<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xml:lang="EN" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" dtd-version="1.3" article-type="discussion">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Hum. Neurosci.</journal-id>
<journal-title-group>
<journal-title>Frontiers in Human Neuroscience</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Hum. Neurosci.</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">1662-5161</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fnhum.2025.1650650</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Opinion</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Mental gravity as a translational framework for mental health promotion</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>Kent</surname> <given-names>Lachlan</given-names></name>
<xref ref-type="aff" rid="aff1"/>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &amp; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x00026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<uri xlink:href="https://loop.frontiersin.org/people/632367"/>
</contrib>
</contrib-group>
<aff id="aff1"><institution>Institute of Health and Wellbeing, Federation University</institution>, <city>Melbourne, VIC</city>, <country country="au">Australia</country></aff>
<author-notes>
<corresp id="c001"><label>&#x0002A;</label>Correspondence: Lachlan Kent, <email xlink:href="mailto:lp.kent@federation.edu.au">lp.kent@federation.edu.au</email></corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2025-11-25">
<day>25</day>
<month>11</month>
<year>2025</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2025</year>
</pub-date>
<volume>19</volume>
<elocation-id>1650650</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>06</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>24</day>
<month>09</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>11</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 Kent.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Kent</copyright-holder>
<license>
<ali:license_ref start_date="2025-11-25">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</license-p>
</license>
</permissions>
<kwd-group>
<kwd>mental gravity</kwd>
<kwd>grounded cognition</kwd>
<kwd>anterior insula</kwd>
<kwd>mental health promotion</kwd>
<kwd>graviceptive imagery</kwd>
<kwd>embodiment</kwd>
<kwd>emotional regulation</kwd>
<kwd>interoception</kwd>
</kwd-group>
<funding-group>
 <funding-statement>The author declares that no financial support was received for the research and/or publication of this article.</funding-statement>
</funding-group>
<counts>
<fig-count count="0"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="59"/>
<page-count count="6"/>
<word-count count="4539"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Cognitive Neuroscience</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<label>1</label>
<title>Introduction</title>
<p>In recent years, great progress has been made in understanding gravity&#x00027;s impact on cognition (Ferr&#x000E8; et al., <xref ref-type="bibr" rid="B12">2013</xref>), behavior (<xref ref-type="bibr" rid="B13">Gallagher et al., 2019</xref>), and health (<xref ref-type="bibr" rid="B53">Spiegel, 2022</xref>; <xref ref-type="bibr" rid="B6">Blaber et al., 2010</xref>). Based on over a decade&#x00027;s ongoing research into gravity&#x00027;s role in mental health, it may be possible to translate these scientific advances into applied principles for psychological intervention. I am not advocating for gravity-based clinical interventions as such&#x02014;that would be premature, at best. Instead, I believe there is scope to use gravity-based cognitive science for non-clinical approaches to Mental Health Promotion (MHP).</p>
<p>MHP is a branch of public health and a sub-discipline of health promotion that aims to improve mental health outcomes across populations through empowerment, education, and environmental modification. These interventions complement more individualized, clinical forms of mental healthcare such as psychiatry, counseling, psychotherapy, and psychopharmaceuticals. Rather than focusing on those who are unwell, population-based MHP interventions can take a universal (i.e., everyone), selective (i.e., vulnerable groups), or indicated (i.e., those exhibiting early warning signs) approach to keeping people well (i.e., a preventative approach). Interventions are typically designed to enhance mental health literacy, increase the likelihood of psychological flourishing, and reduce the risk of mental illness (<xref ref-type="bibr" rid="B28">Kent et al., 2025</xref>). Traditional MHP models emphasize cognition, emotion regulation, and social determinants of health&#x02014;all of which are relevant to the cognitive neuroscience of graviception in more or less direct ways, as explained below.</p>
<p>One conceptual framework through which the science could be translated is the novel principle of Mental gravity (MG), which I have proposed as a holistic hypothesis regarding the relation between embodied graviception and mental health (<xref ref-type="bibr" rid="B26">Kent, 2023</xref>, <xref ref-type="bibr" rid="B27">2024</xref>). Based in the cognitive neuroscience of simulated graviceptive mental imagery, the MG framework proposes that internal/emotional states are partly organized and interpreted through embodied experiences derived from humans living, developing, and evolving within a gravitational environment. MG seeks to explain how and why mental states are often described in gravitational terms such as &#x0201C;uplifted,&#x0201D; &#x0201C;grounded,&#x0201D; or &#x0201C;off balance,&#x0201D; and why affect (i.e., feelings, emotions, and moods) is especially gravitational in nature (e.g., being depressed, being on edge, feeling of equilibrium, etc.).</p>
<p>Based on these formalized observations, I believe MG could be used as a conceptual framework to meet the three primary aims of MHP: (1) to enhance mental health literacy through embodied spatial metaphors or <italic>vectors</italic> (e.g., upward/stable states are emotionally preferable to downward/unstable states); (2) to increase levels of mental wellbeing by associating upward/outward emotional vectors with positive mental health outcomes (i.e., flourishing); and (3) to reduce the risk of mental illness by associating balance/stability emotional vectors with psychological coping and resilience (i.e., preventing negative mental health outcomes like anxiety and depression). As such, this opinion piece outlines the background and general principles of a future MHP initiative based in MG theory.</p></sec>
<sec id="s2">
<label>2</label>
<title>Theoretical foundations</title>
<sec>
<label>2.1</label>
<title>Grounded cognition and embodiment</title>
<p>Grounded cognition theories argue that all cognitive phenomena, including amodal forms (i.e., abstract reasoning or numeric and language processing), are grounded in modal simulations of bodily, affective, perceptual, and motor processes (<xref ref-type="bibr" rid="B4">Barsalou, 2008</xref>). This extends embodied cognition to include contextual physical and social factors within which the body is embedded (<xref ref-type="bibr" rid="B47">Pezzulo et al., 2013</xref>). Gravity is one such contextual factor. Spatial orientation, force, and verticality are among the most evolutionarily entrenched dimensions of embodiment and environmental embedding (<xref ref-type="bibr" rid="B51">Shapiro, 2019</xref>). The cognitive linguistics literature shows strong metaphorical preferences for vertical valence: good is &#x0201C;up,&#x0201D; bad is &#x0201C;down&#x0201D;; control is &#x0201C;centered,&#x0201D; disarray is &#x0201C;off balance&#x0201D; (<xref ref-type="bibr" rid="B8">Cian, 2017</xref>; <xref ref-type="bibr" rid="B30">Lakoff and Johnson, 2008</xref>).</p>
<p>Grounded cognition has implications for mental health and wellbeing. For example, negative emotions are felt as bodily heaviness, while positive emotions are felt as lightness (<xref ref-type="bibr" rid="B21">Hartmann et al., 2022</xref>). Furthermore, gravity influences emotion-related physiology such as gut health (e.g., visceral anxiety along the gut-brain axis) and serotonergic neurotransmission (<xref ref-type="bibr" rid="B53">Spiegel, 2022</xref>, <xref ref-type="bibr" rid="B54">2025</xref>). Gravity also influences social and emotional cognition by, for example, contributing to cognitive aspects of selfhood (<xref ref-type="bibr" rid="B11">Ferr&#x000E8; et al., 2014</xref>), bodily awareness (Ferr&#x000E8; et al., <xref ref-type="bibr" rid="B12">2013</xref>), and ego- vs. allocentric perspective-taking (<xref ref-type="bibr" rid="B46">Pavlidou et al., 2018</xref>). To summarize these effects, MG hypothesizes that gravity shapes emotional experience in global, non-specific ways including, importantly, experiences of mental health and ill-health in conditions like depression (i.e., the &#x0201C;fallen&#x0201D; emotional state) and anxiety (i.e., the &#x0201C;falling&#x0201D; emotional state; <xref ref-type="bibr" rid="B27">Kent, 2024</xref>).</p>
<p>Depression serves as the canonical example of MG where people tend to feel down, low, heavy and slow &#x0201C;as though&#x0201D; their mind and body are laboring under an excessive, overwhelming downward pull of gravity (<xref ref-type="bibr" rid="B26">Kent, 2023</xref>). The &#x0201C;as though&#x0201D; is crucial here because it refers to the modal (concrete or bodily) simulations of amodal (abstract or dis-embodied) information referred to above in relation to grounded cognition. The depressed person experiences an abstract emotional state via simulated mental imagery as an embodied &#x0201C;down&#x0201D; vector in socio-emotional space.</p></sec>
<sec>
<label>2.2</label>
<title>Graviception and neural architecture</title>
<p>The anterior insula cortex has been identified as a convergence zone for modal bodily representations of interoception, emotional awareness, and vestibular (graviceptive) information (<xref ref-type="bibr" rid="B20">Gu et al., 2013</xref>; <xref ref-type="bibr" rid="B57">Uddin et al., 2017</xref>). The salience network, in which the anterior insula plays a central role, helps detect and respond to emotionally and physically relevant stimuli by gating this modal information between the central executive network (i.e., externally-oriented information) and default mode network (i.e., self-oriented information; <xref ref-type="bibr" rid="B19">Goulden et al., 2014</xref>; <xref ref-type="bibr" rid="B41">Molnar-Szakacs and Uddin, 2022</xref>).</p>
<p>The anterior insula has been centrally-implicated in the development of common mental health conditions like depression (<xref ref-type="bibr" rid="B37">Manoliu et al., 2014</xref>; <xref ref-type="bibr" rid="B44">Palacek et al., 2025</xref>) and anxiety (<xref ref-type="bibr" rid="B18">Geng et al., 2016</xref>; <xref ref-type="bibr" rid="B34">Li et al., 2023</xref>), as well as less common conditions like schizophrenia (<xref ref-type="bibr" rid="B40">Menon et al., 2023</xref>; <xref ref-type="bibr" rid="B42">Nelson et al., 2014</xref>). The anterior insula and salience network have also been linked to core facets of subjective wellbeing (<xref ref-type="bibr" rid="B33">Lewis et al., 2014</xref>; <xref ref-type="bibr" rid="B29">King, 2019</xref>).</p>
<p>Crucially for MG, in addition to these general functions and sequelae, the anterior insula is also responsible for simulating bodily orientation during imagined, fictive movement (i.e., without sensory feedback), in contrast to the posterior insula cortex which integrates sensory feedback during non-fictive, physical movement (<xref ref-type="bibr" rid="B48">Rousseau et al., 2020</xref>). Given the anterior insula&#x00027;s dual role in simulated graviception and emotional awareness, it represents the cognitively-grounded neural correlate/mechanism underpinning MG via the integration of homeostatic, affective, and spatial inputs (<xref ref-type="bibr" rid="B27">Kent, 2024</xref>).</p></sec>
<sec>
<label>2.3</label>
<title>Mental gravity model</title>
<p>MG further proposes that these gravitational simulations create vectors in mental space&#x02014;or more accurately, cognitive spacetime (<xref ref-type="bibr" rid="B27">Kent, 2024</xref>; <xref ref-type="bibr" rid="B55">Stocker, 2014</xref>). This means that they can apply to abstract social and emotional concepts like the developmental trajectories of selfhood, autobiographical narrative, and value (<xref ref-type="bibr" rid="B27">Kent, 2024</xref>). The anterior insula co-opts these amodal vectors to structure deep interoceptive inference regarding affective/social cognition and representations of homeostatic/allostatic balance (<xref ref-type="bibr" rid="B50">Seth and Friston, 2016</xref>). In other words, the anterior insula maps spatial vectors onto affective information to yield emotional valence:</p>
<list list-type="bullet">
<list-item><p>Inward: positive valence = emotional centredness (i.e., focus, awareness, and containment), negative valence = emotional diffusion (i.e., lack of focus, awareness, or containment).</p></list-item>
<list-item><p>Downward: positive valence = emotional stability (i.e., grounded, calm, and controlled), negative valence = emotional instability (i.e., ungrounded, volatile, or uncontrolled).</p></list-item>
<list-item><p>Upward: positive valence = emotional elevation (i.e., pleasant, enjoyable, and desirable), negative valence = emotional lowness (i.e., unpleasant, unenjoyable, or undesirable).</p></list-item>
<list-item><p>Outward: positive valence = emotional openness (i.e., connected, expressive, and receptive), negative valence = emotional closedness (i.e., disconnected, suppressive, or unaccepting).</p></list-item>
</list>
<p>I propose that these vectors can be translated into practical MHP tools to increase understanding of emotional dynamics (i.e., mental health literacy), increase positive emotionality (i.e., flourishing), and decrease negative emotionality (i.e., distress or mental illness).</p></sec></sec>
<sec id="s3">
<label>3</label>
<title>Mental gravity in health promotion</title>
<p>Spatial vectors are powerful language devices that people use in everyday language and metaphor to understand and communicate their emotional experience (<xref ref-type="bibr" rid="B8">Cian, 2017</xref>; <xref ref-type="bibr" rid="B30">Lakoff and Johnson, 2008</xref>; <xref ref-type="bibr" rid="B55">Stocker, 2014</xref>; <xref ref-type="bibr" rid="B9">Coll-Florit et al., 2021</xref>). Gravitational language can be used formally to communicate key MHP concepts, while also suggesting new ways to frame common health-promoting activities such as physical activity (i.e., upward vectors), grounding exercises (i.e., downward vectors), mindfulness practices (i.e., inward vectors), and pro-social attitudes (i.e., outward vectors).</p>
<p>These practices are well-supported in the intervention literature. Systematic reviews demonstrate that mindfulness meditation enhances interoception and reduces distress (<xref ref-type="bibr" rid="B52">Sharp et al., 2018</xref>), yoga improves self-regulation and resilience (<xref ref-type="bibr" rid="B16">Gard et al., 2014</xref>; <xref ref-type="bibr" rid="B49">Schillings et al., 2021</xref>), and nature immersion is linked to wellbeing gains across large population samples (<xref ref-type="bibr" rid="B58">White et al., 2019</xref>). Posture, gait, and balance training also show measurable preventive effects on depression and anxiety (<xref ref-type="bibr" rid="B7">Canales et al., 2017</xref>; <xref ref-type="bibr" rid="B10">Feldman et al., 2020</xref>).</p>
<p>These interventions are typically evaluated with respect to whether they: (a) increase mental health literacy (i.e., knowledge and attitudes about psychological health and wellbeing); (b) increase the capacity of the individual to experience positive thoughts, feelings and behaviors (i.e., hedonic or eudaimonic wellbeing in the form of positive emotion, life satisfaction, or quality of life); or (c) reduce the likelihood that an individual will experience negative thoughts, feelings and behaviors (i.e., psychological distress, psychosocial impairment, and/or a mental health condition like depression and anxiety).</p>
<p>In terms of the latter two aims of MHP, one of the key intervention targets is emotional regulation (<xref ref-type="bibr" rid="B39">Menefee et al., 2022</xref>), which involves either up-regulating positive emotions to improve wellbeing (<xref ref-type="bibr" rid="B35">Livingstone and Srivastava, 2012</xref>) or down-regulating negative emotions to reduce distress or psychosocial dysfunction, such as in response to trauma (<xref ref-type="bibr" rid="B59">Xion et al., 2013</xref>). Mindfulness improves emotional regulation through initial down-regulatory interventions such as non-judgemental awareness and acceptance of feelings. Nature immersion, on the other hand, can upregulate positive feelings of awe, connection and immersion.</p>
