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Digital health literacy—the ability to obtain and use health information through digital channels—may play a role in mental health. This study examined the association between eHealth literacy and depression among young and middle-aged adults in China and tested whether lifestyle behaviors mediate this link. Using data from 1,280 participants (mean age 39.55 years; 56.72% female), researchers conducted correlation and regression analyses and established a parallel-mediation model. Higher eHealth literacy was significantly associated with lower depression (β = −0.2900, 95% CI [−0.3259, −0.2544], p < 0.001). Smoking, alcohol consumption, sleeping, and exercising each mediated the association, suggesting that eHealth literacy may relate to depression partly through these lifestyle behaviors. These findings highlight the potential value of improving eHealth literacy for depression prevention and mental health promotion, with practical implications for policymakers, organizations, and individuals.

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    ARTICLE

    The Association between eHealth Literacy and Depression among Young and Middle-Aged Adults: Mediations of Lifestyle Behaviors

    Tianran Wang1,#, Yiran Wang1,2,#, Wenwen Liu1, Chenyu Yan1, Ning Zhang1,3, Yangxin Huang4,*, Sijiu Wang1,*, Wannian Liang1,5,*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.084709 - 22 September 2026
    Abstract Background: Young and middle-aged adults are susceptible to depression, which may impose health and economic burdens on both individuals and society. eHealth literacy is the ability for individuals to obtain health information through digital channels, which may be beneficial to their mental health. This study aims to investigate the association between eHealth literacy and depression, as well as the mediating roles of lifestyle behaviors. Methods: The study adopted a cross-sectional survey to collect data from 1280 young and middle-aged participants (Meanage = 39.55 years, 56.72% females) in China. The Chinese version of the eHealth Literacy Scale (eHEALS)… More >

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    Trajectories of Functional Ability and Quality of Life among Older Adults after Hip Fracture with and without Cognition Impairment: A Three-Month Longitudinal Study

    Tri Laksono1,2, Yu-Pin Chen3,4, Yi-Jung Chen1, Kah-Ying Yap1, Fang-Wen Hu5,6,7, Chi Hsien Huang8,9,10,*, Lien-Chen Wu3,4,11, Yi-Jie Kuo3,4,11, Mark D. Griffiths12, Chung-Ying Lin1,5,13,14,15,*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.082706 - 22 September 2026
    Abstract Background: Hip fractures among older adults lead to significant morbidity and mortality, often complicated by pre-existing cognitive impairment. Understanding the longitudinal trajectories of functional ability and quality of life (QoL) among this specific population is crucial for customized interventions development. The present study compared the three-month trajectories of functional ability and QoL among older adults after hip fracture, specifically differentiating between those with and without cognitive impairment. Methods: A three-month longitudinal comparison analysis was conducted with 647 older adults following hip fracture. Participants were stratified by cognitive status (intact [n = 377] vs. impaired [n =… More >

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    Latent Profile of Time Perspective, Rumination, and Emotional Approach Coping among Trauma-Exposed Individuals: Exploring Impacts on Posttraumatic Growth and Predictors

    Jubin Park, Jae-Chang Sim, Sun-Young Im*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.082397 - 22 September 2026
    Abstract Background: In the context of growing uncertainty and intersecting societal crises, trauma has become a common psychological experience that deeply affects individuals’ identities, beliefs, temporal orientation, and emotional regulation. Posttraumatic growth (PTG) emerges through processes of inner struggle and meaning reconstruction, and recovery should be understood as a complex system shaped by interacting cognitive and emotional factors. This study aimed to classify trauma-exposed individuals based on combinations of key psychological variables and examine predictors of latent profile membership, as well as differences in PTG across classes. Methods: A total of 388 Korean adults with trauma histories… More >

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    Dose-Response Associations between Physical Activity and Poor Mental Health among High-School Students: Sleep Duration as a Potential Mediator

