Su Li¹, Nooreen Noordin², Dan Wang^3,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1797-1812, 2025, DOI:10.32604/ijmhp.2025.072301 - 28 November 2025

Abstract Background: Communication barriers are a critical yet underexplored determinant of psychological well-being in oncology care, particularly among rural Chinese patients treated in urban hospitals. This study examined how Mandarin proficiency influences emotional distress and identified implications for mental health promotion. Methods: A sequential mixed-methods design was adopted. Quantitative data were collected from 180 rural cancer patients using the Putonghua Proficiency Test (PSC), the Hospital Anxiety and Depression Scale (HADS), and the Distress Thermometer (DT). Multiple linear regressions estimated covariate-adjusted associations between Mandarin proficiency and distress outcomes, controlling for demographic and clinical factors. Semi-structured interviews with 20… More >

Yezi Zeng^1,*, Yufei Cong²

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1663-1679, 2025, DOI:10.32604/ijmhp.2025.072125 - 28 November 2025

Abstract Background: Academic stress is a critical factor influencing university students’ well-being. However, research has shown that stress is not a unidimensional construct; different types of stressors (challenge vs. hindrance) may lead to distinct outcomes. This study constructed a structural equation model (SEM) to examine the relationships between challenge and hindrance academic stressors and students’ well-being, as well as the mediating mechanisms. Methods: Data were collected from 836 undergraduates at six universities in China (58.4% female, 41.6% male; Mean age = 20.47 ± 1.46 years). Descriptive statistics, Pearson correlations, and SEM with 5000 bootstrap resamples were conducted… More >

Gwang-Soo Oh^1,#, Je-Seong Lee^2,#, Myeong-Hun Bae^3,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1729-1745, 2025, DOI:10.32604/ijmhp.2025.071944 - 28 November 2025

Abstract Background: With the rapid growth of digital learning environments, esports has emerged as a popular form of school-based activity that promotes teamwork, motivation, and engagement. However, limited research has examined how participation in esports relates to students’ psychological and academic development. To address this gap, the present study identified structural relationships between perceived psychological well-being, social support, academic engagement, and school-life satisfaction among students participating in school-based esports activities. Methods: We surveyed 588 students who competed in on-campus esports tournaments across 15 secondary schools in Gwangju Metropolitan City, South Korea. Psychological well-being, social support, academic engagement,… More >

Istvan Berkes^1,*, Bettina Piko^2,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1627-1643, 2025, DOI:10.32604/ijmhp.2025.071931 - 28 November 2025

Abstract Objectives: Parentification, a role reversal where children assume age-inappropriate duties in the family, is a significant childhood adversity often linked to disrupted developmental trajectories and poor mental health outcomes. Yet the complexity of parentification, influenced by various contextual factors, obscures a comprehensive understanding of its psychological consequences and its mental health aspects. The paper aims to map up-to-date research, synthesize key findings, and identify critical knowledge gaps. Methods: To that end, a systematic search was performed in Scopus, PsycINFO, PubMed, and EBSCO databases, and data was extracted and reviewed by two reviewers. The search yielded 29… More >

Yen-Chun Wang¹, Kamolthip Ruckwongpatr², Amornthep Jankaew³, Apiradee Pimsen⁴, Chirawat Paratthakonkun⁵, I-Hua Chen⁶, Jung-Sheng Chen⁷, Hsin-Chi Tsai^8,9,*, Nadia Bevan¹⁰, Chung-Ying Lin^1,11,12,13,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1645-1661, 2025, DOI:10.32604/ijmhp.2025.071081 - 28 November 2025

Abstract Background: Weight stigma is prevalent and has multiple sources, which have significant effects on individual, social, physical, and psychological health. This study evaluated the psychometric properties of the Thai version of WeSEI to provide a valid tool to assess weight stigma in Thai young adults. Methods: A cross-sectional online survey recruited 517 Thai university students from October 2024 to May 2025. All participants completed demographic information and standardized self-reported instruments, including WeSEI, Depression, Anxiety, and Stress scale 21 (DASS-21), Weight Self-Stigma Questionnaire (WSSQ), and Perceived Weight Stigma Scale (PWSS). The psychometric properties of the Thai version… More >

