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  1. Cui S, Jiang J, Mu L
    Psychol Res Behav Manag, 2024;17:3067-3081.
    PMID: 39220632 DOI: 10.2147/PRBM.S467221
    BACKGROUND: With the advent of new media technology, WeChat, as China's largest social networking platform, has significantly impacted people's lives. Growing concerns exist about social media usage, particularly regarding mental health issues stemming from problematic smartphone use. However, limited research has explored the relationship between social media usage and mental health among older adults in China, particularly the mechanisms influencing this relationship. This study addresses this gap by investigating the relationship between excessive WeChat use and loneliness among older adults, examining the mediating roles of sensation seeking and fear of missing out (FoMO).

    METHODS: To clarify the intermediary role of sensation seeking and FoMO in the relationship between elderly loneliness and problematic phone use, this study employed the loneliness scale, brief sensation seeking scale, the scale of FoMO and WeChat overuse scale in a questionnaire survey on the Chinese elderly aged 55 to 89 (N=913). A chained mediation model was constructed, with descriptive statistics, Pearson correlation analysis, and mediation effect tests performed.

    RESULTS: The results indicate that the relationship between loneliness and excessive WeChat use among Chinese elderly is mediated by sensation seeking and FoMO.

    CONCLUSION: The findings reveal that loneliness, sensation seeking and FoMO and problematic mobile phone use (WeChat) are interconnected; (ii) sensation seeking and FoMO are the two important intermediary mechanisms between loneliness and problematic mobile phone use; and (iii) sensation seeking and FoMO can act as mediators in the relationship between loneliness and problematic mobile phone use among the elderly. In the difference test of demographic variables, it was found that women had more WeChat overuse behavior than men, and urban residents demonstrated significantly higher levels of overuse than their township residents. The study has revealed the psychological mechanism between loneliness and problematic mobile phone use among the elderly, which provides guiding suggestions for the prevention and intervention of such behaviors in the elderly.

  2. Cui Z, Cui S, Qin L, An Y, Zhang X, Guan J, et al.
    Asian J Pharm Sci, 2023 Sep;18(5):100848.
    PMID: 37881796 DOI: 10.1016/j.ajps.2023.100848
    Virus-capsid mimicking mucus-permeable nanoparticles are promising oral insulin carriers which surmount intestinal mucus barrier. However, the impact of different virus-capsid mimicking structure remains unexplored. In this study, utilizing biotin grafted chitosan as the main skeleton, virus-mimicking nanoparticles endowed with biologic-shell (streptavidin coverage) and polymeric-shell (hyaluronic acid/alginate coating) were designed with insulin as a model drug by self-assembly processes. It was demonstrated that biologic-shell mimicking nanoparticles exhibited a higher intestinal trans-mucus (>80%, 10 min) and transmucosal penetration efficiency (1.6-2.2-fold improvement) than polymeric-shell counterparts. Uptake mechanism studies revealed caveolae-mediated endocytosis was responsible for the absorption of biologic-shell mimicking nanoparticles whereas polymeric-shell mimicking nanoparticles were characterized by clathrin-mediated pathway with anticipated lysosomal insulin digestion. Further, in vivo hypoglycemic study indicated that the improved effect of regulating blood sugar levels was virus-capsid structure dependent out of which biologic-shell mimicking nanoparticles presented the best performance (5.1%). Although the findings of this study are encouraging, much more work is required to meet the standards of clinical translation. Taken together, we highlight the external structural dependence of virus-capsid mimicking nanoparticles on the muco-penetrating and uptake mechanism of enterocytes that in turn affecting their in vivo absorption, which should be pondered when engineering virus-mimicking nanoparticles for oral insulin delivery.
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