{"id":105913,"date":"2025-10-30T11:52:09","date_gmt":"2025-10-30T11:52:09","guid":{"rendered":"https:\/\/www.newsbeep.com\/il\/105913\/"},"modified":"2025-10-30T11:52:09","modified_gmt":"2025-10-30T11:52:09","slug":"the-recovery-function-of-parasocial-relationships-for-hopelessness-on-short-form-video-platforms-a-moderated-mediation-study-bmc-public-health","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/il\/105913\/","title":{"rendered":"The recovery function of parasocial relationships for hopelessness on short-form video platforms: a moderated mediation study | BMC Public Health"},"content":{"rendered":"<p>The interactive nature of short-form video platforms<\/p>\n<p>Launched in 2016, short-form video platforms such as Douyin (the Chinese version of TikTok) have enjoyed seemingly unstoppable success. As of June 2022, they had over 962 million users, encompassing 91.5% of Chinese netizens [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 15\" title=\"CNNIC. The 50th China Statistical Report on Internet Development. (online). 2022. &#010;                  http:\/\/www.cnnic.net.cn\/NMediaFile\/2022\/1020\/MAIN 16662-586615125EJOL1VKDF.pdf&#010;                  &#010;                . Accessed 10th September 2022.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR15\" id=\"ref-link-section-d132613293e512\" rel=\"nofollow noopener\" target=\"_blank\">15<\/a>]. Two examples of giants in the Chinese short-form video market are Douyin and Kuaishou. Douyin focuses on audiences in first- and second-tier cities such as Beijing and Shanghai, while the target audiences of Kuaishou are citizens of second and third-tier cities and those in rural areas [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 16\" title=\"Lin J, de Kloet J. Platformization of the unlikely creative class: Kuaishou and Chinese digital cultural production. Social Media + Soc. 2019;5(4):1\u201312.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR16\" id=\"ref-link-section-d132613293e515\" rel=\"nofollow noopener\" target=\"_blank\">16<\/a>]. These mobile-based apps mainly provide video content that is shorter than 5 min.<\/p>\n<p>Although prior social media can also provide short-form videos, current short-form video platforms focus on users\u2019 participation and the replicability of the content production. Three important distinguishing characteristics of short-form video platforms should be noted. First, in terms of design, the \u201cshooting\u201d button is located at the bottom center of the interface, which allows users to start recording a video at any time. This function encourages users to participate in the production process.<\/p>\n<p>Second, compared with other social network sites, short-form video platforms\u2019 communication models center on memes. Specifically, they rely on imitation as social currency rather than chats by offering plentiful, easy-to-use pre-formed templates [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 17\" title=\"Zulli D, Zulli DJ. Extending the internet meme: conceptualizing technological mimesis and imitation publics on the TikTok platform. New Media Soc. 2020;24(8):1\u201319.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR17\" id=\"ref-link-section-d132613293e524\" rel=\"nofollow noopener\" target=\"_blank\">17<\/a>]. These templates typically provide sampled material such as audio and emoji memes; Hashtags can also constitute memes [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 18\" title=\"Vizca\u00edno-Verd\u00fa A, Abidin C. Music challenge memes on tiktok: Understanding in-group storytelling videos. Int J Communication. 2022;16:883\u2013908.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR18\" id=\"ref-link-section-d132613293e527\" rel=\"nofollow noopener\" target=\"_blank\">18<\/a>]. Users need only pick their preferred template and upload their photos or videos into the template. The apps process the photos or videos and automatically generate and edit a final video. For example, many Chinese users used Bing Dwen Dwen mascot memes during the run-up to the 2022 Winter Olympics: they made videos in which they were wearing the Bing Dwen Dwen headdress special effect by placing their face in Bing Dwen Dwen memes. A pre-formed template like this may well have made disparate users feel connected.<\/p>\n<p>Livestreaming can also function as an important communication tool. In this media form, users can acquire more knowledge about media personae through self-disclosure (e.g., talking about their personal experiences at work or in their family life) [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 19\" title=\"Nah HS. The appeal of real in parasocial interaction: the effect of self-disclosure on message acceptance via perceived authenticity and liking. Comput Hum Behav. 2022;134:e107330.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR19\" id=\"ref-link-section-d132613293e533\" rel=\"nofollow noopener\" target=\"_blank\">19<\/a>]. Additionally, viewers can easily approach media personae nearly synchronously during live events when there are not too many other viewers, thus facilitating instant responses from given media personae. Mutual awareness can therefore be invoked, and users\u2019 psychological needs can be met via such a seemingly equal establishment of online interaction with otherwise unreachable media personae [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 20\" title=\"Wang Y. Humor and camera view on mobile short-form video apps influence user experience and technology-adoption intent, an example of TikTok (DouYin). Comput Hum Behav. 