Copyright: ©Author(s) 2026.
World J Psychiatry. Oct 19, 2026; 16(10): 121129
Published online Oct 19, 2026. doi: 10.5498/wjp.121129
Published online Oct 19, 2026. doi: 10.5498/wjp.121129
Table 4 Standardized direct, indirect, and total effects
| Pathways | Direct effect | Indirect effect | Total effect |
| Iraqi social environmental stress → depression | 0.13a | 0.41b | 0.54b |
| Occupational stress → depression | 0.14a | 0.24b | 0.38b |
| Job burnout → depression | 0.57b | - | 0.57b |
| Anxiety → depression | 0.75b | - | 0.75b |
| Iraqi social environmental stress → anxiety | 0.03 | 0.47b | - |
| Occupational stress → anxiety | 0.08 | 0.32b | - |
| Job burnout → anxiety | -0.04 | 0.49b | - |
| Depression → anxiety | 0.87b | - | 0.87b |
| Iraqi social environmental stress → job burnout → depression | - | 0.25b | - |
| Iraqi social environmental stress → occupational stress → job burnout → depression | - | 0.10b | - |
| Occupational stress → job burnout → depression | - | 0.24b | - |
| Iraqi social environmental stress → depression → anxiety | - | 0.11b | - |
| Iraqi social environmental stress → job burnout → depression → anxiety | - | 0.22b | - |
| Iraqi social environmental stress → occupational stress → job burnout → depression → anxiety | - | 0.08b | - |
| Occupational stress → depression → anxiety | - | 0.12a | - |
| Occupational stress → job burnout → depression → anxiety | - | 0.21b | - |
| Job burnout → depression → anxiety | - | 0.49b | - |
- Citation: Liu HY, Du J, Xie XH, Zhang CE, Fu Y, Li MH, Han S, Li QW. Depression and anxiety in Chinese expatriate employees in Misan oilfield in Iraq: A structural equation modeling approach. World J Psychiatry 2026; 16(10): 121129
- URL: https://www.wjgnet.com/2220-3206/full/v16/i10/121129.htm
- DOI: https://dx.doi.org/10.5498/wjp.121129