<p>The MG paradigm can interpret these different modes of MHP promotion/up-regulation and prevention/down-regulation as emotional vectors and embodied gravitational states of balance/stability or elevation/lightness. This can, in turn, improve mental health literacy by providing a concrete, physical, and intuitive framework for consumers to understand the mechanics of MHP.</p>
<p>From this perspective, the MG paradigm can support the three pillars of MHP at the individual level of intervention:</p>
<list list-type="bullet">
<list-item><p>Mental health literacy: enhancing understanding of spatial-emotional metaphors, embodied cognition, and cognitive spacetime; linked to improved attitudes toward mental health and earlier intervention (<xref ref-type="bibr" rid="B25">Johnson et al., 2023</xref>).</p></list-item>
<list-item><p>Promotion of mental wellbeing: using upward and outward simulation vectors to evoke positive emotions, self-efficacy, and exploration of physical and social environments; linked to states of flourishing as opposed to languishing (<xref ref-type="bibr" rid="B24">Iasiello et al., 2024</xref>).</p></list-item>
<list-item><p>Prevention of mental ill-health: using downward and inward simulation vectors to promote emotional stability and psychophysiological (autonomic) balance; linked with reduced incidence of mental health conditions such as anxiety and depression (<xref ref-type="bibr" rid="B15">Garc&#x000ED;a-Campayo et al., 2015</xref>; <xref ref-type="bibr" rid="B5">Bell&#x000F3;n et al., 2015</xref>).</p></list-item>
</list>
<p>Prevention in mental health occurs at many levels from individual to dyads to family units, and from educational and occupational environments to wider spheres of community and society. Addressing social determinants is imperative but crucial individual- and family-level interventions typically aim to increasing resilience to adversity, trauma and other stressors through improved social and emotional competence (<xref ref-type="bibr" rid="B1">Arango et al., 2018</xref>). Using concrete, embodied concepts of emotion&#x00027;s physical characteristics can aid competence through understanding, especially for young children (<xref ref-type="bibr" rid="B22">Hoemann et al., 2019</xref>) who stand to benefit from targeted mental health literacy interventions (<xref ref-type="bibr" rid="B56">Tully et al., 2019</xref>).</p>
<p>These aims can be achieved through psychological and educational programs designed to improve self-care, create sustained individual behavior change, and increase resilience through stress management. Interventions could be applied to general audiences and target populations as needed, including youth and even young children given the intuitive nature of emotional vectors/metaphors. Some example interventions are detailed below.</p>
<sec>
<label>3.1</label>
<title>Graviceptive imagery practices</title>
<p>A MG-MHP protocol can include specific practices to target graviceptive simulation:</p>
<list list-type="bullet">
<list-item><p>Mindfulness meditation: often seated and still, reinforces inward focus; shown to activate anterior insula and enhance interoception (<xref ref-type="bibr" rid="B52">Sharp et al., 2018</xref>).</p></list-item>
<list-item><p>Floatation therapy: induces buoyancy and simulated weightlessness; linked to interoceptive awareness (<xref ref-type="bibr" rid="B45">Pantazis and Wittmann, 2025</xref>) and reduced symptoms of depression and anxiety (<xref ref-type="bibr" rid="B17">Garland et al., 2024</xref>).</p></list-item>
<list-item><p>Vertical gaze exercises: engage upward simulation to support emotional positivity; linked to vestibular alignment (<xref ref-type="bibr" rid="B38">Meldrum and Jahn, 2019</xref>), aesthetic appreciation (<xref ref-type="bibr" rid="B14">Gallagher and Ferr&#x000E8;, 2018</xref>), and depression (<xref ref-type="bibr" rid="B36">Ma&#x00144;kowska et al., 2020</xref>).</p></list-item>
</list></sec>
<sec>
<label>3.2</label>
<title>Environmental engagement practices</title>
<p>A MG-MHP protocol includes specific practices targeting more active engagement with the gravitational environment:</p>
<list list-type="bullet">
<list-item><p>Nature immersion: wide horizons and natural terrain support openness, awe, and subjective wellbeing (<xref ref-type="bibr" rid="B58">White et al., 2019</xref>).</p></list-item>
<list-item><p>Movement routines: walking, yoga, and slow movement practices reinforce gravitational interaction; linked to interoceptive accuracy, self-regulation and psychological health (<xref ref-type="bibr" rid="B16">Gard et al., 2014</xref>; <xref ref-type="bibr" rid="B49">Schillings et al., 2021</xref>).</p></list-item>
<list-item><p>Gait, posture and balance exercises: physical activity to improve core, spinal, and whole-body alignment through dynamic postural control; linked to symptoms of depression and anxiety (<xref ref-type="bibr" rid="B7">Canales et al., 2017</xref>; <xref ref-type="bibr" rid="B10">Feldman et al., 2020</xref>).</p></list-item>
</list></sec>
<sec>
<label>3.3</label>
<title>Biopsychosocial practices</title>
<p>Other interventions could be designed to target physical and social health as indirect pathways to psychological wellbeing.</p>
<list list-type="bullet">
<list-item><p>Gut-brain axis: dietary and other gut-health interventions that influence emotional experience via the gravitationally-mediated gut-brain axis (<xref ref-type="bibr" rid="B53">Spiegel, 2022</xref>); linked to depression risk (<xref ref-type="bibr" rid="B31">Lassale et al., 2019</xref>) and other indices of positive and negative affect (<xref ref-type="bibr" rid="B32">Lee et al., 2020</xref>).</p></list-item>
<list-item><p>Serotonergic signaling: considered as a global mediator of gravity management (<xref ref-type="bibr" rid="B54">Spiegel, 2025</xref>), interventions to increase synthesis/availability of gut-derived serotonin may yield mental health benefits associated with enhanced body-brain graviceptive simulations; linked to positive and negative mental health outcomes (<xref ref-type="bibr" rid="B43">Nestor et al., 2021</xref>; <xref ref-type="bibr" rid="B2">Arnone et al., 2024</xref>).</p></list-item>
<list-item><p>Virtual reality (VR): similar to altered emotional vectors induced by psychedelic therapy (i.e., spatial and temporal distortions from serotonergic drugs like psilocybin), group VR exercises can induce upward/outward emotional vectors in the form of self-transcendent experiences; linked with coping flexibility, stress reduction and improved mental wellbeing (<xref ref-type="bibr" rid="B3">Arslan et al., 2025</xref>).</p></list-item>
</list></sec></sec>
<sec sec-type="discussion" id="s4">
<label>4</label>
<title>Discussion</title>
<p>The MG-MHP framework suggests that improving emotional wellbeing and resilience are not only about thoughts and feelings, but also about reengaging embodied cognition. By anchoring emotional regulation in graviceptive imagery and vector simulation, MG-MHP offers a neuroscientifically- and cognitively-grounded approach to mental health and wellbeing. The anterior insula emerges as both a neural gateway and a target of MG-MHP interventions.</p>
<p>MG can add unique value to established MHP frameworks. The three pillars&#x02014;literacy, wellbeing, and prevention&#x02014;map naturally onto MG&#x00027;s vectors. Literacy is supported by embodied metaphors that clarify emotional states; wellbeing is enhanced by upward and outward practices linked to flourishing; prevention is strengthened by inward and downward practices that promote stability and resilience. MG also complements resilience training by offering an embodied scaffold for coping strategies, and aligns with positive psychology by reframing flourishing as gravitational elevation and openness.</p>
<p>For example, MG-MHP could translate the &#x0201C;broaden-and-build&#x0201D; theory of positive emotion (<xref ref-type="bibr" rid="B23">Huppert et al., 2004</xref>), which falls under the positive psychology umbrella, through the use of vector-based embodied cognition practices. This would: (a) increase wellbeing literacy though improved understanding of what comprises positive emotion; (b) enhance wellbeing by linking bodily sensations to positive emotions; and (c) strengthen resilience by empowering individuals to identify and respond to the absence of positive emotion (i.e., a risk-factor for negative emotion, distress, and anxiety/depression).</p>
<p>MG-MHP provides a new foundation for mental health promotion rooted in the body&#x00027;s relationship to gravity. Through embodied simulation of inward, downward, upward, and outward emotional vector-states, individuals may achieve greater understanding of the internal and external forces shaping their mental health, helping individuals and populations become more likely to flourish and less likely to experience mental ill-health. There is further scope to scale MG-MHP concepts up to the collective level of social determinants of mental health using analogous societal vectors.</p></sec>
</body>
<back>
<sec sec-type="author-contributions" id="s5">
<title>Author contributions</title>
<p>LK: Writing &#x02013; review &#x00026; editing, Writing &#x02013; original draft.</p>
</sec>
<ack><title>Acknowledgments</title><p>LK would like to acknowledge Professor Brennan Spiegel&#x00027;s ongoing collaboration regarding the Biogravitational Model of Health as the background to this paper.</p></ack>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="s7">
<title>Generative AI statement</title>
<p>The author declares that no Gen AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p></sec>
<sec sec-type="disclaimer" id="s8">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="B1">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arango</surname> <given-names>C.</given-names></name> <name><surname>D&#x000ED;az-Caneja</surname> <given-names>C. M.</given-names></name> <name><surname>McGorry</surname> <given-names>P. D.</given-names></name> <name><surname>Rapoport</surname> <given-names>J.</given-names></name> <name><surname>Sommer</surname> <given-names>I. E.</given-names></name> <name><surname>Vorstman</surname> <given-names>J. A.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Preventive strategies for mental health</article-title>. <source>Lancet Psychiatry</source> <volume>5</volume>, <fpage>591</fpage>&#x02013;<lpage>604</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2215-0366(18)30057-9</pub-id><pub-id pub-id-type="pmid">29773478</pub-id></mixed-citation>
</ref>
<ref id="B2">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arnone</surname> <given-names>D.</given-names></name> <name><surname>Wise</surname> <given-names>T.</given-names></name> <name><surname>Fitzgerald</surname> <given-names>P. B.</given-names></name> <name><surname>Harmer</surname> <given-names>C. J.</given-names></name></person-group> (<year>2024</year>). <article-title>The involvement of serotonin in major depression: nescience in disguise?</article-title> <source>Mol. Psychiatry</source> <volume>29</volume>, <fpage>200</fpage>&#x02013;<lpage>202</lpage>. doi: <pub-id pub-id-type="doi">10.1038/s41380-024-02459-y</pub-id><pub-id pub-id-type="pmid">38374356</pub-id></mixed-citation>
</ref>
<ref id="B3">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Arslan</surname> <given-names>G.</given-names></name> <name><surname>&#x000D6;zdemir Bi&#x0015F;kin</surname> <given-names>S.</given-names></name> <name><surname>Uzun</surname> <given-names>K.</given-names></name></person-group> (<year>2025</year>). <article-title>Self-transcendence explains how stress reduces mental well-being in emerging adults: a conditional approach of coping flexibility</article-title>. <source>Emerg. Adulthood</source> <volume>13</volume>, <fpage>79</fpage>&#x02013;<lpage>90</lpage>. doi: <pub-id pub-id-type="doi">10.1177/21676968241286924</pub-id></mixed-citation>
</ref>
<ref id="B4">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Barsalou</surname> <given-names>L. W.</given-names></name></person-group> (<year>2008</year>). <article-title>Grounded cognition</article-title>. <source>Annu. Rev. Psychol</source>. <volume>59</volume>, <fpage>617</fpage>&#x02013;<lpage>645</lpage>. doi: <pub-id pub-id-type="doi">10.1146/annurev.psych.59.103006.093639</pub-id></mixed-citation>
</ref>
<ref id="B5">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bell&#x000F3;n</surname> <given-names>J.</given-names></name> <name><surname>Moreno-Peral</surname> <given-names>P.</given-names></name> <name><surname>Motrico</surname> <given-names>E.</given-names></name> <name><surname>Rodr&#x000ED;guez-Morej&#x000F3;n</surname> <given-names>A.</given-names></name> <name><surname>Fern&#x000E1;ndez</surname> <given-names>A.</given-names></name> <name><surname>Serrano-Blanco</surname> <given-names>A.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Effectiveness of psychological and/or educational interventions to prevent the onset of episodes of depression: a systematic review of systematic reviews and meta-analyses</article-title>. <source>Prev. Med</source>. 76(Suppl):S22&#x02013;S32. doi: <pub-id pub-id-type="doi">10.1016/j.ypmed.2014.11.003</pub-id><pub-id pub-id-type="pmid">25445331</pub-id></mixed-citation>
</ref>
<ref id="B6">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Blaber</surname> <given-names>E.</given-names></name> <name><surname>Mar&#x000E7;al</surname> <given-names>H.</given-names></name> <name><surname>Burns</surname> <given-names>B. P.</given-names></name></person-group> (<year>2010</year>). <article-title>Bioastronautics: the influence of microgravity on astronaut health</article-title>. <source>Astrobiology</source> <volume>10</volume>, <fpage>463</fpage>&#x02013;<lpage>473</lpage>. doi: <pub-id pub-id-type="doi">10.1089/ast.2009.0415</pub-id><pub-id pub-id-type="pmid">20624055</pub-id></mixed-citation>
</ref>
<ref id="B7">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Canales</surname> <given-names>J. Z.</given-names></name> <name><surname>Fiquer</surname> <given-names>J. T.</given-names></name> <name><surname>Campos</surname> <given-names>R. N.</given-names></name> <name><surname>Soeiro-de-Souza</surname> <given-names>M. G.</given-names></name> <name><surname>Moreno</surname> <given-names>R. A.</given-names></name></person-group> (<year>2017</year>). <article-title>Investigation of associations between recurrence of major depressive disorder and spinal posture alignment: a quantitative cross-sectional study</article-title>. <source>Gait. Posture</source>. <volume>52</volume>, <fpage>258</fpage>&#x02013;<lpage>264</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.gaitpost.2016.12.011</pub-id><pub-id pub-id-type="pmid">27987469</pub-id></mixed-citation>
</ref>
<ref id="B8">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cian</surname> <given-names>L.</given-names></name></person-group> (<year>2017</year>). <article-title>Verticality and conceptual metaphors: a systematic review</article-title>. <source>J. Assoc. Consum. Res</source>. <volume>2</volume>, <fpage>444</fpage>&#x02013;<lpage>459</lpage>. doi: <pub-id pub-id-type="doi">10.1086/694082</pub-id></mixed-citation>
</ref>
<ref id="B9">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coll-Florit</surname> <given-names>M.</given-names></name> <name><surname>Climent</surname> <given-names>S.</given-names></name> <name><surname>Sanfilippo</surname> <given-names>M.</given-names></name> <name><surname>Hern&#x000E1;ndez-Encuentra</surname> <given-names>E.</given-names></name></person-group> (<year>2021</year>). <article-title>Metaphors of depression. studying first person accounts of life with depression published in blogs</article-title>. <source>Metaphor Symb</source>. <volume>36</volume>, <fpage>1</fpage>&#x02013;<lpage>19</lpage>. doi: <pub-id pub-id-type="doi">10.1080/10926488.2020.1845096</pub-id></mixed-citation>
</ref>
<ref id="B10">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Feldman</surname> <given-names>R.</given-names></name> <name><surname>Schreiber</surname> <given-names>S.</given-names></name> <name><surname>Pick</surname> <given-names>C.</given-names></name> <name><surname>Been</surname> <given-names>E.</given-names></name></person-group> (<year>2020</year>). <article-title>Gait, balance and posture in major mental illnesses: depression, anxiety and schizophrenia</article-title>. <source>Austin Med. Sci</source>. <volume>5</volume>, <fpage>1</fpage>&#x02013;<lpage>6</lpage>.</mixed-citation>
</ref>
