ArticleJournal of medical Internet research2025
Relationship Between Short Video Addiction Tendency and Depression Among Rural Older Adults: Cross-Sectional Study.
Article in Journal of medical Internet research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association Between Short-Form Video Use and Mental Health: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Persistent socio-demographic inequalities in depression among older adults in China during and after COVID-19: a systematic review and meta-analysis.Frontiers in public health · 2026Pooled it
- Association between information overload, asthenopia, and depressive and anxiety symptoms in patients with lung cancer: A computer-simulated network analysis.Asia-Pacific journal of oncology nursing · 2026Article
- A Cross-Sectional Study of Short-Video Viewing and Young Adult Health: Dose-Response Relationships with Sleep, Dream Anxiety, Ocular Surface, and Quality of Life.Healthcare (Basel, Switzerland) · 2026Article
- Differential associations of active and passive digital modalities with health perception biases among older adults.BMC geriatrics · 2026Article
- A network analysis of short video addiction and inattention symptoms among undergraduate nursing students.BMC nursing · 2026Article
- Factors influencing information overload among breast cancer patients in the information explosion era: a cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Association of problematic short-video use with adolescent depression: a cross-sectional study and machine learning identification model construction.BMC psychiatry · 2026Article
- Health correlates and health-related outcomes associated with smartphone-related addictive behaviors in older adults: a scoping review.Frontiers in public health · 2026Article
- Algorithm-associated digital addiction among older adults: mechanisms and public health implications for healthy aging.Frontiers in public health · 2025Article
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10 authors.
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Abstract
backgroundDepression, a prevalent mental illness among older people, is associated with some adverse health problems and lower quality of life. Against the backdrop of a growing aging population, coping with late-life depression has become an important public health priority. Emerging evidence suggests that short video addiction tendency may be a new risk factor for depression. However, there has been limited discussion on the potential association between short video addiction tendency and depression among older adults.
objectiveWe aimed to investigate the relationship between short video addiction tendency and depression in a sample of rural older adults. In addition, we aimed to examine the mediating roles of asthenopia and sleep efficiency in the relationship between short video addiction tendency and depression.
methodsA face-to-face interview design was used to collect valid data from 872 rural older adults aged ≥60 years from October 2024 to January 2025 in 2 provinces of China. Participants were requested to complete self-report measures on short video addiction tendency (Short Video Addiction Scale), asthenopia (11-item Asthenopia Survey Questionnaire), sleep efficiency (actual sleep time and time in bed at night), and depression (Center for Epidemiologic Studies Depression Scale). Linear regression analyses were performed using model 6 of the PROCESS 4.1 macro in SPSS 26.0 to assess the relationship between short video addiction tendency and depression and to examine the mediating roles of asthenopia and sleep efficiency in this relationship, adjusting for sex, age, education, and marital status.
resultsWe observed that the prevalence of depression was 27.8% (242/872) in this study. There was a significant positive relationship between short video addiction tendency and depression (β=.263; P<.001). Short video addiction tendency affected depression through 3 different pathways: the mediating role of asthenopia (β=.084, 95% CI .059-.114); the mediating role of sleep efficiency (β=.021, 95% CI .001-.043); and the chain mediating role of asthenopia and sleep efficiency (β=.017, 95% CI .010-.026). The effect values of the 3 pathways accounted for 31.94%, 7.99%, and 6.46% of the total effect, respectively.
conclusionsWe highlighted a direct and statistically substantial relationship between short video addiction tendency and depression, with asthenopia and sleep efficiency serving as potential mediating factors. Our findings predicted that guiding and assisting rural older adults to use short video apps appropriately, addressing asthenopia, and enhancing sleep efficiency may be a valuable approach to improve their mental health, preventing and delaying the occurrence and development of depression.
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