2020;110:e106373.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR20\" id=\"ref-link-section-d132613293e536\" rel=\"nofollow noopener\" target=\"_blank\">20<\/a>]. Researchers have found, for example, that TikTok users who were mourning felt connected and comforted when they engaged with a live host [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Eriksson Krutr\u00f6k M. Algorithmic closeness in mourning: vernaculars of the hashtag# grief on TikTok. Social Media + Soc. 2021;7(3):1\u201312.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR21\" id=\"ref-link-section-d132613293e539\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>].<\/p>\n<p>Given these distinguished functionalities, interactions on short-form video platforms can be seen as a creative form of online interaction: users are encouraged to follow media personae for a long time and build relationships with them through various, seemingly two-way, communication modes (e.g., participating memes and livestreaming).<\/p>\n<p>Hopelessness and media use<\/p>\n<p>Hopelessness constitutes two main elements: (a) pessimistic future-oriented thinking and (b) the perception of an impassable impediment to goal achievement [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Abramson LY, Metalsky GI, Alloy LB. Hopelessness depression: A theory-based subtype of depression. Psychol Rev. 1989;96(2):358\u201372.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR22\" id=\"ref-link-section-d132613293e554\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>]. Much media-related research has correlated this negative mental status with virtual interactions in a given medium. For example, scholars have long been concerned with the possibility that improper media use can cause negative outcomes such as hopelessness and depression [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 23\" title=\"Aalbers G, McNally RJ, Heeren A, De Wit S, Fried EI. Social media and depression symptoms: A network perspective. J Exp Psychol Gen. 2019;148(8):1454.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR23\" id=\"ref-link-section-d132613293e557\" rel=\"nofollow noopener\" target=\"_blank\">23<\/a>]. Kubey [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 24\" title=\"Kubey RW. Television and aging: Past, present, and future. Gerontologist. 1980;20(1):16\u201335.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR24\" id=\"ref-link-section-d132613293e560\" rel=\"nofollow noopener\" target=\"_blank\">24<\/a>] suggested that aging viewers who are exposed to negative depictions of older persons may begin to feel unwanted.<\/p>\n<p>However, there is also evidence suggesting that the association between media use and psychological issues could be reversed. Especially since the 1970\u2009s, numerous uses and gratifications studies have suggested that users\u2019 characteristics and purposes for consuming media play a crucial role in media involvement [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Katz E, Blumler JG, Gurevitch M. Uses and gratifications research. Public Opin Q. 1973;37(4):509\u201323.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR25\" id=\"ref-link-section-d132613293e566\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 26\" title=\"Rubin AM. Uses and gratifications. The SAGE handbook of media processes and effects. Thousand Oaks, CA: Sage; 2009. pp. 147\u201359.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR26\" id=\"ref-link-section-d132613293e569\" rel=\"nofollow noopener\" target=\"_blank\">26<\/a>]. Consequently, vulnerable individuals may seek virtual relationships (PSRs) as functional alternatives. For example, previous empirical evidence suggests that individuals experiencing loneliness can approach PSRs for help and thereby fulfill their interpersonal needs [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 27\" title=\"Rubin AM, Perse EM, Powell RA. Loneliness, parasocial interaction, and local television news viewing. Hum Commun Res. 1985;12(2):155\u201380.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR27\" id=\"ref-link-section-d132613293e572\" rel=\"nofollow noopener\" target=\"_blank\">27<\/a>]. This is because the virtual space provided by media can help individuals who are vulnerable and sensitive to rejection to enjoy the experience of real social interactions [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 28\" title=\"Goldsmith DJ. The role of Facebook in supportive communication. In: Burleson BR, Albrecht TL, Sarason IG, editors. Communication of social support: Messages, interactions, relationship and community. Thousand Oaks, CA: Sage; 1994. pp. 29\u201349.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR28\" id=\"ref-link-section-d132613293e575\" rel=\"nofollow noopener\" target=\"_blank\">28<\/a>]. In this respect, vulnerable audiences may turn to viewer-performer relationships as a means of engaging with issues related to identity and self-concept, sometimes encountering experiences they have not had in real life [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 29\" title=\"Newton BJ, Buck EB. Television as significant other: its relationship to self-descriptors in five countries. J Cross-Cult Psychol. 1985;16(3):289\u2013312.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR29\" id=\"ref-link-section-d132613293e578\" rel=\"nofollow noopener\" target=\"_blank\">29<\/a>].