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Observational Study
Copyright: ©Author(s) 2026.
World J Psychiatry. Apr 19, 2026; 16(4): 115468
Published online Apr 19, 2026. doi: 10.5498/wjp.v16.i4.115468
Figure 3
Figure 3 Structural equation model of factors influencing anxiety and depression in patients with inflammatory bowel disease. The model illustrates the relationships between sleep quality, coping styles, and psychological outcomes. Poor sleep quality is associated with higher levels of anxiety and depression both directly and indirectly through maladaptive coping strategies. Standardized path coefficients are shown on the arrows. HADS: Hospital Anxiety and Depression Scale; PSQI: Pittsburgh Sleep Quality Index; MCMQ: Medical Coping Modes Questionnaire.


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