Table 4.
Mediation effects of prenatal cortisol (Cortisol) on the relationship between prenatal symptoms of depression (CES-D) and gestational age at birth (GA) and fetal growth rates (FG).
Gestational Age at Birth (R2 =.35 , Adjusted R2 = .33, F(2, 76) =20.09 ,p < .001) | ||||
---|---|---|---|---|
Regression Path | b | s.e. | t | p |
Total effect c (CES-D on GA; Cortisol not included)* | -.032 | .015 | 2.15 | .035 |
Mediation path a (CES-D on Cortisol)* | 3.39 | .979 | 3.46 | <.001 |
Mediation path b (Cortisol on GA)* | -.008 | .001 | 5.79 | <.001 |
Direct effect c’ (CES-D on GA; Cortisol is included)* | -.003 | .013 | 0.25 | .801 |
Indirect effect tests | 95% Confidence Intervals | |||
Sobel | -.029 | .009 | (-.047 to -.009) Z = 2.94, p = .003 | |
Bootstrap (z= 1000) | (-.050 to -.010)b | |||
Fetal Growth Rate (R2 = .17, Adjusted R2 = .15, F(2, 76) = 7.78, p < .001) | ||||
Regression Path | b | s.e. | t | p |
Total effect c (CES-D on FG; Cortisol not included)* | -.472 | .195 | 2.42 | .018 |
Mediation path a (CES-D on Cortisol)* | 3.39 | .979 | 3.46 | <.001 |
Mediation path b (Cortisol on FG)* | -.065 | .022 | 3.01 | .035 |
Direct effect c’ (CES-D on FG; Cortisol is included)* | -.252 | .199 | 1.26 | .210 |
Indirect effect tests c - c’ a | 95% Confidence Intervals | |||
Sobel | -.214 | .093 | (-.414 to -.026) Z = 2.22, p = .026 | |
Bootstrap (z= 1000) | (-.421 to -.055)b |
b = unstandardised coefficient; s.e. = standard error.
Effects that need to be significant to meet the criteria for mediation according to Baron and Kenny, 1986.
If this coefficient is reduced to zero then we have perfect mediation, if it is reduced significantly but not to zero then we have partial mediation, (Baron & Kenny, 1986). The effect of CES-D on both GA and FG is significantly reduced when Cortisol is introduced as a mediator.
If the 95% confidence interval produced by the bootstrap does not include zero then criteria for mediation has been meet (Preacher & Hayes, 2004).