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

Table 4.

Structural validity analysis of the three scales.

Survey Items Factor loading coefficient
1 2 3
a Feeling emotionally depressed or persistently low in mood 0.298 0.388 0.591
Becoming more easily irritated and prone to losing temper 0.247 0.276 0.699
Perceiving daily life as inconvenient and lacking privacy 0.240 0.364 0.550
Occasionally making mistakes but refusing to acknowledge them due to concerns about self-esteem 0.179 0.172 0.781
Engaging in conflicts with family members and placing strong emphasis on right and wrong 0.169 0.120 0.791
Tending to interpret situations pessimistically 0.307 0.140 0.702
Being reluctant to accept new things and experiencing difficulty in learning unfamiliar skills 0.136 0.225 0.609
b Frequently feels lonely, isolated, and without support. 0.294 0.646 0.336
Younger family members often avoid interaction and show little closeness. 0.231 0.783 0.163
Shows limited interest in daily life and perceives life as lacking meaning. 0.369 0.716 0.198
Experiences low mood upon waking in the morning or after sleep. 0.396 0.652 0.296
Frequently feels fatigued without an apparent cause. 0.538 0.408 0.299
Feels that no one provides assistance when difficulties arise. 0.378 0.640 0.280
Is unable to maintain positive interpersonal relationships. 0.276 0.654 0.252
Perceives the home environment as quiet and emotionally cold. 0.332 0.670 0.231
c Frequently experiences an accelerated heartbeat. 0.683 0.328 0.232
Emotional states are difficult to regulate and are noticeably influenced by external stimuli. 0.699 0.313 0.333
Often perceives the environment as unsafe and worries about potential dangers in everyday life. 0.733 0.354 0.223
Regularly experiences poor sleep at night and awakens from nightmares. 0.683 0.403 0.185
Frequently feels unexplained anxiety over minor or trivial matters. 0.776 0.158 0.271
Often experiences a persistent sense of restlessness without an identifiable cause. 0.793 0.320 0.208
Feels pronounced tension or fear regarding aging, illness, and death, and is sensitive to others describing them as old. 0.656 0.399 0.251
Eigenvalue 5.050 4.672 4.220
Variance explained 22.956 21.236 19.181
Cumulative variance explained 22.956 44.192 63.374
KMO values 0.959
Bartlett's test of sphericity 7,398.024
Sig. 0.000

Bold values indicate the highest factor loading for each item and identify the factor on which the item primarily loads.