Evidence map›Paper›PMID 39709336›Full record

ArticleBMC geriatrics2024

Exploring the pathways between depression, anxiety, stress, and quality of life on life satisfaction: a path analysis approach.

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 and 1 more

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Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Uday Narayan Yadav *National Centre for Epidemiology & Population Health, The Australian National University, Canberra, ACT, Australia. unyadav1@gmail.com.
Saruna Ghimire *Department of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH, USA.
Ranju MehtaLittle Buddha College of Health Sciences, Kathmandu, Nepal.
Isha KarmacharyaDepartment of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, OH, USA.
Sabuj Kanti MistrySchool of Population Health, University of New South Wales, Sydney, Australia.
Arm Mehrab AliARCED Foundation, 13/1, Pallabi, Mirpur-12, Dhaka, Bangladesh.
Om Prakash YadavMinistry of Health, Koshi Province, Biratnagar, Nepal.
Man Kumar TamangQueensland Brain Institute, University of Queensland, Brisbane, Australia.
Suresh MehataMinistry of Health, Koshi Province, Biratnagar, Nepal.
Roshan PokharelMinistry of Health and Population, Government of Nepal, Kathmandu, Nepal.
Mark Fort HarrisInternational Centre for Future Health Systems, University of New South Wales, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLife 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.

methodsThis 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.

resultsThe 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.

conclusionsGiven 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.

Indexed as

AnxietyDepressionPersonal SatisfactionQuality of LifeStress, PsychologicalAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMiddle AgedNepalAnxietyDepressionLife satisfactionNepalOlder adultsQuality of lifeStress

Identifiers

PMID39709336
PMCPMC11662701

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.