Mediation analysis of weight suppression and bulimic symptoms. This diagram displays the direct effect (c′) of weight suppression on bulimic symptoms and the indirect effect (a*b) through the mediator (i.e., drive for thinness [DT]). Covariates included in path (a): cohort, sex, baseline DT, baseline bulimic symptoms, and baseline body mass index. Covariates included in path (b): cohort, sex, 10-year bulimic symptoms, and 10-year body mass index. **p<.001, *p<.01