Table 4.

Standardized indirect effects and confidence intervals

Path	Indirect effect	Bias-corrected 95% CI
Baseline CESD→ SLE → 12 month CESD	0.087*	0.023, 0.215
12 Month CESD → SLE → 24 month CESD	0.079*	0.010, 0.217
24 Month CESD → SLE → 36 month CESD	0.008	−0.011, 0.097
36 Month CESD → SLE → 48 month CESD	0.035	−0.003, 0.134
48 Month CESD → SLE → 60 month CESD	0.011	−0.009, 0.089

Confidence intervals that do not include zero indicate a significant indirect effect

Significant effects indicate a stress generation effect. Arrows indicate the first variable predicting the second variable and the second variable predicting the third variable. CESD center for epidemiological studies depression scale, SLE stressful life events. Controls in all models were age, income, education, marital status and surgery type.

^*p<0.05