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Observational Study
Copyright: ©Author(s) 2026.
World J Psychiatry. Oct 19, 2026; 16(10): 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 → depression0.13a0.41b0.54b
Occupational stress → depression0.14a0.24b0.38b
Job burnout → depression0.57b-0.57b
Anxiety → depression0.75b-0.75b
Iraqi social environmental stress → anxiety0.030.47b-
Occupational stress → anxiety0.080.32b-
Job burnout → anxiety-0.040.49b-
Depression → anxiety0.87b-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-


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