Table 3.
Measurement models of mental health burden
| Model 1 Unstandardized (standardized) | Model 2 Unstandardized (standardized) | Model 3 Unstandardized (standardized) | Model 4 Unstandardized (standardized) | |
|---|---|---|---|---|
| Factor loadings | ||||
| Suicidal thoughts | 1.00 (0.50) | 1.00 (0.47) | – | – |
| Attempted suicide | 0.44*** (0.38) | – | 1.00 (0.33) | – |
| Total depressive symptoms | 41.06*** (0.87) | 44.74*** (0.89) | 110.22*** (0.90) | 1.00 (0.90) |
| Total loneliness | 7.18*** (0.54) | 7.74*** (0.54) | 18.49*** (0.53) | 0.17*** (0.54) |
| Total PTSD | 29.47*** (0.78) | 31.48*** (0.78) | 74.56*** (0.76) | 0.69*** (0.77) |
| Variances | ||||
| Burden | 0.04*** (1.00) | 0.030*** (1.00) | 0.005*** (1.00) | 61.94*** (1.00) |
| Residual variances | ||||
| Suicidal thoughts | 0.10*** (0.75) | 0.11*** (0.78) | – | – |
| Attempted suicide | 0.04*** (0.86) | – | 0.042*** (0.89) | – |
| Total depressive symptoms | 18.55*** (0.24) | 16.55*** (0.22) | 14.09** (0.18) | 15.17*** (0.20) |
| Total loneliness | 4.46*** (0.71) | 4.44*** (0.71) | 4.48*** (0.72) | 4.45*** (0.71) |
| Total PTSD | 19.80*** (0.40) | 19.98*** (0.40) | 21.12*** (0.42) | 20.72*** (0.42) |
| R2 | ||||
| Suicidal thoughts | 0.25*** | 0.22*** | – | – |
| Attempted suicide | 0.14** | – | 0.11* | – |
| Total depressive symptoms | 0.76*** | 0.79*** | 0.82*** | 0.80*** |
| Total loneliness | 0.29*** | 0.29*** | 0.28*** | 0.29*** |
| Total PTSD | 0.60*** | 0.60*** | 0.58*** | 0.59*** |
| Fit statistics | ||||
| χ2 (df) | 119.57*** (5) | 0.68 (2) | 1.36 (2) | 0.00*** (0) |
| CFI | 0.87 | 1.00 | 1.00 | 1.00 |
| RMSEA | 0.20*** | 0.00 | 0.00 | 0.000 |
The model in boldface represents the most theoretically and statistically meaningful measurement model for mental health burden; Model 1 includes all five indicators of mental health burden; Model 2 includes all but the attempted suicide indicator; Model 3 includes all but the suicidal thoughts indicator; and Model 4 includes all but the attempted suicide and suicidal thoughts indicators
p<0.001,
p<0.01,
p<0.05