KNOWLEDGE, ATTITUDE AND BEHAVIOURAL PRACTICES TOWARDS DIGITAL DEPRESSION: A CROSS-SECTIONAL STUDY IN MALAYSIA
DOI:
https://doi.org/10.55197/qjssh.v6i5.860Keywords:
digital depression, KAP survey, teenagers, young adults, MalaysiaAbstract
The widespread adoption of digital devices has fundamentally altered user behaviour. Specifically, in Malaysia, there's increased concern over the psychological risks faced by teenagers and young adults due to their heavy reliance on technology. This study aims to explore the knowledge, attitudes, and practices (KAP) toward digital depression, a form of depression associated with excessive or problematic digital media consumption, among youth in Malaysia. A cross-sectional survey was conducted with 389 respondents, comprising teenagers (aged 13-17) and young adults (aged 18-29), utilising the Patient Health Questionnaire (PHQ-9) to assess their knowledge, attitudes, and practices (KAP) towards digital depression. A quantitative analysis revealed high mean scores in all KAP dimensions, indicating strong awareness and understanding of digital depression among participants. However, despite this awareness, many participants reported experiencing significant depressive symptoms, such as low self-esteem, difficulty concentrating, and sleep disturbances, due to excessive social media use. The study also found that while respondents understood the need to reduce screen time and adopt healthier digital practices, there remained a gap between knowledge and action, with few actively engaging in behaviours that could mitigate the impact of digital depression.
References
[1] Ajzen, I. (2020): The theory of planned behavior: Frequently asked questions. – Human Behavior and Emerging Technologies 2(4): 314-324.
[2] Appel, H., Gerlach, A.L., Crusius, J. (2016): The interplay between Facebook use, social comparison, envy, and depression. – Current Opinion in Psychology 9: 44-49.
[3] Arshad, D., Joyia, U.M., Fatima, S., Khalid, N., Rishi, A.I., Rahim, N.U.A., Bukhari, S.F., Shairwani, G.K., Salmaan, A. (2021): The adverse impact of excessive smartphone screen-time on sleep quality among young adults: A prospective cohort. – Sleep Science 14(04): 337-341.
[4] Azem, L., Al Alwani, R., Lucas, A., Alsaadi, B., Njihia, G., Bibi, B., Alzubaidi, M., Househ, M. (2023): Social Media use and depression in adolescents: A scoping review. – Behavioral Sciences 13(6): 16p.
[5] Babbie, E. (2021). The practice of social research. – Cengage Learning 609p.
[6] Bernama (2019): Malaysia ranks top 5 globally in mobile social media penetration, highest in region. – NST Online 8p.
[7] Çetinkaya, A., Kirik, A.M., Gündüz, U. (2021): Fear of missing out and problematic social media use: A research among university students in Turkey. – AJIT-e Online Academic Journal of Information Technology 32(47): 12-31.
[8] Faisal, S., Khotib, J., Zairina, E. (2021). Knowledge, attitudes, and practices (KAP) towards COVID-19 among university students in Pakistan: a cross-sectional study. –Journal of Basic and Clinical Physiology and Pharmacology 32(4): 681-686.
[9] Ginsburg, F. (2021). Disability in the digital age. – In H. Geismar & H. Knox (Eds.) Digital Anthropology (2nd ed.), Routledge 349p.
[10] Hassim, N., Hasmadi, M.H.N., Sharipudin, M.N. (2020): Social media or social comparison? An analysis of Instagram use among Malaysian youth. – SEARCH Journal of Media and Communication Research 14p.
[11] Henriques, M., Patnaik, D. (2020): Social media and its effects on beauty. In Beauty-Cosmetic Science, Cultural Issues and Creative Developments. – IntechOpen 10p.
[12] Kang, M., Xu, B., Chen, C., Wang, D. (2023). Internet addiction and suicidal ideation among Chinese college students: the mediating role of psychotic-like experiences. – Frontiers in Public Health 11: 8p.
[13] Kemp, S. (2023): Digital 2023: Malaysia. – DataReportal Web 21p.
[14] Kroenke, K., Spitzer, R.L., Williams, J.B. (2001): The PHQ‐9: validity of a brief depression severity measure. – Journal of General Internal Medicine 16(9): 606-613.
[15] Lee, M.H.L., Kaur, M., Shaker, V., Yee, A., Sham, R., Siau, C.S. (2023): Cyberbullying, social media addiction and associations with depression, anxiety, and stress among medical students in Malaysia. – International Journal of Environmental Research and Public Health 20(4): 13p.
[16] Lenhart, A., Purcell, K., Smith, A., Zickuhr, K. (2010): Social Media & Mobile Internet Use among Teens and Young Adults. Millennials. – Pew Internet & American Life Project 51p.
[17] Liao, X., Nguyen, T.P.L., Sasaki, N. (2022): Use of the knowledge, attitude, and practice (KAP) model to examine sustainable agriculture in Thailand. – Regional Sustainability 3(1): 41-52.
[18] Liu, P., Teng, M., Han, C. (2020): How does environmental knowledge translate into pro-environmental behaviors? The mediating role of environmental attitudes and behavioral intentions. – Science of The Total Environment 728: 14p.
[19] Lunsford, N.B., Berktold, J., Holman, D.M., Stein, K., Prempeh, A., Yerkes, A. (2018): Skin cancer knowledge, awareness, beliefs and preventive behaviors among black and hispanic men and women. – Preventive Medicine Reports 12: 203-209.
[20] Marengo, D., Longobardi, C., Fabris, M.A., Settanni, M. (2018): Highly-visual social media and internalizing symptoms in adolescence: The mediating role of body image concerns. – Computers in Human Behavior 82: 63-69.
[21] Marret, M.J., Choo, W.Y. (2017): Factors associated with online victimisation among Malaysian adolescents who use social networking sites: A cross-sectional study. – BMJ Open 7(6): 1-11.
[22] Marzilli, E., Cerniglia, L., Ballarotto, G., Cimino, S. (2020). Internet Addiction among Young Adult University Students: The Complex Interplay between Family Functioning, Impulsivity, Depression, and Anxiety. – International Journal of Environmental Research and Public Health 17(21): 15p.
[23] McCrae, N., Gettings, S., Purssell, E. (2017): Social media and depressive symptoms in childhood and adolescence: A systematic review. – Adolescent Research Review 2: 315-330.
[24] Montag, C., Lachmann, B., Herrlich, M., Zweig, K. (2019): Addictive Features of Social Media/Messenger Platforms and Freemium Games against the Background of Psychological and Economic Theories. – International Journal of Environmental Research and Public Health 16(14): 16p.
[25] Morgan, K. (1970): Sample size determination using Krejcie and Morgan table. – Kenya Projects Organization (KENPRO) 38: 607-610.
[26] Mukherjee, B.N. (1974): A comparison of the results of family planning KAP surveys in Haryana and Tamil Nadu, India. – Studies in Family Planning 5(7): 224-231.
[27] Nemr, N., Kishk, R.M., Elsaid, N.M.A.B., Louis, N., Fahmy, E., Khattab, S. (2023): Knowledge, attitude, and practice (KAP) of antimicrobial prescription and its resistance among health care providers in the COVID-19 era: A cross-sectional study. – Plos One 18(8): 15p.
[28] Nesi, J., Prinstein, M.J. (2015): Using Social Media for Social Comparison and Feedback-Seeking: Gender and Popularity Moderate Associations with Depressive Symptoms. – Journal of Abnormal Child Psychology 43(8): 1427-1438.
[29] O'Keeffe, G.S., Clarke-Pearson, K. (2011): Clinical Report-The impact of social media on children, adolescents, and families. – American Academy of Paediatrics 127(4): 800-804.
[30] Prensky, M. (2001): Digital natives, digital immigrants. – On the Horizon 9(5): 1-6.
[31] Radovic, A., Gmelin, T., Stein, B.D., Miller, E. (2017): Depressed adolescents’ positive and negative use of social media. – Journal of Adolescence 55: 5-15.
[32] Ridzaudin, R., Najieb, A.F. (2023): Rakyat ‘gila’ media sosial, tengok telefon 6 jam sehari. – Kosmo Digital 9p.
[33] Taufik, M.H., Rezali, M.S., Shahein, N.A., Sahril, N., Ying, C.Y., Ab Wahab, N.A., Azlan Kassim, M.S. (2021): Internet Addiction and Its Associated Factors among School-going Adolescents in Malaysia. – International Journal of Public Health Research 11(02): 1466-1473.
[34] Timothy, A.A.M., Wan Ismail, W., Bahar, N., Mahadevan, R., Azhar Shah, S. (2018): Internet addiction among secondary school students in Klang Valley, Malaysia: What is the association with depressive symptoms, anxiety symptoms, and self-esteem. – International Medical Journal Malaysia 17(2): 17-26.
[35] Turki, Y., Saleh, S., Albaik, S., Barham, Y., van de Vrie, D., Shahin, Y., Hababeh, M., Armagan, M., Seita, A. (2020): Assessment of the knowledge, attitudes, and practices (KAP) among UNRWA* health staff in Jordan concerning mental health programme pre-implementation: a cross-sectional study. – International Journal of Mental Health Systems 14: 1-10.
[36] Twenge, J.M., Joiner, T.E., Rogers, M.L., Martin, G.N. (2018): Increases in depressive symptoms, suicide-related outcomes, and suicide rates among U.S. adolescents after 2010 and links to increased new media screen time. – Clinical Psychological Science 6(1): 3-17.
[37] Van Deursen, A.J., Helsper, E.J. (2018): Collateral benefits of Internet use: Explaining the diverse outcomes of engaging with the Internet. – New Media & Society 20(7): 2333-2351.
[38] Vidal, C., Lhaksampa, T., Miller, L., Platt, R. (2020): Social media use and depression in adolescents: a scoping review. – International Review of Psychiatry 32(3): 235-253.
[39] Viner, R.M., Gireesh, A., Stiglic, N. (2019): Roles of cyberbullying, sleep, and physical activity in mediating the effects of social media use on mental health and well-being among young people in England: A secondary analysis of longitudinal data. – The Lancet Child & Adolescent Health 3(10): 685-696.
[40] Wang, J., Chen, L., Yu, M., He, J. (2020): Impact of knowledge, attitude, and practice (KAP)-based rehabilitation education on the KAP of patients with intervertebral disc herniation. – Annals of Palliative Medicine 9(2): 38893-38393.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 SHARIFAH NADIAH SYED MUKHIAR, SEE KEE NG, NUR ATIKAH A RAHMAN, RANI ANN BALARAMAN

This work is licensed under a Creative Commons Attribution 4.0 International License.