目的：
了解大學專生網路成癮行為、睡眠（睡眠品質、日間嗜睡）、能量飲料使用行為之現況，以及分析網路成癮、睡眠品質、日間嗜睡與使用能量飲料之關聯性。
方法：
本研究為橫斷性研究，於2016年進行問卷調查，以全台大專院校之年滿20歲之學生為母群體，採便利取樣，共發出410份問卷，共得有效問卷359份。
結果：
1. 受調查的大學生近一個月內約有20.4%曾使用能量飲料，主要的飲用原因包括工作提神、準備考試及覺得好喝。
2. 男性與女性相較之下，較容易出現使用能量飲料之行為(OR:2.8; 95% CI:1.5,4.9)。
3. 睡眠品質較差者，較容易出現使用能量飲料之行為(OR:2.2; 95% CI:1.2,3.8)。
4. 男性之網路成癮風險較女性為高。網路成癮風險程度愈高，日間嗜睡情形愈嚴重，睡眠品質愈差。
5. 本研究未發現網路成癮風險與能量飲料使用行為之間的相關性。

Objectives
The purpose of this study is to understand the consumption of energy drinks among college students in Taiwan, and to examine its associations with internet addiction and sleep quality.

Method
This study is a cross-sectional study. We recruited 359 college students in Taiwan who are 20 years old or more. Data came from a self-administered questionnaire.

Result
1. Among surveyed students, 20.4% used energy drinks in the past month, and the major reasons included keeping alert at work, preparing for exam, feeling tasty.
2. Males (OR:2.8;95% CI:1.5,4.9) and those with poor sleep quality (OR:2.2;95% CI:1.2,3.8) had a higher odds of using energy drinks.
3. Males had a higher risk of internet addiction than females.
4. The college students who had higher scores of internet addiction scale were more likely to report serious daytime sleepiness and poor sleep quality.
5. There is no significant association between internet addiction and the use of energy drinks.

