Study2025Open access

Assessing Short-Video Dependence for e-Mental Health: Development and Validation Study of the Short-Video Dependence Scale

Jiang A, Li S, Wang H, Ni H, Chen H, Dai J, Xu X, Li M, Dong GH

Journal of medical Internet research · 5 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
University or hospital
Hangzhou Normal University
Government
Natural Science Foundation of Zhejiang Province
Grants
Hangzhou Normal University (20JYXK008); Natural Science Foundation of Zhejiang Province (LY20C090005)

Based on 2 listed funder(s).

Publication

Published
2025-01-29 · J Med Internet Res · vol. 27 · p. e66341
Publisher
JMIR Publications
Cited
11 citations · more than 99% of similar papers · 21.2× the field average
Impact
Top 10% most cited in its field
References
44 works
Access
Open access (journal) · CC-BY
Research areas
Impact of Technology on Adolescents · Digital Mental Health Interventions · Media Influence and Health
Keywords
behavioral addiction, e-mental health, scale development, psychometric validation, diagnostic thresholds, latent profile analysis, internet addiction
MeSH
humans, factor analysis, statistical, reproducibility of results, behavior, addictive, mental health, psychometrics, internet, adolescent, adult, middle aged, female, male, young adult, surveys and questionnaires, internet addiction disorder

9 authors

From CN

  • Anhang JiangAffiliated Hospital of Hangzhou Normal University
  • Shuang LiAffiliated Hospital of Hangzhou Normal University
  • HuaBin WangAffiliated Hospital of Hangzhou Normal University
  • Haosen NiAffiliated Hospital of Hangzhou Normal University
  • Hongan ChenAffiliated Hospital of Hangzhou Normal University
  • Junhong Dai

Abstract

Background

Short-video dependence (SVD) has become a significant mental health issue around the world. The lack of scientific tools to assess SVD hampers further advancement in this area.

Objective

This study aims to develop and validate a scientific tool to measure SVD levels, ensuring a scientifically determined cutoff point.

Methods

We initially interviewed 115 highly engaged short-video users aged 15 to 63 years. Based on the summary of the interview and references to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for behavioral addictions, we proposed the first version of the short-video dependence scale (SVDS). We then screened the items through item analysis (second version) and extracted common factors using exploratory factor analysis (third version) and confirmatory factor analysis (final version). Convergent validity was tested with other scales (Chinese Internet Addiction Scale [CIAS] and DSM-5). Finally, we tested the validity of the final version in 16,038 subjects and set the diagnostic cutoff point through latent profile analysis and receiver operating characteristic curve analysis.

Results

The final version of the SVDS contained 20 items and 4 dimensions, which showed strong structural validity (Kaiser-Meyer-Olkin value=0.94) and internal consistency (Cronbach α=.93), and good convergent validity (rCIAS=0.61 and rDSM-5=0.68), sensitivity (0.77, 0.83, 0.87, and 0.62 for each of the 4 dimensions), and specificity (0.75, 0.87, 0.80, and 0.79 for each of the 4 dimensions). Additionally, an SVDS score of 58 was determined as the best cutoff score, and latent profile analysis identified a 5-class model for SVD.

Conclusions

We developed a tool to measure SVD levels and established a threshold to differentiate dependent users from highly engaged nondependent users. The findings provide opportunities for further research on the impacts of short-video use.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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