Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach
Abstract Background Life satisfaction, one promising health asset, is associated with reduced risk of several chronic diseases and mortality. Mental health conditions and quality of life (QoL) are important aspects of well-being in late life and are significantly associated with life satisfaction. D...
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| Format: | Article |
| Language: | English |
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BMC
2024-12-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05618-6 |
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| author | Uday Narayan Yadav Saruna Ghimire Ranju Mehta Isha Karmacharya Sabuj Kanti Mistry Arm Mehrab Ali Om Prakash Yadav Man Kumar Tamang Suresh Mehata Roshan Pokharel Mark Fort Harris |
| author_facet | Uday Narayan Yadav Saruna Ghimire Ranju Mehta Isha Karmacharya Sabuj Kanti Mistry Arm Mehrab Ali Om Prakash Yadav Man Kumar Tamang Suresh Mehata Roshan Pokharel Mark Fort Harris |
| author_sort | Uday Narayan Yadav |
| collection | DOAJ |
| description | Abstract Background Life satisfaction, one promising health asset, is associated with reduced risk of several chronic diseases and mortality. Mental health conditions and quality of life (QoL) are important aspects of well-being in late life and are significantly associated with life satisfaction. Despite the complex interrelationships between mental health, QoL and life satisfaction, the current literature has evaluated the simple association between them and failed to consider the complex pathways among these variables, especially among the older population. Hence, this study explores the pathways between mental health conditions (depression, anxiety, and stress), QoL and life satisfaction among older adults in eastern Nepal. Methods This cross-sectional study was conducted in eastern Nepal via face-to-face interviews with 847 older adults selected by multi-stage cluster sampling. The 5-item Satisfaction with Life Scale and 13-item Older People’s QoL scale assessed life satisfaction and QoL, respectively. The 21-item Depression, Anxiety and Stress scale measured mental health conditions. The relationship between QoL, depression, anxiety, and stress with life satisfaction was first evaluated using linear regression, subsequently by path analysis. Results The mean (± SD) life satisfaction and QoL score were 19.7 (± 5.3) and 42.9 (± 7.1), respectively. More than one-fifth of the participants had moderate to severe depression (30%), anxiety (34%), and stress (20%). In adjusted regression analysis, QoL was positively associated (β: 0.44; 95% CI: 0.40 to 0.48) with life satisfaction, whereas depression, anxiety, and stress were inversely associated. In the path analysis, the relationship between depression and stress with life satisfaction was mediated by QoL. Depression was indirectly related to life satisfaction (mediated by QoL, β = -0.25), whereas stress was both directly (β = -0.11) and indirectly (mediated by QoL, β = -0.08) related to life satisfaction. Conclusions Given the high mental health burden among the older Nepali population and its potential impact on life satisfaction and QoL, routine screening for mental health should be encouraged in clinical practice. Additionally, community-based interventions and mental health promotion programs should be launched at regional and local levels. |
| format | Article |
| id | doaj-art-8a20257d452c41c094d9cf3572e42f0e |
| institution | DOAJ |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj-art-8a20257d452c41c094d9cf3572e42f0e2025-08-20T02:40:15ZengBMCBMC Geriatrics1471-23182024-12-0124111010.1186/s12877-024-05618-6Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approachUday Narayan Yadav0Saruna Ghimire1Ranju Mehta2Isha Karmacharya3Sabuj Kanti Mistry4Arm Mehrab Ali5Om Prakash Yadav6Man Kumar Tamang7Suresh Mehata8Roshan Pokharel9Mark Fort Harris10National Centre for Epidemiology & Population Health, The Australian National UniversityDepartment of Sociology and Gerontology and Scripps Gerontology Center, Miami UniversityLittle Buddha College of Health SciencesDepartment of Sociology and Gerontology and Scripps Gerontology Center, Miami UniversitySchool of Population Health, University of New South WalesARCED FoundationMinistry of HealthQueensland Brain Institute, University of QueenslandMinistry of HealthMinistry of Health and Population, Government of NepalInternational Centre for Future Health Systems, University of New South WalesAbstract Background Life satisfaction, one promising health asset, is associated with reduced risk of several chronic diseases and mortality. Mental health conditions and quality of life (QoL) are important aspects of well-being in late life and are significantly associated with life satisfaction. Despite the complex interrelationships between mental health, QoL and life satisfaction, the current literature has evaluated the simple association between them and failed to consider the complex pathways among these variables, especially among the older population. Hence, this study explores the pathways between mental health conditions (depression, anxiety, and stress), QoL and life satisfaction among older adults in eastern Nepal. Methods This cross-sectional study was conducted in eastern Nepal via face-to-face interviews with 847 older adults selected by multi-stage cluster sampling. The 5-item Satisfaction with Life Scale and 13-item Older People’s QoL scale assessed life satisfaction and QoL, respectively. The 21-item Depression, Anxiety and Stress scale measured mental health conditions. The relationship between QoL, depression, anxiety, and stress with life satisfaction was first evaluated using linear regression, subsequently by path analysis. Results The mean (± SD) life satisfaction and QoL score were 19.7 (± 5.3) and 42.9 (± 7.1), respectively. More than one-fifth of the participants had moderate to severe depression (30%), anxiety (34%), and stress (20%). In adjusted regression analysis, QoL was positively associated (β: 0.44; 95% CI: 0.40 to 0.48) with life satisfaction, whereas depression, anxiety, and stress were inversely associated. In the path analysis, the relationship between depression and stress with life satisfaction was mediated by QoL. Depression was indirectly related to life satisfaction (mediated by QoL, β = -0.25), whereas stress was both directly (β = -0.11) and indirectly (mediated by QoL, β = -0.08) related to life satisfaction. Conclusions Given the high mental health burden among the older Nepali population and its potential impact on life satisfaction and QoL, routine screening for mental health should be encouraged in clinical practice. Additionally, community-based interventions and mental health promotion programs should be launched at regional and local levels.https://doi.org/10.1186/s12877-024-05618-6AnxietyDepressionStressQuality of lifeLife satisfactionNepal |
| spellingShingle | Uday Narayan Yadav Saruna Ghimire Ranju Mehta Isha Karmacharya Sabuj Kanti Mistry Arm Mehrab Ali Om Prakash Yadav Man Kumar Tamang Suresh Mehata Roshan Pokharel Mark Fort Harris Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach BMC Geriatrics Anxiety Depression Stress Quality of life Life satisfaction Nepal |
| title | Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach |
| title_full | Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach |
| title_fullStr | Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach |
| title_full_unstemmed | Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach |
| title_short | Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach |
| title_sort | exploring the pathways between depression anxiety stress and quality of life on life satisfaction a path analysis approach |
| topic | Anxiety Depression Stress Quality of life Life satisfaction Nepal |
| url | https://doi.org/10.1186/s12877-024-05618-6 |
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