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  • Open Access

    ARTICLE

    Communication Barriers, Emotional Distress and Mental Health Promotion in Cancer Care: Insights from Rural China

    Su Li1, Nooreen Noordin2, Dan Wang3,*

    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 >

  • Open Access

    ARTICLE

    TRANSHEALTH: A Transformer-BDI Hybrid Framework for Real-Time Psychological Distress Detection in Ambient Healthcare

    Parul Dubey1,*, Pushkar Dubey2, Mohammed Zakariah3,4,*, Abdulaziz S. Almazyad4, Deema Mohammed Alsekait5

    CMC-Computers, Materials & Continua, Vol.85, No.2, pp. 3897-3919, 2025, DOI:10.32604/cmc.2025.066882 - 23 September 2025

    Abstract Psychological distress detection plays a critical role in modern healthcare, especially in ambient environments where continuous monitoring is essential for timely intervention. Advances in sensor technology and artificial intelligence (AI) have enabled the development of systems capable of mental health monitoring using multi-modal data. However, existing models often struggle with contextual adaptation and real-time decision-making in dynamic settings. This paper addresses these challenges by proposing TRANS-HEALTH, a hybrid framework that integrates transformer-based inference with Belief-Desire-Intention (BDI) reasoning for real-time psychological distress detection. The framework utilizes a multimodal dataset containing EEG, GSR, heart rate, and activity… More >

  • Open Access

    ARTICLE

    Reactive Depression Following Psychological Distress among Iraqi Students

    Fuaad Mohammed Freh1,*, Muhand Mohammed Abdulsattar ALNuaimy2, Carol S. North3

    International Journal of Mental Health Promotion, Vol.27, No.8, pp. 1117-1131, 2025, DOI:10.32604/ijmhp.2025.065203 - 29 August 2025

    Abstract Background: The world is now experiencing many crises and adversities of great impact that pose serious threats to both physical and mental health. Threats to mental health include major depressive disorder, which can be severe and disabling. The current study aimed to identify the prevalence of one type of depressive disorder, reactive depression (RD), and its relationship to demographic and psychological variables. Methods: For this study, RD is defined as an abnormal emotional response to traumatic situations involving mood difficulties. This study created an online self-report reactive depression questionnaire consisting of 23 items distributed across… More >

  • Open Access

    ARTICLE

    Association between Mental Distress and Weight-Related Self-Stigma via Problematic Social Media and Smartphone Use among Malaysian University Students: An Application of the Interaction of Person-Affect-Cognition- Execution (I-PACE) Model

    Wan Ying Gan1,#,*, Wei-Leng Chin2,3,#, Shih-Wei Huang4,5, Serene En Hui Tung6, Ling Jun Lee1, Wai Chuen Poon7, Yan Li Siaw8, Kerry S. O’Brien9, Iqbal Pramukti10, Kamolthip Ruckwongpatr11, Jung-Sheng Chen12, Mark D. Griffiths13, Chung-Ying Lin10,11,14,15,*

    International Journal of Mental Health Promotion, Vol.27, No.3, pp. 319-331, 2025, DOI:10.32604/ijmhp.2025.060049 - 31 March 2025

    Abstract Background: Weight-related self-stigma (WRSS) is prevalent among individuals with different types of weight status and is associated with a range of negative health outcomes. Social support and coping models explain how individuals may use different coping methods to deal with their mental health needs. Psychological distress (e.g., depression and stress) could lead to overuse of social media and smartphones. When using social media or smartphones, individuals are likely to be exposed to negative comments regarding weight/shape/size posted on the social media. Consequently, individuals who experience problematic social media use (PSMU) or problematic smartphone use (PSPU)… More >

  • Open Access

    ARTICLE

    Influence of Liriodendrin on NLRP3-Mediated Pyroptosis and Proinflammatory Pathways in Mice Experiencing Acute Respiratory Distress Syndrome Induced by Lipopolysaccharide

    Kuo-Yang Huang1, Sheng-Chien Lin2,3, Chun-Hung Su4,5,6, Sheng-Wen Wu4,7, Ching-Chi Tseng8,9, Wei-Chin Hung10, Shih-Pin Chen4,5, Yu-Hsiang Kuan2,3,*

    BIOCELL, Vol.49, No.2, pp. 315-334, 2025, DOI:10.32604/biocell.2025.061073 - 28 February 2025

    Abstract ABSTRACT: Background: Acute respiratory distress syndrome (ARDS) is the major therapeutic dilemma associated with significant inflammation and severe pulmonary dysfunction. Liriodendrin is a bioactive compound extract from traditional Chinese medicine, historically utilized for modulating inflammatory responses and alleviating symptoms in multiple disease models. Methods: At present, BALB/c mice were used to explore the effects of liriodendrin on lipopolysaccharide (LPS)-induced ARDS. Before LPS was administered, the mice were treated with either liriodendrin or dexamethasone. Leukocyte infiltration, lung edema, and alveolar-capillary barrier integrity were evaluated in the bronchoalveolar lavage fluid (BALF) and pulmonary parenchyma. The expression of adhesion… More >

  • Open Access

    CASE REPORT

    Case Report: Prominent Coronary Artery Flow in Fetuses with Congenital Heart Disease, Is It a Marker of In Utero Distress?

