The direct, indirect and total effect of socio-demographical, clinical and behavioral factors on HRQoL domains among adults with CMD attending an outpatient clinic in St. AMESH, 2021 (Derived from SEM).

Table 4: The direct, indirect and total effect of socio-demographical, clinical and behavioral factors on HRQoL domains among adults with CMD attending an outpatient clinic in St. AMESH, 2021 (Derived from SEM).

Variables	Direct effect (95% CI)	Indirect effect (95% CI)	Total effect (95%)
DV: Physical health
Occupational status	-0.025[-0.044, -0.006]	-	-0.025[-0.044, -0.006]
comorbid condition duration of follow up	0.19[0.10, 0.28] -0.012[-0.022, -0.002]	- -	0.19[0.10, 0.28] -0.012[-0.022, -0.002]
DV: Psychological health
Physical activity	-0.144[-0.223, -0.061]	-	-0.144[-0.223, -0.061]
Educational status		0.007[0.002, 0.012]	0.007[0.002, 0.012]
Comorbid condition	0.20 [0.12, 0.28]	-	0.20 [0.12, 0.28]
Relapse	0.16[0.09, 0.23]	-	0.16[0.09, 0.23]
DV: Social health
Age Occupational status	0.010[0.005, 0.014] -0.028[-0.053, -0.004]	-	0.010[0.005, 0.014] -0.028[-0.053, -0.004]
DV: Environmental health
Residence	-0.14[-0.20, -0.07]	-	-0.13[-0.199, -0.067]
Payment method	0.07[0.03, 0.10 ]	-	0.069[0.032, 0.105 ]
DV: HRQoL
Physical activity	-0.22[-0.33, -0.11]	-0.015[-0.024, -0.006]	-0.24[-0.34, -0.13]
Residency	-	-0.06[-0.10, -0.019]	-0.11[-0.20, -0.02]
Occupational status	-	-0.01[-0.020, -0.001 ]	-0.01[-0.020, -0.001 ]
Payment method	-	0.031[0.009, 0.052]	0.031[0.009, 0.052]
Comorbid condition	0.23[0.11, 0.35 ]	0.10[0.04, 0.15]	0.33[0.20, 0.45]
Duration of follow up	-	-0.005[-0.0096, -0.0004]	-0.005[-0.0096, -0.0004 ]