Psychological distress, self-determination, and social capital associated with quality of life among retirees in Sarawak: a cross-sectional structural equation modelling analysis
Sivanandhan Selleyitoreea, Md Mizanur Rahman · 2026
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Description
Selleyitoreea and Rahman surveyed 1,410 retirees aged 60 and older across nine districts of Sarawak, Malaysia, asking how psychological distress, self-determination, and social connections relate to quality of life in retirement. They also measured catastrophic health spending, where medical costs consume a large share of a household budget, using standard questionnaires.
Their statistical model explained 56 percent of the variation in quality of life among the retirees surveyed. Self-determination, meaning a felt sense of relatedness, competence, and autonomy, showed the strongest positive link, followed by social capital from bonding and bridging relationships. Distress was tied to lower quality of life largely through eroding self-determination and social capital, with significant indirect effects along both pathways. Catastrophic health spending showed only small, non-significant direct links with quality of life in this sample.
Catalog record
| CREATOR | Sivanandhan Selleyitoreea, Md Mizanur Rahman |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 51 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |