Table 4.
Mediation of treatment effects on multiple informant (parent/child) reported child GI symptom severity and pain at 3, 6 and 12 months by changes from baseline to 1 week post-treatment in parental threat, parental solicitousness, and child catastrophizing
a | c’ | b | a*b | Effect size of the indirect effect (a*b) |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Multiple informant outcome |
Estimate (SE) |
90 CI | 95 CI | Estimate (SE) |
90 CI | 95 CI | Estimate (SE) |
90 CI | 95 CI | Estimate (SE) |
90 CI | 95 CI | Hedges’ g |
Severity at 3 months | |||||||||||||
Parent threat | −0.17 (0.03) |
−0.22, −0.12 |
−0.23, −0.11 |
0.01 (0.06) |
−0.09, 0.11 |
−0.11, 0.13 |
0.29 (0.09) |
0.14, 0.44 |
0.11, 0.47 |
−0.05 (0.02) |
−0.08, −0.02 |
−0.08, −0.02 |
−0.40 |
Parent solicitousness | −0.21 (0.03) |
−0.26, −0.16 |
−0.27, −0.15 |
0.01 (0.06) |
−0.09, 0.11 |
−0.11, 0.13 |
0.10 (0.10) |
−0.07, 0.27 |
−0.10, 0.30 |
−0.02 (0.02) |
−0.06, 0.01 |
−0.06, 0.02 |
−0.14 |
Child CAT | −0.12 (0.05) |
−0.20, −0.04 |
−0.22, −0.02 |
0.01 (0.06) |
−0.09, 0.11 |
−0.11, 0.13 |
0.14 (0.07) |
0.03, 0.26 |
0.003, 0.28 |
−0.02 (0.01) |
−0.03, 0.001 |
−0.04, 0.01 |
−0.22 |
Severity at 6 months | |||||||||||||
Parent threat | −0.18 (0.03) |
−0.23, −0.13 |
−0.24, −0.12 |
−0.01 (0.04) |
−0.08, 0.06 |
−0.09, 0.07 |
0.25 (0.07) |
0.13, 0.37 |
0.11, 0.39 |
−0.05 (0.01) |
−0.07, −0.02 |
−0.07, −0.02 |
−0.43 |
Parent solicitousness | −0.21 (0.03) |
−0.26, −0.16 |
−0.27, −0.15 |
−0.01 (0.04) |
−0.08, 0.06 |
−0.09, 0.07 |
−0.03 (0.08) |
−0.16, 0.10 |
−0.19, 0.13 |
0.01 (0.02) |
−0.02, 0.03 |
−0.03, 0.04 |
0.05 |
Child CAT | −0.12 (0.05) |
−0.20, −0.04 |
−0.22, −0.02 |
−0.01 (0.04) |
−0.08, 0.06 |
−0.09, 0.07 |
0.08 (0.05) |
−0.003, 0.16 |
−0.02, 0.18 |
−0.01 (0.01) |
−0.02, 0.002 |
−0.02, 0.005 |
−0.19 |
Severity at 12 months | |||||||||||||
Parent threat | −0.17 (0.03) |
−0.22, −0.12 |
−0.23, −0.11 |
−0.02 (0.06) |
−0.12, 0.08 |
−0.14, 0.10 |
0.32 (0.09) |
0.17, 0.47 |
0.14, 0.50 |
−0.05 (0.02) |
−0.08, −0.02 |
−0.09, −0.02 |
−0.43 |
Parent solicitousness | −0.21 (0.03) |
−0.26, −0.16 |
−0.27, −0.15 |
−0.02 (0.06) |
−0.12, 0.08 |
−0.14, 0.10 |
0.12 (0.11) |
−0.06, 0.30 |
−0.10, 0.34 |
−0.03 (0.02) |
−0.06, 0.01 |
−0.07, 0.02 |
−0.15 |
Child CAT | −0.12 (0.05) |
−0.20, −0.04 |
−0.22, −0.02 |
−0.02 (0.06) |
−0.12, 0.08 |
−0.14, 0.10 |
0.06 (0.07) |
−0.06, 0.18 |
−0.08, 0.20 |
−0.01 (0.01) |
−0.02, 0.01 |
−0.02, 0.01 |
−0.11 |
Pain at 3 months | |||||||||||||
Parent threat | −0.17 (0.03) |
−0.22, −0.12 |
−0.23, −0.11 |
−0.01 (0.16) |
−0.27, 0.25 |
−0.32, 0.30 |
1.30 (0.26) |
0.87, 1.73 |
0.79, 1.81 |
−0.22 (0.06) |
−0.32, −0.12 |
−0.34, −0.11 |
−0.53 |
Parent solicitousness | −0.21 (0.03) |
−0.26, −0.16 |
−0.27, −0.15 |
−0.01 (0.16) |
−0.27, 0.25 |
−0.32, 0.30 |
0.14 (0.28) |
−0.32, 0.60 |
−0.41, 0.69 |
−0.03 (0.06) |
−0.13, 0.07 |
−0.14, 0.09 |
−0.07 |
Child CAT | −0.12 (0.05) |
−0.20, −0.04 |
−0.22, −0.02 |
−0.01 (0.16) |
−0.27, 0.25 |
−0.32, 0.30 |
0.42 (0.18) |
0.12, 0.72 |
0.07, 0.77 |
−0.05 (0.03) |
−0.10, −0.01 |
−0.11, 0.009 |
−0.24 |
Pain at 6 months | |||||||||||||
Parent threat | −0.18 (0.03) |
−0.23, −0.13 |
−0.24, −0.12 |
−0.01 (0.14) |
−0.24, 0.22 |
−0.28, 0.26 |
0.64 (0.26) |
0.21, 1.07 |
0.13, 1.15 |
−0.12 (0.05) |
−0.20, −0.03 |
−0.21, −0.02 |
−0.32 |
Parent solicitousness | −0.21 (0.03) |
−0.26, −0.16 |
−0.27, −0.15 |
−0.01 (0.14) |
−0.24, 0.22 |
−0.28, 0.26 |
−0.37 (0.26) |
−0.80, 0.06 |
−0.88, 0.14 |
0.08 (0.06) |
−0.01, 0.17 |
−0.03, 0.19 |
−0.20 |
Child CAT | −0.12 (0.05) |
−0.20, −0.04 |
−0.22, −0.02 |
−0.01 (0.14) |
−0.24, 0.22 |
−0.28, 0.26 |
0.26 (0.17) |
−0.02, 0.54 |
−0.07, 0.59 |
−0.03 (0.02) |
−0.07, 0.01 |
−0.08, 0.02 |
−0.18 |
Pain at 12 months | |||||||||||||
Parent threat | −0.17 (0.03) |
−0.22, −0.12 |
−0.23, −0.11 |
0.20 (0.17) |
−0.08, 0.48 |
−0.13, 0.53 |
0.78 (0.24) |
0.38, 1.18 |
0.31, 1.25 |
−0.13 (0.05) |
−0.21, −0.05 |
−0.22, −0.04 |
−0.40 |
Parent solicitousness | −0.21 (0.03) |
−0.26, −0.16 |
−0.27, −0.15 |
0.20 (0.17) |
−0.08, 0.48 |
−0.13, 0.53 |
0.23 (0.29) |
−0.25, 0.71 |
−0.34, 0.80 |
−0.05 (0.06) |
−0.15, 0.05 |
−0.17, 0.07 |
−0.11 |
Child CAT | −0.12 (0.05) |
−0.20, −0.04 |
−0.22, −0.02 |
0.20 (0.17) |
−0.08, 0.48 |
−0.13, 0.53 |
0.28 (0.19) |
−0.03, 0.59 |
−0.09, 0.65 |
−0.03 (0.03) |
−0.08, 0.01 |
−0.09, 0.02 |
−0.18 |
Note.
= change in the mediator from baseline to post-treatment due to SLCBT treatment compared to ES;
= direct effect of change in the mediator from baseline to post-treatment on change in the outcome;
= direct effect of treatment on the outcome variable;
=indirect (mediated) effect of treatment on the outcome. To facilitate interpretation of the table, Hedges’ g for the a*b effect was bolded if the .90 confidence intervals (CI) excluded zero, suggesting that mediation is present. Hedges’ g values can be interpreted approximately as follows: .80 large, .50 medium and .20 small.