<ref id="B11">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ferr&#x000E8;</surname> <given-names>E. R.</given-names></name> <name><surname>Lopez</surname> <given-names>C.</given-names></name> <name><surname>Haggard</surname> <given-names>P.</given-names></name></person-group> (<year>2014</year>). <article-title>Anchoring the self to the body: vestibular contribution to the sense of self</article-title>. <source>Psychol. Sci</source>. <volume>25</volume>, <fpage>2106</fpage>&#x02013;<lpage>2108</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0956797614547917</pub-id><pub-id pub-id-type="pmid">25210013</pub-id></mixed-citation>
</ref>
<ref id="B12">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ferr&#x000E8;</surname> <given-names>E. R.</given-names></name> Vagnoni E <name><surname>Haggard</surname> <given-names>P.</given-names></name></person-group> (<year>2013</year>). <article-title>Vestibular contributions to bodily awareness</article-title>. <source>Neuropsychologia</source> <volume>51</volume>, <fpage>1445</fpage>&#x02013;<lpage>1452</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.neuropsychologia.2013.04.006</pub-id><pub-id pub-id-type="pmid">23624312</pub-id></mixed-citation>
</ref>
<ref id="B13">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gallagher</surname> <given-names>M.</given-names></name> <name><surname>Arshad</surname> <given-names>I.</given-names></name> <name><surname>Ferr&#x000E8;</surname> <given-names>E. R.</given-names></name></person-group> (<year>2019</year>). <article-title>Gravity modulates behaviour control strategy</article-title>. <source>Exp. Brain Res</source>. <volume>237</volume>, <fpage>989</fpage>&#x02013;<lpage>994</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00221-019-05479-1</pub-id><pub-id pub-id-type="pmid">30701274</pub-id></mixed-citation>
</ref>
<ref id="B14">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gallagher</surname> <given-names>M.</given-names></name> <name><surname>Ferr&#x000E8;</surname> <given-names>E. R.</given-names></name></person-group> (<year>2018</year>). <article-title>The aesthetics of verticality: a gravitational contribution to aesthetic preference</article-title>. <source>Q. J. Exp. Psychol</source>. <volume>71</volume>, <fpage>2655</fpage>&#x02013;<lpage>2664</lpage>. doi: <pub-id pub-id-type="doi">10.1177/1747021817751353</pub-id><pub-id pub-id-type="pmid">29355466</pub-id></mixed-citation>
</ref>
<ref id="B15">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Garc&#x000ED;a-Campayo</surname> <given-names>J.</given-names></name> <name><surname>del Hoyo</surname> <given-names>Y. L.</given-names></name> <name><surname>Valero</surname> <given-names>M. S.</given-names></name> <name><surname>Yus</surname> <given-names>M. C. P.</given-names></name> <name><surname>Esteban</surname> <given-names>E. A.</given-names></name> <name><surname>Guedea</surname> <given-names>M. P.</given-names></name> <etal/></person-group>. (<year>2015</year>). <article-title>Primary prevention of anxiety disorders in primary care: a systematic review</article-title>. <source>Prev. Med</source>. <volume>76</volume>, <fpage>S12</fpage>&#x02013;<lpage>S5</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ypmed.2014.10.015</pub-id><pub-id pub-id-type="pmid">25456801</pub-id></mixed-citation>
</ref>
<ref id="B16">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gard</surname> <given-names>T.</given-names></name> <name><surname>Noggle</surname> <given-names>J. J.</given-names></name> <name><surname>Park</surname> <given-names>C. L.</given-names></name> <name><surname>Vago</surname> <given-names>D. R.</given-names></name> <name><surname>Wilson</surname> <given-names>A.</given-names></name></person-group> (<year>2014</year>). <article-title>Potential self-regulatory mechanisms of yoga for psychological health</article-title>. <source>Front. Hum. Neurosci.</source> <volume>8</volume>:<fpage>770</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnhum.2014.00770</pub-id><pub-id pub-id-type="pmid">25368562</pub-id></mixed-citation>
</ref>
<ref id="B17">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Garland</surname> <given-names>M. M.</given-names></name> <name><surname>Wilson</surname> <given-names>R.</given-names></name> <name><surname>Thompson</surname> <given-names>W. K.</given-names></name> <name><surname>Stein</surname> <given-names>M. B.</given-names></name> <name><surname>Paulus</surname> <given-names>M. P.</given-names></name> <name><surname>Feinstein</surname> <given-names>J. S.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>A randomized controlled safety and feasibility trial of floatation-REST in anxious and depressed individuals</article-title>. <source>PLoS ONE</source>. <volume>19</volume>:<fpage>e0286899</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0286899</pub-id><pub-id pub-id-type="pmid">38843272</pub-id></mixed-citation>
</ref>
<ref id="B18">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Geng</surname> <given-names>H.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Chen</surname> <given-names>J.</given-names></name> <name><surname>Li</surname> <given-names>X.</given-names></name> <name><surname>Gu</surname> <given-names>R.</given-names></name></person-group> (<year>2016</year>). <article-title>Decreased intra- and inter-salience network functional connectivity is related to trait anxiety in adolescents</article-title>. <source>Front. Behav. Neurosci.</source> <volume>9</volume>:<fpage>350</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnbeh.2015.00350</pub-id><pub-id pub-id-type="pmid">26834594</pub-id></mixed-citation>
</ref>
<ref id="B19">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Goulden</surname> <given-names>N.</given-names></name> <name><surname>Khusnulina</surname> <given-names>A.</given-names></name> <name><surname>Davis</surname> <given-names>N. J.</given-names></name> <name><surname>Bracewell</surname> <given-names>R. M.</given-names></name> <name><surname>Bokde</surname> <given-names>A. L.</given-names></name> <name><surname>McNulty</surname> <given-names>J. P.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>The salience network is responsible for switching between the default mode network and the central executive network: replication from DCM</article-title>. <source>Neuroimage</source> <volume>99</volume>, <fpage>180</fpage>&#x02013;<lpage>190</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.neuroimage.2014.05.052</pub-id><pub-id pub-id-type="pmid">24862074</pub-id></mixed-citation>
</ref>
<ref id="B20">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gu</surname> <given-names>X.</given-names></name> <name><surname>Hof</surname> <given-names>P. R.</given-names></name> <name><surname>Friston</surname> <given-names>K. J.</given-names></name> <name><surname>Fan</surname> <given-names>J.</given-names></name></person-group> (<year>2013</year>). <article-title>Anterior insular cortex and emotional awareness</article-title>. <source>J. Comp. Neurol</source>. <volume>521</volume>, <fpage>3371</fpage>&#x02013;<lpage>3388</lpage>. doi: <pub-id pub-id-type="doi">10.1002/cne.23368</pub-id><pub-id pub-id-type="pmid">23749500</pub-id></mixed-citation>
</ref>
<ref id="B21">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hartmann</surname> <given-names>M.</given-names></name> <name><surname>Lenggenhager</surname> <given-names>B.</given-names></name> <name><surname>Stocker</surname> <given-names>K.</given-names></name></person-group> (<year>2022</year>). <article-title>Happiness feels light and sadness feels heavy: introducing valence-related bodily sensation maps of emotions</article-title>. <source>Psychol Res</source>. <volume>87</volume>:<fpage>59</fpage>&#x02013;<lpage>83</lpage>. doi: <pub-id pub-id-type="doi">10.31234/osf.io/d8wvn</pub-id><pub-id pub-id-type="pmid">35226152</pub-id></mixed-citation>
</ref>
<ref id="B22">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hoemann</surname> <given-names>K.</given-names></name> <name><surname>Xu</surname> <given-names>F.</given-names></name> <name><surname>Barrett</surname> <given-names>L. F.</given-names></name></person-group> (<year>2019</year>). <article-title>Emotion words, emotion concepts, and emotional development in children: a constructionist hypothesis</article-title>. <source>Dev. Psychol</source>. <volume>55</volume>:<fpage>1830</fpage>. doi: <pub-id pub-id-type="doi">10.1037/dev0000686</pub-id><pub-id pub-id-type="pmid">31464489</pub-id></mixed-citation>
</ref>
<ref id="B23">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Huppert</surname> <given-names>F. A.</given-names></name> <name><surname>Baylis</surname> <given-names>N.</given-names></name> <name><surname>Keverne</surname> <given-names>B.</given-names></name> <name><surname>Fredrickson</surname> <given-names>B. L.</given-names></name></person-group> (<year>2004</year>). <article-title>The broaden&#x02013;and&#x02013;build theory of positive emotions</article-title>. <source>Philos. Trans. R. Soc. B. Biol. Sci</source>. <volume>359</volume>, <fpage>1367</fpage>&#x02013;<lpage>1377</lpage>. doi: <pub-id pub-id-type="doi">10.1098/rstb.2004.1512</pub-id><pub-id pub-id-type="pmid">15347528</pub-id></mixed-citation>
</ref>
<ref id="B24">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Iasiello</surname> <given-names>M.</given-names></name> <name><surname>van Agteren</surname> <given-names>J.</given-names></name> <name><surname>Ali</surname> <given-names>K.</given-names></name> <name><surname>Fassnacht</surname> <given-names>D. B.</given-names></name> <name><surname>Kyrios</surname> <given-names>M.</given-names></name> <name><surname>Kashdan</surname> <given-names>T. B.</given-names></name> <etal/></person-group>. (<year>2024</year>). <article-title>What&#x00027;s the difference between measures of wellbeing, quality of life, resilience, and coping? An umbrella review and concept map of 155 measures of positive mental health</article-title>. <source>Int. J. Wellbeing</source> <volume>14</volume>, <fpage>1</fpage>&#x02013;<lpage>25</lpage>. doi: <pub-id pub-id-type="doi">10.5502/ijw.v14i2.3621</pub-id></mixed-citation>
</ref>
<ref id="B25">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Johnson</surname> <given-names>C. L.</given-names></name> <name><surname>Gross</surname> <given-names>M. A.</given-names></name> <name><surname>Jorm</surname> <given-names>A. F.</given-names></name> <name><surname>Hart</surname> <given-names>L. M.</given-names></name></person-group> (<year>2023</year>). <article-title>Mental health literacy for supporting children: a systematic review of teacher and parent/carer knowledge and recognition of mental health problems in childhood</article-title>. <source>Clin. Child Fam. Psychol. Rev</source>. <volume>26</volume>:<fpage>569</fpage>&#x02013;<lpage>591</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10567-023-00426-7</pub-id><pub-id pub-id-type="pmid">36763174</pub-id></mixed-citation>
</ref>
<ref id="B26">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kent</surname> <given-names>L.</given-names></name></person-group> (<year>2023</year>). <article-title>Mental gravity: depression as spacetime curvature of the self, mind, and brain</article-title>. <source>Entropy</source>. <volume>25</volume>:<fpage>1275</fpage>. doi: <pub-id pub-id-type="doi">10.3390/e25091275</pub-id><pub-id pub-id-type="pmid">37761574</pub-id></mixed-citation>
</ref>
<ref id="B27">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kent</surname> <given-names>L.</given-names></name></person-group> (<year>2024</year>). <article-title>Mental gravity: modelling the embodied self on the physical environment</article-title>. <source>J. Environ. Psychol</source>. <volume>94</volume>:<fpage>102245</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jenvp.2024.102245</pub-id></mixed-citation>
</ref>
<ref id="B28">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kent</surname> <given-names>L.</given-names></name> <name><surname>Havrilova</surname> <given-names>M.</given-names></name> <name><surname>Dick</surname> <given-names>S.</given-names></name> <name><surname>Carbone</surname> <given-names>S.</given-names></name></person-group> (<year>2025</year>). <article-title>The dual continua in youth mental health policy and practice: screening and intervention for low mental wellbeing in youth to achieve targeted prevention</article-title>. <source>Ment. Health Prev</source>. <volume>37</volume>:<fpage>200403</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.mhp.2025.200403</pub-id></mixed-citation>
</ref>
<ref id="B29">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>King</surname> <given-names>M. L.</given-names></name></person-group> (<year>2019</year>). <article-title>The neural correlates of well-being: a systematic review of the human neuroimaging and neuropsychological literature</article-title>. <source>Cogn. Affect. Behav. Neurosci</source>. <volume>19</volume>, <fpage>779</fpage>&#x02013;<lpage>796</lpage>. doi: <pub-id pub-id-type="doi">10.3758/s13415-019-00720-4</pub-id><pub-id pub-id-type="pmid">31062291</pub-id></mixed-citation>
</ref>
<ref id="B30">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lakoff</surname> <given-names>G.</given-names></name> <name><surname>Johnson</surname> <given-names>M.</given-names></name></person-group> (<year>2008</year>). <source>Metaphors We Live By</source>: London, UK: University of Chicago Press.</mixed-citation>
</ref>
<ref id="B31">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lassale</surname> <given-names>C.</given-names></name> <name><surname>Batty</surname> <given-names>G. D.</given-names></name> <name><surname>Baghdadli</surname> <given-names>A.</given-names></name> <name><surname>Jacka</surname> <given-names>F.</given-names></name> <name><surname>S&#x000E1;nchez-Villegas</surname> <given-names>A.</given-names></name> <name><surname>Kivim&#x000E4;ki</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Healthy dietary indices and risk of depressive outcomes: a systematic review and meta-analysis of observational studies</article-title>. <source>Mol. Psychiatry</source> <volume>24</volume>:<fpage>965</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41380-018-0237-8</pub-id><pub-id pub-id-type="pmid">30254236</pub-id></mixed-citation>
</ref>
<ref id="B32">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lee</surname> <given-names>S-H.</given-names></name> <name><surname>Yoon</surname> <given-names>S-H.</given-names></name> <name><surname>Jung</surname> <given-names>Y.</given-names></name> <name><surname>Kim</surname> <given-names>N.</given-names></name> <name><surname>Min</surname> <given-names>U.</given-names></name> <name><surname>Chun</surname> <given-names>J.</given-names></name> <etal/></person-group>. (<year>2020</year>). <article-title>Emotional well-being and gut microbiome profiles by enterotype</article-title>. <source>Sci. Rep</source>. <volume>10</volume>:<fpage>20736</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-020-77673-z</pub-id><pub-id pub-id-type="pmid">33244049</pub-id></mixed-citation>
</ref>
<ref id="B33">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lewis</surname> <given-names>G. J.</given-names></name> <name><surname>Kanai</surname> <given-names>R.</given-names></name> <name><surname>Rees</surname> <given-names>G.</given-names></name> <name><surname>Bates</surname> <given-names>T. C.</given-names></name></person-group> (<year>2014</year>). <article-title>Neural correlates of the &#x02018;good life&#x00027;: Eudaimonic well-being is associated with insular cortex volume</article-title>. <source>Soc. Cogn. Affect Neurosci</source>. <volume>9</volume>, <fpage>615</fpage>&#x02013;<lpage>618</lpage>. doi: <pub-id pub-id-type="doi">10.1093/scan/nst032</pub-id><pub-id pub-id-type="pmid">23512932</pub-id></mixed-citation>
</ref>
<ref id="B34">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname> <given-names>R.</given-names></name> <name><surname>Shen</surname> <given-names>F.</given-names></name> <name><surname>Sun</surname> <given-names>X.</given-names></name> <name><surname>Zou</surname> <given-names>T.</given-names></name> <name><surname>Li</surname> <given-names>L.</given-names></name> <name><surname>Wang</surname> <given-names>X.</given-names></name> <etal/></person-group>. (<year>2023</year>). <article-title>Dissociable salience and default mode network modulation in generalized anxiety disorder: a connectome-wide association study</article-title>. <source>Cereb Cortex</source>. <volume>33</volume>, <fpage>6354</fpage>&#x02013;<lpage>65</lpage>. doi: <pub-id pub-id-type="doi">10.1093/cercor/bhac509</pub-id><pub-id pub-id-type="pmid">36627243</pub-id></mixed-citation>
</ref>
