PURPOSE: The study was to identify the influences of stress, social support and impulsiveness on the internet addiction of adolescents. METHODS: A cross-sectional study was conducted with 243 male middle and high school students in D city. Data were collected from March to April in 2009 using self-report questionnaires such as internet addiction test, perceived stress, social support appraisal scale and Barratt impulsiveness scale. Data were analyzed using frequency, mean, Pearson's corelation coefficient, & hierarchial multiple regression. RESULTS: The results showed that adolescents who had poor social support or higher stress and impulsiveness were more likely to have higher levels of internet addiction. The internet addiction was positively related to the stress and impulsiveness and negatively related to the social support. And education, record at school, stress, social support and impulsiveness had influence on the depression. CONCLUSION: Based on the findings, school nurses need to screen the risk of the internet addiction for adolescents who are in serious stress and have poor social support and impulsiveness. It is necessary to develop some preventive programs for those in high risk of internet addiction.
Adolescent ; Cross-Sectional Studies ; Humans ; Internet ; Male ; Surveys and Questionnaires

OBJECTIVE: This study aimed to identify factors that affect in vitro fertilization (IVF) outcomes in women with diminished ovarian reserve (DOR). METHODS: We reviewed 99 IVF cycles in 52 women with DOR between September 2010 and January 2015. DOR was defined as serum anti-Müllerian hormone level of <1.1 ng/dL or serum follicle-stimulating hormone level of ≥20 mIU/mL. Total 96 cycles in 50 patients were evaluated after excluding fertility preservation cases. RESULTS: The clinical pregnancy rate was 11.5% per cycle, and the total cancellation rate was 34.4%. Clinical pregnancy rate was significantly associated with the antral follicle count and the cause of the DOR. Age, serum anti-Müllerian hormone and follicle-stimulating hormone levels, antral follicle count, peak estradiol level, and the cause of DOR were significantly associated with cycle cancellation. However, history of previous ovarian surgery remained as a significant factor of clinical pregnancy (model 1: odds ratio [OR] 10.17, 95% confidence interval [CI] 1.46 to 70.84, P=0.019; model 2: OR 10.85, 95% CI 1.05 to 111.71, P=0.045). In cancellation models, idiopathic or previous chemotherapy group showed borderline significance (model 1: OR 3.76, 95% CI 0.83 to 17.04, P=0.086; model 2: OR 3.15, 95% CI 0.84 to 11.84, P=0.09). CONCLUSION: DOR caused by previous ovarian surgery may show better pregnancy outcome, whereas that caused by chemotherapy could significantly increase the cycle cancellation rate. Furthermore, patients with DOR who previously received gonadotoxic agents may show reduced efficacy and increased risk of IVF cycle cancellation.
Drug Therapy ; Estradiol ; Female ; Fertility Preservation ; Fertilization in Vitro* ; Follicle Stimulating Hormone ; Humans ; In Vitro Techniques* ; Odds Ratio ; Ovarian Reserve* ; Pregnancy ; Pregnancy Outcome ; Pregnancy Rate