Guangdong Zhou^1,2, Qing Zhang¹, Meishuo Yu^3,*

International Journal of Mental Health Promotion, Vol.28, No.4, 2026, DOI:10.32604/ijmhp.2026.076721 - 28 April 2026

Abstract Background: Adolescence is a critical period for mental health development, during which individuals may experience emotional challenges such as anxiety and depression. However, the patterns of how these symptoms develop and change over time in high school students, as well as the factors that influence these patterns, remain unclear. This study aims to identify distinct anxiety-depression symptom profiles and their transitions over time, while examining the roles of gender, subjective well-being, and psychological resilience in shaping these profiles. Methods: Two-wave longitudinal questionnaire data were collected from 913 high school students (57% female) in Shandong Province, China,… More >

Zhenlian Luo, Rongning Luo, Zhenzhu Cao, Huiyue Jiang^*

International Journal of Mental Health Promotion, Vol.28, No.4, 2026, DOI:10.32604/ijmhp.2026.075797 - 28 April 2026

Abstract Background: Experiences of social exclusion can significantly affect individuals’ cognitive and emotional well-being, potentially resulting in maladaptive coping strategies or harmful behaviors. College students are at a critical stage of personal development, exhibiting distinctive psychological and behavioral patterns. Therefore, exploring the underlying mechanisms connecting social exclusion and malevolent creativity among college students is particularly important. This study aims to reveal the relationship between social exclusion and malevolent creative behavior among undergraduates and its potential mechanisms. Methods: This cross-sectional study collected data from 500 undergraduates across three universities in Guangxi via convenience sampling. Participants completed the Ruminative… More >

Juyan Fang¹, Xin Deng¹, Mengting Pan², Guoqiang Chen¹, Yang Liu^1,*

International Journal of Mental Health Promotion, Vol.28, No.4, 2026, DOI:10.32604/ijmhp.2026.073013 - 28 April 2026

Abstract Objectives: Social Media Dependence (SMD) has emerged as a growing public health concern among adolescents. Psychological Maltreatment (PM), characterized by denigration, intimidation, and emotional neglect, is considered an important familial risk factor for adolescents’ emotional and behavioral problems. However, the psychological mechanisms linking PM to adolescent SMD remain insufficiently understood. This study aimed to examine the relationship between PM and SMD and to explore the mediating roles of Difficulty Describing Feelings (DDF), Depression (DP), and Anxiety (AN). Methods: A cross-sectional survey was conducted among 2243 Chinese adolescents. Descriptive statistics, correlation analyses, and mediation analyses were performed… More >

Kai Jing^1,2,#, Jingqun Wang^3,#, Baojuan Ye^3,4,*, Qi Dai⁴, Xian Gong⁵, Guorong Wang²

International Journal of Mental Health Promotion, Vol.28, No.4, 2026, DOI:10.32604/ijmhp.2025.071120 - 28 April 2026

Abstract Objectives: Early adolescence is a key period of ecological and physiological change, during which exposure to accumulating risks from various environmental systems can negatively impact mental health. This study aimed to investigate the potential longitudinal relationships among cumulative risk, depression, and psychache in adolescents. Methods: A three-wave longitudinal study spanning one year was conducted with 675 (47.5% girls; Mean age = 14.13, standard deviation [SD] = 0.45) middle school students. The Random Intercept Cross-Lagged Panel Model (RI-CLPM) was used to explore the dynamic reciprocal relationships among these variables. Results: At the within-individual level, cumulative risk, depression, and… More >

Xu Wang^1,2, Cui-Hong Cao^2,3, Xiao-Ling Liao⁴, Xing-Yong Jiang⁵, Mark D. Griffiths⁶, I-Hua Chen^7,*, Chung-Ying Lin^8,9,*

International Journal of Mental Health Promotion, Vol.28, No.3, 2026, DOI:10.32604/ijmhp.2026.075149 - 31 March 2026

Abstract Background: The recently developed Depression, Anxiety, and Stress Scales–Youth Version (DASS-Y) shows promise as a tool for assessing youth mental health, but its consistency across timepoints and diverse ages remains underexplored. The present study evaluated whether the DASS-Y reliably measured depression, anxiety, and stress among school-aged youth (aged 9–18 years) across distinct time periods and educational stages. Methods: Two studies were conducted. Study 1 examined consistency over three months using data from 736 Central Chinese high school students who completed surveys at both timepoints. Study 2 tested consistency across educational levels among 2321 primary and 1676… More >

