Anchored on the Ecological Systems Theory, this study aimed to determine how psychological distress operates as an underlying mechanism in the impact of socio-ecological factors on the quality of life of Filipino adults during coronavirus disease 2019 (COVID-19) crisis. A cross-sectional online survey was conducted to assess perceptions of 401 adults on socio-ecological factors (i.e., safety at home, trust in public institutions, and financial difficulties), psychological distress, and quality of life during the early phase of COVID-19 community quarantine in the Philippines. Using latent variable path analysis, all three socio-ecological factors have significant direct effects on both psychological distress and quality of life. More importantly, the proposed model was confirmed in terms of a significant partial mediation of psychological distress on the impact of safety at home, trust in public institutions, and financial difficulties on the quality of life of Filipino adults. The study offers novel insights into the role of psychological distress as an underlying mechanism that operates on the influence of socio-ecological factors on the quality of life of adults during a global health crisis. Implications on psychological interventions and policies in preventing mental health problems vis-à-vis improving Filipinos' quality of life during the COVID-19 pandemic are discussed.

中文翻译：

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COVID-19危机期间心理困扰对菲律宾成年人社会生态因素与生活质量之间联系的中介作用

本研究以生态系统理论为基础，旨在确定在 2019 年冠状病毒病 (COVID-19) 危机期间，心理困扰如何作为社会生态因素对菲律宾成年人生活质量影响的潜在机制发挥作用。进行了一项横断面在线调查，以评估 401 名成年人在 COVID- 早期阶段对社会生态因素（即在家的安全、对公共机构的信任和经济困难）、心理困扰和生活质量的看法。菲律宾19个社区隔离。使用潜在变量路径分析，所有三个社会生态因素对心理困扰和生活质量都有显着的直接影响。更重要的是，所提出的模型在心理困扰对家庭安全、对公共机构的信任以及经济困难对菲律宾成年人生活质量的影响的显着部分调解方面得到了证实。该研究为心理困扰作为一种潜在机制的作用提供了新的见解，该机制在全球健康危机期间对社会生态因素对成年人生活质量的影响起作用。讨论了在 COVID-19 大流行期间心理干预和政策对预防心理健康问题与提高菲律宾人生活质量的影响。该研究为心理困扰作为一种潜在机制的作用提供了新的见解，该机制在全球健康危机期间对社会生态因素对成年人生活质量的影响起作用。讨论了在 COVID-19 大流行期间心理干预和政策对预防心理健康问题与提高菲律宾人生活质量的影响。该研究为心理困扰作为一种潜在机制的作用提供了新的见解，该机制在全球健康危机期间对社会生态因素对成年人生活质量的影响起作用。讨论了在 COVID-19 大流行期间心理干预和政策对预防心理健康问题与提高菲律宾人生活质量的影响。