang et al., 2023) found that future anxiety increases as rates increase doomscrolling and emphasized that doomscrolling is a risky activity that has the potential to increase worrying thoughts about the future and despair. Exposure to negative news streams can increase anxiety levels by causing individuals to negatively interpret their perspective on life, career, studies and the world of the future. Therefore, increased levels of anxiety negatively impact the psychological well-being of individuals. In this case, studies of interventions that can be undertaken in an effort to reduce anxiety in the future may have a reducing effect on an individual's commitment to doomscrolling behaviors in which they are constantly dragged into the search for information.

Doomscrolling can interfere with learning by reducing focus, wasting time potentially used for studying, and increasing students' stress and anxiety levels (Hunt et al., 2018).Doomscrolling can have several negative impacts on learning, especially in the context of education:

  1. Distractions in Focus and Attention: When a person engages in doomscrolling, their focus and attention can be distracted from academic tasks and study materials. They may become less productive and efficient in learning because they are distracted by negative content they read on social media or online news.
  2. Increased Anxiety and Stress: Often negative and anxiety-inducing content in doomscrolling can lead to increased levels of anxiety and stress. High anxiety can interfere with their ability to concentrate, study, and remember information well.
  3. Sleep and Mental Health Disorders: Doomscrolling can affect a person's sleep quality because they may tend to check their phones late at night or even in the middle of the night. Sleep deprivation can lead to decreased academic performance and poor mental well-being.
  4. Decreased Motivation and Academic Engagement: A person who is overly involved in doomscrolling may lose interest and motivation in learning because they focus more on negative online content than on actual learning. This can result in decreased classroom engagement and decreased academic achievement.

In adverse life events (natural disasters, epidemics, and so on), and situations that affect society in general (e.g. elections), a person will feel the need to obtain more information and they may get stuck when they encounter negative news from digital media. This vicious cycle of negative news triggers negative emotions in the individual and causes him to experience a negative emotional state. In other words, individuals with psychological distress experience bad luck more often and are more anxious about the future. Many studies conducted during the COVID-19 pandemic revealed that media exposure is closely related to depression and anxiety (Gao et al., 2020) (Wang et al., 2020). Therefore, good digital literacy is needed as a person's preventive intervention to avoid negative news will lead to a reduction in psychological stress and an increase in well-being (Kartol et al., 2023).

Gadgets, social media, and news feeds, are indeed designed to encourage frequent or prolonged interactions. This further increases the need to perform doomscrolling to get information and facilitate browsing more than usual negative news (B. Sharma et al., 2022). Exposure to negative news streams can cause individuals to not be able to see the future clearly and always experience negative future anxiety. This anxiety process continues as the flow continues and depressive symptoms develop by increasing in severity. As a result of this study, behavior doomscrolling, which is a new phenomenon, turns out to be harmful to mental health.

This study, like other studies, has limitations. First, doomscrolling may be caused by specific social situations, such as the COVID-19 pandemic, social restrictions, elections, and other situations. So that it affects the results of the study which causes the correlation strength to be weak. Because in this study, specific situations that have an impact on respondents are not included. Second, filling out questionnaires that are online, and not conducting interviews in person, so that the answers that have been given by the respondents are not very accurate in fact, which can affect the results of the relationship between the two variables. Third, this phenomenon is relatively new, thus causing the limitation of literature as a reference. Fourth, the results of this study only describe the conditions that exist in the Faculty of Medicine, Islamic University of North Sumatra. So that it cannot be translated to be applied to other places.

