Table 4.

Factors with standardized total/direct/indirect effects on BI, PCS, and MCS (N = 406)

Predictor effects	Body image (BI, mediator)		Physical component summary (PCS)		Mental component summary (MCS)
	B (95%CI)	P	B (95%CI)	P	B (95%CI)	P
Total effects
Body image	–	–	− 0.115 (− 0.202, − 0.003)	0.047	− 0.351 (− 0.434, − 0.258)	0.002
Needs importance	0.297 (0.195, 0.397)	0.002	−0.145 (− 0.245, − 0.043)	0.009	−0.254 (− 0.363, − 0.136)	0.003
Needs satisfaction	−0.341 (− 0.455, − 0.232)	0.002	0.039 (0.004, 0.076)	0.034	0.261 (0.149, 0.373)	0.003
LAD (ref. MRM)	−0.106 (− 0.214, − 0.004)	0.043	0.012 (0.000, 0.036)	0.048	− 0.052 (− 0.155, 0.049)	0.314
Chronic disease (ref. yes)	–	–	0.100 (0.004, 0.206)	0.040	–	–
Residence (ref. rural)	–	–	–	–	0.150 (0.050, 0.236)	0.002
Direct effects
Body image	–	–	− 0.115 (− 0.202, − 0.003)	0.047	− 0.351 (− 0.434, − 0.258)	0.002
Needs importance	0.297 (0.195, 0.397)	0.002	− 0.111 (− 0.211, − 0.009)	0.035	−0.150 (− 0.249, − 0.037)	0.004
Needs satisfaction	− 0.341 (− 0.455, − 0.232)	0.002	–	–	0.142 (0.039, 0.244)	0.007
LAD (ref. MRM)	− 0.106 (− 0.214, − 0.004)	0.043	–	–	− 0.089 (− 0.184, − 0.002)	0.043
Chronic disease (ref. yes)	–	–	0.100 (0.004, 0.206)	0.040	–	–
Residence (ref. rural)	–	–	–	–	0.150 (0.050, 0.236)	0.002
Indirect effects
Body image	–	–	–	–	–	–
Needs importance	–	–	−0.034 (− 0.066, − 0.004)	0.032	− 0.104 (− 0.150, − 0.065)	0.001
Needs satisfaction	–	–	0.039 (0.004, 0.076)	0.034	0.120 (0.077, 0.173)	0.001
LAD (ref. MRM)	–	–	0.012 (0.000, 0.036)	0.048	0.037 (0.003, 0.080)	0.036
Chronic disease (ref. yes)	–	–	–	–	–	–
Residence (ref. rural)	–	–	–	–	–	–

“-” signifies no value

LAD Lumpectomy and axillary dissection, MRM modified radical mastectomy, 95%CI 95% confidence interval