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This study introduces the 9‑item ABC‑MHPB scale, a validated instrument for assessing mental health promoting behaviours in the general population. Grounded in the Act‑Belong‑Commit framework, the scale was evaluated in a large Danish sample (N = 119,221, aged 18–103). Confirmatory factor analysis supported a three‑factor structure with good fit, full invariance across education, and partial invariance across sex and age. Reliability, content, discriminant, and convergent validity were all satisfactory. Scale scores showed clear dose‑response associations with mental wellbeing and loneliness, supporting the instrument’s utility for population‑level monitoring and intervention evaluation. Further longitudinal and cross‑cultural validation is warranted to consolidate its predictive value.

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  • Open AccessOpen Access

    ARTICLE

    Measuring Mental Health Promoting Behaviours: Development and Psychometric Properties of a Danish Act Belong Commit-Mental Health Promoting Behaviours (ABC-MHPB) Scale

    Line Nielsen1,*, Ziggi Ivan Santini2, Malene Kubstrup Nelausen1, Carsten Hinrichsen3, Frederik Schou-Juul3, Vibeke Jenny Koushede4, Robert J Donovan5,6, Charlotte Bjerre Meilstrup1
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.079059 - 23 June 2026
    Abstract Background: The Act Belong Commit-ABCs of Mental Health campaign is the world’s first comprehensive, population-wide, community-based initiative to promote mental health. In response to a growing demand for valid tools to monitor mental health promoting behaviours, this study presents the development and psychometric evaluation of the ABC-Mental Health Promoting Behaviours (ABC-MHPB) scale in a Danish population-based sample. Methods: A 10-item scale was developed, based on the ABC framework, to assess mental health promoting behaviours. A total of 119,221 randomly selected participants aged 18+ filled out an electronic survey, including the scale to measure the underlying construct… More >

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    ARTICLE

    Positive Resilience on the Margins: The Structural Stigma of China’s Rural Queer Community and the Path of Self-Confirmation

    Chao Liu1,2, Sihang Liu3,#, Hao Chen2,3,#, Tsai-Hsuan Tsai4,5,6,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.080509 - 23 June 2026
    Abstract Backgrounds: Positive psychology has increasingly been applied to marginalized populations, yet limited attention has been paid to how it explains the experiences of sexual minorities living under persistent structural stigma in non-Western rural contexts. This study examined the structural pressures, psychological dilemmas, and positive resilience pathways of sexual minorities in rural China. This study aims to examine the structural pressures, psychological dilemmas, and pathways of positive resilience experienced by sexual minorities in rural China under persistent structural stigma. Methods: Using cyberethnography and grounded theory, this study analyzed 264 publicly available online narratives selected from an initial… More >

  • Open AccessOpen Access

    ARTICLE

    From Fragmentation to Integration: A Multi-Site Pilot Study of Psychodrama in Chinese University Mental Health Systems

    Xiaohui Wang1,#, Aiqin Liu2,#, Zechun Ma3,#, Nien-Hwa Lai4,*, Rui Ding5,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.078910 - 23 June 2026
    Abstract Objectives: Chinese higher education faces rising depression rates amidst fragmented campus mental health services. This pilot study examined the feasibility and preliminary outcomes of implementing a standardized psychodrama program across multiple university sites. Methods: This single-arm study was conducted across three Beijing universities from September 2024 to January 2025. A total of 27 undergraduates completed an 8-week psychodrama intervention program comprising weekly 2.5-h sessions. A unified protocol was ensured through centralized facilitator training and cross-site supervision. Depressive symptoms were assessed using the Beck Depression Inventory-II at baseline, post-intervention, 3-month, and 6-month follow-ups. Retention rates were 93.8%… More >

  • Open AccessOpen Access

    REVIEW

    Classification of Influencing Factors and Mechanisms Underlying Emotion Regulation Choice

    Shi-Min Chen, Li-Li Wang*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.077617 - 23 June 2026
    Abstract Backgrounds: The factors influencing emotion regulation choice (ERC) are numerous, raising the question of how to classify them systematically. Methods: This study proposed a framework of four first-order factors—the emotion to be regulated, emotion regulation goals, emotion regulation resources, and psychosocial context—by integrating several key theories of ERC, including the Action Control Theory of Emotion Regulation, the Extended Process Model of Emotion Regulation, the Process-specific Timing Framework Theory, the Selection, Optimization, and Compensation model of Emotion Regulation, and the Emotion as Social Information Theory. Results: This research also provided a detailed examination of the effects of multiple More >

