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Observational Study
Copyright: ©Author(s) 2026.
World J Psychiatry. Oct 19, 2026; 16(10): 121800
Published online Oct 19, 2026. doi: 10.5498/wjp.121800
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-efficacy0.48< 0.0010.40-0.56
PA → sleep quality-0.35< 0.001-0.43 to -0.27
PA → social support0.42< 0.0010.34-0.50
Self-efficacy → distress-0.33< 0.001-0.41 to -0.25
Sleep quality → distress0.26< 0.0010.18-0.34
Social support → distress-0.210.001-0.29 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-0.090.002-0.13 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


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