{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T13:30:05Z","timestamp":1793539805700,"version":"4.5.0"},"reference-count":56,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T00:00:00Z","timestamp":1743120000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>There has been relevant research on the effectiveness of craft creation practices (CCP) on the mental health of university students. However, little is known about the potential mechanisms affecting the network structure of mental health under the dual-factor model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study employs moderated network analysis methods (MNM) to explore the reorganization of connections between various mental health indicators after craft creation practices. The study involved 353 university students from Anhui Province, who were randomly assigned to an intervention group (<jats:italic>n<\/jats:italic>\u202f=\u202f185) or a control group (<jats:italic>n<\/jats:italic>\u202f=\u202f229) to participate in an 8-week, 48-h craft creation practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results showed changes in the network structure of different mental health variables after the intervention. Unlike the control group participants, social well-being was negatively correlated with depression and stress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study supports the feasibility of using network approaches to analyze the connections between mental health indicators defined by a two-factor model and the contribution of craft creation practices to altering the complex relationship patterns between positive and negative psychological dimensions.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2025.1502506","type":"journal-article","created":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T05:50:43Z","timestamp":1743141043000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["The impact of craft creation practice on university students\u2019 mental health: a moderated network analysis"],"prefix":"10.3389","volume":"13","author":[{"given":"Xuejie","family":"Jiang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xunzhou","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meihe","family":"Pu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaowen","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,3,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/j.jad.2014.10.054","article-title":"The prevalence and correlates of depression, anxiety, and stress in a sample of college students","volume":"173","author":"Beiter","year":"2015","journal-title":"J Affect Disord"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1080\/03075070500340036","article-title":"\u201cIt was nothing to do with the university, it was just the people\u201d: the role of social support in the first-year experience of higher education","volume":"30","author":"Wilcox","year":"2005","journal-title":"Stud High Educ"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1186\/s12888-018-1736-5","article-title":"Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review","volume":"18","author":"Wang","year":"2018","journal-title":"BMC Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"943","DOI":"10.1037\/dev0000117","article-title":"Age differences in loneliness from late adolescence to oldest old age","volume":"52","author":"Luhmann","year":"2016","journal-title":"Dev Psychol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1477","DOI":"10.3390\/ejihpe13080108","article-title":"University experience during the first two waves of COVID-19: students\u2019 experiences and psychological Wellbeing.European journal of investigation in health","volume":"13","author":"Rosa","year":"2023","journal-title":"Psychol Educ"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"162","DOI":"10.1080\/00221325.2024.2413490","article-title":"The impact of helicopter parenting on emerging adults in higher education: a scoping review of psychological adjustment in university students","volume":"186","author":"Rosa","year":"2024","journal-title":"J Genet Psychol"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/j.jadohealth.2009.08.008","article-title":"Mental health problems and help-seeking behavior among college students","volume":"46","author":"Hunt","year":"2010","journal-title":"J Adolesc Health"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"167","DOI":"10.2202\/1949-6605.1310","article-title":"The mental health needs of today\u2019s college students: challenges and recommendations","volume":"41","author":"Kitzrow","year":"2003","journal-title":"NASPA J"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"482","DOI":"10.1002\/da.20321","article-title":"Depression, desperation, and suicidal ideation in college students: results from the American Foundation for Suicide Prevention College screening project at Emory University","volume":"25","author":"Garlow","year":"2008","journal-title":"Depress Anxiety"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1080\/07448481.2011.608393","article-title":"The relationship of level of positive mental health with current mental disorders in predicting suicidal behavior and academic impairment in college students","volume":"60","author":"Keyes","year":"2012","journal-title":"J Am Coll Heal"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1097\/MLR.0b013e31803bb4c1","article-title":"Help-seeking and access to mental health care in a university student population","volume":"45","author":"Eisenberg","year":"2007","journal-title":"Med Care"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1007\/s11121-015-0543-1","article-title":"A meta-analysis of universal mental health prevention programs for higher education students","volume":"16","author":"Conley","year":"2015","journal-title":"Prev Sci"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3389\/fpsyt.2022.00789","article-title":"Resilience training for college students: evaluating the impact of the SKY campus happiness program