<\/p>\n<p>Nevertheless, an understanding of the ways in which hopeless individuals\u2019 motivations can generate positive aspects of self-concept formation\u2014such as well-being and self-identity via the viewer-performer bond when individuals use short-form video platforms\u2014is still missing. The present study addressed this gap in the literature by exploring the underlying processes of these connections.<\/p>\n<p>Hopelessness and PSRs on short-form video platforms<\/p>\n<p>As previously mentioned, examinations of the association between deficit viewers and media personae indicate that the parasocial experience is the most observed phenomenon in virtual interactions [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 27\" title=\"Rubin AM, Perse EM, Powell RA. Loneliness, parasocial interaction, and local television news viewing. Hum Commun Res. 1985;12(2):155\u201380.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR27\" id=\"ref-link-section-d132613293e592\" rel=\"nofollow noopener\" target=\"_blank\">27<\/a>]. Horton et al. [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 1\" title=\"Horton D, Richard WR. Mass communication and para-social interaction: observations on intimacy at a distance. Psychiatry. 1956;19(3):215\u201329.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR1\" id=\"ref-link-section-d132613293e595\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>] first used the term \u201cparasocial interaction\u201d to describe a one-sided relationship between users and media personae that exists in the user\u2019s mind as a belief that they have direct interactions with one other. Later, parasocial researchers expanded the concept and differentiated between parasocial interactions (PSIs) and parasocial relationships (PSRs). Specifically, whereas PSIs can be defined as imagined interactions that only occur during media exposure, PSRs refer to deeper relationships that may start during viewing but persist beyond the context of media exposure [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 2\" title=\"Hartmann T, Goldhoorn C. Horton and Wohl revisited: exploring viewers\u2019 experience of parasocial interaction. J Communication. 2011;61(6):1104\u201321.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR2\" id=\"ref-link-section-d132613293e598\" rel=\"nofollow noopener\" target=\"_blank\">2<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 30\" title=\"Horton D, Strauss A. Interaction in audience-participation shows. Am J Sociol. 1957;62(6):579\u201387.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR30\" id=\"ref-link-section-d132613293e601\" rel=\"nofollow noopener\" target=\"_blank\">30<\/a>]. That is, in contrast to a PSI, a PSR tends to be more similar to real relationships with enormous investments in time, emotion, or money [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 31\" title=\"Schramm H, Wirth W. Testing a universal tool for measuring parasocial interactions across different situations and media. J Media Psychol. 2010;22(1):26\u201336.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR31\" id=\"ref-link-section-d132613293e604\" rel=\"nofollow noopener\" target=\"_blank\">31<\/a>]. Once users have established a PSR, it does not disappear even if the users temporarily stop paying attention to the media personae; it remains in the users\u2019 minds and is ready to provide help to users whenever they need it. It has thus been suggested that health-related research should focus more on PSRs than PSIs because users can obtain more potentially positive effects from engagement with media personae in such enduring relationships [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 32\" title=\"Hoffner C, Cohen EL. Mental health-related outcomes of robin williams\u2019 death: the role of parasocial relations and media exposure in stigma, help-seeking, and outreach. Health Commun. 2018;33(12):1573\u201382.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR32\" id=\"ref-link-section-d132613293e608\" rel=\"nofollow noopener\" target=\"_blank\">32<\/a>].<\/p>\n<p>Because parasocial relationships (PSRs) resemble face-to-face social interactions, research on PSRs often draws from interpersonal communication theory, particularly the substitution hypothesis [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 33\" title=\"Song I, Larose R, Eastin MS, Lin CA. Internet gratifications and internet addiction: on the uses and abuses of new media. Cyberpsychology Behav. 2004;7(4):384\u201394.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR33\" id=\"ref-link-section-d132613293e614\" rel=\"nofollow noopener\" target=\"_blank\">33<\/a>]. A notable advancement in this area is the theoretical model of the development of parasocial relationships proposed by Tukachinsky et al. [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Tukachinsky R, Stever G. Theorizing development of parasocial engagement. Communication Theory. 2019;29(3):297\u2013318.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR34\" id=\"ref-link-section-d132613293e617\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>], which synthesizes sixty years of PSR studies and incorporates Knapp\u2019s model of relationship development [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 35\" title=\"Knapp ML. Social intercourse: from greeting to goodbye. Boston, MA: Allyn &amp; Bacon, Incorporated;; 1978.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR35\" id=\"ref-link-section-d132613293e620\" rel=\"nofollow noopener\" target=\"_blank\">35<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 36\" title=\"Knapp ML, Vangelisti AL, Caughlin JP. Interpersonal communication and human relationships. New York: Pearson Higher Ed; 2014.