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. 2021 Sep 9;16:384. doi: 10.1186/s13023-021-01998-9

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© The Author(s) 2021

Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

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Fig. 2 — Parallel mediation of mothers (Model A) and fathers (Model B) of children with rare congenital surgical diseases. Note. The Path a represents the effect of stressor pile-up on each mediator; Path b represents the combined effects of each mediator on parental mental health; the direct effect represents the effect of the stressor pile-up on parental mental health while keeping levels of the mediators constant; the indirect effect represents the combined effect of path a and path b and therefore the mediation. The total effect represents the combined indirect and direct effects. Significance inferences at the α = .05 for effects are based upon the notion of whether confidence intervals include zero. FAM: Family Assessment Measure; OSSS: Oslo Social Support Scale; IFS: Impact on Family Scale; BSI GSI: Brief Symptom Inventory Global Severity Index