The Separation of Adult ADHD Inattention and Hyperactivity-Impulsivity Symptoms and Their Association with Problematic Short-Video Use: A Structural Equation Modeling Analysis
Xu C, Gu Z, Yan J, Lock M, Chen S, Zhuang Q
Psychology research and behavior management · 7 citations
How it was studied
- Design
- Cross-sectional study (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
Based on full-text disclosure statement.
Publication
- Published
- 2025-02-28 · Psychol Res Behav Manag · vol. Volume 18 · pp. 461–474
- Publisher
- Dove Medical Press
- Cited
- 10 citations · more than 97% of similar papers · 6.4× the field average
- Impact
- Top 10% most cited in its field
- References
- 81 works
- Access
- Open access (journal) · CC-BY-NC
- Research areas
- Attention Deficit Hyperactivity Disorder · Mind wandering and attention · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- adult ADHD, inattention, hyperactivity/impulsivity, short video addiction, cognitive reappraisal, emotional distress, anxiety, depression, boredom proneness, mediation pathways, university students
6 authors
From CN
- Chuxian XuAffiliated Hospital of Hangzhou Normal University
- Zhaojia GuAffiliated Hospital of Hangzhou Normal University
- Jin YanAffiliated Hospital of Hangzhou Normal University
- Matthew LockAffiliated Hospital of Hangzhou Normal University
- Shuaiyu ChenHangzhou Normal University; Affiliated Hospital of Hangzhou Normal University
- Qian ZhuangHangzhou Normal University; Affiliated Hospital of Hangzhou Normal University
Abstract
Purpose
This study investigates the relationship between attention-deficit/hyperactivity disorder (ADHD) symptoms and problematic short-video use (PSVU) in adults, particularly focusing on the affective and cognitive processes that mediate this relationship. The research aims to clarify how different ADHD symptom domains, specifically inattention (IA) and hyperactivity-impulsivity (HI), contribute to PSVU.
Patients and methods
The study recruited 563 Chinese college students (age: mean±SD = 19.85±1.56) through an online survey platform. Participants were assessed for ADHD symptoms, PSVU, cognitive reappraisal, emotional distress (including anxiety and depression), and boredom proneness. Structural equation modeling (SEM) was employed to analyze the mediation effects of these variables on the relationship between adult ADHD symptoms and PSVU. Additionally, the shared and distinct pathway from IA and HI to PSVU in adults were also explored.
Results
The results revealed a serial mediating effect of cognitive reappraisal, emotional distress, and boredom proneness for the association between ADHD and PSVU (Estimate = 0.005, 95% CI = [0.001, 0.014]). Both IA and HI symptoms were found to influence PSVU with increased emotional distress and boredom proneness (IA, Estimate = 0.055, 95% CI = [0.021, 0.099]; HI, Estimate = 0.088, 95% CI = [0.043, 0.150]). However, divergent pathways were found by which IA increased the PSVU indirectly by heightening susceptibility to boredom proneness (Estimate = 0.044, 95% CI = [0.016, 0.086]), whereas HI primarily influenced PSVU through cognitive reappraisal, emotional distress, and boredom proneness (Estimate = 0.009, 95% CI = [0.003, 0.020]).
Conclusion
These findings shed light on how PSVU develops in adults with different ADHD symptoms, which provide valuable insights for developing more targeted prevention and treatment strategies for short-video addiction in ADHD adults.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC).
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