AbstractMental fitness is a construct that goes beyond a simple focus on subjective emotional wellbeing to encompass more broadly our ability to think, feel, and act to achieve what we want in our daily lives. The measurement and monitoring of multiple (often interacting) domains is crucial to gain a holistic and complete insight into an individual’s mental fitness.

摘要心理健康是一种结构，它超越了对主观情绪健康的简单关注，更广泛地涵盖了我们在日常生活中思考，感受和行动以实现我们想要的东西的能力。对多个（经常相互作用的）领域的测量和监测对于全面了解个人的心理健康至关重要。

We aimed to demonstrate the capability of a new mobile app to characterise the mental fitness of a general population of Australians and to quantify the interrelationships among different domains of mental fitness. Cross-sectional data were collected from 4901 adults from the general population of Australians engaged in work or education who used a mobile app (Innowell) between September 2021 and November 2022.

我们旨在展示一种新的移动应用程序的能力，以表征澳大利亚普通人群的心理健康状况，并量化心理健康不同领域之间的相互关系。横断面数据是从2021年9月至2022年11月期间使用移动应用程序（Innowell）的4901名从事工作或教育的澳大利亚人中收集的。

Individuals completed a baseline questionnaire comprised of 26 questions across seven domains of mental fitness (i.e., physical activity, sleep and circadian rhythms, nutrition, substance use, daily activities, social connection, psychological distress). Network analysis was applied at both a domain-level (e.g., 7 nodes representing each cluster of items) and an individual item-level (i.e., 26 nodes representing all questionnaire items).

个人完成了一份基线问卷，包括心理健康七个领域的26个问题（即身体活动，睡眠和昼夜节律，营养，物质使用，日常活动，社会联系，心理困扰）。网络分析应用于域级（例如，代表每个项目簇的7个节点）和单个项目级（即代表所有问卷项目的26个节点）。

Only 612 people (12%) were functioning well across all domains. One quarter (n = 1204, 25%) had only one problem domain and most (n = 3085, 63%) had multiple problem domains. The two most problematic domains were physical activity (n = 2631, 54%) and social connection (n = 2151, 44%), followed closely by daily activity (n = 1914, 39%).

只有612人（12%）在所有领域都表现良好。四分之一（n=1204，25%）只有一个问题域，大多数（n=3085，63%）有多个问题域。两个最有问题的领域是体育活动（n=2631，54%）和社会联系（n=2151，44%），其次是日常活动（n=1914，39%）。

At the domain-level, the strongest association emerged between psychological distress and daily activity (r = 0.301). Psychological distress was the most central node in the network (as measured by strength and expected influence), foll.

在领域层面，心理困扰与日常活动之间出现了最强的关联（r=0.301）。心理困扰是网络中最核心的节点（以强度和预期影响衡量），foll。

IntroductionMental health is a fundamental part of our overall health and wellbeing, and it is commonly recognised that there is “no health without mental health”1. This sentiment reflects how mental health is not just isolated to cognitions and emotions (how we think and feel), but instead it connects to many social and biological components of what it means to be human.

引言心理健康是我们整体健康和福祉的基本组成部分，人们普遍认为“没有心理健康就没有健康”1。这种情绪反映了心理健康不仅与认知和情绪（我们的思维和感受）隔离开来，而且与人类意义上的许多社会和生物组成部分联系在一起。

This broad view of mental health encapsulates the related but distinct concepts of mental illness and mental fitness.Mental fitness is a continuum that encompasses personal autonomy alongside social connection and participation. It goes beyond a simple focus on ‘mood’ or subjective emotional wellbeing to encompass more broadly our ability to think, feel, and act to achieve what we want in our daily lives.