    Liu Yang1, Qingru Zhang2,*, Jin Yan2,*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.083872 - 22 September 2026
    Abstract Backgrounds: This study examined whether sleep duration may potentially mediate the association between moderate-to-vigorous physical activity (MVPA) and mental health between in a nationally representative sample of U.S. high school students. Methods: Data from 15,671 U.S. high school students participating in the 2023 Youth Risk Behavior Survey (YRBS) were analyzed. MVPA was measured as weekly days achieving at least 60 min of activity, and frequent poor mental health was defined as reporting poor mental health most of the time or always during the past 30 days. Sleep duration was evaluated as a mediator. Survey-weighted regression and… More >

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    Factors Facilitating the Uptake of Preventive Mental Health Support: An Exploratory Study of Primary Prevention among Workers

    Asaka Kawamura1,*, Tomoyuki Kobayashi2
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.081796 - 22 September 2026
    (This article belongs to the Special Issue: Cognitive and Metacognitive Pathways to Mental Health Promotion: Prevention, Resilience, and Well-Being)
    Abstract Objective: Although many workers experience stress in daily life, psychological and practical barriers often prevent them from accessing mental health support before their difficulties become more severe. This exploratory study examined, among employed adults with no previous experience of using mental health services, whether self-stigma ratings differed according to the wording used to describe an interaction and the type of service provider. It also explored the service conditions that may facilitate initial access to preventive mental health support. Methods: An online survey was conducted with 349 workers in Japan. Participants reported their usual sources of consultation,… More >

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    ARTICLE

    Physical Activity, Sleep Quality, Psychological Resilience, and Mental Health among Junior High School Students: Key Factor Identification and Latent Profile Analysis

    Baole Tao*, Zhenwu Li, Hao Chen, Tianci Lu, Hanwen Chen, Jun Yan
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.083886 - 22 September 2026
    (This article belongs to the Special Issue: Physical Activity and Structured Exercise Programs as Tools for Mental Health Promotion)
    Abstract Background: Physical activity, sleep quality, and psychological resilience are closely associated with the mental health of junior high school students. However, the relative contributions of these factors and their combined patterns in this population remain insufficiently understood. Methods: A total of 2018 junior high school students completed the Physical Activity Questionnaire for Adolescents, the Pittsburgh Sleep Quality Index, the Adolescent Psychological Resilience Scale, and the Mental Health Scale for Secondary School Students. Pearson correlation analysis, multiple linear regression, random forest analysis, network analysis, and latent profile analysis were conducted. Results: Mental health was positively associated with physical… More >

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    Parental Achievement Pressure and Emotional and Behavioral Problems in Adolescents: The Mediating Role of Adolescent-Parent Conflict and Adolescent Distress

    Mehmet Akif Kay1, Cihangir Kaçmaz2,*, Yunus Tunç3, Mehmet Emin Çay4, Osman Tayyar Çelik4
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.085990 - 22 September 2026
    Abstract Background: Excessive pressure from parents to achieve academically has been acknowledged as a substantial risk factor associated with adolescents’ psychological adjustment. However, the mechanisms through which parental achievement pressure contributes to adolescents’ emotional and behavioral problems remain insufficiently understood. This study examined the relationship between parental achievement pressure and emotional and behavioral problems in adolescents, with parent–adolescent conflict and adolescent distress as sequential mediators. Methods: A total of 676 adolescents aged 12–15 years from the Batman province of Türkiye participated in the study. Data were collected using the Parental Achievement Pressure Scale, the Adolescent–Parent Conflict Scale,… More >

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    ARTICLE

    Workplace Friendship and Burnout among Kindergarten Teachers in China: The Mediating Role of Job Satisfaction and the Moderating Role of Relative Deprivation

    Zhiheng Xiong1,#, Pingting Lin2,#, Guomin Li3, Xiangzhen Ma1,*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.086465 - 22 September 2026
    (This article belongs to the Special Issue: Teachers under Pressure: Unpacking the Relationship Between Well-being, Mental Health, Work Environment and Professional Fulfilment)
    Abstract Background: Kindergarten teachers are particularly vulnerable to burnout because their work involves substantial emotional and caregiving demands, which may be associated with teaching quality and children’s development. Using a sample of kindergarten teachers in China, this study tested a moderated mediation model to examine how workplace friendship, job satisfaction, and relative deprivation were associated with kindergarten teachers’ burnout. Methods: Using a cross-sectional self-report design, 344 kindergarten teachers from Jiangsu Province, mainland China, completed measures of workplace friendship, relative deprivation, job satisfaction, and burnout. Descriptive statistics, Pearson correlation analyses, mediation analysis, and moderated mediation analyses were conducted… More >

