Modeling Family Quality of Life Based on Economic Pressure, Family Adaptability, Hope, and Emotional Support: The Mediating Role of Psychological Well-Being
Keywords:
Family Quality of Life, economic pressure, Family Adaptability, Hope, Emotional Support, Psychological Well-BeingAbstract
Objective: The present study aimed to develop and test a structural model of family quality of life based on economic pressure, family adaptability, hope, and emotional support, while examining the mediating role of psychological well-being among married adults in Canada.
Methods and Materials: This study employed a cross-sectional correlational design using structural equation modeling (SEM). The study population consisted of married adults residing in Canada. A total of 612 individuals were recruited through community organizations and online platforms, of whom 587 participants met the inclusion criteria and were retained for analysis. Data were collected using standardized instruments measuring family quality of life, economic pressure, family adaptability, hope, emotional support, and psychological well-being. Descriptive statistics, Pearson correlation analyses, confirmatory factor analysis, and structural equation modeling were conducted using SPSS 29 and AMOS 29. The significance of indirect effects was assessed through bootstrap analysis with 5,000 resamples.
Findings: The measurement model demonstrated excellent fit to the data (χ²/df = 2.41, CFI = .956, TLI = .949, RMSEA = .049, SRMR = .042). The structural model also exhibited satisfactory fit indices (χ²/df = 2.53, CFI = .951, TLI = .947, RMSEA = .051, SRMR = .044). Economic pressure significantly and negatively predicted psychological well-being (β = −.28, p < .001) and family quality of life (β = −.21, p < .001). Family adaptability positively predicted psychological well-being (β = .24, p < .001) and family quality of life (β = .18, p < .001). Hope showed significant positive effects on psychological well-being (β = .35, p < .001) and family quality of life (β = .16, p < .001). Emotional support positively predicted psychological well-being (β = .27, p < .001) and family quality of life (β = .14, p = .001). Psychological well-being emerged as the strongest direct predictor of family quality of life (β = .49, p < .001). Bootstrap analyses confirmed significant indirect effects of all predictor variables on family quality of life through psychological well-being (p < .001). The model explained 69% of the variance in psychological well-being and 74% of the variance in family quality of life.
Conclusion: The findings indicate that family quality of life is shaped by the combined influence of economic, familial, and psychosocial factors. Psychological well-being plays a central mediating role, transforming the effects of economic pressure, family adaptability, hope, and emotional support into family quality-of-life outcomes. Interventions aimed at strengthening psychological well-being, fostering hope, enhancing emotional support, and promoting adaptive family functioning may substantially improve family quality of life while mitigating the negative effects of economic stress.
Downloads
References
Bu, L., Chen, X., Zheng, S., & Fan, G. (2022). Construction of the Structural Equation Model of Stigma, Self-Disclosure, Social Support, and Quality of Life of Breast Cancer Patients After Surgery——A Multicenter Study. https://doi.org/10.21203/rs.3.rs-2076682/v1
Bu, L., Chen, X., Zheng, S., & Fan, G. (2023). Construction of the Structural Equation Model of Stigma, Self-Disclosure, Social Support, and Quality of Life of Breast Cancer Patients After Surgery—a Multicenter Study. Frontiers in Oncology, 13. https://doi.org/10.3389/fonc.2023.1142728
Cai, L., He, J., Wu, Y., & Jia, X. (2023). The Relationship Between Big Five Personality and Quality of Life of People With Disabilities: The Mediating Effect of Social Support. Frontiers in psychology, 13. https://doi.org/10.3389/fpsyg.2022.1061455
