Table 5.

Direct, indirect, and total effects of key study variables.

Model pathways	Standardized coefficient	95% CI
Total effects
Social support → Institutional satisfaction	0.343	0.250 to 0.435
Social support → Anxiety	−0.168	−0.270 to −0.070
Social support → Depression	−0.203	−0.289 to −0.124
Institutional satisfaction → Anxiety	−0.134	−0.256 to −0.011
Institutional satisfaction → Depression	−0.328	−0.432 to −0.216
Anxiety → Depression	0.745	0.670 to 0.808
Direct effects
Social support → Institutional satisfaction	0.343	0.250 to 0.435
Social support → Anxiety	−0.122	−0.236 to −0.011
Institutional satisfaction → Anxiety	−0.134	−0.256 to −0.011
Institutional satisfaction → Depression	−0.228	−0.302 to −0.155
Anxiety → Depression	0.745	0.670 to 0.808
Indirect effects
Social support → Anxiety	−0.046	−0.098 to −0.003
Social support → Depression	−0.203	−0.289 to −0.124
Institutional satisfaction → Depression	−0.100	−0.189 to −0.008