Binge watching and its impact on depression, anxiety and stress among medical undergraduate students of a tertiary care teaching hospital, Tumkur: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260708Keywords:
Binge-watching, Medical undergraduate students, Depression, Anxiety, StressAbstract
Background: Binge-watching has emerged as a dominant media consumption behaviour among young adults, raising concerns about its potential impact on mental health. Medical undergraduate students represent a particularly vulnerable group due to academic stress and irregular lifestyle patterns. This study aimed to estimate the prevalence of binge-watching and examine its association with depression, anxiety, and stress among medical undergraduate students of a tertiary care teaching hospital in South India.
Methods: Authors conducted a cross-sectional study from April to June 2025 among 616 medical undergraduates using universal sampling. Sociodemographic data was collected using a semi-structured questionnaire. Binge-watching behaviour was assessed using the validated Binge-Watching Addiction Questionnaire, and mental health outcomes were measured using the Depression Anxiety Stress Scale–21. Data were analyzed using descriptive statistics and chi-square tests, with odds ratios estimated through univariate and multivariable analyses using SPSS version 28.
Results: Among 616 medical undergraduates, 487 (79.1%) reported non-problematic binge-watching, while 87 (14.1%) and 42 (6.8%) demonstrated moderate and problematic binge-watching, respectively. Moderate to extremely severe depression was observed in 340 students (55.2%), severe or extremely severe anxiety in 272 (44.2%), and moderate to extremely severe stress in 219 (35.6%). Binge-watching was common among medical students, and students with depression, anxiety, and stress had significantly higher odds of binge-watching compared to those without psychological distress. Students who engage in frequent or prolonged binge-watching may report higher levels of stress, disturbed sleep patterns, and reduced academic performance compared to those with controlled viewing habits
Conclusion: Binge-watching was common among medical undergraduates and the study highlights a potential association between binge-watching and increased levels of depression, anxiety, and stress among medical undergraduate students underscoring the need for early identification and targeted mental health interventions in medical colleges.
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References
Panda S, Pandey SC. Binge watching and college students: motivations and outcomes. Young Consumers. 2017;18(3):239–53. DOI: https://doi.org/10.1108/YC-07-2017-00707
Hans AK, Kaur H. Binge watching and mental well-being: study on emerging adults. Int Rev Soc Sci Res. 2024;9(2):45–56.
Ilyas T, Qureshi MA. Binge-watching as behavioral addiction: a systematic review. Know Res Support Serv. 2023;1(1):1–15. DOI: https://doi.org/10.32350/apr.22.03
Garg S, Singh AK. Binge Watching, Loneliness, Interpersonal Competence and Interaction Anxiety in Young Adults. Int J Indian Psychol. 2010;11(3):542–50.
Bandla S, Lella S, Kola A, Parvathaneni KM, Rani J. Association of anxiety, depression and sleep quality with binge-watching behavior in college students. Arch Ment Health. 2024;25(1):18–24. DOI: https://doi.org/10.4103/amh.amh_11_24
Starosta J, Izydorczyk B, Wontorczyk A. Anxiety-depressive syndrome and binge-watching among young adults. Front Psychol. 2021;12:689944. DOI: https://doi.org/10.3389/fpsyg.2021.689944
Mandyam S, Deekala RS, Rao GS, Rao GV, Rosivari PS. Depression, anxiety and stress among medical undergraduate students in South India. Natl J Community Med. 2023;14(6):389–94. DOI: https://doi.org/10.55489/njcm.140220232669
Alimoradi Z, Jafari E, Potenza MN, Lin CY, Wu CY, Pakpour AH. Binge-Watching and Mental Health Problems: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2022;19:9707. DOI: https://doi.org/10.3390/ijerph19159707
Raza SH, Ali R, Qamar A. Binge-watching Netflix: factors and psychological impacts on university students in Lahore, Pakistan. J Psychol Afr. 2022;32(3):245–51.
Gupta S, Sahoo S, Mehra A, Grover S. Is binge watching among medical students associated with depression and anxiety. Ind Psychiatry J. 2022;31(1):95–101.
Forte G, Favieri F, Tedeschi D, Casagrande M. Binge-watching: development and validation of the binge-watching addiction questionnaire. Behav Sciences. 2021;11(2):27. DOI: https://doi.org/10.3390/bs11020027
Novo Psych. Depression Anxiety Stress Scales – short form (DASS-21). NovoPsych. 2021. Available at: https://novopsych.com/assessments. Accessed on 21 August 2025.
Adnan K, Yasir A, Baloch M. Binge-watching Netflix in Pakistan: factors and psychological impacts on university students in Lahore. J Peace Dev Commun. 2024;8(2):364-76. DOI: https://doi.org/10.36968/JPDC-V08-I02-27
Flayelle M, Canale N, Vögele C, Karila L, Maurage P, Billieux J. I feel “addicted” to watching TV series: association between binge-watching and mental health. J Behav Addict. 2019;8(1):97–109. DOI: https://doi.org/10.1556/2006.8.2019.53
Sun JJ, Chang YJ. Associations of problematic binge-watching with depression, social interaction anxiety, and loneliness. Int J Environ Res Public Health. 2021;18(3):1168. DOI: https://doi.org/10.3390/ijerph18031168
Hamza M, Halayem S, Jraidi I, Boudali M, Bouden A. Is binge watching among medical students associated with depression and anxiety. Insig Depress Anx. 2023;7:674. DOI: https://doi.org/10.29328/journal.ida.1001035
Mowen T, Smith D, Nakagawa M. The impact of binge-watching on sleep quality and social anxiety in young adults. Sleep Health. 2022;8:45-55
Yu H, Alizadeh F. Online binge-watching among Chinese college students: implications for loneliness, anxiety, and depression. Int J Environ Res Public Health. 2024;19:9707. DOI: https://doi.org/10.2147/PRBM.S447311
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