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR36\" id=\"ref-link-section-d132613293e623\" rel=\"nofollow noopener\" target=\"_blank\">36<\/a>]. Unlike earlier studies that often treated PSRs as static constructs or one-time reactions, this model conceptualizes PSRs as dynamic, evolving experiences. It is also the first to place PSRs at the center of analysis, offering a comprehensive framework that captures the full trajectory of PSR development [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 31\" title=\"Schramm H, Wirth W. Testing a universal tool for measuring parasocial interactions across different situations and media. J Media Psychol. 2010;22(1):26\u201336.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR31\" id=\"ref-link-section-d132613293e626\" rel=\"nofollow noopener\" target=\"_blank\">31<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 37\" title=\"Cohen J. Defining identification: A theoretical look at the identification of audiences with media characters. Mass Communication Soc. 2001;4(3):245\u201364.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR37\" id=\"ref-link-section-d132613293e630\" rel=\"nofollow noopener\" target=\"_blank\">37<\/a>].<\/p>\n<p>According to this theory, the motivation of satisfying special needs serves as an antecedent to the formation of PSRs [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Tukachinsky R, Stever G. Theorizing development of parasocial engagement. Communication Theory. 2019;29(3):297\u2013318.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR34\" id=\"ref-link-section-d132613293e636\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>]. Specifically, users who experience feelings of helplessness or low self-worth in real life may actively seek out media content that provides comfort, encouragement, or validation. For example, someone experiencing helplessness may be compelled to turn to PSRs for help [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 38\" title=\"Katz E, Foulkes D. On the use of the mass media as escape: clarification of a concept. Pub Opin Q. 1962;26(3):377\u201388.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR38\" id=\"ref-link-section-d132613293e639\" rel=\"nofollow noopener\" target=\"_blank\">38<\/a>]. Importantly, this PSR is particularly likely to occur between users and the media personae they previously followed. This is because these media personae are more trusted for inferior individuals. Thus, PSRs with media personae, especially those whom users have been constantly following, can be used as meaningful tools for individuals with low self-evaluation and negative moods: they can help those who feel hopeless overcome mental and emotional challenges [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 39\" title=\"Harwood J. Age identification, social identity gratifications, and television viewing. J Broadcast Electron Media. 1999;43(1):123\u201336.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR39\" id=\"ref-link-section-d132613293e642\" rel=\"nofollow noopener\" target=\"_blank\">39<\/a>].<\/p>\n<p>This process of engaging with PSRs as a way to navigate or mitigate feelings of hopelessness may be especially facilitated on short-form video platforms, given their distinctive patterns of interaction. The theoretical model of the development of PSRs asserts that accessibility (the extent to which media personae would like to interact with users) has great potential to shape users\u2019 experience of closeness in such relationships [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Tukachinsky R, Stever G. Theorizing development of parasocial engagement. Communication Theory. 2019;29(3):297\u2013318.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR34\" id=\"ref-link-section-d132613293e648\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>]. For example, live-streaming allows short-form video users to engage in more meaningful communication with media personae; during live events, viewers can directly communicate with media personae and participate in quasi-synchronous conversations [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 40\" title=\"Leith AP. Parasocial cues: the ubiquity of parasocial relationships on twitch. Communication Monogr. 2021;88(1):111\u201329.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR40\" id=\"ref-link-section-d132613293e651\" rel=\"nofollow noopener\" target=\"_blank\">40<\/a>]. As such, hopeless individuals may regard short-form video platforms as a means of attaining comfort: they may seek help from vloggers with whom they develop PSRs owing to the similarities between PSRs on short-form video platforms and real-life social relationships. Therefore, we proposed the following hypothesis:<\/p>\n<p>PSRs and self-identity\/well-being<\/p>\n<p>Self-identity is conceptualized as a core component of individual cognitive processes in cognitive psychology [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 41\" title=\"Markus H, Kunda Z. Stability and malleability of the self-concept. J Personal Soc Psychol. 1986;51(4):858.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR41\" id=\"ref-link-section-d132613293e670\" rel=\"nofollow noopener\" target=\"_blank\">41<\/a>]. This concept focuses on how a developing individual endowed an attitude toward himself -or herself [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 42\" title=\"Cohen J, Appel M, Slater MD. Media, identity, and the self. In: Oliver M, B, Raney AA, Bryant J, editors. Media effects. London: Routledge; 2019. pp. 179\u201394.