第一章 參考文獻
一、 中文
王素真、洪耀釧、葉一晃（2014）。影響大學生睡眠品質與身心健康因素之研究。工程科技與教育學刊，11（3），348-361。

王拔群、李學禹、莊銘隆、黃玉書、陳彥宏、邱國樑、陳濘宏（2003）。中文版Epworth嗜睡量表之信效度研究。臺灣精神醫學，17（1），14-22。

台灣區飲料工業同業公會（2015）。2015年會員工廠各類飲料銷售數量統計。取自：http://tinyurl.com/nfzbno4。

行政院主計處（2006）。94年社會發展趨勢調查。取自：http://tinyurl.com/zbvf77s。

林立寧、張妍怡、何曉旭、李蘭（2011）。青少年之睡眠問題。台灣醫學，16（1），72-83。

周舒翎（2007）。高中生睡眠型態與學業表現的關係（未出版之碩士論文）。國立政治大學心理研究所，台北。

武文月（2004）。影響某大學學生睡眠品質相關因素之研究 （未出版之碩士論文）。國立臺灣師範大學健康促進與衛生教育學系，臺北市。

徐嘉駿（2006）。睡眠重要嗎? 讓科學證據告訴你。健康世界，（250），78-80。

邱史珊、劉俊昌（2008）。大學生的睡眠與學校生活型態、環境間之關係研究-以中部地區某國立師資培育大學學生為例。學校衛生，52，1-11。

邱曉彥、邱艷芬（2010）。睡眠品質之概念分析。護理雜誌，57（4），106-111。

江聰智（2008）不同劑量咖啡因對青少年血壓之影響。 輔仁大學體育學刊，（7），229-238。

莊惠雯（2004）大學生時間分配、社會支持來源、心理狀態、健康行為與自覺安適狀態之相關因素研究。臺灣師範大學衛生教育學系學位論文，1-127。

梁文薔（2001）。咖啡因與健康。健康世界，（181），65-70。

陳淑惠（1999）。我國學生電腦網路沉迷現象之整合研究—子計畫一：網路沉迷現象的心理病因之初探。（2/2）。行政院國家科學委員會專題研究計畫成果報告。

陳淑惠、翁儷禎、蘇逸人、吳和懋、楊品鳳（2003）。中文網路成癮量表之編製與心理計量特性研究。中華心理學刊，45（3），279-294。

陳美娟、楊志良（2008）。大學生睡眠品質及其相關因素之研究-以中部某私立大學為例。學校衛生，53，35-55。

陳均輔（2014）。2014年3月底止台灣上網人口。取自：http://www.find.org.tw/market_info.aspx?n_ID=8510

黃文俐（2003）。影響某完全中學學生睡眠品質之相關因素研究（未出版之博士論文）。國立臺灣師範大學健康促進與衛生教育學系，臺北市。

黃宏民（2013）。新北市某國中學生網路使用行為、人際關係及網路成癮之關係研究（未出版之碩士論文），國立臺灣師範大學健康促進與衛生教育學系，台北市。

黃嘉宏（2002）校園網路使用與學生學業成績之關聯性研究。元智大學資訊管理學系學位論文，1-73。

曾建勳（2013）高職生網路成癮與睡眠品質之相關研究 -以台北市某高職為例（未出版論文），國立臺灣師範大學健康促進與衛生教育學系，台北市。

游森期（2001）。大學生網路使用行為，網路成癮及相關因素之研究。國立彰化師範大學，教育研究所碩士論文，彰化市。

蔡明春、鄭青展、林淑萍（2008）。大學生線上遊戲成癮對身心健康與學習態度之影響—以台灣北區六所大學為例。臺灣公共衛生雜誌，27（2），143-157。

戴秀津、楊美賞、顏正芳.（2004）。台灣南部青少年網路成癮及其對身心健康影響之探討。慈濟醫學雜誌，16(4)，241-248.

謝龍卿（2004）。青少年網路使用與網路成癮現象之相關研究。臺中師院學報，18(2)，19-44。
二、 英文
Arria, A. M., & O’Brien, M. C. (2011). The “high” risk of energy drinks. Jama, 305(6), 600-601.

Attila, S., & Çakir, B. (2011). Energy-drink consumption in college students and associated factors. Nutrition, 27(3), 316-322.

Berger, L. K., Fendrich, M., Chen, H. Y., Arria, A. M., & Cisler, R. A. (2011). Sociodemographic correlates of energy drink consumption with and without alcohol: results of a community survey. Addictive behaviors, 36(5), 516-519.

Borb, A. A., & Achermann, P. (1999). Sleep homeostasis and models of sleep regulation. Journal of biological rhythms, 14(6), 559-570.

Brown, F. C., Buboltz Jr, W. C., & Soper, B. (2002). Relationship of sleep hygiene awareness, sleep hygiene practices, and sleep quality in university students. Behavioral medicine, 28(1), 33-38.

Bulut, B., Beyhun, N. E., Topbaş, M., & Çan, G. (2014). Energy drink use in university students and associated factors. Journal of community health, 39(5), 1004-1011.

Buxton, O. M., & Marcelli, E. (2010). Short and long sleep are positively associated with obesity, diabetes, hypertension, and cardiovascular disease among adults in the United States. Social science & medicine, 71(5), 1027-1036.
Buxton, C., & Hagan, J. E. (2012). A survey of energy drinks consumption practices among student-athletes in Ghana: lessons for developing health education intervention programmes. J Int Soc Sports Nutr, 9(1), 9.

Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213.

Buysse, D. J., Hall, M. L., Strollo, P. J., Kamarck, T. W., Owens, J., Lee, L., ...& Matthews, K. A. (2008). Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 4(6), 563.

Carskadon, M. A. (1990). Patterns of sleep and sleepiness in adolescents. Pediatrician, 17(1), 5-12.

Centers for Disease Control and Prevention (CDC. (2012). Energy drink consumption and its association with sleep problems among us Service members on a combat deployment-afghanistan, 2010. MMWR. Morbidity and mortality weekly report, 61(44), 895.