Chen, J. (2025). Impact of Family and Social Support in Enhancing Psychological Well-Being of Young Adults in China. BMC psychology, 13(1). https://doi.org/10.1186/s40359-025-03093-1
Chen, X., Qiao, C., Arber, A., Shen, Y., Rui, Y., Zhang, R., Pei, Z., Tang, Y., Sha, Z., Bao, J., Zhang, J., Li, J., Wang, D., & Wang, X. (2023a). The Mediating Effects of Individual Resilience on the Outcomes of Caregiver Burden Among Adult Children Caring for Parents With Advanced Cancer in China: A Cross-Sectional Study. https://doi.org/10.21203/rs.3.rs-3075903/v1
Chen, X., Qiao, C., Arber, A., Shen, Y., Rui, Y., Zhang, R., Pei, Z., Tang, Y., Sha, Z. D., Bao, J., Zhang, J., Li, J., Wang, D., & Wang, X. (2023b). Enhancing Resilient Coping Strategies for Quality of Life in Chinese Adult Children Caregiving for Parents With Advanced Cancer: A Cross-Sectional Study. Supportive Care in Cancer, 31(10). https://doi.org/10.1007/s00520-023-08057-y
Chiracu, A., Cosma, G., Stepan, A.-R., Cosma, M., Corlaci, I., Călugăru, E. D. C., Voinea, F., Zavaleanu, M., Burileanu, H. A., & Avramescu, T. E. (2023). Psychological Capital, Quality of Life, and Well-Being in Mother Caregivers of Individuals With Down Syndrome. Frontiers in psychology, 14. https://doi.org/10.3389/fpsyg.2023.1145104
Cho, E., Heo, Y. J., Ryoo, E., & Kim, H. J. (2025). The Impact of Maternal Adverse Childhood Experiences on Children's Quality of Life: The Moderating Role of Self-Esteem and the Mediating Role of Maternal Quality of Life. Frontiers in Global Women S Health, 6. https://doi.org/10.3389/fgwh.2025.1630244
Choompunuch, B., Wuttaphan, N., & Suk-erb, W. (2025). Hope and Loneliness as Predictors of Quality of Life Among Rural Older Adults in Thailand: A Cross-Sectional Study. International journal of environmental research and public health, 22(8), 1189. https://doi.org/10.3390/ijerph22081189
Demirci, S. C., Menkü, B. E., Aksoy, N., Öztürk, Z. S., Özaslan, A., & Arıkan, Z. Ö. (2026). Resilience and Quality of Life in Families of Individuals With Polysubstance Use Disorder: Mediating Effects of Internalized Stigma and Caregiving Burden. Journal of Family Nursing. https://doi.org/10.1177/10748407261417986
Deng, L., Liu, Y., Wang, H., Yu, J., & Liao, L. (2023). Resilience Mediates the Effect of Peer Victimization on Quality of Life in Chongqing Adolescents: From a Perspective of Positive Childhood Experiences. Frontiers in psychology, 14. https://doi.org/10.3389/fpsyg.2023.1186984
Gao, C., Gui, S., Zhu, L., Bian, X., Shen, H., & Jiao, C. (2025a). Psychosocial Adaptation After Heart Transplantation: The Chain-Mediating Effect of Self-Esteem and Death Anxiety on Social Support and Quality of Life in China. Behavioral Sciences, 15(10), 1297. https://doi.org/10.3390/bs15101297
Gao, C., Gui, S., Zhu, L., Bian, X., Shen, H., & Jiao, C. (2025b). Social Support and Quality of Life in Chinese Heart Transplant Recipients: Mediation Through Uncertainty in Illness and Moderation by Psychological Resilience. Frontiers in Psychiatry, 16. https://doi.org/10.3389/fpsyt.2025.1637110
Hassani, F., Zarea, K., Jofreh, M. G., dashtebozorgi, z., & Chan, S. W. (2022). Effect of Perceived Social Support, Spiritual Well-Being, Health Literacy, and Resilience on Quality of Life in Patients Undergoing Hemodialysis: A Structural Equation Model. Jundishapur Journal of Chronic Disease Care, 11(2). https://doi.org/10.5812/jjcdc.123080
Khatatbeh, Y., & Almutairi, S. (2025). Perceived Psychological and Social Support as a Predictor of Family Quality of Life Among Prospective Spouses With Disabilities. https://doi.org/10.21203/rs.3.rs-7186472/v1
Kong, L.-X., Yang, Y., Zhao, Q., & Feng, Z. (2024). Effect of Resilience on Quality of Life and Anxiety in Patients With Breast Cancer. World journal of psychiatry, 14(10), 1458-1466. https://doi.org/10.5498/wjp.v14.i10.1458
Liu, Y., Wu, B., Yu, J., Su, R., Hong, Y., Shi, Q., Chen, P., & Zhang, J. (2025). The Role of Illness Perception and Help‐Seeking Attitudes on Positive Psychological Well‐Being and Quality of Life in People With Chronic Wounds. Nursing and Health Sciences, 27(1). https://doi.org/10.1111/nhs.70067