    Mohamed Aashiq Abdul Ghayum1,*, Maria Kiaffas1,2, Ashley Warta1, Melanie Kathol1, David C. Mundy2, Kelsey Brattrud1, Nitin Madan1,2

    Congenital Heart Disease, Vol.19, No.6, pp. 647-651, 2024, DOI:10.32604/chd.2025.058271 - 27 January 2025

    Abstract Prominent coronary artery (CA) flow observed on a fetal echocardiogram has been associated with fetal growth restriction and myocardial dysfunction. We present two cases with this finding, in the presence of congenital heart disease (CHD) and absence of growth restriction or myocardial dysfunction. Both the cases rapidly progressed to extremis, necessitating emergent delivery. Our cases highlight the importance of recognizing prominent CA flow in fetuses with CHD as a potential marker for in utero distress. More >

  • Open Access

    ARTICLE

    Psychological Distress in the Association between Medical Education Changes and Clinical Learning Worry among Students Receiving Clinical Education during the COVID-19 Pandemic in Taiwan

    Shikha Kukreti1,#, Min-Chi Hsieh2,#, Musheer A. Aljaberi3, Ru-Yi Huang4,5,6, I-Ting Hwang7, Carol Strong2, Jung-Sheng Chen8, Ming-Ta Hsieh9,10,*, Mark D. Griffiths11, Chung-Ying Lin12,13,*, Nai-Ying Ko1

    International Journal of Mental Health Promotion, Vol.26, No.12, pp. 987-996, 2024, DOI:10.32604/ijmhp.2024.057708 - 31 December 2024

    Abstract Background: The COVID-19 pandemic profoundly impacted medical education and caused psychological distress and worry about clinical learning for those who received clinical medical education during this period. Although the acute phase of COVID-19 has now ended, understanding its impact is essential for strengthening medical system preparedness. Therefore, the present study examined the association between changes in medical education and worry about clinical learning, considering the mediating role of psychological distress among participants who received clinical training. Methods: A cross-sectional online survey was conducted with 542 post-graduate year (PGY) doctors and allied health students from the… More >

  • Open Access

    ARTICLE

    Instruments Assessing Problematic Use of the Internet and Their Associations with Psychological Distress among Ghanaian University Students

    Yu-Ting Huang1,#, Daniel Kwasi Ahorsu2,#, Emma Sethina Adjaottor3,*, Frimpong-Manso Addo3, Mark D. Griffiths4, Amir H. Pakpour5, Chung-Ying Lin1,6,7,8,*

    International Journal of Mental Health Promotion, Vol.26, No.11, pp. 875-885, 2024, DOI:10.32604/ijmhp.2024.057049 - 28 November 2024

    Abstract Background: The present study evaluated the psychometric properties of Problematic Internet Use (PIU) instruments and their correlation with psychological distress and time spent on Internet activities among university students in Ghana. Methods: In the present cross-sectional survey design study, 520 participants (35.96% female) were recruited with a mean age of 19.55 years (SD = 1.94) from several university departments (i.e., Behavioral Sciences, Materials Engineering, Nursing and Midwifery, and Biochemistry and Biotechnology) of Kwame Nkrumah University of Science and Technology (KNUST) between 19 July and 04 August, 2023. Participants completed a survey that included the following… More >

  • Open Access

    ARTICLE

    Tendency to Avoid Physical Activity and Sport: Associations with Weight Stigma, and Psychological Distress in a Two-Wave Longitudinal Study

    Saffari Mohsen1,2,#, Yi-Ching Lin3,#, Po-Ching Huang4, Yu-Ting Huang5, Ru-Yi Huang6,7, Chi Hsien Huang8,9,*, Jung-Sheng Chen10, Wai Chuen Poon11, Mark D. Griffiths12, Chung-Ying Lin5,13,14,15,*

    International Journal of Mental Health Promotion, Vol.26, No.8, pp. 633-641, 2024, DOI:10.32604/ijmhp.2024.053432 - 30 August 2024

    Abstract Background: Physical inactivity is a major public health problem worldwide that results in physical and mental health problems. One major issue for physical inactivity is weight stigma (WS), especially perceived WS, which could lead to a tendency to avoid physical activity (PA). To better understand the association between perceived WS and PA, knowledge of the likely mediators in this association such as weight bias internalization (WBI) and psychological distress were investigated in the present study. Methods: Using a two-wave longitudinal study and convenient sampling, 388 Taiwanese participants (55% females; mean age = 29.7 years [SD… More >

  • Open Access

    ARTICLE

    Linking Perceived Risk of Public Health Emergency to Psychological Distress among Chinese College Students: The Chain Mediation Role of Balanced Time Perspective and Negative Coping Styles

    Biru Chang1,*, Shengqiang Zhu2, Qian Xie3,4, Yanghui Dai5

    International Journal of Mental Health Promotion, Vol.26, No.8, pp. 599-610, 2024, DOI:10.32604/ijmhp.2024.050302 - 30 August 2024

    Abstract Background: With public health emergencies (PHE) worldwide increasing, the perceived risk of PHE has been one of the critical factors influencing college students’ psychological distress. However, the mechanisms by which the perceived risk of PHE affects college students’ psychological distress are not clear. The study’s purpose was to investigate the mediation roles of deviation from a balanced time perspective (DBTP) and negative coping styles between the perceived risk of PHE and psychological distress. Methods: A convenience sampling method was used to survey 1054 Chinese college students with self-reporting. Data was collected using the Public Risk… More >

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