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR42\" id=\"ref-link-section-d132613293e673\" rel=\"nofollow noopener\" target=\"_blank\">42<\/a>]. For example, whether or not \u201cthe individual feels certain about what he\/she should do with her life\u201d and \u201cfeels proud to be the sort of person he\/she is\u201d. If the positive outweigh the negative, individuals are better equipped to handle future difficulties [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 43\" title=\"Ochse R, Plug C. Cross-cultural investigation of the validity of erikson\u2019s theory of personality development. J Personal Soc Psychol. 1986;50(6):1240\u201352.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR43\" id=\"ref-link-section-d132613293e676\" rel=\"nofollow noopener\" target=\"_blank\">43<\/a>]. As such, self-identity as cognition becomes a crucial element of mental health because it can guide individuals\u2019 behaviors, especially when encountering difficulties [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 44\" title=\"Mann M, Hosman CMH, Schaalma HP, de Vries NK. Self-esteem in a broad-spectrum approach for mental health promotion. Health Educ Res. 2004;19(4):357\u201372.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR44\" id=\"ref-link-section-d132613293e679\" rel=\"nofollow noopener\" target=\"_blank\">44<\/a>].<\/p>\n<p>Self-identity is traditionally formed through the social groups [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 45\" title=\"Ellemers N, Spears R, Doosje B. Self and social identity. Ann Rev Psychol. 2002;53(1):161\u201386.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR45\" id=\"ref-link-section-d132613293e685\" rel=\"nofollow noopener\" target=\"_blank\">45<\/a>]. In the social media era, however, individuals\u2019 self-identity is increasingly shaped not only by interpersonal interactions but also by mediated experiences\u2014especially sustained engagement with media personae. A key pathway for the role of mediated experiences on self-identity lies in the activation and intensification of PSRs, through which users interact with media personae in socially meaningful ways that shape self-perception and identity [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 46\" title=\"Gabriel S, Young AF, Naidu E, Schneider V. How parasocial relationships affect our self-concepts. In: Tukachinsky R, editor. The Oxford handbook of parasocial experiences. Oxford University Press; 2023. pp. 252\u201368. (1\u00aa.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR46\" id=\"ref-link-section-d132613293e688\" rel=\"nofollow noopener\" target=\"_blank\">46<\/a>].<\/p>\n<p>According to the theoretical model of the development of parasocial relationships, as a PSR intensifies, users develop strong trust in the media persona and reduce psychological resistance to their messaging [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Tukachinsky R, Stever G. Theorizing development of parasocial engagement. Communication Theory. 2019;29(3):297\u2013318.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR34\" id=\"ref-link-section-d132613293e694\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 47\" title=\"Moyer-Gus\u00e9 E. Toward a theory of entertainment persuasion: explaining the persuasive effects of entertainment-education messages. Communication Theory. 2008;18(3):407\u201325.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR47\" id=\"ref-link-section-d132613293e697\" rel=\"nofollow noopener\" target=\"_blank\">47<\/a>]; Over time, these figures may be internalized as role models, shaping users\u2019 opinions and self-understanding [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 48\" title=\"Tsay M, Bodine BM. Exploring parasocial interaction in college students as a multidimensional construct: do personality, interpersonal need, and television motive predict their relationships with media characters? Psychol Popular Media Cult. 2012;1(3):185.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR48\" id=\"ref-link-section-d132613293e700\" rel=\"nofollow noopener\" target=\"_blank\">48<\/a>]. This cognitive alignment suggests that stronger PSRs can be associated with users\u2019 self-identity by offering emotional resonance and behavioral guidance.<\/p>\n<p>Building on this foundation, recent research suggests that short-form video platforms like TikTok may further amplify these effects. With affordances such as algorithmic curation, short-form storytelling, and high-frequency self-disclosure, these platforms foster repeated exposure to familiar media personae. Such features have facilitated a shift from the \u201cnetworked self\u201d to the \u201calgorithmic self,\u201d where identity is no longer solely formed through social dialogue but through recursive interactions with algorithm-selected representations of the self [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 49\" title=\"Bhandari A, Bimo S. Why\u2019s everyone on TikTok now? The algorithmized self and the future of self-making on social media. Social media + Soc. 2022;8(1):e20563051221086241.