Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Apr 13, 2025
Date Accepted: Jun 2, 2025
The Relationship between Short Video Addiction Tendency and Depression among Rural Older Adults: Cross-Sectional Study
ABSTRACT
Background:
Depression, 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.
Objective:
This study aimed to investigate the relationship between short video addiction tendency and depression, and the mediating role of asthenopia and sleep efficiency in this relationship, providing a scientific basis for the prevention and intervention targeting depression among rural older adults.
Methods:
872 rural older adults aged ≥60 years included through stratified random sampling completed self-report measures on short video addiction tendency, asthenopia, sleep efficiency and depression. All data were processed and analyzed using SPSS 26.0.
Results:
(1) There was a significant positive association between short video addiction tendency and depression. (2) Short video addiction tendency affected depression through three different pathways: the mediating role of asthenopia, the mediating role of sleep efficiency, and the chain mediating role of asthenopia and sleep efficiency.
Conclusions:
Short video addiction tendency was significantly associated with depression among rural older adults, and asthenopia and sleep efficiency chain-mediated this relationship.
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