Cheng, S. H., Shih, C. C., Lee, I. H., Hou, Y. W., Chen, K. C., Chen, K. T., ... & Yang, Y. C. (2012). A study on the sleep quality of incoming university students. Psychiatry research, 197(3), 270-274.

Chiang, Y. C., Arendt, S., Zheng, T., & Hanisch, K. (2014). The Effects of Sleep on Academic Performance and Job Performance. College Student Journal, 48(1), 72-87.

Choi, K., Son, H., Park, M., Han, J., Kim, K., Lee, B., & Gwak, H. (2009). Internet overuse and excessive daytime sleepiness in adolescents. Psychiatry and clinical neurosciences, 63(4), 455-462.

Chou, C., & Hsiao, M. C. (2000). Internet addiction, usage, gratification, and pleasure experience: the Taiwan college students’ case. Computers & Education, 35(1), 65-80.

Costa, B. M., Hayley, A., & Miller, P. (2014). Young adolescents’ perceptions, patterns, and contexts of energy drink use. A focus group study. Appetite, 80, 183-189.

Curry, K., & Stasio, M. J. (2009). The effects of energy drinks alone and with alcohol on neuropsychological functioning. Human psychopharmacology: Clinical and experimental, 24(6), 473-481.

Dinges, D. F., Pack, F., Williams, K., Gillen, K. A., Powell, J. W., Ott, G. E., ... & Pack, A. I. (1997). Cumulative sleepiness, mood disturbance and psychomotor vigilance performance decrements during aweek of sleep restricted to 4-5 hours per night. Sleep: Journal of Sleep Research & Sleep Medicine.

Eileen O'connor. (2001). A sip into dangerous territory. Monitor Staff, Vol 32, No. 6.

Frangos, C. C., Frangos, C. C., & Sotiropoulos, I. (2012). A meta-analysis of the reliability of Young's Internet addiction test. In World Congress on Engineering (Vol. 1, pp. 368-371).

Friis, K., Lyng, J. I., Lasgaard, M., & Larsen, F. B. (2014). Energy drink consumption and the relation to socio-demographic factors and health behaviour among young adults in Denmark. A population-based study. The European Journal of Public Health, 24(5), 840-844.

Ganio, M. S., Klau, J. F., Casa, D. J., Armstrong, L. E., & Maresh, C. M. (2009). Effect of caffeine on sport-specific endurance performance: a systematic review. The Journal of Strength & Conditioning Research, 23(1), 315-324.

Gellis, L. A., & Lichstein, K. L. (2009). Sleep hygiene practices of good and poor sleepers in the United States: an internet-based study. Behavior Therapy,40(1), 1-9.

Giannotti, F., Cortesi, F., Sebastiani, T., & Ottaviano, S. (2002). Circadian preference, sleep and daytime behaviour in adolescence. Journal of sleep research, 11(3), 191-199.

Gillberg, M., Kecklund, G., Axelsson, J., & Akerstedt, T. (1996). The effects of a short daytime nap after restricted night sleep. SLEEP-NEW YORK-, 19, 570-575.

Goldberg, I. (1996). Internet addiction disorder. Retrieved November, 24, 2004.

Gomes, A. A., Azevedo, M. H., & Tavares, J. (2002). Sleep-wake patterns and academic performance in university students.

Grandner, M. A., Knutson, K. L., Troxel, W., Hale, L., Jean-Louis, G., & Miller, K. E. (2014). Implications of sleep and energy drink use for health disparities. Nutrition reviews, 72(suppl 1), 14-22.

Griffiths, M. (1998). Internet addiction: Does it really exist. Psychology and the Internet: Intrapersonal, interpersonal and transpersonal implications, 61-75.ISO 690

Ha, Y. M., & Hwang, W. J. (2014). Gender differences in internet addiction associated with psychological health indicators among adolescents using a national web-based survey. International Journal of Mental Health and Addiction, 12(5), 660-669.