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR49\" id=\"ref-link-section-d132613293e706\" rel=\"nofollow noopener\" target=\"_blank\">49<\/a>]. As algorithms continuously surface media personae aligned with users\u2019 prior behavior, they reinforce perceived intimacy and similarity\u2014key elements in PSR reinforcement. In this context, PSRs become both emotionally and algorithmically conditioned, deepening their influence on users\u2019 evolving sense of self. These effects may be further enhanced by immersive features such as livestreaming and participatory culture (e.g., memes, co-creation), which promote sustained engagement and co-construction of meaning between users and media personae. In light of these dynamics, we proposed the following hypothesis:<\/p>\n<p>As an important branch of media psychology research, parasocial research also explores how parasocial experiences enhance user well-being through various media [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 50\" title=\"Hartmann T. Parasocial interaction, parasocial relationships, and well-being. In: Reinecke L, Oliver MB, editors. The Routledge handbook of media use and well-being: international perspectives on theory and research on positive media effects. London: Routledge\/Taylor &amp; Francis Group; 2017. pp. 131\u201344.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR50\" id=\"ref-link-section-d132613293e721\" rel=\"nofollow noopener\" target=\"_blank\">50<\/a>]. In general, well-being is conceptualized through two major paradigms: hedonic and eudaimonic. The hedonic approach focuses on subjective well-being, emphasizing individuals\u2019 evaluations of their lives based on positive affect, low negative affect, and a sense of life satisfaction [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 51\" title=\"Diener E, Suh EM, Lucas RE, Smith HL. Subjective well-being: three decades of progress. Psychol Bull. 1999;125(2):276\u2013302.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR51\" id=\"ref-link-section-d132613293e724\" rel=\"nofollow noopener\" target=\"_blank\">51<\/a>]. In contrast, the eudaimonic paradigm emphasizes functional well-being, referring to individuals\u2019 capacity to \u201cdo well\u201d in life\u2014through personal growth, purpose, autonomy, and self-actualization\u2014rather than simply \u201cfeel good\u201d [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 52\" title=\"Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68\u201378.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR52\" id=\"ref-link-section-d132613293e727\" rel=\"nofollow noopener\" target=\"_blank\">52<\/a>]. Despite this distinction, media scholars often adopt an integrative perspective that combines both paradigms. For instance, Keye describes well-being as \u201cflourishing\u201d [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 53\" title=\"Keyes CL. The mental health continuum: From languishing to flourishing in life. Journal of health and social behavior. 2002; 207\u2009\u2013\u200922.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR53\" id=\"ref-link-section-d132613293e730\" rel=\"nofollow noopener\" target=\"_blank\">53<\/a>], while Seligman [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 54\" title=\"Seligman ME. Positive psychology, positive prevention, and positive therapy. Handb Posit Psychol. 2002; 3\u201312.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR54\" id=\"ref-link-section-d132613293e733\" rel=\"nofollow noopener\" target=\"_blank\">54<\/a>] refers to it as living \u201ca full life.\u201d These integrated notions correspond closely with emotional outcomes associated with PSRs: on one hand, increased happiness and satisfaction may arise from affective investment in media personae [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 27\" title=\"Rubin AM, Perse EM, Powell RA. Loneliness, parasocial interaction, and local television news viewing. Hum Commun Res. 1985;12(2):155\u201380.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR27\" id=\"ref-link-section-d132613293e737\" rel=\"nofollow noopener\" target=\"_blank\">27<\/a>]; on the other hand, deeper feelings of purpose, meaning, and belonging may emerge from long-term parasocial bonds [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 55\" title=\"Sood S, Rogers EM. Dimensions of parasocial interaction by letter-writers to a popular entertainment-education soap Opera in India. J Broadcast Electron Media. 2000;44(3):386\u2013414.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR55\" id=\"ref-link-section-d132613293e740\" rel=\"nofollow noopener\" target=\"_blank\">55<\/a>].<\/p>\n<p>As previously noted, short-form video platforms offer novel forms of relationship; therefore, it is worthwhile to investigate how PSRs can fulfill users\u2019 need to improve their aspirational capability. For example, by posting memes rather than reading comments, viewers may find it easier to foster a sense of belonging and enhanced emotional effects [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Eriksson Krutr\u00f6k M. Algorithmic closeness in mourning: vernaculars of the hashtag# grief on TikTok. Social Media + Soc. 2021;7(3):1\u201312.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR21\" id=\"ref-link-section-d132613293e746\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>]. Therefore, we proposed the following hypothesis:<\/p>\n<p>The term PSR implies an online, one-sided, long-term relationship between media personae and viewers [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 3\" title=\"Dibble JL, Hartmann T, Rosaen SF. Parasocial interaction and parasocial relationship: conceptual clarification and a critical assessment of measures. Hum Commun Res. 2016;42(1):21\u201344.