<ref id="B35">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Livingstone</surname> <given-names>K. M.</given-names></name> <name><surname>Srivastava</surname> <given-names>S.</given-names></name></person-group> (<year>2012</year>). <article-title>Up-regulating positive emotions in everyday life: strategies, individual differences, and associations with positive emotion and well-being</article-title>. <source>J. Res. Pers</source>. <volume>46</volume>, <fpage>504</fpage>&#x02013;<lpage>516</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jrp.2012.05.009</pub-id></mixed-citation>
</ref>
<ref id="B36">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma&#x00144;kowska</surname> <given-names>A.</given-names></name> <name><surname>Harciarek</surname> <given-names>M.</given-names></name> <name><surname>Heilman</surname> <given-names>K. M.</given-names></name></person-group> (<year>2020</year>). <article-title>Feeling and looking down: impact of depressive symptoms on the allocation of vertical attention</article-title>. <source>Cogn. Behav. Neurol</source>. <volume>33</volume>, <fpage>137</fpage>&#x02013;<lpage>144</lpage>. doi: <pub-id pub-id-type="doi">10.1097/WNN.0000000000000232</pub-id><pub-id pub-id-type="pmid">32496299</pub-id></mixed-citation>
</ref>
<ref id="B37">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Manoliu</surname> <given-names>A.</given-names></name> <name><surname>Men</surname> <given-names>C.</given-names></name> <name><surname>Brandl</surname> <given-names>F.</given-names></name> <name><surname>Doll</surname> <given-names>A.</given-names></name> <name><surname>Tahmasian</surname> <given-names>M.</given-names></name> <name><surname>Scherr</surname> <given-names>M.</given-names></name> <etal/></person-group>. (<year>2014</year>). <article-title>Insular dysfunction within the salience network is associated with severity of symptoms and aberrant inter-network connectivity in major depressive disorder</article-title>. <source>Front. Hum. Neurosci</source>. <volume>7</volume>:<fpage>930</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fnhum.2013.00930</pub-id><pub-id pub-id-type="pmid">24478665</pub-id></mixed-citation>
</ref>
<ref id="B38">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Meldrum</surname> <given-names>D.</given-names></name> <name><surname>Jahn</surname> <given-names>K.</given-names></name></person-group> (<year>2019</year>). <article-title>Gaze stabilisation exercises in vestibular rehabilitation: review of the evidence and recent clinical advances</article-title>. <source>J. Neurol</source>. <volume>266</volume>, <fpage>11</fpage>&#x02013;<lpage>18</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s00415-019-09459-x</pub-id><pub-id pub-id-type="pmid">31385017</pub-id></mixed-citation>
</ref>
<ref id="B39">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Menefee</surname> <given-names>D. S.</given-names></name> <name><surname>Ledoux</surname> <given-names>T.</given-names></name> <name><surname>Johnston</surname> <given-names>C. A.</given-names></name></person-group> (<year>2022</year>). <article-title>The importance of emotional regulation in mental health</article-title>. <source>Am. J. Lifestyle Med</source>. <volume>16</volume>, <fpage>28</fpage>&#x02013;<lpage>31</lpage>. doi: <pub-id pub-id-type="doi">10.1177/15598276211049771</pub-id><pub-id pub-id-type="pmid">35185423</pub-id></mixed-citation>
</ref>
<ref id="B40">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Menon</surname> <given-names>V.</given-names></name> <name><surname>Palaniyappan</surname> <given-names>L.</given-names></name> <name><surname>Supeka</surname> <given-names>K.</given-names></name></person-group> (<year>2023</year>). <article-title>Integrative brain network and salience models of psychopathology and cognitive dysfunction in schizophrenia</article-title>. <source>Biol. Psychiatry</source>. <volume>94</volume>, <fpage>108</fpage>&#x02013;<lpage>120</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.biopsych.2022.09.029</pub-id><pub-id pub-id-type="pmid">36702660</pub-id></mixed-citation>
</ref>
<ref id="B41">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Molnar-Szakacs</surname> <given-names>I.</given-names></name> <name><surname>Uddin</surname> <given-names>L. Q.</given-names></name></person-group> (<year>2022</year>). <article-title>Anterior insula as a gatekeeper of executive control</article-title>. <source>Neurosci. Biobehav. Rev</source>. <volume>139</volume>:<fpage>104736</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.neubiorev.2022.104736</pub-id><pub-id pub-id-type="pmid">35700753</pub-id></mixed-citation>
</ref>
<ref id="B42">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nelson</surname> <given-names>B.</given-names></name> <name><surname>Whitford</surname> <given-names>T. J.</given-names></name> <name><surname>Lavoie</surname> <given-names>S.</given-names></name> <name><surname>Sass</surname> <given-names>L. A.</given-names></name></person-group> (<year>2014</year>). <article-title>What are the neurocognitive correlates of basic self-disturbance in schizophrenia? Integrating phenomenology and neurocognition: Part 2 (aberrant salience)</article-title>. <source>Schizophr. Res</source>. <volume>152</volume>, <fpage>20</fpage>&#x02013;<lpage>27</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.schres.2013.06.033</pub-id><pub-id pub-id-type="pmid">23863772</pub-id></mixed-citation>
</ref>
<ref id="B43">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nestor</surname> <given-names>P. G.</given-names></name> <name><surname>Hasler</surname> <given-names>V. C.</given-names></name> <name><surname>O&#x00027;Donovan</surname> <given-names>K.</given-names></name> <name><surname>Lapp</surname> <given-names>H. E.</given-names></name> <name><surname>Boodai</surname> <given-names>S. B.</given-names></name> <name><surname>Hunter</surname> <given-names>R.</given-names></name></person-group> (<year>2021</year>). <article-title>In search of positive mental health: personality profiles and genetic polymorphisms</article-title>. <source>Stress Health</source>. <volume>37</volume>, <fpage>310</fpage>&#x02013;<lpage>319</lpage>. doi: <pub-id pub-id-type="doi">10.1002/smi.2996</pub-id><pub-id pub-id-type="pmid">33049110</pub-id></mixed-citation>
</ref>
<ref id="B44">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Palacek</surname> <given-names>K.</given-names></name> <name><surname>Carhart-Harris</surname> <given-names>R.</given-names></name> <name><surname>Fabiano</surname> <given-names>N.</given-names></name></person-group> (<year>2025</year>). <article-title>The salience network is functionally twice as large in depression: the first depression biomarker?</article-title> <source>Genom. Psychiatry</source> <volume>1</volume>, <fpage>18</fpage>&#x02013;<lpage>20</lpage>. doi: <pub-id pub-id-type="doi">10.61373/gp025c.0041</pub-id></mixed-citation>
</ref>
<ref id="B45">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pantazis</surname> <given-names>I.</given-names></name> <name><surname>Wittmann</surname> <given-names>M.</given-names></name></person-group> (<year>2025</year>). <article-title>Experience after floatation-REST: relaxation during floating mediates the afterglow effect</article-title>. <source>Conscious Cogn</source>. <volume>130</volume>:<fpage>103836</fpage>. doi: <pub-id pub-id-type="doi">10.1016/j.concog.2025.103836</pub-id><pub-id pub-id-type="pmid">40056743</pub-id></mixed-citation>
</ref>
<ref id="B46">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pavlidou</surname> <given-names>A.</given-names></name> <name><surname>Ferr&#x000E8;</surname> <given-names>E. R.</given-names></name> <name><surname>Lopez</surname> <given-names>C.</given-names></name></person-group> (<year>2018</year>). <article-title>Vestibular stimulation makes people more egocentric</article-title>. <source>Cortex</source> <volume>101</volume>, <fpage>302</fpage>&#x02013;<lpage>305</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.cortex.2017.12.005</pub-id><pub-id pub-id-type="pmid">29329639</pub-id></mixed-citation>
</ref>
<ref id="B47">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pezzulo</surname> <given-names>G.</given-names></name> <name><surname>Barsalou</surname> <given-names>L. W.</given-names></name> <name><surname>Cangelosi</surname> <given-names>A.</given-names></name> <name><surname>Fischer</surname> <given-names>M. H.</given-names></name> <name><surname>McRae</surname> <given-names>K.</given-names></name> <name><surname>Spivey</surname> <given-names>M.</given-names></name></person-group> (<year>2013</year>). <article-title>Computational grounded cognition: a new alliance between grounded cognition and computational modeling</article-title>. <source>Front. Psychol</source>. <volume>3</volume>:<fpage>612</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fpsyg.2012.00612</pub-id><pub-id pub-id-type="pmid">23346065</pub-id></mixed-citation>
