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Drawing on compulsive consumption theory, dual-process perspectives, and socio-technical systems theory (STST), we estimate a structural equation model using survey data from 542 active short-video users. The results show that CSV exerts a strong and consistent positive effect on PI, indicating that compulsive engagement functions as a commercially consequential psychological state. This relationship is contingent on socio-technical conditions: technical support and platform familiarity substantially amplify the CSV\u2013PI pathway, social belonging provides weaker but positive reinforcement, and social interaction attenuates the effect by redirecting attention away from transactional cues. These findings position CSV as both a form of digital pathology and a commercially activating mechanism within socio-technical environments. The study also offers guidance for platform managers seeking to balance monetization with ethical responsibility in short-video commerce ecosystems.<\/jats:p>","DOI":"10.3390\/systems13121106","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T14:52:24Z","timestamp":1765205544000},"page":"1106","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From Pathology to Purchase: Compulsive Short Video Use and Socio-Technical Moderation in E-Commerce"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1181-8695","authenticated-orcid":false,"given":"Rob Kim","family":"Marjerison","sequence":"first","affiliation":[{"name":"Institute for Sustainability Studies, Wenzhou-Kean University, Wenzhou 325060, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8691-9786","authenticated-orcid":false,"given":"Jin Young","family":"Jun","sequence":"additional","affiliation":[{"name":"Department of International Trade, College of Social Sciences, Konkuk University, Seoul 05029, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0037-2117","authenticated-orcid":false,"given":"Jong Min","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of International Trade, College of Social Sciences, Konkuk University, Seoul 05029, Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"107752","DOI":"10.1016\/j.chb.2023.107752","article-title":"A cross-national study on the excessive use of short-video applications among college students","volume":"145","author":"Zhang","year":"2023","journal-title":"Comput. 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