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR3\" id=\"ref-link-section-d132613293e760\" rel=\"nofollow noopener\" target=\"_blank\">3<\/a>]. According to PSR theory, such relationships typically evolve through two main stages [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 56\" title=\"Nathan W, Emily AA, Tukachinsky R. Initiation and evolution of PSRs. In: Tukachinsky R, editor. The Oxford handbook of parasocial experiences. Oxford University Press; 2023. pp. 125\u201346. (1\u00aa.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR56\" id=\"ref-link-section-d132613293e763\" rel=\"nofollow noopener\" target=\"_blank\">56<\/a>]. In the first stage, viewers\u2019 psychological needs interact with media personae\u2019s self-disclosure, fostering perceived intimacy through curated and authentic content [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 31\" title=\"Schramm H, Wirth W. Testing a universal tool for measuring parasocial interactions across different situations and media. J Media Psychol. 2010;22(1):26\u201336.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR31\" id=\"ref-link-section-d132613293e766\" rel=\"nofollow noopener\" target=\"_blank\">31<\/a>]. In the second stage, PSRs may reduce viewers\u2019 reactance and counterarguing, thereby influencing their cognition and emotion [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Tukachinsky R, Stever G. Theorizing development of parasocial engagement. Communication Theory. 2019;29(3):297\u2013318.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR34\" id=\"ref-link-section-d132613293e769\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>]. That is, PSRs act as an important mediator between motivations and attitudes or psychological feelings. While several empirical studies have identified these two processes [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 10\" title=\"Sokolova K, Perez C. You follow fitness influencers on YouTube. But do you actually exercise? How parasocial relationships, and watching fitness influencers, relate to intentions to exercise. J Retailing Consumer Serv. 2021;58:e102276.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR10\" id=\"ref-link-section-d132613293e772\" rel=\"nofollow noopener\" target=\"_blank\">10<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 57\" title=\"Wang Q, Fink EL, Cai DA. Loneliness, gender, and parasocial interaction: A uses and gratifications approach. Communication Q. 2008;56(1):87\u2013109.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR57\" id=\"ref-link-section-d132613293e776\" rel=\"nofollow noopener\" target=\"_blank\">57<\/a>, <a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 58\" title=\"Bond BJ. Parasocial relationships with media personae: why they matter and how they differ among heterosexual, lesbian, gay, and bisexual adolescents. Media Psychol. 2018;21(3):457\u201385.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR58\" id=\"ref-link-section-d132613293e779\" rel=\"nofollow noopener\" target=\"_blank\">58<\/a>], none has focused on the psychological effects of PSRs among users of short-form video platforms experiencing hopelessness. Having acknowledged the unique features of short-form video platforms in terms of self-disclosure, patterns of interactions, and memes [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 40\" title=\"Leith AP. Parasocial cues: the ubiquity of parasocial relationships on twitch. Communication Monogr. 2021;88(1):111\u201329.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR40\" id=\"ref-link-section-d132613293e782\" rel=\"nofollow noopener\" target=\"_blank\">40<\/a>], users experiencing experiencing hopelessness may turn for help to PSRs with vloggers whom they closely follow for help. Such a PSR can also be related to positive outcomes for the user\u2019s self-identity\/well-being. Therefore, we proposed the following hypothesis:<\/p>\n<p>Perceived similarity and PSRs<\/p>\n<p>Perceived similarity refers to an individual\u2019s subjective perception that another individual is similar to them [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 59\" title=\"Ross L, Greene D, House P. The false consensus effect: an egocentric bias in social perception and attribution processes. J Exp Soc Psychol. 1977;13(3):279\u2013301.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR59\" id=\"ref-link-section-d132613293e802\" rel=\"nofollow noopener\" target=\"_blank\">59<\/a>]. The theoretical model of the development of parasocial relationships indicates that viewers\u2019 perceptions of similarity between them and given media personae can affect their PSR process [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Tukachinsky R, Stever G. Theorizing development of parasocial engagement. Communication Theory. 2019;29(3):297\u2013318.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR34\" id=\"ref-link-section-d132613293e805\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>]. Media users may record the quality of relationship schemata with media personae they encounter, creating a mental representation of their relationship that includes similarities between them (the viewer) and media personae [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 60\" title=\"Baldwin MW. Relational schemas and the processing of social information. Psychol Bull. 1992;112(3):461\u201384.