Hafekost, K., Mitrou, F., Lawrence, D., & Zubrick, S. R. (2011). Sugar sweetened beverage consumption by Australian children: implications for public health strategy. BMC public health, 11(1), 1.

HAYASHI, M., & HORI, T. (1998). The effects of a 20‐min nap before post‐lunch dip. Psychiatry and clinical neurosciences, 52(2), 203-204.

Hershner, S. D., & Chervin, R. D. (2014). Causes and consequences of sleepiness among college students. Nat Sci Sleep, 6, 73-84.

Gackenbach, J. (Ed.). (2011). Psychology and the Internet: Intrapersonal, interpersonal, and transpersonal implications. Academic Press.ISO 690

Hatterer, L. J. (1994). Addictive Process, Encyclopedia of Psychology. NY: John Wiley & Sons.

Higgins, J. P., Tuttle, T. D., & Higgins, C. L. (2010, November). Energy beverages: content and safety. In Mayo Clinic Proceedings (Vol. 85, No. 11, pp. 1033-1041). Elsevier.

Hindmarch, I., Rigney, U., Stanley, N., Quinlan, P., Rycroft, J., & Lane, J. (2000). A naturalistic investigation of the effects of day-long consumption of tea, coffee and water on alertness, sleep onset and sleep quality.　Psychopharmacology, 149(3), 203-216.

Horne, J. A., & Ostberg, O. (1975). A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. International journal of chronobiology, 4(2), 97-110.

Hirshkowitz, M., Whiton, K., Albert, S. M., Alessi, C., Bruni, O., DonCarlos, L., ...& Neubauer, D. N. (2015). National Sleep Foundation’s sleep time duration recommendations: methodology and results summary. Sleep Health, 1(1), 40-43.

KidsHealth.(2014). Caffeine and Your Child. Retrieved from http://kidshealth.org/en/parents/child-caffeine.html#

Kim, K., Ryu, E., Chon, M. Y., Yeun, E. J., Choi, S. Y., Seo, J. S., & Nam, B. W. (2006). Internet addiction in Korean adolescents and its relation to depression and suicidal ideation: a questionnaire survey. International journal of nursing studies, 43(2), 185-192.

Ko, C. H., Yen, J. Y., Chen, S. H., Yang, M. J., Lin, H. C., & Yen, C. F. (2009). Proposed diagnostic criteria and the screening and diagnosing tool of Internet addiction in college students. Comprehensive psychiatry, 50(4), 378-384.

Laconi, S., Rodgers, R. F., & Chabrol, H. (2014). The measurement of Internet addiction: a critical review of existing scales and their psychometric properties.　Computers in Human Behavior, 41, 190-202.

Ludden, A. B., & Wolfson, A. R. (2009). Understanding adolescent caffeine use: connecting use patterns with expectancies, reasons, and sleep. Health Education & Behavior.

Lohsoonthorn, V., Khidir, H., Casillas, G., Lertmaharit, S., Tadesse, M. G., Pensuksan, W. C., ...& Williams, M. A. (2013). Sleep quality and sleep patterns in relation to consumption of energy drinks, caffeinated beverages, and other stimulants among Thai college students. Sleep and Breathing, 17(3), 1017-1028.

Malinauskas, B. M., Aeby, V. G., Overton, R. F., Carpenter-Aeby, T., & Barber-Heidal, K. (2007). A survey of energy drink consumption patterns among college students. Nutr J, 6(1), 35-41.

Marczinski, C. A., Fillmore, M. T., Bardgett, M. E., & Howard, M. A. (2011). Effects of energy drinks mixed with alcohol on behavioral control: risks for college students consuming trendy cocktails. Alcoholism: Clinical and experimental research, 35(7), 1282-1292.

Mesquita, G., & Reimão, R. (2007). Nightly use of computer by adolescents: its effect on quality of sleep. Arquivos de neuro-psiquiatria, 65(2B), 428-432.

