Depression and Insomnia Mediate the Link Between Problematic Internet Use and Neuropathic Low Back Pain: Evidence
Ildiko Radvanyi1, Antal Tibold1, Viktoria Herczeg2
1Centre for Occupational Medicine, Medical School, University of Pécs, Pecs, Hungary.
Journal of Multidisciplinary Healthcare
|December 15, 2025
Summary
Problematic internet use (PIU) indirectly increases chronic low back pain risk, particularly its neuropathic component, by worsening depression and insomnia. Addressing these mental health and sleep issues is key for managing back pain.
Area of Science:
- Digital Health
- Pain Management
- Psychiatry
Background:
- Problematic internet use (PIU) is a growing concern with digital technology expansion.
- Understanding its impact on physical health, specifically chronic low back pain (CLBP), is crucial.
Purpose of the Study:
- To investigate the association between PIU and CLBP, including its neuropathic component.
- To identify potential mediating factors in this relationship.
Main Methods:
- A cross-sectional online survey of 550 university students aged 18-65.
- Utilized validated instruments: PIUQ, BDI-SF, AIS, and painDETECT.
- Statistical analyses included regression and mediation modeling.
Main Results:
- CLBP prevalence was 46.2%, with 12.2% experiencing neuropathic pain. PIU was present in 8.4% of participants.
- Neuropathic pain correlated with PIU, depression, and insomnia.
- PIU indirectly predicted higher painDETECT scores via depression and insomnia, not as a direct predictor.
Conclusions:
- Psychological, sleep, and lifestyle factors significantly influence CLBP.
- PIU exacerbates CLBP risk indirectly through depression and insomnia.
- Integrating screening and management of PIU, depression, and insomnia is recommended for CLBP prevention and treatment.
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