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR60\" id=\"ref-link-section-d132613293e808\" rel=\"nofollow noopener\" target=\"_blank\">60<\/a>]. These relationship schemata will be activated and recalled before the formation of PSRs. If the relationship schemata fit viewers\u2019 situational needs, the likelihood of continuing the relationships with the corresponding media personae will increase [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 61\" title=\"Klimmt C, Hartmann T, Schramm H. Parasocial interactions and relationships. In: Byrant J, Vorderer P, editors. Psychology of entertainment. NY: Routledge; 2006. pp. 291\u2013313.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR61\" id=\"ref-link-section-d132613293e811\" rel=\"nofollow noopener\" target=\"_blank\">61<\/a>].<\/p>\n<p>This explanation is related to the similarity-attraction mechanism. Specifically, individuals\u2014especially those who are vulnerable\u2014tend to choose to make connections with strangers who seem similar to them on first acquaintance [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 13\" title=\"Berger CR, Calabrese RJ. Some explorations in initial interaction and beyond: toward a developmental theory of interpersonal communication. Hum Commun Res. 1974;1(2):99\u2013112.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR13\" id=\"ref-link-section-d132613293e817\" rel=\"nofollow noopener\" target=\"_blank\">13<\/a>]. This is because the perception of similarities reduces the time cost required for accepting new ideas, and therefore increases the effectiveness of subsequent communication between media personae and viewers. Prior studies have indicated that this pattern also applies to social media [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 12\" title=\"Tukachinsky R, Walter N, Saucier CJ. Antecedents and effects of parasocial relationships: A meta-analysis. J Communication. 2020;70(6):868\u201394.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR12\" id=\"ref-link-section-d132613293e820\" rel=\"nofollow noopener\" target=\"_blank\">12<\/a>]. For example, participants who held similar political beliefs to Trump were found to be more susceptible to forming parasocial relationships with him and show greater agreement with his viewpoints on social media [<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 62\" title=\"Paravati E, Naidu E, Gabriel S, Wiedemann C. More than just a tweet: the unconscious impact of forming parasocial relationships through social media. Psychol Consciousness: Theory Res Pract. 2020;7(4):388\u2013403.\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#ref-CR62\" id=\"ref-link-section-d132613293e823\" rel=\"nofollow noopener\" target=\"_blank\">62<\/a>]. Because individuals experiencing hopelessness are more vulnerable and have a stronger yearning for comfortable and meaningful communication, the positive association between hopelessness and PSRs may be amplified among those who perceive greater similarity. Therefore, we proposed the following hypotheses:<\/p>\n<p>H4: Perceived similarity positively moderates the relationship between hopelessness and PSRs, so that the positive relationship between hopelessness and PSR is stronger for individuals with higher perceived similarities.<\/p>\n<p>H5a-b: Perceived similarity moderates the indirect effect of hopelessness on (a) self-identity and (b) well-being via PSRs, such that the more similarities individuals perceive, the stronger the positive relationship between hopelessness and self-identity\/well-being.<\/p>\n<p>The proposed research model with all the hypotheses can be seen in Fig.\u00a0<a data-track=\"click\" data-track-label=\"link\" data-track-action=\"figure anchor\" href=\"http:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6#Fig1\" rel=\"nofollow noopener\" target=\"_blank\">1<\/a>.<\/p>\n<p>Fig. 1<a class=\"c-article-section__figure-link\" data-test=\"img-link\" data-track=\"click\" data-track-label=\"image\" data-track-action=\"view figure\" href=\"https:\/\/bmcpublichealth.biomedcentral.com\/articles\/10.1186\/s12889-025-24830-6\/figures\/1\" rel=\"nofollow noopener\" target=\"_blank\"><img decoding=\"async\" aria-describedby=\"Fig1\" src=\"https:\/\/www.newsbeep.com\/il\/wp-content\/uploads\/2025\/10\/12889_2025_24830_Fig1_HTML.png\" alt=\"figure 1\" loading=\"lazy\" width=\"685\" height=\"325\"\/><\/a><\/p>\n<p>Proposed research model with all hypotheses<\/p>\n","protected":false},"excerpt":{"rendered":"The interactive nature of short-form video platforms Launched in 2016, short-form video platforms such as Douyin (the Chinese&hellip;\n","protected":false},"author":2,"featured_media":105914,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8],"tags":[6136,146,6135,4741,3181,69485,85,46,6134,69486,69487,546,69488,6137,6388],"class_list":["post-105913","post","type-post","status-publish","format-standard","has-post-thumbnail","category-entertainment","tag-biostatistics","tag-entertainment","tag-environmental-health","tag-epidemiology","tag-general","tag-hopelessness","tag-il","tag-israel","tag-medicine-public-health","tag-parasocial-relationship","tag-perceived-similarity","tag-public-health","tag-self-identity","tag-vaccine","tag-well-being"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/105913","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/comments?post=105913"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/posts\/105913\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media\/105914"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/media?parent=105913"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/categories?post=105913"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/il\/wp-json\/wp\/v2\/tags?post=105913"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}