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Cited by 10Attention Deficit Hyperactivity DisorderImpact of Technology on AdolescentsSexuality, Behavior, and Technology

The Separation of Adult ADHD Inattention and Hyperactivity-Impulsivity Symptoms and Their Association with Problematic Short-Video Use: A Structural Equation Modeling Analysis

Open access
Xu, Chuxian, Gu, Zhaojia, Yan, Jin, Lock, Matthew, Chen, Shuaiyu, Zhuang, Qian·2025·Psychology Research and Behavior Management
DOI 10.2147/prbm.s491731PMC PMC11881631
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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.

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  • Existing scales related to problematic short video use primarily measure symptoms and criteria of addiction, such as withdrawal, tolerance, and loss of control.

    “Although scales addressing short video addiction16, problematic short-video use18, and short video dependence32 are prevalent in the literature, these instruments primarily measure the symptoms and criteria of addiction as applied to short video overuse, such as withdrawal, tolerance, and loss of control.”

    From The binge scrolling scale measures excessive scrolling through a validated three-factor structure (2025) · cites this paper as [18]

    The Introduction describes problematic short-video use as difficult to regulate, but does not discuss what existing scales primarily measure. The Measurements section says this study adapted an eight-item Facebook Intrusion Questionnaire for short-video use; it does not give the items or establish that scales measure withdrawal, tolerance, and loss of control. Searches for those criteria and for the questionnaire found no passage that settles the claim. (LLM, conf=0.72)

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  • The BSS was positively and significantly associated with the YIAT-SF (r = .58, p < .001).

    “and the YIAT-SF (r = .58, p < .001).”

    From The binge scrolling scale measures excessive scrolling through a validated three-factor structure (2025) · cites this paper as [18]

    The Results section, “Descriptive Statistics and Correlation Analyses” (page unavailable), reports a correlation between boredom proneness and problematic short-video use (r = 0.35, p < 0.001), not between the BSS and YIAT-SF. Searches for those instrument names and the reported r = .58 found no passage in our copy establishing the claimed association. (LLM, conf=0.76)

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Research works printed but not linked: 6

  1. [63]Wang L, Liu H, Li Z, Du W. Reliability and validity of emotion regulation questionnaire Chinese revised version. China J Health Psychol. 2007; 15(6): 503– 505.
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Authors
Xu, C., Gu, Z., Yan, J., Lock, M., Chen, S., & Zhuang, Q.
Affiliations
  • Affiliated Hospital of Hangzhou Normal University (CN)
  • Hangzhou Normal University (CN)
Corresponding author
Zhuang, Qian
ORCID
Venue
Psychology Research and Behavior Management
Publisher
Informa UK Limited
Published
2025-03
Volume
Volume 18
Pages
461-474
ISSN
1179-1578 (ISSN-L)
DOI
10.2147/prbm.s491731
PMC
PMC11881631
OpenAlex
W4408055515
Cited by
10
References
81
Citations by year
2026: 6 · 2025: 4
FWCI
6.73
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychology Research and Behavior Management (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Dove Medical Press (Taylor and Francis Group) (acceptedVersion, other-oa)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
adult ADHD, inattention, hyperactivity/impulsivity, short video addiction, cognitive reappraisal, emotional distress, anxiety, depression, boredom proneness, mediation pathways, university students

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