on mental health and well-being","volume":"46","author":"Sepp\u00e4l\u00e4","year":"2022","journal-title":"Front Psych"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"823","DOI":"10.1037\/a0016909","article-title":"The effectiveness of counseling on the mental health of university students: a meta-analysis","volume":"135","author":"Lee","year":"2009","journal-title":"J Couns Psychol"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"213","DOI":"10.1037\/a0014465","article-title":"New data on the nature of suicidal crises in college students: shifting the paradigm","volume":"40","author":"Drum","year":"2009","journal-title":"Prof Psychol Res Pract"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1016\/j.aip.2012.03.006","article-title":"Art therapy after stroke: evidence and a need for further research","volume":"39","author":"Reynolds","year":"2012","journal-title":"Arts Psychother"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"217","DOI":"10.3109\/11038128.2012.725182","article-title":"The meaning of craft: craft makers\u2019 descriptions of craft as an occupation","volume":"20","author":"P\u00f6ll\u00e4nen","year":"2013","journal-title":"Scand J Occup Ther"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1037\/0003-066X.55.1.5","article-title":"Positive psychology: an introduction","volume":"55","author":"Seligman","year":"2000","journal-title":"Am Psychol"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1016\/j.cpr.2010.06.003","article-title":"Positive clinical psychology: a new vision and strategy for integrated research and practice","volume":"30","author":"Wood","year":"2010","journal-title":"Clin Psychol Rev"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"207","DOI":"10.2307\/3090197","article-title":"The mental health continuum: from languishing to flourishing in life","volume":"43","author":"Keyes","year":"2002","journal-title":"J Health Soc Behav"},{"key":"ref21","volume-title":"Flow: The psychology of optimal experience","author":"Csikszentmihalyi","year":"1990"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"254","DOI":"10.2105\/AJPH.2008.156497","article-title":"The connection between art, healing, and public health: a review of current literature","volume":"100","author":"Stuckey","year":"2010","journal-title":"Am J Public Health"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1037\/0003-066X.55.1.68","article-title":"Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being","volume":"55","author":"Ryan","year":"2000","journal-title":"Am Psychol"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"739","DOI":"10.3389\/fpsyg.2019.00739","article-title":"Art and psychological well-being: linking the brain to the aesthetic emotion","volume":"10","author":"Mastandrea","year":"2019","journal-title":"Front Psychol"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"229","DOI":"10.1080\/00222216.2020.1737508","article-title":"The impact of crafts on well-being: an integrative review","volume":"52","author":"P\u00f6ll\u00e4nen","year":"2020","journal-title":"J Leis Res"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1108\/JPMH-04-2020-0032","article-title":"Crafting and mental health: a systematic review of the literature","volume":"20","author":"Bell","year":"2021","journal-title":"J Public Ment Health"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/j.jad.2019.04.066","article-title":"The effectiveness of crafting on reducing symptoms of depression and anxiety: a meta-analysis","volume":"252","author":"Collie","year":"2019","journal-title":"J Affect Disord"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"241","DOI":"10.1080\/11038128.2019.1577244","article-title":"The role of craft in reducing stress and enhancing well-being: a review of recent literature","volume":"27","author":"P\u00f6ll\u00e4nen","year":"2020","journal-title":"Scand J Occup Ther"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"195","DOI":"10.3758\/s13428-017-0862-1","article-title":"Estimating psychological networks and their accuracy: a tutorial paper","volume":"50","author":"Epskamp","year":"2018","journal-title":"Behav Res Methods"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1016\/j.jrp.2019.01.003","article-title":"State of the aRt personality research: a tutorial on network analysis of personality data in R","volume":"79","author":"Costantini","year":"2019","journal-title":"J Res Pers"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1146\/annurev-clinpsy-032511-143142","article-title":"Network analysis: an integrative approach to the structure of psychopathology","volume":"8","author":"Cramer","year":"2012","journal-title":"Annu Rev Clin Psychol"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1604072","DOI":"10.3389\/ijph.2021.1604072","article-title":"The long-term effectiveness of interventions addressing mental health literacy and stigma of mental illness in children and adolescents: systematic review and Meta-analysis","volume":"66","author":"Fre\u0163ian","year":"2021","journal-title":"Int J Public Health"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1037\/pas0001067","article-title":"A psychometric study of the emotional availability scales: construct validity and measurement invariance between depressed and nondepressed mother\u2013infant dyads","volume":"34","author":"Aran","year":"2022","journal-title":"Psychol Assess"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"322","DOI":"10.12182\/20230360206","article-title":"Randomized controlled study on the improvement of community Residents\u2019 mental health literacy through online popular science program","volume":"54","author":"Gu","year":"2023","journal-title":"Sichuan Da Xue Xue Bao"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1080\/07421656.2013.787211","article-title":"Art therapy and flow: a review of the literature and applications","volume":"30","author":"Chilton","year":"2013","journal-title":"Art