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    ARTICLE

    Indirect Pathways from Early Adversity to Postpartum Depression after Assisted Reproduction: Attachment, Maternal Self-Efficacy, and Financial Strain

    Verónica García-Tribaldos1, Laura Lacomba-Trejo2,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.078835 - 23 June 2026
    (This article belongs to the Special Issue: Depression Across the Lifespan: Perspectives on Prevention, Intervention, and Holistic Care)
    Abstract Backgrounds: Adverse childhood experiences (ACEs) can increase the likelihood of developing insecure attachment patterns, which in turn may heighten economic concerns and couple dissatisfaction—both generally and particularly in the context of assisted reproduction treatments (ART). These processes together elevate the risk of postpartum depression (PPD). Methods: This study examined psychosocial and relational predictors of PPD in a sample of 149 Spanish women up to 12 months postpartum following ART. (8.1% = artificial insemination with a sperm donor; 12.1% = artificial insemination without a sperm donor; 67.1% = in vitro fertilization; 20.8% = intracytoplasmic sperm injection; 12.8% =… More >

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    ARTICLE

    Digital Distraction and Sleep: Distinct Pathways from Phubbing Dimensions to Teachers’ Insomnia through Psychological Distress

    Si-Han Chen1,#, Yun Song2,#,*, Xian-Yin Li3, Jun-Ping Zhou2, I-Hua Chen3,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.079774 - 23 June 2026
    (This article belongs to the Special Issue: Health Issues in Modern Society: Addictive Behaviors and Psychological Health)
    Abstract Backgrounds: In the digital era, smartphone-driven phubbing behavior has become increasingly prevalent among teachers and may contribute to insomnia. Psychological distress has been identified as a potential mechanism linking maladaptive technology use to sleep problems; however, this mediating pathway has not been examined longitudinally. Furthermore, gender differences in these associations remain unclear. This study aimed to examine the longitudinal relationship between phubbing behavior and insomnia, the mediating role of psychological distress, and the moderating role of gender. Methods: A two-wave longitudinal design with a four-month interval was employed. At Time 1 (T1), 1061 teachers participated, with… More >

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    ARTICLE

    How Alpha-Mom Blog Use Enhances the Mental Health of Mothers of Young Children: From the Perspective of Self-Determination Theory

    Ran Feng1,*, Yulei Feng2
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.079812 - 23 June 2026
    (This article belongs to the Special Issue: Psychological Well-being and Psychopathology in the New Millennium: Evolving Paradigms, Challenges, and Resources)
    Abstract Backgrounds: Alpha-mom blog refers to social media posts that portray mothers who excel at domestic life and childcare, presenting an idealized image of the perfect mother. The popularity of the Alpha-mom blog has led to increased academic interest in the impact on maternal psychology. Based on Self-Determination Theory, this study aims to explain the relationship between Alpha-mom blog use, parenting self-efficacy, perceived social support, and mothers’ mental health. Methods: An online cross-sectional survey with 649 Chinese mothers of young children was conducted (Mage = 29.71, SD = 3.53). The majority of participants came from low-to-middle-income households and… More >

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    ARTICLE

    The Association between Illness-Related Stigma and Mental Well-Being among Cancer Survivors in Yunnan, China

    Yueting Zhang1,2, Sawitri Assanangkornchai2, Wit Wichaidit2,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.079559 - 23 June 2026
    Abstract Background: Stigma affects the mental well-being of cancer survivors. However, data are scarce regarding the extent to which specific types of stigmas, enacted stigma (stigma from others), and self-stigma (internalized stigma), affect mental well-being. The objective of this study is to describe the extent to which overall illness-related stigma, self-stigma, and enacted stigma are associated with mental well-being among cancer survivors. Methods: A cross-sectional study in Kunming, Yunnan, China, was conducted. Eligible participants were adult cancer survivors who completed a phone-to-WeChat, self-administered survey. Illness-related stigma was measured with the Stigma Scale for Chronic Illnesses, 8-item version… More >

