{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T03:34:49Z","timestamp":1768361689891,"version":"3.49.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"41","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,10,10]]},"abstract":"<jats:p>\n                    Social media addiction (SMA) is linked to sleep problems, especially among university students; however, its impact on presleep arousal (PSA) in adults remains underexplored. This study aimed to evaluate PSA levels in the adult population at a family medicine clinic and investigate the impact of SMA on PSA levels. This cross-sectional, single-center, prospective study assessed the relationship between SMA and PSA levels in 305 adults attending a family medicine clinic. Participants completed a data form, the Bergen SMA Scale (BSMAS) and the preSleep Arousal Scale (PSAS). The median age of the participants was 33.0 years, and 59% were female. Statistical analysis revealed a significant difference in PSAS-Total scores between the smoking and nonsmoking groups (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005=\u2005.033) and between alcohol users and nonusers (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005=\u2005.009). Age was negatively correlated with the BSMAS, PSAS-Cognitive, and Total scores (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;.001,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;.001, and\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005=\u2005.049, respectively). However, a positive correlation was observed between the BSMAS and PSAS-total scores (\n                    <jats:italic toggle=\"yes\">R<\/jats:italic>\n                    \u2005=\u20050.353,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;.001). According to the generalized linear model created to identify factors predicting the PSAS-Total score, only the SMA score predicted the PSAS-Total score (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2005&lt;.001). In adults with sleep issues such as insomnia, interventions targeting SMA, smoking, and alcohol use may help reduce presleep arousal. Additionally, raising awareness and establishing educational programs or support groups for at-risk groups could help prevent SMA and its negative effects.\n                  <\/jats:p>","DOI":"10.1097\/md.0000000000044707","type":"journal-article","created":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T05:02:09Z","timestamp":1760331729000},"page":"e44707","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The impact of social media addiction on presleep arousal among adults: A cross-sectional study"],"prefix":"10.1097","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4772-796X","authenticated-orcid":false,"given":"Egemen","family":"Tural","sequence":"first","affiliation":[{"name":"Department of Family Medicine, \u00c7ifteler Family Health Center, Eski\u015fehir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1149-8676","authenticated-orcid":false,"given":"Fatmanur","family":"Incekara","sequence":"additional","affiliation":[{"name":"Department of Psychology, \u00c7ifteler State Hospital, Eski\u015fehir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5839-9689","authenticated-orcid":false,"given":"Akin","family":"Dayan","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Istanbul Haydarpa\u015fa Numune Training and Research Hospital, Istanbul, Turkey."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20260113","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/0005-7967(85)90004-X","article-title":"The phenomenology of the pre-sleep state: the development of the pre-sleep arousal 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