Background: Use of different social media platforms has increased radically over the past decade, emerging as an important part of adolescents and young people’s everyday life. This might exert potential adverse effects on sleep quality and daytime performance of young adults. Aim of Study: To assess the relation between use of social media platforms and sleep quality among public secondary school students. Methods: A cross-sectional study was conducted on 961 students in Aseer region, Saudi Arabia. Students were asked to fill in a structured interview questionnaire covering personal data, pattern of social media use, sleep quality using The Pittsburgh Sleep Quality Index (PSQI) and their mental health status using the depression, anxiety and stress scale (DASS-21). Results: Students’ ages ranged from 15 to 20 years with a mean age of 16.7 ± 2.1 years old. A total of 570 (59.3%) students were females. Tiktok (80%), Snapchat (77.9%), Instagram (63.8%) and YouTube (58.8%) were the most reported platforms used. Regarding their sleep quality, 34.7% of students were poor sleepers. TikTok use (OR 1.33, 95% CI 1.01– 1.77), hours spent on social media (OR 1.26, 95% CI 1.16– 1.37) and having moderate to severe depressive symptoms (OR 1.69, 95% CI 1.19– 2.40) were significant independent predictors of poor sleep among the studied sample. Conclusion: The present study emphasized the association between prolonged use of social media and poor sleep quality among Saudi adolescents. Awareness and behavioral change strategies and activities concerning the drawbacks of poor sleep and proper use of social media are urgently called for to control mental and physical health consequences of poor sleep and social media addiction.

Aim: This study aims to assess the association between social anxiety disorder (SAD) and specialty preference among medical residents and interns in Saudi Arabia. Methods: A multi-center cross-sectional analytical study was conducted among medical interns and residents across Saudi Arabia. A validated online questionnaire was distributed between July 12 and September 2, 2023. Social anxiety was measured using the Social Interaction Anxiety Scale (SIAS), a 20-item self-reported tool. A score of ≥ 36 was used to identify significant levels of social anxiety. Results: A total of 196 interns and residents participated in the study. The most preferred specialties included surgical subspecialties (31.1%), followed by medical subspecialties (19.9%). A total of 47 participants (24%) reported that fear influenced their specialty choice, while 63 (32.1%) exhibited significant levels of social anxiety. Social anxiety was significantly higher among interns (59.4%) than residents (33.3% for R1 and 35.1% for R2), with none reported among R5 residents (P =0.001). Fear of social interaction was most common in paramedical (88.9%) and radiology (69.2%) specialties. Conclusion: Nearly one in three residents and interns experienced significant social anxiety, which influenced their specialty selection—particularly toward less patient- facing fields such as radiology and paramedical specialties. These findings underscore the importance of early psychological screening and support in medical training, which could inform medical education reforms and workforce planning to ensure balanced specialty distribution in the healthcare system.

This study aimed to assess the prevalence and correlates of body dysmorphic disorder (BDD) and to explore its association with social media usage among high school students in Abha city, Aseer region, Saudi Arabia. A cross-sectional study was conducted in the selected public high schools in Aseer region, Kingdom of Saudi Arabia, from March 12, 2023 to March 17, 2023. A total of 346 (36%) students were worried about how their look. The most areas of concern included their nose shape and size (26.7%), having acne (19.1%), abdomen shape (18.6%), and their weight (18.2%). Female students showed 3.5 times more likelihood for perceived BDD than males (OR = 3.52; 95% CI: 2.13–5.83), while non-Saudi showed 74% more likelihood for perceived BDD than Saudi students (OR = 1.74; 95% CI: 1.02–2.99). BDD is common in Saudi Arabia. Certain demographics were associated with BDD in our study such as female gender and non-Saudi Arabian nationality. The results emphasize the need for safe social networking, particularly among teenagers, and for public education about the dangers of borderline personality disorder and its effects.

Introduction: Sertraline is a widely prescribed selective serotonin reuptake inhibitor (SSRI) with a favourable safety profile, though rare adverse effects may occur. Case description: We report the case of a 73-year-old woman with generalised anxiety disorder and panic disorder who developed new-onset urinary incontinence after initiation of sertraline. Symptoms improved with dose reduction but recurred at higher doses, suggesting a causal relationship. Management with clomipramine and solifenacin successfully resolved the urinary incontinence while maintaining psychiatric remission. Discussion: Our case contributes to the limited literature by documenting an elderly female patient who developed urinary incontinence secondary to sertraline, confirmed through a temporal association, dose-–response relationship, and symptom resolution with targeted interventions. Conclusion: This case highlights the importance of recognising uncommon SSRI side effects and tailoring management to balance efficacy and tolerability.

A BSTRACT: Aim: This study evaluated the periodontal status of psychiatric patients and its association with demographic and behavioral factors. Method: A cross-sectional study was conducted among 65 psychiatric patients attending a mental health center in Saudi Arabia. Periodontal health was assessed using plaque control record (PCR), bleeding on probing (BoP), probing pocket depth, and clinical attachment loss (CAL). Sociodemographic data, psychiatric diagnoses, medication use, and oral hygiene practices were recorded. Results: Participants had a mean age of 33.7 years, with schizophrenia being the most common diagnosis (70.8%). Most patients reported irregular oral hygiene (86.2%) and 32.3% were current smokers. Only 9.2% had good plaque control, while 41.5% showed poor control. Moderate BoP prevalence was 67.7%, and CAL was observed in 69.2% of patients. Smoking, poor oral hygiene, and longer medication use were significantly associated with adverse periodontal outcomes ( P < 0.01). Conclusion: Psychiatric patients demonstrated a high burden of periodontal disease. Behavioral factors and treatment duration, rather than socioeconomic variables, were the main predictors of poor oral health. Integration of dental care into psychiatric management is essential to improve patients’ quality of life.