 

 

 CONCLUSION

Based on the results obtained from this study, it can be concluded that the majority of FK UISU 145 students (67.1%) do not experience anxiety or are in a normal state, and the majority of FK UISU 121 students (56%) do not experience doomscrolling. Most of the FK UISU students who experience doomscrolling are women (60%) and use gadgets for more than 5 hours per day (60%). Although the majority of those who experience doomscrolling do not experience anxiety (54.7%), there is a significant positive relationship between doomscrolling and anxiety with values of r= 0.303 and p= 0.000, indicating a weak relationship. Based on this research, it is suggested that further research should conduct different statistical tests and consider different socio-demographic conditions since this phenomenon is still relatively new. The results of this study are also expected to be a consideration and source of information for the Islamic University of North Sumatra regarding the relationship between doomscrolling and anxiety. Additionally, it is recommended that further research be conducted on more specific conditions or at certain moments, and readers are encouraged to increase digital literacy as a preventive measure to avoid doomscrolling.

 

BIBLIOGRAPHY

Akoglu, H. (2018). User’s guide to correlation coefficients. Turkish Journal of Emergency Medicine, 18(3), 91–93. https://doi.org/10.1016/j.tjem.2018.08.001

APJII. (2020). Laporan Survei Internet.

Barabak, M. Z. (2020, April 11). “Quarantini.” “Doomscrolling.” Here’s how the coronavirus is changing the way we talk. Los Angeles Times.

Chen, I. H., Chen, C. Y., Pakpour, A. H., Griffiths, M. D., & Lin, C. Y. (2020). Internet-Related Behaviors and Psychological Distress Among Schoolchildren During COVID-19 School Suspension. Journal of the American Academy of Child and Adolescent Psychiatry, 59(10), 1099-1102.e1. https://doi.org/10.1016/j.jaac.2020.06.007

D’Hondt, F., Wathelet, M., Duhem, S., Vaiva, G., Baubet, T., Habran, E., Veerapa, E., Debien, C., Molenda, S., Horn, M., Grandgenčvre, P., Notredame, C. E., & D’Hondt, F. (2020). Factors Associated with Mental Health Disorders among University Students in France Confined during the COVID-19 Pandemic. JAMA Network Open, 3(10), 1–13. https://doi.org/10.1001/jamanetworkopen.2020.25591

Evan Starkman. (2022, September 6). What’s Doomscrolling and Can It Harm Me? WebMD.

Evan Wijaya, A., Asmin, E., & B.E. Saptenno, L. (2023). Tingkat Depresi dan Ansietas Pada Usia Produktif. Jurnal Ilmiah Kesehatan Sandi Husada, 12(1), 150–156.

Gao, J., Zheng, P., Jia, Y., Chen, H., Mao, Y., Chen, S., Wang, Y., Fu, H., & Dai, J. (2020). Mental health problems and social media exposure during COVID-19 outbreak. PLOS ONE, 15(4), e0231924.

Garcia-Navarro, L. (2020, July 19). Your “doomscrolling” breeds anxiety. Here’s how to stop the cycle.

Hunt, M. G., Marx, R., Lipson, C., & Young, J. (2018). No more FOMO: Limiting social media decreases loneliness and depression. Journal of Social and Clinical Psychology, 37(10), 751–768. https://doi.org/10.1521/jscp.2018.37.10.751

Karakose, T., Yirci, R., & Papadakis, S. (2022). Examining the Associations between COVID-19-Related Psychological Distress, Social Media Addiction, COVID-19-Related Burnout, and Depression among School Principals and Teachers through Structural Equation Modeling. International Journal of Environmental Research and Public Health, 19(4). https://doi.org/10.3390/ijerph19041951

Kartol, A., Üztemur, S., & Yaşar, P. (2023). ‘I cannot see ahead’: psychological distress, doomscrolling and dark future among adult survivors following Mw 7.7. and 7.6 earthquakes in Türkiye. BMC Public Health, 23(1), 1–9. https://doi.org/10.1186/s12889-023-17460-3

Merriam-Webster. (2020). Doomsurfing and Doomscrolling Meaning. https://www.merriam-webster.com/words-at-play/doomsurfing- doomscrolling-words-were-watching

Nguyen, N. (2020, June 7). Doomscrolling: Why we just can’t look away. Wall Street Journal.

