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. 2026 Jul 13;14:1808521. doi: 10.3389/fpubh.2026.1808521

Table 3.

Reliability analysis of the three scales.

Survey Items Corrected item–total correlation Cronbach's alpha if item deleted Cronbach's alpha
a Feeling emotionally depressed or persistently low. 0.670 0.899 0.909
Frequently experiencing poor sleep at night and awakening from nightmares. 0.700 0.898
Lacking interest in daily life and perceiving life as meaningless. 0.714 0.897
Often feeling lonely, isolated, and without social support. 0.690 0.898
Becoming more easily irritated and prone to anger. 0.604 0.903
Experiencing a low mood upon waking in the morning or after sleep. 0.745 0.895
Reluctance to accept new things and difficulty learning unfamiliar content. 0.477 0.911
Frequently feeling restless or inexplicably uneasy. 0.729 0.896
Experiencing heightened anxiety and fear regarding aging, illness, and death, and feeling distressed by others' remarks about aging. 0.709 0.897
Often feeling fatigued without an identifiable cause. 0.676 0.899
b Emotions are difficult to regulate and are easily disrupted by external stimuli. 0.697 0.850 0.874
When facing difficulties, there is no one available to provide support. 0.724 0.845
I frequently experience an accelerated heartbeat. 0.648 0.858
Younger family members tend to avoid me and show limited emotional closeness. 0.634 0.860
I am unable to maintain positive interpersonal relationships with others. 0.641 0.859
I perceive the home environment as emotionally cold and lacking vitality. 0.718 0.846
c Frequently experiences an accelerated heartbeat. 0.722 0.915 0.923
Emotional states feel difficult to regulate and are noticeably influenced by external stimuli. 0.764 0.911
Perceives the environment as unsafe and worries about potential risks in everyday life. 0.791 0.909
Often experiences poor sleep quality at night and awakens from nightmares. 0.747 0.913
Frequently feels unexplained worry over minor or trivial matters. 0.722 0.916
Regularly experiences a sense of restlessness or unease without an obvious cause. 0.826 0.905
Feels tense and fearful when confronting issues of aging, illness, and death, and is apprehensive about being perceived by others as old. 0.750 0.913