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. 2025 Jul 2;15:23097. doi: 10.1038/s41598-025-08423-2

Table 5.

SEM pathways of CM, DIF, SF and NSSI.

Depended variables Model pathways Standardized coefficient 95% CI P
CESD
Direct effects CM→CESD 0.418 [0.166, 0.670] < 0.001
Indirect effects CM→DIF→CESD 0.163 [0.063, 0.262] 0.001
Indirect effect/total effect 0.390
SF
Direct effects CM→ SF 0.135 [−0.156, 0.431] 0.358
Indirect effects CM→ DIF→SF 0.126 [0.022, 0.230] 0.018
CM→CESD→SF 0.102 [0.005, 0.199] 0.045
CM→ DIF→CESD→SF 0.040 [−0.003, 0.083] 0.068
Indirect effect/total effect 1
DSHI
Direct effects CM→DSHI 0.346 [0.199, 0.492] < 0.001
Indirect effects CM→DIF→DSHI −0.050 [−1.119, 0.019] 0.154
CM→SF→DSHI 0.079 [−0.091, 0.250] 0.363
CM→DIF→SF→DSHI 0.072 [0.006, 0.138] 0.032
CM→CESD→SF→DSHI 0.059 [−0.007, 0.125] 0.081
CM→DIF→CESD→SF→DSHI 0.023 [−0.003, 0.049] 0.085
Indirect effect/total effect 0.172

The validity was determined based on confirmatory factor analysis. The results for the hypothesized model showed good fit indices overall: χ2/df = 1.356; root mean square error of approximation = 0.047 < 0.080, comparative fit index = 0.982 > 0.950, Tucker–Lewis index = 0.971 > 0.950; SRMR = 0.066; CI, confidence interval; The effects of covariates (i.e., gender, educational level) were controlled in the SEM analysis. All the coefficients were standardized. CESD, Center for Epidemiologic Studies Depression Scale; CM, Childhood Maltreatment; DIF, Difficulty Identifying Feelings; SF, Self-injury functions; DSHI, Deliberate Self-Harm Behavior Inventory.