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Abstract
Activities of daily living (ADL) may impact psychological distress through three significant mediating pathways, with a total mediating effect of 36.56%.
- Loneliness accounted for 23.98% of the total effect on psychological distress related to ADL.
- Sleep quality contributed 9.67% to the overall relationship between ADL and psychological distress.
- A combined effect of loneliness and sleep quality was associated with 2.91% of the total impact on psychological distress.
- The findings suggest that both loneliness and sleep quality may serve as important factors in understanding the psychological well-being of older adults.
- Causal interpretations are limited due to the cross-sectional nature of the study.
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