TABLE 5.
Total, direct and indirect effects of autistic traits (SRS) and ADHD symptoms (C3) on depression (CES-DC), pain interference (PII), and HRQoL (PedsQL), using psychological inflexibility (PIPS) as mediator with adjustment for age, gender, and level of pain intensity (LPQ) (n = 146).
Mediator: PIPS | Indirect effecta | |||||||
X | Y | a path coefficient | b path coefficient | Total effect (c) | Direct effect (c′) | Effect (SE) | CI (99%) | |
LLCI | ULCI | |||||||
C3 | CES | 0.342** | 0.454** | 0.340** | 0.185** | 0.155** (0.044) | 0.052 | 0.282 |
PII | 0.342** | 0.414** | 0.227** | 0.086 | 0.142** (0.036) | 0.050 | 0.240 | |
PedsQL | 0.342** | −0.722** | −0.494** | −0.247** | –0.247** (–0.069) | –0.439 | –0.079 | |
SRS | CES | 0.556** | 0.455** | 0.432** | 0.180* | 0.253** (0.056) | 0.114 | 0.409 |
PII | 0.556** | 0.422** | 0.290** | 0.055 | 0.235** (0.048) | 0.109 | 0.362 | |
PedsQL | 0.556** | 0.734** | −0.602** | –0.194 | –0.408** (0.087) | –0.661 | –0.184 |
Number of bootstrap resamples = 5000; Covariates in all analyses: age, gender, pain intensity; LLCI/ULCI, Lower/Upper Level Confidence Interval; C3, Conners 3; SRS, The Social Responsiveness Scale; PII, Pain Interference Index; CES-DC, Center for Epidemiological Studies – Depression Scale Children; PedsQL, Pediatric Quality of Life Inventory.
aThe indirect effect is statistically significant when the confidence interval (LLCI – ULCI) does not include zero (99% equals p < 0.01 level significance). *p < 0.05 and **p < 0.01.