Hyein Jeong¹, Soobin Jang², Bo-Hyoung Jang¹, Chunhoo Cheon¹, Taek Gyu Kim³, Chan Ho Ju³, Hwimun Kim⁴, Su Yong Shin⁵, Kyeong Han Kim^6,*, Seong-Gyu Ko^1,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1695-1708, 2025, DOI:10.32604/ijmhp.2025.071014 - 28 November 2025

Abstract Objectives: This study aimed to evaluate the clinical effectiveness, durability, and acceptability of a Korean medicine-based online mental health self-care program for mothers. Methods: This non-randomized comparative study evaluated the clinical effectiveness, durability, and acceptability of a Korean medicine-based online mental health self-care program for mothers. Group 1 (regular version) included 120 participants who attended one live session per week for 5 weeks, while Group 2 (shortened version) included 30 participants who completed five recorded sessions within 1 week. A total of 112 participants (93.3%) in Group 1 and all 30 participants (100%) in Group 2… More >

Hua Pang^*, Xiaoyi Jin

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1709-1728, 2025, DOI:10.32604/ijmhp.2025.070803 - 28 November 2025

Abstract Background: Live streaming has become a globally prevalent form of digital entertainment, particularly among young audiences, fostering new modes of online engagement through real-time interaction. However, excessive use may lead to addictive behaviors in certain users. Current research on live-streaming addiction remains limited, with prior studies focusing primarily on socio-psychological drivers rather than the role of technological affordances. To address this gap, this study develops a conceptual model based on socio-technical systems and attachment theory to investigate how emotional and functional attachment mediate the relationship between platform features and addictive behavior. Methods: A total of 533… More >

Zhe He¹, Yaning Zhang^2,*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1747-1768, 2025, DOI:10.32604/ijmhp.2025.070491 - 28 November 2025

Abstract Background: Depression represents a significant global mental health burden, particularly among middle-aged and older Chinese with chronic diseases in high-altitude regions, where harsh environmental conditions and limited social support exacerbate mental health disparities. This paper aims to develop an interpretable machine learning prediction framework to identify the key factors of depression in this vulnerable population, thereby proposing targeted intervention measures. Methods: Utilizing data from the China Health and Retirement Longitudinal Study in 2020, this paper screened out and analyzed 2431 samples. Subsequently, Recursive Feature Elimination and Least Absolute Shrinkage and Selection Operator were applied to screen… More >

Wei Zhu, Yan Song, Di Chen, Huimin Chen, Dingding Zhang, Lu Chen^*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1681-1694, 2025, DOI:10.32604/ijmhp.2025.070461 - 28 November 2025

Abstract Objectives: Fear of recurrence (FoR) is a common psychological burden in cerebral glioma patients. Spousal emotional support and self-disclosure may help mitigate FoR, yet their roles in this population are unclear. This study aimed to explore the association between FoR, spousal emotional support, and self-disclosure in patients with cerebral glioma. Methods: Patients with cerebral glioma were assessed using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), Perceived Social Support Scale (PSSS), Distress Disclosure Index (DDI), and Acceptance and Action Questionnaire (AAQ). Pearson correlation analysis was conducted to examine the relationships among the scale scores, while multiple linear… More >

Yuchao Pan^*

International Journal of Mental Health Promotion, Vol.27, No.11, pp. 1769-1780, 2025, DOI:10.32604/ijmhp.2025.070147 - 28 November 2025

Abstract Objectives: While organizations are increasingly adopting artificial intelligence (AI), its effects on employees’ well-being remain poorly understood. Drawing on social cognitive theory, this study aimed to examine the underlying mechanism through which organizational AI adoption influences employees’ well-being. Methods: A two-wave time-lagged research design was conducted with 262 Chinese employees employing a voluntary and anonymous survey. The survey included measures of organizational AI adoption, AI use anxiety, job insecurity, subjective well-being, and psychological well-being. The data were analyzed using SPSS 26.0 software and macro PROCESS. Results: The moderation analysis revealed that AI use anxiety moderated the association… More >