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    University Students’ Perceptions of Curriculum-Based Meditation for Mental Health Promotion: A Q Methodology Study

    Yeon Ju Lee, Song Yi Lee*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.082997 - 22 September 2026
    (This article belongs to the Special Issue: Mental Health Promotion in Higher Education: Interventions and Strategies for the Psychological Well-being of Teachers and Students)
    Abstract Background: Mental health issues among university students are rising, leading to increased interest in curriculum-based meditation courses as an educational strategy in higher education. This study aims to identify university students’ subjective perception types regarding a formal curriculum-based meditation course and to describe the characteristics of each type. Methods: This study used Q methodology to explore university students’ subjective perceptions of meditation courses in the formal curriculum for mental health promotion. We recruited 46 students from Dongguk University in Seoul who completed a meditation course and asked them to participate in a Q-sorting process using 32… More >

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    ARTICLE

    Longitudinal Relationship between Emotional Disorder and Non-Suicidal Self-Injury in Chinese University Students: A Random Intercept Cross-Lagged Panel Model

    Xin Xu1, Shaobo Liang2,3,*
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.082789 - 22 September 2026
    Abstract Objectives: Whether emotional disorder (ED) and non-suicidal self-injury (NSSI) influence each other over time remains underexplored, particularly at the within-person level. This study examined the reciprocal longitudinal associations between ED and NSSI among mainland Chinese university students. Methods: Three-wave panel data were collected at six-month intervals from 574 Chinese university students at Wave 1 (51.22% female; mean age = 22.58 years, SD = 2.89). ED was assessed using the Multidimensional Emotional Disorder Inventory (MEDI), and NSSI frequency was measured using a validated six-item scale. A Random Intercept Cross-Lagged Panel Model (RI-CLPM) was used to separate stable… More >

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    ARTICLE

    The Effect of a Psychiatric Nurse–Led AI-Based Online Group Guided Self-Help Program on Eating Behaviours and Body Image among Overweight and Obese Women Nurses: A Randomized Controlled Trial

    Gülsüm Zekiye Tuncer1,*, Zekiye Çetinkaya Duman1, Metin Tuncer2
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.081472 - 22 September 2026
    (This article belongs to the Special Issue: The Use of Generative AI (Chatbots) in Relation to Mental Health and Well-Being)
    Abstract Aim: This study aimed to evaluate the effectiveness of a psychiatric nurse–led, AI-supported online group guided self-help programme on eating behaviours, body image, and body mass index (BMI) among overweight and obese women nurses. Method: A randomised controlled experimental design with pre-test, post-test, and three-month follow-up assessments was employed. Forty-four overweight and obese women nurses were randomly assigned to intervention (n = 22) and control (n = 22) groups. The intervention consisted of an 8-week online group guided self-help programme supported by a large language model (LLM), under the leadership of a psychiatric nurse. Participants did… More >

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    ARTICLE

    Who Exceeds Support Matters: A Moderated Mediation Analysis of Support Gaps and Psychological Distress among International Students in China

    Yang Liu1, Danni Liao2,*, Alexander S. English3
    International Journal of Mental Health Promotion, Vol.28, No.9, 2026, DOI:10.32604/ijmhp.2026.083903 - 22 September 2026
    Abstract Background: While previous research has highlighted the pivotal role of sufficient social support in reducing psychological distress among international students, it has largely overlooked the discrepancy between the support they receive and the support they desire. Drawing on the support gaps framework, this study aims to examine international students’ experiences in China and the indirect effect of support gaps on their psychological distress, considering the types and sources of support. Methods: The participants in this study were international students in China (N = 232), aged 18 to 40 years at the time of data collection, and were… More >

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