Xiaojiao Sun^1,*, Shuge Zhang^2,3,*

International Journal of Mental Health Promotion, Vol.28, No.3, 2026, DOI:10.32604/ijmhp.2026.073845 - 31 March 2026

Abstract Background: Depression is a growing public health concern among Chinese children and adolescents, with substantial healthcare costs. Physical activity (PA) and organized sport are modifiable behaviours protective against depression. This study, therefore, estimated the healthcare costs of depression attributable to insufficient PA and organized sport participation. Methods: A cost-of-illness approach with population attributable fraction (PAF) was applied. Relative risks were derived from longitudinal evidence, prevalence estimates from national Chinese surveys, and depression case numbers from the Global Burden of Disease 2021. Direct healthcare costs were extrapolated from European Union estimates, adjusted to 2024 US dollars (USD),… More >

Mahmut Selçuk^1,*, Fulden Cantaş Türkiş², Fatma Taşkın Koca³, Volkan Dizman⁴, Sevilay Yerlikaya Boz⁴

International Journal of Mental Health Promotion, Vol.28, No.2, 2026, DOI:10.32604/ijmhp.2026.076391 - 27 February 2026

Abstract Background: Self-esteem, life satisfaction, resilience, and coping strategies are closely linked to depression; however, their interrelationships and relative contributions to depressive outcomes remain insufficiently understood. This study aimed to examine these associations in individuals with major depressive disorder (MDD) and healthy controls and to evaluate their predictive and mediating roles in depression. Methods: This analytical cross-sectional study included 311 participants (158 patients with MDD and 153 healthy controls) recruited from the Psychiatry Outpatient Clinics of Mugla Training and Research Hospital. Psychiatric diagnoses were confirmed using the Structured Clinical Interview for DSM-5 (SCID-5). Groups were balanced for… More >

Wen Zhang, Wenying Huang^*, Chang Hu^*

International Journal of Mental Health Promotion, Vol.28, No.2, 2026, DOI:10.32604/ijmhp.2026.073038 - 27 February 2026

Abstract Background: Depression is prevalent among female college students, with eating behavior potentially related to this issue. This study examines the relationship between eating behavior and depression, focusing on the role of social appearance anxiety and physical activity. Methods: We recruited 2161 female college students from nine universities in China via convenience sampling. Data was collected via an online questionnaire. Eating behavior was assessed via the Eating Behavior Scale short form (EBS-SF), depression was measured via the Center for Epidemiological Studies Depression Scale (CES-D), social appearance anxiety was evaluated via the Social Appearance Anxiety Scale, and physical… More >

Jiaojiao He¹, Qing-en Yu², Yuwei Li^3,*, Jian Li¹

International Journal of Mental Health Promotion, Vol.28, No.2, 2026, DOI:10.32604/ijmhp.2025.072905 - 27 February 2026

Abstract Background: Maternal mental health literacy is a cognitive resource that may support preschoolers’ emotional development, yet its influence on emotional regulation and the related mechanisms remains unclear. This study examined whether maternal depressive mood and democratic parenting form a chain pathway linking maternal mental health literacy to preschoolers’ emotional regulation ability. Methods: Mothers of 544 preschoolers in mainland China completed an online questionnaire that assessed maternal mental health literacy, depressive mood, democratic parenting, and child emotional regulation. Structural path analysis was conducted with child age and gender controlled. Indirect effects were tested using 5000 bootstrap samples. Results: More >

Jie Zhang^#,1, Xiaoxu Zhi^1,#, Jiahui Chen², Paerhati Halisa², Lihai Chen^3,*, Minhao Zhang^2,*

International Journal of Mental Health Promotion, Vol.28, No.2, 2026, DOI:10.32604/ijmhp.2025.071717 - 27 February 2026

Abstract Objectives: Although standardized residency trainees are at high risk for depression, anxiety, and suicidal ideation, the psychological pathways connecting depression and anxiety to suicidal ideation, especially the moderating role of resilience, remain elusive. This study aimed to examine the associations between depression, anxiety, and suicidal ideation among physicians undergoing standardized residency training, and to investigate the moderating roles of different dimensions of individual resilience, namely tenacity, strength, and optimism. Methods: A convenience sampling method was adopted to recruit 133 resident physicians. Validated instruments assessing individual resilience, depressive symptoms, anxiety levels, and suicidal ideation were administered. Spearman… More >