The Separation of Adult ADHD Inattention and Hyperactivity-Impulsivity Symptoms and Their Association with Problematic Short-Video Use: A Structural Equation Modeling Analysis.
Chuxian Xu, Zhaojia Gu, Jin Yan, Matthew Lock, Shuaiyu Chen, Qian Zhuang
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引用次数: 0
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.
目的：本研究探讨了成人注意力缺陷多动障碍（ADHD）症状与问题短视频使用（PSVU）之间的关系，特别关注了调解这种关系的情感和认知过程。该研究旨在阐明不同的ADHD症状域，特别是注意力不集中（IA）和多动冲动性（HI），是如何导致PSVU的。患者与方法：本研究通过在线调查平台招募563名中国大学生（年龄：mean±SD = 19.85±1.56）。对参与者进行ADHD症状、PSVU、认知重评、情绪困扰（包括焦虑和抑郁）和无聊倾向的评估。采用结构方程模型（SEM）分析这些变量对成人ADHD症状与PSVU关系的中介作用。此外，还探讨了成人从IA和HI到PSVU的共同和独特的途径。结果：结果显示认知重评、情绪困扰和无聊倾向在ADHD和PSVU之间存在一系列中介作用（估计值= 0.005,95% CI =[0.001, 0.014]）。IA和HI症状均影响PSVU，增加情绪困扰和无聊倾向(IA，估计值= 0.055,95% CI = [0.021, 0.099]；HI，估计值= 0.088,95% CI =[0.043, 0.150])。然而，我们发现不同的途径，IA通过提高对无聊倾向的敏感性间接增加PSVU（估计= 0.044,95% CI =[0.016, 0.086]），而HI主要通过认知重评、情绪困扰和无聊倾向影响PSVU（估计= 0.009,95% CI =[0.003, 0.020]）。结论：这些发现揭示了PSVU在不同ADHD症状的成人中是如何发展的，为制定更有针对性的ADHD成人短视频成瘾预防和治疗策略提供了有价值的见解。
期刊介绍：
Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.
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