Fig. 2.

Path diagram of sequential mediation for HRQOL (SF-12 Mental Component Score). ^aAnxiety symptoms measured with Zung Self-Rating Anxiety Scale (ZSAS). ^bCoping styles measured with the Coping Inventory for Stressful Situations (CISS-SF). ^cPsychological distress measured with psychological distress was assessed using the Hospital Anxiety and Depression Scale. E.S effect size of total indirect effect for the mediation model, CI confidence interval, n.s. no significant. *p < 0.05; **p < 0.001