PROBLEMATIC FACEBOOK USE, AGGRESSION, AND ACADEMIC PROCRASTINATION AMONG MEDICAL STUDENTS

Authors

DOI:

https://doi.org/10.71000/crc6kb79

Keywords:

Academic Procrastination, , Aggression, Facebook, Medical Students, Pakistan, Social Media, Young Adults

Abstract

Background: Problematic use of social media has become a growing concern among young adults, with strong evidence linking it to aggression and academic procrastination. Excessive Facebook use, in particular, disrupts emotional regulation and impairs academic functioning. Despite substantial international research, limited evidence exists from Pakistan exploring how problematic Facebook use contributes to procrastination through aggression, especially among medical students whose academic demands are exceptionally rigorous. Addressing this gap is essential to better understand the psychological mechanisms underlying academic underperformance in this population.

Objective: The study aimed to investigate the relationship between problematic Facebook use and academic procrastination, while testing the mediating role of aggression among Pakistani medical students aged 18 to 35 years.

Methods: A cross-sectional correlational design was adopted, and purposive sampling recruited 200 medical students. The Bergen Social Media Addiction Scale (BSMAS; α = 0.80) measured problematic Facebook use, the Academic Procrastination Scale–Short Form (APS-SF; α = 0.87) assessed procrastination, and the Buss and Perry Aggression Questionnaire (BPAQ; α = 0.89) measured aggression. Ethical approval was secured in line with APA guidelines, and written informed consent was obtained. Data were analyzed using SPSS version 26, and Hayes’ PROCESS Macro 4.2 (Model 4) was applied for mediation analysis.

Results: The mean age of participants was 24.50 years (SD = 3.02). Men accounted for 55.5% and women for 44.5% of the sample, with 55.5% from middle socioeconomic status. Problematic Facebook use was strongly correlated with aggression (r = 0.71, p < .05) and academic procrastination (r = 0.90, p < .05). Aggression also correlated with procrastination (r = 0.34, p < .01). Regression showed problematic Facebook use significantly predicted aggression (β = 1.06, p < .001) and procrastination (β = 0.88, p < .001). Aggression independently predicted procrastination (β = 0.07, p < .001). Mediation analysis revealed aggression partially mediated the relationship, with a significant indirect effect (Effect = 0.02, 95% CI = 0.009–0.06).

Conclusion: Problematic Facebook use significantly impairs academic performance among medical students, both directly through procrastination and indirectly via heightened aggression. These findings underscore the urgent need for awareness campaigns, digital literacy initiatives, and counseling interventions to foster healthier online engagement and reduce aggression-driven academic delays.

Author Biographies

  • Shah Jahan Ashraf, Government College Women University, Faisalabad, Pakistan.

     Research Assistant, Government College Women University, Faisalabad, Pakistan.

  • Pulwasha Anwar, Bursa Uludağ University, Bursa, Turkey.

     Ph.D. Student, Department of Psychology, Institute of Social Sciences, Bursa Uludağ University, Bursa, Turkey.

  • Rafia Tuz Zahra, Specialities in Applied Psychology / Research Methodology, Wah Cantt, Pakistan.

     MSc Psychology, Specialities in Applied Psychology / Research Methodology, Wah Cantt, Pakistan.

  • Aurang Zaib Ashraf Shami, CEO (11COACHES), Gulberg-III, Lahore, Pakistan.

     Internationally Accredited NLP Life & Business Coach; CEO (11COACHES), Gulberg-III, Lahore, Pakistan.

  • Madiha Kashif, Consultant at 11Coaches, Gulberg-III, Lahore, Pakistan.

     MBA (Management), Consultant at 11Coaches, Gulberg-III, Lahore, Pakistan.

  • Jahangir Ashraf, Government College University, Faisalabad, Pakistan.

     M.Phil Scholar, Department of Mass Communication, Government College University, Faisalabad, Pakistan.

  • Rashida Sadaqat, , 11Coaches, Gulberg-III, Lahore, Pakistan.

     Clinical Psychologist, 11Coaches, Gulberg-III, Lahore, Pakistan.

  • Zainab Manzoor, Riphah International University, Sargodha, Pakistan.

     Clinical Psychologist, Alumni of Riphah International University, Sargodha, Pakistan.

References

Ho, T. T. Q., Pham, T. T. H., Nguyen, T. H., & Nguyen, T. H. (2024). Does academic procrastination mediate the link between Problematic Facebook Use and academic satisfaction?. Psychology, Society & Education, 16(2), 62-69.

Irfan, A., Abbas, N., Shahid, M. S., Ashraf, J., & Asif, A. (2025). SMARTPHONE ADDICTION AND ACADEMIC PROCRASTINATION IN UNIVERSITY STUDENTS: PSYCHOLOGICAL WELLBEING AS A MODERATOR. Qualitative Research Journal for Social Studies, 2(2), 973-983.

Karim, M. R., Haque, M. J., Akhter, S., & Ahmed, H. U. (2023). Facebook addiction and its related factors among medical students; a cross-sectional study in Bangladesh. PLOS Global Public Health, 3(2), e0001597.

Khan, P., Shahid, M. S., & Majid, H. A. (2024). Mediating role of online social connectedness in smartphone addiction and online relationship among young adults. Gomal University Journal of Research, 40(3), 327-336.