Ther"},{"key":"ref36","doi-asserted-by":"publisher","first-page":"388","DOI":"10.3969\/j.issn.1000-6729.2012.05.015","article-title":"Reliability and validity of the mental health continuum short form in adults","volume":"26","author":"Keli","year":"2012","journal-title":"Chin Ment Health J"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"443","DOI":"10.16128\/j.cnki.1005-3611.2010.04.020","article-title":"Psychometric properties of the Chinese versions of DASS-21 in Chinese college students","volume":"18","author":"Xu","year":"2010","journal-title":"Chinese J Clin Psychol"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18637\/jss.v093.i08","article-title":"Mgm: estimating time-varying mixed graphical models in high-dimensional data","volume":"93","author":"Haslbeck","year":"2020","journal-title":"J Stat Softw"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1007\/s11031-008-9102-4","article-title":"Flow performance and moderators of challenge-skill balance","volume":"32","author":"Engeser","year":"2008","journal-title":"Motiv Emot"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1037\/0022-3514.56.3.218","article-title":"Motivation and creativity: effects of motivational orientation on creative writers","volume":"56","author":"Csikszentmihalyi","year":"2019","journal-title":"J Pers Soc Psychol"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"887","DOI":"10.1111\/joop.12317","article-title":"Challenge\/skill balance, flow, and performance anxiety","volume":"93","author":"Fullagar","year":"2020","journal-title":"J Occup Organ Psychol"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1037\/0003-066X.56.3.218","article-title":"The role of positive emotions in positive psychology: the broaden-and-build theory of positive emotions","volume":"56","author":"Fredrickson","year":"2001","journal-title":"Am Psychol"},{"key":"ref43","doi-asserted-by":"publisher","first-page":"1551","DOI":"10.1001\/jama.300.13.1551","article-title":"Effectiveness of long-term psychodynamic psychotherapy: a meta-analysis","volume":"300","author":"Leichsenring","year":"2008","journal-title":"JAMA"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1080\/07421656.2013.757513","article-title":"Positive art therapy: linking positive psychology to art therapy theory, practice, and research","volume":"30","author":"Wilkinson","year":"2013","journal-title":"Art Ther"},{"key":"ref45","doi-asserted-by":"publisher","first-page":"1685","DOI":"10.1001\/jama.298.14.1685","article-title":"Psychological stress and disease","volume":"298","author":"Cohen","year":"2007","journal-title":"JAMA"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"e1000316","DOI":"10.1371\/journal.pmed.1000316","article-title":"Social relationships and mortality risk: a meta-analytic review","volume":"7","author":"Holt-Lunstad","year":"2010","journal-title":"PLoS Med"},{"key":"ref47","volume-title":"Mindfulness-based treatment approaches: A clinician\u2019s guide to evidence base and applications","author":"Baer","year":"2020"},{"key":"ref48","volume-title":"Mindfulness for beginners: Reclaiming the present moment\u2014And your life","author":"Kabat-Zinn","year":"2019"},{"key":"ref49","first-page":"456","article-title":"Flow and mental health: exploring the mediating effects of self-efficacy in creative practices","volume":"12","author":"Johnson","year":"2021","journal-title":"Mental Health Well-Being J"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"210","DOI":"10.4037\/aacnacc2020619","article-title":"Emotional regulation through creative arts: the impact of crafting on psychological resilience","volume":"28","author":"Lee","year":"2022","journal-title":"J Ment Health Res"},{"key":"ref51","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1007\/s44202-025-00323-w","article-title":"The mediating role of flow experiences in the relationship between academic procrastination and academic life satisfaction among undergraduate students","volume":"5","author":"\u00d6ztekin","year":"2025","journal-title":"Discov Psychol"},{"key":"ref52","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1111\/j.1756-2589.2009.00026.x","article-title":"Uses and misuses of Bronfenbrenner\u2019s bioecological theory of human development","volume":"1","author":"Tudge","year":"2009","journal-title":"J Fam Theory Rev"},{"key":"ref53","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1111\/sode.12018","article-title":"Nested or networked? Future directions for ecological systems theory","volume":"22","author":"Neal","year":"2013","journal-title":"Soc Dev"},{"key":"ref54","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1037\/a0018289","article-title":"The moderating effects of performance ambiguity on the relationship between self-efficacy and performance","volume":"95","author":"Vancouver","year":"2006","journal-title":"J Appl Psychol"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1057\/s41285-018-0065-6","article-title":"Different uses of Bronfenbrenner\u2019s ecological theory in public mental health research: what is their value for guiding public mental health policy and practice?","volume":"16","author":"Eriksson","year":"2018","journal-title":"Soc Theory Health"},{"key":"ref56","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1037\/1931-3896.1.2.80","article-title":"Integrating art historical, psychological, and neuroscientific explanations of artists\u2019 advantages in drawing and perception","volume":"1","author":"Kozbelt","year":"2007","journal-title":"Psychol Aesthet Creat Arts"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1502506\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,28]],"date-time":"2025-03-28T05:51:11Z","timestamp":1743141071000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2025.1502506\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,28]]},"references-count":56,"alternative-id":["10.3389\/fpubh.2025.1502506"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2025.1502506","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,28]]},"article-number":"1502506"}}