Copyright: ©Author(s) 2026.
World J Psychiatry. Oct 19, 2026; 16(10): 121800
Published online Oct 19, 2026. doi: 10.5498/wjp.121800
Published online Oct 19, 2026. doi: 10.5498/wjp.121800
Table 1 Demographic characteristics of participants (n = 708)
| Characteristic | Category | Frequency (n) | Percentage (%) |
| Sex | Men | 340 | 48.0 |
| Women | 368 | 52.0 | |
| Age (years) | mean ± SD | 21.5 ± 1.9 | - |
| 17-20 | 280 | 39.5 | |
| 21-23 | 355 | 50.1 | |
| 24+ | 73 | 10.3 | |
| University type | Public | 425 | 60.0 |
| Private | 283 | 40.0 | |
| Academic level | Undergraduate (years 1-2) | 290 | 41.0 |
| Undergraduate (years 3-4) | 312 | 44.1 | |
| Graduate (Masters/PhD) | 106 | 15.0 | |
| Field of study | Natural/health sciences | 230 | 32.5 |
| Social sciences/humanities | 255 | 36.0 | |
| Engineering & IT | 135 | 19.1 | |
| Business & law | 88 | 12.4 |
Table 2 Psychometric properties of measurement scales
| Scale | Number of items | Cronbach’s alpha | CFI | RMSEA | Example item |
| IPAQ-SF | 7 | (Test-Retest r = 0.84) | - | - | “During the last 7 days, on how many days did you do vigorous physical activities?” |
| DASS-21 (total) | 21 | 0.94 | 0.93 | 0.05 | “I felt that I had nothing to look forward to.” (depression) |
| GSES | 10 | 0.89 | 0.95 | 0.04 | “I can always manage to solve difficult problems if I try hard enough.” |
| PSQI | 19 | 0.82 | 0.91 | 0.06 | “During the past month, how would you rate your sleep quality overall?” |
| MSPSS (total) | 12 | 0.92 | 0.94 | 0.05 | “I get the emotional help and support I need from my family.” |
Table 3 Measurement model, discriminant validity, and common method bias assessment
| Construct | Item | Loading | α | CR | AVE | Fornell-larcker: √AVE & correlations | HTMT | |||
| Construct A (e.g., satisfaction) | A1 | 0.82 | 0.88 | 0.89 | 0.67 | 0.821 | ||||
| A2 | 0.79 | |||||||||
| A3 | 0.85 | |||||||||
| A4 | 0.88 | |||||||||
| Construct B (e.g., burnout) | B1 | 0.8 | 0.86 | 0.87 | 0.62 | 0.45 → 0.791 | 0.52 | |||
| B2 | 0.76 | |||||||||
| B3 | 0.84 | |||||||||
| B4 | 0.81 | |||||||||
| Construct C (e.g., intention) | C1 | 0.77 | 0.83 | 0.84 | 0.64 | 0.38 | 0.42 → 0.801 | 0.44 | ||
| C2 | 0.83 | |||||||||
| C3 | 0.79 | |||||||||
| Construct D (e.g., support) | D1 | 0.86 | 0.89 | 0.9 | 0.69 | 0.52 | 0.48 | 0.35 → 0.831 | 0.56 | |
| D2 | 0.82 | |||||||||
| D3 | 0.79 | |||||||||
| D4 | 0.85 | |||||||||
| Construct E (e.g., performance) | E1 | 0.84 | 0.87 | 0.88 | 0.71 | 0.61 | 0.55 | 0.41 | 0.44 → 0.841 | 0.69 |
| E2 | 0.81 | |||||||||
| E3 | 0.87 |
Table 4 Descriptive statistics and inter-correlations of study variables (n = 708)
| Variable | mean ± SD | 1 | 2 | 3 | 4 | 5 | 6 |
| PA (MET-minute/week) | 2580 ± 2110 | - | |||||
| Depression (DASS) | 12.1 ± 4.5 | -0.46b | - | ||||
| Anxiety (DASS) | 11.5 ± 4.2 | -0.41b | 0.78b | - | |||
| Stress (DASS) | 13.8 ± 4.8 | -0.51b | 0.82b | 0.75b | - | ||
| Self-efficacy (GSES) | 28.5 ± 5.1 | 0.52b | -0.58b | -0.50b | -0.60b | - | |
| Sleep quality (PSQI) | 6.8 ± 2.9 | -0.38b | 0.55b | 0.49b | 0.57b | -0.48b | - |
| Social support (MSPSS) | 65.2 ± 11.3 | 0.45b | -0.50b | -0.44b | -0.52b | 0.54b | -0.41b |
Table 5 Standardized direct and indirect relationships in the structural equation modeling model
| Pathway | Standardized estimate (β) | P value | 95%CI |
| Direct relationship | |||
| PA → psychological distress | -0.28 | < 0.001 | -0.37 to -0.19 |
| PA → self-efficacy | 0.48 | < 0.001 | 0.40-0.56 |
| PA → sleep quality | -0.35 | < 0.001 | -0.43 to -0.27 |
| PA → social support | 0.42 | < 0.001 | 0.34-0.50 |
| Self-efficacy → distress | -0.33 | < 0.001 | -0.41 to -0.25 |
| Sleep quality → distress | 0.26 | < 0.001 | 0.18-0.34 |
| Social support → distress | -0.21 | 0.001 | -0.29 to -0.13 |
| Sex-specific direct relationship | |||
| PA → distress (male) | -0.31 | < 0.001 | -0.42 to -0.20 |
| PA → distress (female) | -0.24 | < 0.001 | -0.34 to -0.14 |
| Institution type-specific direct relationship | |||
| PA → distress (public university) | -0.25 | < 0.001 | -0.35 to -0.15 |
| PA → distress (private university) | -0.33 | < 0.001 | -0.44 to -0.22 |
| Indirect relationship | |||
| PA → self-efficacy → distress | -0.16 | < 0.001 | -0.21 to -0.11 |
| PA → sleep quality → distress | -0.12 | < 0.001 | -0.16 to -0.08 |
| PA → social support → distress | -0.09 | 0.002 | -0.13 to -0.05 |
| Total indirect relationship | -0.37 | < 0.001 | -0.45 to -0.29 |
| Total relationship (direct + indirect) | -0.65 | < 0.001 | -0.73 to -0.57 |
Table 6 Comparison of alternative model structures
| Model structure | χ2 (df) | χ2/df | CFI | RMSEA (90%CI) | AIC | BIC | Conclusion |
| Parallel mediation model (original) | 48.32 (24) | 2.01 | 0.96 | 0.058 (0.035- 0.080) | 248.50 | 312.20 | Good fit; preferred for parsimony |
| Serial mediation model (PA → SE → sleep → MH) | 52.17 (23) | 2.27 | 0.94 | 0.067 (0.045-0.089) | 254.30 | 320.10 | Comparable fit but slightly worse |
| Single-mediator models (average of three) | - | - | - | - | - | - | Inferior to parallel model (by Δχ2) |
| Null model (no mediation) | 156.80 (30) | 5.23 | 0.50 | 0.142 (0.120-0.164) | - | - | Poor fit |
- Citation: Laar RA, Xiang HX, Zhang Q, Liu RR. Pakistani students’ physical activity and psychological well-being: A structural equation modeling approach. World J Psychiatry 2026; 16(10): 121800
- URL: https://www.wjgnet.com/2220-3206/full/v16/i10/121800.htm
- DOI: https://dx.doi.org/10.5498/wjp.121800