  • Open AccessOpen Access

    ARTICLE

    Longitudinal Pathways between Psychological Distress, Mindfulness, Childbirth Trauma, and Postpartum PTSD among Chinese Postpartum Women: A Three-Wave Cross-Lagged Panel Analysis

    Xiaofei Nie1,2,*, Amir Pakpour2,3, Yanqiong Ouyang4, Maria Björk2,3
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.078747 - 23 June 2026
    (This article belongs to the Special Issue: Emotions and Emotional Regulation in Different Populations)
    Abstract Objectives: This study aims to examine the temporal associations among psychological distress, mindfulness, childbirth trauma, and postpartum post-traumatic stress disorder (PTSD) symptoms across the first three months postpartum and test whether mindfulness mediates these longitudinal pathways. Methods: This prospective longitudinal cohort study followed Chinese postpartum women at one week (T1), one month (T2), and three months (T3) after childbirth. A total of 210 women completed baseline assessments, with 173 and 148 participants retained at T2 and T3, respectively. Psychological distress, mindfulness, childbirth trauma, and postpartum PTSD symptoms were assessed using validated self-report measures. Cross-lagged panel models… More >

  • Open AccessOpen Access

    ARTICLE

    Social Engagement and Depressive Symptom Trajectories in Older Adults with Arthritis: A 9-Year Longitudinal Study

    Minmin Zhu1,#, Xudong Yang2,#, Xiang Li3, Yuanping Deng4, Yawen Zheng5,*, Songmei Du6,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.076602 - 23 June 2026
    Abstract Background: Depression is highly prevalent among older adults with chronic diseases such as arthritis or rheumatism. However, little is known about the longitudinal patterns of their depressive symptoms or the role social engagement plays in shaping these trajectories. This study aimed to identify distinct trajectories of depressive symptoms among older Chinese adults with arthritis or rheumatism and examine the association between baseline social engagement and these trajectories. Methods: Utilizing five waves of data from the China Health and Retirement Longitudinal Study (CHARLS) spanning from 2011 to 2020, our analysis included a final sample of 2022 adults… More >

  • Open AccessOpen Access

    ARTICLE

    Sedentary Behavior, Perceived Stress, and Depression among Adolescent Girls in Indonesia: A Cross-Sectional Study

    Sendhi Tristanti Puspitasari1,2, Hung-En Liao1,*, Eri Yanuar Akhmad Budi Sunaryo3, Penta Akhirul Awal4
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.078980 - 23 June 2026
    Abstract Background: Adolescent girls tend to engage in more sedentary behavior than boys, which is associated with adverse physical and psychosocial outcomes, including depression. This study examined the relationships between sedentary behavior, perceived stress, body mass index (BMI), and depressive symptoms among adolescent girls in Indonesia and tested the mediating roles of perceived stress and BMI. Methods: A cross-sectional survey was conducted among 482 female senior high school students (age 14–20) in Malang City, East Java, Indonesia. Sedentary behavior was assessed by the Adolescent Sedentary Activity Questionnaire (ASAQ) and expressed as total hours/day. Perceived stress was measured… More >

  • Open AccessOpen Access

    ARTICLE

    Growth Mindset, Sense of Control, and Academic Anxiety: The Longitudinal Relations Among Early Adolescents in China

    Shunying Zhao1, Junmo Luo2, Yun Tian3, Yuanyuan Wen1, Liren Yin1, Xingjuan Liu1,*
    International Journal of Mental Health Promotion, Vol.28, No.6, 2026, DOI:10.32604/ijmhp.2026.077671 - 23 June 2026
    (This article belongs to the Special Issue: AI Generation's Impact on Family, School Environment, and Mental Health)
    Abstract Objectives: Academic anxiety is a prevalent emotional challenge among adolescents and has been linked to intelligence beliefs. Although prior research connects growth mindset to academic anxiety, the role of perceived control remains unclear. This longitudinal study aimed to examine whether sense of control mediates the relationship between growth mindset and academic anxiety in early adolescents. Methods: A three-wave longitudinal design was conducted with 407 early adolescents (Meanage = 13.75, 61.18% female) recruited from two public middle schools in southern China. Participants completed self-report measures of growth mindset, sense of control, and academic anxiety at three time points… More >

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