Naushad, K., Jamil, B., Khan, N. A., & Jadoon, M. (2025). Correlation between social media addiction and academic procrastination in medical students at public and private medical colleges at Peshawar. Pakistan Journal of Medical Sciences, 41(3), 837.

Noipom, R., Lim, A., & Sittichai, R. (2023). Determinants of Aggression on Facebook among secondary school students in Southern Thailand. Social Psychology of Education, 26(3), 793–809.

Sernani, P. (2025). Social media and electoral dynamics: A dataset of X and Facebook activity during the 2024 European elections. Data in Brief, 59, 111407.

Shahid, M. S., Bashir, S., & Fatima, S. (2024). Social media addiction and aggression in Pakistani young adults: Social connectedness as a moderator. Journal of Professional & Applied Psychology, 5(3), 424-433.

Shahid, M. S., Yousaf, R., & Munir, H. (2024). Social media addiction, depression and aggression in young adults. Journal of Professional & Applied Psychology, 5(2), 276–285.

Zahra, M., Anwar, P., Arif, M. B., Qureshi, M. S., Zahid, H. S., & Rahman, R. (2025). Problematic social media use and Aggression among young adults in Pakistan: Narcissistic traits as a mediator, social support and empathy as moderators. Journal of Asian Development Studies, 14(1), 1090–1099.

Côrte-Real B, Cordeiro C, Câmara Pestana P, Duarte ESI, Novais F. Addictive Potential of Social Media: A Cross Sectional Study in Portugal. Acta Med Port. 2023;36(3):162-6.

Rogier G, Castellano R, Velotti P. Alexithymia in Facebook Addiction: Above and Beyond the Role of Pathological Narcissism. Psychiatr Danub. 2022;34(3):483-9.

Dule A, Abdu Z, Hajure M, Mohammedhussein M, Girma M, Gezimu W, et al. Facebook addiction and affected academic performance among Ethiopian university students: A cross-sectional study. PLoS One. 2023;18(2):e0280306.

Cudo A, Kopiś-Posiej N, Shchehelska K. The influence of Facebook intrusion and task context on cognitive control. Psychol Res. 2023;87(2):373-87.

Huang C. A meta-analysis of the problematic social media use and mental health. Int J Soc Psychiatry. 2022;68(1):12-33.

Sheldon P, Antony MG, Sykes B. Predictors of Problematic Social Media Use: Personality and Life-Position Indicators. Psychol Rep. 2021;124(3):1110-33.

Cheng C, Lau YC, Chan L, Luk JW. Prevalence of social media addiction across 32 nations: Meta-analysis with subgroup analysis of classification schemes and cultural values. Addict Behav. 2021;117:106845.

Ali Homaid A. Problematic social media use and associated consequences on academic performance decrement during Covid-19. Addict Behav. 2022;132:107370.

Sarialioğlu A, Oluç T. The Relationship Between Social Media Addiction and Perceived Stress in Adolescents. J Child Adolesc Psychiatr Nurs. 2024;37(4):e70000.

Sun Y, Zhang Y. A review of theories and models applied in studies of social media addiction and implications for future research. Addict Behav. 2021;114:106699.

Marengo D, Angelo Fabris M, Longobardi C, Settanni M. Smartphone and social media use contributed to individual tendencies towards social media addiction in Italian adolescents during the COVID-19 pandemic. Addict Behav. 2022;126:107204.

Doan LP, Le LK, Nguyen TT, Nguyen TTP, Le MNV, Vu GT, et al. Social Media Addiction among Vietnam Youths: Patterns and Correlated Factors. Int J Environ Res Public Health. 2022;19(21).

Clavier T, Chevalier E, Demailly Z, Veber B, Messaadi IA, Popoff B. Social Media Usage for Medical Education and Smartphone Addiction Among Medical Students: National Web-Based Survey. JMIR Med Educ. 2024;10:e55149.

Chapoton B, Sarda E, Tinquaut F, Bègue L, Chirain A, Brousse G, et al. Suggestibility, Facebook use and relationship with substance addictive behaviors. Encephale. 2023;49(3):261-7.

Zaw, K. Y. (2023). Perceptions of online harassment: Ethnographical research of Myanmar university students.

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Published

2025-08-20

Issue

Vol. 3 No. 4 (Health and Rehabilitation) (2025): Volume 3 Issue 4 2025

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Articles

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Copyright (c) 2025 Shah Jahan Ashraf, Pulwasha Anwar, Rafia Tuz Zahra, Aurang Zaib Ashraf Shami, Madiha Kashif, Jahangir Ashraf, Rashida Sadaqat, Zainab Manzoor (Author)

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

How to Cite

1.
Ashraf SJ, Anwar P, Zahra RT, Ashraf Shami AZ, Kashif M, Ashraf J, et al. PROBLEMATIC FACEBOOK USE, AGGRESSION, AND ACADEMIC PROCRASTINATION AMONG MEDICAL STUDENTS. IJHR [Internet]. 2025 Aug. 20 [cited 2025 Aug. 28];3(4 (Health and Rehabilitation):704-10. Available from: https://insightsjhr.com/index.php/home/article/view/1272