</ref>
<ref id="B48">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rousseau</surname> <given-names>C.</given-names></name> <name><surname>Barbiero</surname> <given-names>M.</given-names></name> <name><surname>Pozzo</surname> <given-names>T.</given-names></name> <name><surname>Papaxanthis</surname> <given-names>C.</given-names></name> <name><surname>White</surname> <given-names>O.</given-names></name></person-group> (<year>2020</year>). <article-title>Actual and imagined movements reveal a dual role of the insular cortex for motor control</article-title>. <source>Cereb. Cortex</source> <volume>31</volume>, <fpage>2586</fpage>&#x02013;<lpage>2594</lpage>. doi: <pub-id pub-id-type="doi">10.1093/cercor/bhaa376</pub-id><pub-id pub-id-type="pmid">33300566</pub-id></mixed-citation>
</ref>
<ref id="B49">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schillings</surname> <given-names>C.</given-names></name> <name><surname>Schultchen</surname> <given-names>D.</given-names></name> <name><surname>Pollatos</surname> <given-names>O.</given-names></name></person-group> (<year>2021</year>). <article-title>Effects of a single yoga session on cardiac interoceptive accuracy and emotional experience</article-title>. <source>Brain Sci</source>. <volume>11</volume>:<fpage>1572</fpage>. doi: <pub-id pub-id-type="doi">10.3390/brainsci11121572</pub-id><pub-id pub-id-type="pmid">34942874</pub-id></mixed-citation>
</ref>
<ref id="B50">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Seth</surname> <given-names>A. K.</given-names></name> <name><surname>Friston</surname> <given-names>K. J.</given-names></name></person-group> (<year>2016</year>). <article-title>Active interoceptive inference and the emotional brain</article-title>. <source>Phil Trans. R. Soc. B. Biol. Sci</source>. <volume>371</volume>:<fpage>20160007</fpage>. doi: <pub-id pub-id-type="doi">10.1098/rstb.2016.0007</pub-id><pub-id pub-id-type="pmid">28080966</pub-id></mixed-citation>
</ref>
<ref id="B51">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shapiro</surname> <given-names>L.</given-names></name></person-group> (<year>2019</year>). <source>Embodied Cognition</source>. 2nd edn. London: Routledge. doi: <pub-id pub-id-type="doi">10.4324/9781315180380</pub-id></mixed-citation>
</ref>
<ref id="B52">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sharp</surname> <given-names>P. B.</given-names></name> <name><surname>Sutton</surname> <given-names>B. P.</given-names></name> <name><surname>Paul</surname> <given-names>E. J.</given-names></name> <name><surname>Sherepa</surname> <given-names>N.</given-names></name> <name><surname>Hillman</surname> <given-names>C. H.</given-names></name> <name><surname>Cohen</surname> <given-names>N. J.</given-names></name> <etal/></person-group>. (<year>2018</year>). <article-title>Mindfulness training induces structural connectome changes in insula networks</article-title>. <source>Sci. Rep</source>. <volume>8</volume>:<fpage>7929</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-018-26268-w</pub-id><pub-id pub-id-type="pmid">29785055</pub-id></mixed-citation>
</ref>
<ref id="B53">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Spiegel</surname> <given-names>B.</given-names></name></person-group> (<year>2022</year>). <article-title>Gravity and the gut: a hypothesis of irritable bowel syndrome</article-title>. <source>Am. J. Gastroenterol</source>. <volume>117</volume>:<fpage>1933</fpage>&#x02013;<lpage>1947</lpage>. doi: <pub-id pub-id-type="doi">10.14309/ajg.0000000000002066</pub-id><pub-id pub-id-type="pmid">36455220</pub-id></mixed-citation>
</ref>
<ref id="B54">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Spiegel</surname> <given-names>B.</given-names></name></person-group> (<year>2025</year>). <article-title>Gut-derived serotonin as a molecular mediator of gravity management</article-title>. <source>NeuroGastroLatam Rev</source>. <volume>9</volume>, <fpage>52</fpage>&#x02013;<lpage>63</lpage>. doi: <pub-id pub-id-type="doi">10.24875/NGL.24000019</pub-id></mixed-citation>
</ref>
<ref id="B55">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stocker</surname> <given-names>K.</given-names></name></person-group> (<year>2014</year>). <article-title>The theory of cognitive spacetime</article-title>. <source>Metap. Symb</source>. <volume>29</volume>, <fpage>71</fpage>&#x02013;<lpage>93</lpage>. doi: <pub-id pub-id-type="doi">10.1080/10926488.2014.889991</pub-id></mixed-citation>
</ref>
<ref id="B56">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Tully</surname> <given-names>L. A.</given-names></name> <name><surname>Hawes</surname> <given-names>D. J.</given-names></name> <name><surname>Doyle</surname> <given-names>F. L.</given-names></name> <name><surname>Sawyer</surname> <given-names>M. G.</given-names></name> <name><surname>Dadds</surname> <given-names>M. R.</given-names></name></person-group> (<year>2019</year>). <article-title>A national child mental health literacy initiative is needed to reduce childhood mental health disorders</article-title>. <source>Aust. N. Z. J. Psychiatry</source> <volume>53</volume>, <fpage>286</fpage>&#x02013;<lpage>290</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0004867418821440</pub-id><pub-id pub-id-type="pmid">30654614</pub-id></mixed-citation>
</ref>
<ref id="B57">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Uddin</surname> <given-names>L. Q.</given-names></name> <name><surname>Nomi</surname> <given-names>J. S.</given-names></name> <name><surname>H&#x000E9;bert-Seropian</surname> <given-names>B.</given-names></name> <name><surname>Ghaziri</surname> <given-names>J.</given-names></name> <name><surname>Boucher</surname> <given-names>O.</given-names></name></person-group> (<year>2017</year>). <article-title>Structure and function of the human insula</article-title>. <source>J. Clin. Neurophysiol.</source> <volume>34</volume>, <fpage>300</fpage>&#x02013;<lpage>306</lpage>. doi: <pub-id pub-id-type="doi">10.1097/WNP.0000000000000377</pub-id><pub-id pub-id-type="pmid">28644199</pub-id></mixed-citation>
</ref>
<ref id="B58">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>White</surname> <given-names>M. P.</given-names></name> <name><surname>Alcock</surname> <given-names>I.</given-names></name> <name><surname>Grellier</surname> <given-names>J.</given-names></name> <name><surname>Wheeler</surname> <given-names>B. W.</given-names></name> <name><surname>Hartig</surname> <given-names>T.</given-names></name> <name><surname>Warber</surname> <given-names>S. L.</given-names></name> <etal/></person-group>. (<year>2019</year>). <article-title>Spending at least 120 minutes a week in nature is associated with good health and wellbeing</article-title>. <source>Sci. Rep</source>. <volume>9</volume>:<fpage>7730</fpage>. doi: <pub-id pub-id-type="doi">10.1038/s41598-019-44097-3</pub-id><pub-id pub-id-type="pmid">31197192</pub-id></mixed-citation>
</ref>
<ref id="B59">
<mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xion</surname> <given-names>K.</given-names></name> <name><surname>Zhang</surname> <given-names>Y.</given-names></name> <name><surname>Qiu</surname> <given-names>M.</given-names></name> <name><surname>Zhang</surname> <given-names>J.</given-names></name> <name><surname>Sang</surname> <given-names>L.</given-names></name> <name><surname>Wang</surname> <given-names>L.</given-names></name> <etal/></person-group>. (<year>2013</year>). <article-title>Negative emotion regulation in patients with posttraumatic stress disorder</article-title>. <source>PLoS ONE</source>. <volume>8</volume>:<fpage>e81957</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0081957</pub-id><pub-id pub-id-type="pmid">24349161</pub-id></mixed-citation>
</ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0001">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/469012/overview">Keisuke Kushiro</ext-link>, Kyoto University, Japan</p>
</fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0002">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1589740/overview">Olga Gouni</ext-link>, Prenatal Sciences Research Institute, Greece</p>
</fn>
</fn-group>
</back>
</article>