Hamed Delam - Student Research Committee, Larestan University of Medical Sciences, Larestan, Iran.
Zahra Keshtkaran - Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Farshad Bargrizaneh - Student Research Committee, Larestan University of Medical Sciences, Larestan, Iran.
Sara Moghaddam - Department of Nursing, Faculty of Nursing, Jahrom University of Medical Sciences, Jahrom, Iran.
Hamed Safari - Student Research Committee, Larestan University of Medical Sciences, Larestan, Iran.
Fatemeh Sookhak - Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran.

Background: In recent years, with the rapid expansion of Internet use, Internet addiction has increased. Internet addiction will be considered as a disorder worldwide in the near future and it is very important to prevent it from becoming an acute problem in the new era.  Objectives: The current study was planned to assess changes in the state of internet addiction, before and during the COVID-۱۹ pandemic in ۲۰۲۱. Materials & Methods: The current cross-sectional study was done on university students (Medical Sciences and Islamic Azad) in southern Iran in October ۲۰۲۱. Standard Kimberly Young questionnaire was used to measure the status of internet addiction. A total of ۳۷۹ students was selected through convenience sampling method. The link to the online questionnaire was provided to the study participants through the official educational programs, websites and official social networks of the universities. Paired t-tests, chi-square and ANOVA were used for analysis. Logistic regression model was used to measure predictive variables. Results: More than ۶۵% of the people were women and ۸۳.۶% were single. Analysis of the standard internet addiction questionnaire showed that the average score of Internet addiction had increased from ۳۴.۴۴±۱۴.۱۰ to ۴۸.۴۷±۱۷.۷۲, which was significant (P<۰.۰۰۱). The duration of Internet use was also increased from ۱.۸۷±۰.۶۳ per day to ۳.۹۵±۱.۷۱ hours per day, which was significant (P<۰.۰۰۱). Conclusion: In general, it seems that the level of internet addiction among students has increased during COVID-۱۹. Therefore, immediate public awareness measures are needed to monitor internet consumption. Since students are at risk of Internet addiction, early identification and implementation of preventive and control programs are suggested for this group.

COVID-۱۹, Psychological Dependency, Internet addiction disorder