Maalouf, E., Hallit, S., & Obeïd, S. (2022). Personality Traits and Quality of Life Among Lebanese Medical Students: Any Mediating Effect of Emotional Intelligence? A Path Analysis Approach. BMC psychology, 10(1). https://doi.org/10.1186/s40359-022-00739-2
Mahamid, F., Veronese, G., & Bdier, D. (2022). War-Related Quality of Life Is Associated With Depressive Symptoms and Hopelessness Among Palestinians: Sense of Belonging and Resilience as Mediating Variables. Cambridge Prisms Global Mental Health, 9, 483-490. https://doi.org/10.1017/gmh.2022.52
Mai, Q., Xu, S., Hu, J., Sun, X., Chen, G., Ma, Z., Song, Y., & Wang, C. (2023). The Association Between Socioeconomic Status and Health-Related Quality of Life Among Young and Middle-Aged Maintenance Hemodialysis Patients: Multiple Mediation Modeling. Frontiers in Psychiatry, 14. https://doi.org/10.3389/fpsyt.2023.1234553
Meng, L. J., Gao, C., Wang, H.-C., Yasin, R., Huang, R., Zhao, Y., Ma, X., & Wen, Y. (2024). Positive Psychological Capital, Post-Traumatic Growth, Social Support, and Quality of Life in Patients With Systemic Lupus Erythematosus: A Cross-Sectional Study. Lupus, 33(5), 470-480. https://doi.org/10.1177/09612033241238051
Nia, H. S., Lehto, R. H., Farhadi, B., She, L., Goudarzian, A. H., Fomani, F. K., & Mohamadinezhad, M. (2024). The Relationship Between Religious Well-Being, Existential Well-Being, Fear of Progression and Quality of Life in Patients With Cancer: The Mediating Role of Hope. Asian Pacific Journal of Cancer Prevention, 25(3), 1087-1096. https://doi.org/10.31557/apjcp.2024.25.3.1087
Pangandaman, H. K., Ortega, M. A., Hayudini, M. A. A., Mirafuentes, J. M., & Adap, D. M. (2021). Family Support and Church Attendance as Predictors of Elderly’s Quality of Life at Southern Mindanao. The Malaysian Journal of Nursing, 12(3). https://doi.org/10.31674/mjn.2021.v12i03.002
Tang, Y., Ma, Y., Zhang, J., & Wang, H. (2022). The Relationship Between Negative Life Events and Quality of Life in Adolescents: Mediated by Resilience and Social Support. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.980104
Uwiragiye, D., Nkuranyabahizi, M., & Alagbonsi, A. I. (2025). Lived Experiences of Patients Undergoing Hemodialysis in Selected Teaching Hospitals in Rwanda. Rwanda Journal of Medicine and Health Sciences, 8(2), 246-261. https://doi.org/10.4314/rjmhs.v8i2.7
Valero‐Moreno, S., Montoya‐Castilla, I., & Pérez‐Marín, M. (2022). Family Styles and Quality of Life in Adolescents With Bronchial Asthma: The Important Role of Self‐esteem and Perceived Threat of the Disease. Pediatric Pulmonology, 58(1), 178-186. https://doi.org/10.1002/ppul.26178
Walg, M., Khatib, A., Laufer, A., Böttche, M., Maoz‐Dotan, C., Hassan, H., Hapfelmeier, G., & Finkelstein, M. (2024). Post‐migration Stress, Quality of Life, and Mental Health Among Accompanied and Unaccompanied Young Refugees in Germany: How Do Adolescents Feel After Fleeing? Stress and Health, 40(4). https://doi.org/10.1002/smi.3378
Wang, C., Wang, Y., Wu, F., Qu, J., Wang, Q., Hengudomsub, P., Wacharasin, C., & Zhou, L. (2024). Fear of Progression and Resilience as Mediators of the Association Between Family Function and Quality of Life Among Patients With Cervical Cancer. European Journal of Cancer Care, 2024, 1-12. https://doi.org/10.1155/2024/1145993
Wei, X., Liang, L., He, Y., Shao, N., Lü, Y., Yuan, X., Huiyun, Y., & Hui, Y. (2025). A Study on the Relationship Between Learning Burnout and Quality of Life Among Primary and Secondary School Students During an Infectious Disease Epidemic: The Mediating Roles of Depression and Family Health. BMC psychiatry, 25(1). https://doi.org/10.1186/s12888-025-07353-7
Yu, S., Yao, X., Sang, Y., Yu, L., Shen, Y., Che, X., Ding, Y., & Huang, Y. (2022). The Mediating Role of Resilience in the Relationship Between Social Support and Quality of Life Among Patients After Radical Cystectomy: A Structural Equation Model Analysis. Nursing Open, 10(3), 1574-1581. https://doi.org/10.1002/nop2.1408


