{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:40:52Z","timestamp":1793173252619,"version":"4.5.0"},"reference-count":34,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bipolar disorder is a prevalent mental health issue characterized by recurrent episodes of mania and depression, significantly impacting patients\u2019 quality of life. With the rise of short video sharing platforms, there is an urgent need to evaluate the quality and reliability of the medical information disseminated regarding this disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to assess the quality and reliability of videos related to bipolar disorder available on popular Chinese short video platforms, including TikTok, Kwai, Bilibili, WeChat, Xiaohongshu, and Baidu.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional content analysis was conducted in May 2025, using keywords related to bipolar disorder to retrieve relevant videos from selected platforms. The quality of the videos was evaluated using multiple standardized assessment tools, including the JAMA Benchmarking Criteria, GQS, modified DISCERN, PEMAT, and HONCODE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Significant differences in video quality and audience engagement metrics were observed across platforms. TikTok and Kwai had higher quality scores, while WeChat resulted in more comments. Most videos were created by medical professionals, although independent users also contributed content. Overall, video quality was inconsistent and not necessarily correlated with engagement metrics, highlighting the necessity for improved standards in disseminating health-related information on social media.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>On Chinese short video platforms, clinical practitioners are the main creators of bipolar disorder-related content, but their scientific nature, production quality, and information transparency still need to be improved. It is suggested to improve the platform management, creator training, and algorithm optimization, so as to promote the improvement of public mental health literacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1627885","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T06:24:35Z","timestamp":1761632675000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":18,"title":["Videos in short video sharing platforms as a source of information on bipolar disorder: a cross-sectional content analysis study"],"prefix":"10.3389","volume":"13","author":[{"given":"Xin","family":"Qi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bo","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sha","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Runwu","family":"Xiang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qilong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongrong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1097\/NMD.0b013e3182a2168a","article-title":"Diagnostic and statistical manual of mental disorders, 5th edition, and clinical utility","volume":"201","author":"First","year":"2013","journal-title":"J Nerv Ment Dis"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"22r14463","DOI":"10.4088\/JCP.22r14463","article-title":"The neuropsychological mechanisms of treatment of bipolar disorder and borderline personality disorder: activation likelihood estimation meta-analysis of brain imaging research","volume":"84","author":"Luo","year":"2023","journal-title":"J Clin Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1001\/archgenpsychiatry.2011.12","article-title":"Prevalence and correlates of bipolar spectrum disorder in the world mental health survey initiative","volume":"68","author":"Merikangas","year":"2011","journal-title":"Arch Gen Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"426","DOI":"10.1016\/j.jad.2020.12.151","article-title":"Bipolar disorder: prevalence, help-seeking and use of mental health care in England. Findings from the 2014 adult psychiatric morbidity survey","volume":"282","author":"Humpston","year":"2021","journal-title":"J Affect Disord"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1016\/s2215-0366(23)00193-1","article-title":"Age of onset and cumulative risk of mental disorders: a cross-national analysis of population surveys from 29 countries","volume":"10","author":"McGrath","year":"2023","journal-title":"Lancet Psychiatry"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"931","DOI":"10.1001\/jamapsychiatry.2013.1394","article-title":"Comorbidities and mortality in bipolar disorder: a Swedish national cohort study","volume":"70","author":"Crump","year":"2013","journal-title":"JAMA Psychiatr"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1575","DOI":"10.1016\/s0140-6736(13)61611-6","article-title":"Global burden of disease attributable to mental and substance use disorders: findings from the global burden of disease study 2010","volume":"382","author":"Whiteford","year":"2013","journal-title":"Lancet"},{"key":"ref8","volume-title":"Mental health action plan 2013-2030","year":"2021"},{"key":"ref9","volume-title":"The 51st statistical report on internet development in China","year":"2023"},{"key":"ref10","volume-title":"Research report on the development of China\u2019s online audiovisual industry","year":"2024"},{"key":"ref11","first-page":"491","article-title":"Social media and health care professionals: benefits, risks, and best practices","volume":"39","author":"Ventola","year":"2014","journal-title":"P T"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e85","DOI":"10.2196\/jmir.1933","article-title":"A new dimension of health care: systematic review of the uses, benefits, and limitations of social media for health communication","volume":"15","author":"Moorhead","year":"2013","journal-title":"J Med Internet Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"1553","DOI":"10.1016\/s0140-6736(18)31612-x","article-title":"The lancet commission on global mental health and sustainable development","volume":"392","author":"Patel","year":"2018","journal-title":"Lancet"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1177\/1529100614531398","article-title":"The impact of mental illness stigma on seeking and participating in mental health care","volume":"15","author":"Corrigan","year":"2014","journal-title":"Psychol Sci Public Interest"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1016\/s2215-0366(15)00505-2","article-title":"Estimating the true global burden of mental illness","volume":"3","author":"Vigo","year":"2016","journal-title":"Lancet Psychiatr"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1017\/s2045796015001067","article-title":"The future of mental health care: peer-to-peer support and social media","volume":"25","author":"Naslund","year":"2016","journal-title":"Epidemiol Psychiatr Sci"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"116387","DOI":"10.1016\/j.socscimed.2023.116387","article-title":"Social media influencers and adolescents' health: a scoping review of the research field","volume":"340","author":"Engel","year":"2024","journal-title":"Soc Sci Med"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e67129","DOI":"10.2196\/67129","article-title":"A social media study of portrayals of bipolar disorders on YouTube: content and thematic analyses","volume":"27","author":"Mayor","year":"2025","journal-title":"J Med Internet Res"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.4103\/ipj.ipj_73_18","article-title":"Media and mental health","volume":"27","author":"Srivastava","year":"2018","journal-title":"Ind Psychiatry J"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"26448","DOI":"10.1038\/s41598-024-75372-7","article-title":"Evaluation of the content and quality of schizophrenia on TikTok: a cross-sectional study","volume":"14","author":"Zhang","year":"2024","journal-title":"Sci Rep"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1408384","DOI":"10.3389\/fpsyt.2024.1408384","article-title":"Evaluation of the quality of depression-related information on Chinese websites and video platforms: a cross-sectional comparative analysis","volume":"15","author":"Chen","year":"2024","journal-title":"Front Psych"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"e112","DOI":"10.2196\/jmir.4018","article-title":"Low health literacy and evaluation of online health information: a systematic review of the literature","volume":"17","author":"Diviani","year":"2015","journal-title":"J Med Internet Res"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1709","DOI":"10.1016\/j.vaccine.2009.12.022","article-title":"A postmodern Pandora's box: anti-vaccination misinformation on the internet","volume":"28","author":"Kata","year":"2010","journal-title":"Vaccine"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1111\/hir.12192","article-title":"Consumer health information seeking in social media: a literature review","volume":"34","author":"Zhao","year":"2017","journal-title":"Health Inf Libr J"},{"key":"ref25","volume-title":"Number of monthly active TikTok users worldwide from January 2018 to March 2025","year":"2025"},{"key":"ref26","volume-title":"TikTok statistics and facts","year":"2025"},{"key":"ref27","volume-title":"TikTok analytics: monthly visits, user demographics, and more","year":"2025"},{"key":"ref28","volume-title":"Third quarter financial report","year":"2024"},{"key":"ref29","volume-title":"Third quarter financial report","year":"2024"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"e102818","DOI":"10.1136\/bmjopen-2025-102818","article-title":"Assessing the quality of myopia prevention videos on Chinese short video platforms: a cross-sectional content analysis by source","volume":"15","author":"Li","year":"2025","journal-title":"BMJ Open"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.1186\/s12889-025-23475-9","article-title":"Information quality of videos related to esophageal cancer on tiktok, kwai, and bilibili: a cross-sectional study","volume":"25","author":"Zhu","year":"2025","journal-title":"BMC Public Health"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"100591","DOI":"10.1016\/j.invent.2022.100591","article-title":"Mental health professionals as influencers on TikTok and Instagram: what role do they play in mental health literacy and help-seeking?","volume":"30","author":"Pretorius","year":"2022","journal-title":"Internet Interv"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"1294","DOI":"10.15537\/smj.2019.12.24682","article-title":"Health information on social media. Perceptions, attitudes, and practices of patients and their companions","volume":"40","author":"Sumayyia","year":"2019","journal-title":"Saudi Med J"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/s40345-023-00290-y","article-title":"Stigma in people living with bipolar disorder and their families: a systematic review","volume":"11","author":"Latifian","year":"2023","journal-title":"Int J Bipolar Disord"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1627885\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T06:24:37Z","timestamp":1761632677000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1627885\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,28]]},"references-count":34,"alternative-id":["10.3389\/fpubh.2025.1627885"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1627885","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,28]]},"article-number":"1627885"}}