Results
Descriptive statistics were used to analyse patients’ demographic characteristics. A Pearson correlation analysis was conducted to determine the relationship between the continuous study variables and the Spearman rank-order correlation for associations with gender. Continuous variables presented as means and standard deviations and categorical data as frequencies and percentages. Data management and analysis were performed using IBM SPSS Statistics version 27.0 for Windows (2020). Statistical significance was determined with To test our primary hypotheses, we conducted four serial mediation analyses using PROCESS version 4.0 [