Introduction: The widespread availability of Internet access and increasing rate of electronic device usage has helped enlighten the
world community through copious applications, information resources, and other benefits. However, both the lack of controlled
behavior and excessive Internet usage have resulted in a variety of difficulties that can hinder user achievement in many areas.
Objectives: This study investigated the prevalence of Internet and electronic device addiction among Egyptian and Saudi nursing
students, with the aim of identifying any effects on sleep and academic performance.
Methods: A cross-sectional comparative research design was employed among a systematic random sample comprised of 920
Egyptian and Saudi female nursing students. All participants completed the Young-Internet Addiction Test (IAT), Mobile Phone
Involvement Questionnaire (MPIQ), and Epworth Sleepiness Scale (ESS).
Results: Severe Internet Addiction (IA) detected in 42.69% and 10.31% of Saudi and Egyptian participants, respectively. However,
Saudi participants were more likely to report high rates of mobile phone usage (P < 0.001), while Egyptian participants tended to
score higher on the ESS (17.47±3.99 vs. 16.8±3.83; P=0.024). For all participants, IATand MPIQ scores were correlated with ESS
results, while IA was specifically associated with poor academic performance. Finally, MPIQ scores were inversely correlated with
academic performance for Saudi participants.
Conclusion: Smartphone and Internet addiction were notable problems for the Egyptian and Saudi nursing students investigated in
this study. Importantly, these conditions adversely affect academic performance and other activity engagement in addition to inducing
excessive daytime sleepiness.