Price, M., Legrand, A. C., Brier, Z. M. F., van Stolk-Cooke, K., Peck, K., Dodds, P. S., Danforth, C. M., & Adams, Z. W. (2022). Doomscrolling During COVID-19: The Negative Association Between Daily Social and Traditional Media Consumption and Mental Health Symptoms During the COVID-19 Pandemic. Psychological Trauma: Theory, Research, Practice, and Policy, 14(8), 1338–1346. https://doi.org/10.1037/tra0001202

Rodrigues, E. V. (2022). Doomscrolling – threat to Mental Health and Well-being: A Review. International Journal of Nursing Research, 08(04), 127–130. https://doi.org/10.31690/ijnr.2022.v08i04.002

Rosenberg, H., Syed, S., & Rezaie, S. (2020). The Twitter pandemic: The critical role of Twitter in the dissemination of medical information and misinformation during the COVID-19 pandemic. Canadian Journal of Emergency Medicine, 22(4), 418–421. https://doi.org/10.1017/cem.2020.361

Satici, S. A., Gocet Tekin, E., Deniz, M. E., & Satici, B. (2022). Doomscrolling Scale: its Association with Personality Traits, Psychological Distress, Social Media Use, and Wellbeing. Applied Research in Quality of Life, 0123456789. https://doi.org/10.1007/s11482-022-10110-7

Shabahang, R., Kim, S., Hosseinkhanzadeh, A. A., Aruguete, M. S., & Kakabaraee, K. (2023). “Give Your Thumb a Break” from Surfing Tragic Posts: Potential Corrosive Consequences of Social Media Users’ Doomscrolling. Media Psychology, 26(4), 460–479. https://doi.org/10.1080/15213269.2022.2157287

Sharma, B., Lee, S. S., & Johnson, B. K. (2022). Supplemental Material for The dark at the end of the tunnel: Doomscrolling on social media newsfeeds. Technology, Mind, and Behavior, 3(1). https://doi.org/10.1037/tmb0000059.supp

Sharma, M. K., Anand, N., Roopesh, B. N., & Sunil, S. (2022). Digital resilience mediates healthy use of technology. The Medico-Legal Journal, 90(4), 195–199. https://doi.org/10.1177/00258172211018337

Siste, K., Hanafi, E., Sen, L. T., Christian, H., Adrian, Siswidiani, L. P., Limawan, A. P., Murtani, B. J., & Suwartono, C. (2020). The Impact of Physical Distancing and Associated Factors Towards Internet Addiction Among Adults in Indonesia During COVID-19 Pandemic: A Nationwide Web-Based Study. Frontiers in Psychiatry, 11(September), 1–11. https://doi.org/10.3389/fpsyt.2020.580977

Tomczyk, Ł., & Selmanagic-Lizde, E. (2018). Fear of Missing Out (FOMO) among youth in Bosnia and Herzegovina — Scale and selected mechanisms. Children and Youth Services Review, 88, 541–549. https://doi.org/10.1016/j.childyouth.2018.03.048

Valerie. (2023). Doomscrolling: Dampak Berita Negatif dan Media Sosial pada Kesehatan Mental. 9(16), 2020–2022.

Vannucci, A., Flannery, K. M., & Ohannessian, C. M. C. (2017). Social media use and anxiety in emerging adults. Journal of Affective Disorders, 207(October 2016), 163–166. https://doi.org/10.1016/j.jad.2016.08.040

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. In International Journal of Environmental Research and Public Health (Vol. 17, Issue 5). https://doi.org/10.3390/ijerph17051729

 

Copyright holders:

Muhammad Adib Al Wafa, Tezar Samekto Darungan, Surya Akbar, Rosa Zorayatamin Damanik (2024)

First publication right:

AJHS - Asian Journal of Healthy and Science

This article is licensed under a Creative Commons Attribution-ShareAlike 4.0 International