Mindell, J. A., Meltzer, L. J., Carskadon, M. A., & Chervin, R. D. (2009). Developmental aspects of sleep hygiene: findings from the 2004 National Sleep Foundation Sleep in America Poll. Sleep medicine, 10(7), 771-779.

Miller, K. E. (2008). Energy drinks, race, and problem behaviors among college students. Journal of Adolescent Health, 43(5), 490-497.

Monk, T. H., Buysse, D. J., Carrier, J., Billy, B. D., & Rose, L. R. (2001). Effects of afternoon" siesta" naps on sleep, alertness, performance, and circadian rhythms in the elderly. Sleep, 24(6), 680-687.

Morahan-Martin, J., & Schumacher, P. (2000). Incidence and correlates of pathological Internet use among college students. Computers in human behavior, 16(1), 13-29.

Nadolski, N. (2005). Getting a good night's sleep: Diagnosing and treating insomnia. Plastic Surgical Nursing, 25(4), 167-173.

Nalwa, K., & Anand, A. P. (2003). Internet addiction in students: a cause of concern. CyberPsychology & Behavior, 6(6), 653-656.

Pilcher, J. J., Ginter, D. R., & Sadowsky, B. (1997). Sleep quality versus sleep quantity: relationships between sleep and measures of health, well-being and sleepiness in college students. Journal of psychosomatic research, 42(6), 583-596.

Pollak, C. P., & Bright, D. (2003). Caffeine consumption and weekly sleep patterns in US seventh-, eighth-, and ninth-graders. Pediatrics, 111(1), 42-46.

Pomeranz, J. L., Munsell, C. R., & Harris, J. L. (2013). Energy drinks: an emerging public health hazard for youth. Journal of public health policy, 34(2), 254-271.

Reissig, C. J., Strain, E. C., & Griffiths, R. R. (2009). Caffeinated energy drinks—a growing problem. Drug and alcohol dependence, 99(1), 1-10.

Roehrs, T., & Roth, T. (2008). Caffeine: sleep and daytime sleepiness. Sleep medicine reviews, 12(2), 153-162.

Spiegel, K., Leproult, R., & Van Cauter, E. (1999). Impact of sleep debt on metabolic and endocrine function. The Lancet, 354(9188), 1435-1439.

Sanchez, S. E., Martinez, C., Oriol, R. A., Yanez, D., Castañeda, B., Sanchez, E., ...& Williams, M. A. (2013). Sleep quality, sleep patterns and consumption of energy drinks and other caffeinated beverages among Peruvian college students. Health, 5(8B), 26.

Sherer, K. (1997). College life on-line: Healthy and unhealthy Internet use. Journal of College Student Development.

Skewes, M. C., Decou, C. R., & Gonzalez, V. M. (2013). Energy drink use, problem drinking and drinking motives in a diverse sample of Alaskan college students. International journal of circumpolar health, 72.

Thompson, S. (1996). Internet connectivity: addiction and dependency study(Doctoral dissertation, Pennsylvania State University.).

Tsai, H. F., Cheng, S. H., Yeh, T. L., Shih, C. C., Chen, K. C., Yang, Y. C., & Yang, Y. K. (2009). The risk factors of Internet addiction—a survey of university freshmen. Psychiatry research, 167(3), 294-299.

Whittier, A., Sanchez, S., Castañeda, B., Sanchez, E., Gelaye, B., Yanez, D., & Williams, M. A. (2014). Eveningness chronotype, daytime sleepiness, caffeine consumption, and use of other stimulants among Peruvian university students. Journal of caffeine research, 4(1), 21-27.

Yen, J. Y., Ko, C. H., Yen, C. F., Wu, H. Y., & Yang, M. J. (2007). The comorbid psychiatric symptoms of Internet addiction: attention deficit and hyperactivity disorder (ADHD), depression, social phobia, and hostility. Journal of adolescent health, 41(1), 93-98.

Young, K. S. (1998). Internet addiction: The emergence of a new clinical disorder. CyberPsychology & Behavior, 1(3), 237-244.