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Structural equation modeling of associated factors and regional variations in major depressive disorders and generalized anxiety disorders among reproductive-age Bangladeshi women: a nationally representative study
Authors: Passakorn Suanrueang and Karl Peltzer
Source: Annals of General Psychiatry, Volume 25
Topic(s): Adult health
Data models
Mental Health
Modelling
Women's health
Country: Asia
  Bangladesh
Published: DEC 2025
Abstract: BACKGROUND: The study’s objective was to (1) assess the prevalence among women and associated factors of major depressive disorder (MDD) and generalized anxiety disorder (GAD); (2) identify associated factors and regional variations in the relationship between GAD-7 and PHQ-9 scores; and (3) yield insights to support and strengthen mental health policy and service delivery in Bangladesh. METHODS: Data from 19,987 women (aged 15–49 years) who participated in the 2022 Bangladesh Demographic and Health Survey and completed the mental health module were analyzed. Descriptive statistics assessed MDD/GAD prevalence. SEM analyzed factors associated with psychological distress, and regional variations were examined via linear regression. RESULTS: Among 2388 Bangladeshi women aged 15–49 who had MDD and/or GAD, who provided complete responses for all related variables, sociodemographic factors, resource-related determinants, and negative life events were significantly associated with higher levels of depression and anxiety. The path analysis model indicated that sociodemographic factors (ß?=?0.69), resource-related factors (ß?=?0.19), and negative life events (ß?=?0.05) contributed to depression (PHQ score: ß?=?0.81, p?
Web: https://doi.org/10.1186/s12991-025-00619-0