这种对心理健康的广泛观点概括了精神疾病和心理健康的相关但不同的概念。心理健康是一个连续体，包括个人自主以及社会联系和参与。它超越了简单地关注“情绪”或主观情绪健康，更广泛地涵盖了我们的思考、感受和行动能力，以实现我们在日常生活中的愿望。

It is not a new concept and many versions of it have been presented over the past few decades which includes concepts of positive psychology, wellbeing, and flourishing2,3. The pursuit of a mental fitness concept largely reflects the need for a construct that is measurable, improvable (like physical fitness), and distinct from mental illness in that it focuses on the positive aspects of human cognition, emotion, and behaviour4.

这不是一个新概念，过去几十年来已经提出了许多版本，其中包括积极心理学，幸福感和繁荣的概念2,3。追求心理健康概念在很大程度上反映了对可测量，可改善（如身体健康）的结构的需求，并且与精神疾病不同，因为它侧重于人类认知，情绪和行为的积极方面4。

By contrast, mental illness (or disorder), which has a distinct focus on distressing experiences and symptoms, has its own continuum of illness stages and severity that have differential risks of progression and recurrence5,6,7.Globally, it is estimated that almost one in three people will experience a mental disorder in their lifetime, and that approximately one in five people have experienced a major disorder within the past 12-months8.

相比之下，精神疾病（或障碍）以痛苦的经历和症状为重点，有其自身的疾病阶段和严重程度的连续性，具有不同的进展和复发风险5,6,7。据估计，全球范围内，近三分之一的人在其一生中会经历精神障碍，大约五分之一的人在过去的12个月内经历过严重的疾病8。

Many people may never experience a mental illness, though all of us will move up and down the related but distinct continuum of mental fitnes.

许多人可能从来没有经历过精神疾病，尽管我们所有人都会在相关但截然不同的心理健康连续体中上下波动。

Data availability

数据可用性

The data presented in this manuscript is available upon reasonable request.

本手稿中提供的数据可根据合理要求提供。

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Download referencesAcknowledgementsThis work was supported by the NHMRC Australia Fellowship (No. 511921 awarded to Prof Hickie). Frank Iorfino was supported by the Bill and Patricia Ritchie Foundation Fellowship and by an NHMRC Emerging Leadership Fellowship (GNT2018157). William Capon was supported by an Australian Government Research Training Program (RTP) Scholarship.

下载参考文献致谢这项工作得到了NHMRC澳大利亚奖学金（授予Hickie教授的第511921号）的支持。Frank Iorfino得到了比尔和帕特里夏·里奇基金会奖学金以及NHMRC新兴领导力奖学金（GNT2018157）的支持。William Capon获得了澳大利亚政府研究培训计划（RTP）奖学金的支持。

Jacob Crouse was supported by an NHMRC Emerging Leadership Fellowship (GNT2008197).Author informationAuthors and AffiliationsBrain and Mind Centre, The University of Sydney, Sydney, AustraliaFrank Iorfino, Mathew Varidel, William Capon, Matthew Richards, Jacob J. Crouse, Haley M. LaMonica, Shin Ho Park, Sarah Piper, Yun Ju Christine Song, Carla Gorban, Elizabeth M.

Jacob Crouse得到了NHMRC新兴领导力奖学金（GNT2008197）的支持。作者信息作者和附属机构悉尼大学蓝与心智中心，悉尼，澳大利亚蓝与心智中心，马修·瓦里德尔，威廉·卡彭，马修·理查兹，雅各布·J·克劳斯，哈利·M·拉莫妮卡，申浩·帕克，莎拉·派珀，云居·克里斯汀·宋，卡拉·戈班，伊丽莎白·M。

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PubMed Google ScholarContributionsF.I., M.V., W.C., and I.B.H. drafted the manuscript. M.V. & M.R. conducted the data analyses. All authors (F.I., M.V., W.C., M.R., J.J.C., H.M.L., S.H.P., S.P., Y.J.C.S., C.G., E.M.S., and I.B.H.) provided valuable interpretations of the data, made significant edits to the manuscript, and approved the final version of the manuscript for submission.Corresponding authorCorrespondence to.

PubMed谷歌学术贡献。一、 ，M.V.，W.C。和I.B.H.起草了手稿。M、 V.＆M.R.进行了数据分析。所有作者（F.I.，M.V.，W.C.，M.R.，J.J.C.，H.M.L.，S.H.P.，S.P.，Y.J.C.S.，C.G.，E.M.S。和I.B.H.）对数据提供了有价值的解释，对稿件进行了重要编辑，并批准了稿件的最终版本以供提交。对应作者对应。

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弗兰克·伊尔菲诺。道德宣言

Competing interests

相互竞争的利益

A/Prof Elizabeth Scott is Principal Research Fellow at the Brain and Mind Centre, The University of Sydney. She is Discipline Leader of Adult Mental Health, School of Medicine, University of Notre Dame, and a Consultant Psychiatrist. She was the Medical Director, Young Adult Mental Health Unit, St Vincent’s Hospital Darlinghurst until January 2021.

伊丽莎白·斯科特教授是悉尼大学大脑与心智中心的首席研究员。她是圣母大学医学院成人心理健康学科的学科带头人，也是一名顾问精神病医生。2021年1月之前，她一直担任达林赫斯特圣文森特医院青年心理健康科的医学主任。

She has received honoraria for educational seminars related to the clinical management of depressive disorders supported by Servier, Janssen and Eli-Lilly pharmaceuticals. She has participated in a national advisory board for the antidepressant compound Pristiq, manufactured by Pfizer. She was the National Coordinator of an antidepressant trial sponsored by Servier.

她获得了Servier，Janssen和Eli Lilly pharmaceuticals支持的与抑郁症临床管理相关的教育研讨会的酬金。她参加了辉瑞公司生产的抗抑郁化合物Pristiq的国家咨询委员会。她是Servier赞助的一项抗抑郁药试验的国家协调员。

Professor Ian Hickie is the Co-Director, Health and Policy at the Brain and Mind Centre (BMC) University of Sydney. The BMC operates an early-intervention youth services at Camperdown under contract to headspace. He is the Chief Scientific Advisor to, and a 3.2% equity shareholder in, InnoWell Pty Ltd.

伊恩·希基教授是悉尼大学大脑与心智中心（BMC）健康与政策联合主任。BMC根据与headspace的合同在Camperdown运营早期干预青少年服务。他是InnoWell Pty Ltd的首席科学顾问和3.2%的股权股东。

InnoWell was formed by the University of Sydney (45% equity) and PwC (Australia; 45% equity) to deliver the $30 M Australian Government-funded Project Synergy (2017-20; a three-year program for the transformation of mental health services) and to lead transformation of mental health services internationally through the use of innovative technologies.All other authors declare no competing interests..

InnoWell由悉尼大学（45%股权）和普华永道（澳大利亚；45%股权）成立，旨在提供3000万美元的澳大利亚政府资助的项目Synergy（2017-20；一项为期三年的精神卫生服务转型计划），并通过使用创新技术引领国际精神卫生服务的转型。所有其他作者声明没有利益冲突。。

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Reprints and permissionsAbout this articleCite this articleIorfino, F., Varidel, M., Capon, W. et al. Quantifying the interrelationships between physical, social, and cognitive-emotional components of mental fitness using digital technology.

转载和许可本文引用本文Iorfino，F.，Varidel，M.，Capon，W。等人。使用数字技术量化心理健康的身体，社会和认知-情绪成分之间的相互关系。

npj Mental Health Res 3, 36 (2024). https://doi.org/10.1038/s44184-024-00078-7Download citationReceived: 06 July 2023Accepted: 08 June 2024Published: 08 July 2024DOI: https://doi.org/10.1038/s44184-024-00078-7Share this articleAnyone you share the following link with will be able to read this content:Get shareable linkSorry, a shareable link is not currently available for this article.Copy to clipboard.

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