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. 2024 Feb 9;17:443–455. doi: 10.2147/PRBM.S449369

Table 2.

Mediating Effects of Psychological Distress in the Associations Between Problematic Gaming (PG) and Quality of Life (QoL)

Model
Path
Unstand. Coeff. (SE) Stand. Coeff. LLCI, ULCI p-value
Primary Model: Overall QoL (R2=0.18 [psychological distress], 0.60 [QoL]; Power for mediation effect=0.95)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.46 (0.06) −0.61 −0.57, −0.35 <0.001
PG→QoL 0.25 (0.15) 0.12 −0.06, 0.55 0.11
PG→psychological distress→QoLa −0.43 (0.12) −0.20 −0.66, −0.18 --
Exploratory Model: Physical QoL (R2=0.18 [psychological distress], 0.38 [QoL]; Power for mediation effect=0.95)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.52 (0.09) −0.49 −0.70, −0.33 <0.001
PG→QoL 0.54 (0.26) 0.19 0.03, 1.06 0.04
PG→psychological distress→QoLa −0.48 (0.15) −0.17 −0.77, −0.20 --
Exploratory Model: Emotional QoL (R2=0.18 [psychological distress], 0.56 [QoL]; Power for mediation effect=0.94)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.73 (0.09) −0.64 −0.90, −0.55 <0.001
PG→QoL 0.36 (0.24) 0.11 −0.12, 0.83 0.14
PG→psychological distress→QoLa −0.67 (0.24) −0.21 −1.19, −0.24 --
Exploratory Model: Self-esteem QoL (R2=0.18 [psychological distress], 0.17 [QoL]; Power for mediation effect=0.29)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.24 (0.16) −0.16 −0.56, 0.07 0.13
PG→QoL 0.64 (0.44) 0.15 −0.23, 1.50 0.15
PG→psychological distress→QoLa −0.23 (0.14) −0.05 −0.51, 0.08 --
Exploratory Model: Family QoL (R2=0.18 [psychological distress], 0.27 [QoL]; Power for mediation effect=0.94)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.41 (0.10) −0.42 −0.60, −0.22 <0.001
PG→QoL −0.30 (0.26) −0.11 −0.82, 0.23 0.26
PG→psychological distress→QoLa −0.38 (0.16) −0.14 −0.70, −0.07 --
Exploratory Model: Friends QoL (R2=0.18 [psychological distress], 0.24 [QoL]; Power for mediation effect=0.94)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.55 (0.13) −0.44 −0.80, −0.31 <0.001
PG→QoL 0.37 (0.34) 0.11 −0.31, 1.05 0.28
PG→psychological distress→QoLa −0.51 (0.19) −0.15 −0.92, −0.18 --
Exploratory Model: School QoL (R2=0.18 [psychological distress], 0.26 [QoL]; Power for mediation effect=0.83)
PG→psychological distress 0.93 (0.27) 0.34 0.40, 1.46 <0.001
Psychological distress→QoL −0.33 (0.10) −0.32 −0.53, −0.13 0.002
PG→QoL −0.13 (0.28) −0.05 −0.68, 0.42 0.64
PG→psychological distress→QoLa −0.31 (0.11) −0.11 −0.55, −0.11 --

Notes: aMediation models were tested using bootstrapping method with 5000 bootstrapping resamples. All models controlled for age, sex, and presence of physical illness.

Abbreviations: Unstand. Coeff., unstandardized coefficient; SE, standard error; Stand. Coeff., standardized coefficient; LLCI, lower limit of confidence interval at 95%; ULCI, upper limit of confidence interval at 95%.