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Observational Study
©Author(s) (or their employer(s)) 2026.
World J Psychiatry. Mar 19, 2026; 16(3): 112543
Published online Mar 19, 2026. doi: 10.5498/wjp.v16.i3.112543
Table 1 Demographics
Factors
Number (n = 250)
Frequency, %
Age
18-236526.0
23-278333.2
28-355823.2
35-404417.6
Gender
Female14357.2
Male10742.8
Study level
Bachelors15762.8
Masters9337.2
Residency
Peri urban9337.2
Urban15762.8
Total250100
Marital status
Married9939.6
Unmarried14357.2
Unknown83.2
Total250100
Table 2 Cronbach’s alpha, composite reliability, and average variance extracted for each latent construct
Number
Variable name
Cronbach’s alpha
CR
AVE
1Coping strategies0.7940.9020.592
2Generalized health deterioration0.7710.8820.557
3Language attitude0.8720.9280.604
4Negative emotional expression0.8640.8450.534
5Positive emotional expression0.8800.8980.665
6Quality of life0.9480.8460.576
7Resilience0.7500.9520.627
Table 3 Path coefficients, t-values, and P-values for variable relationships in the statistical model
Number
Variable name
Path coefficients
t values
P values
1Coping strategies affects quality of life 0.0443.8550.000
3Language attitude affects quality of life0.6939.1610.000
4Negative emotional expression affects quality of life-0.1122.1910.029
5Positive emotional expression affects quality of life0.2433.2580.001
6Quality of life affects gastrointestinal health0.03514.5260.000
7Resilience affects quality of life-0.1447.4660.000
8Resilience × negative emotional expression0.0627.5210.000
9Coping strategies × negative emotional expression-0.01412.4500.000