Table 7.
Direct, Indirect and total effects of variables associated with anxiety and PTSD while controlling the autoregressive and cross-lagged effects, among postpartum women in Northwest Ethiopia, 2021
| Variable’s pathway | Type of mental health disorder at each follow up time | ||||||||
| T1 Anxiety | T2 Anxiety | T3 Anxiety | |||||||
| Direct effect | Indirect effect | Total effect | Direct effect | Indirect effect | Total effect | Direct effect | Indirect effect | Total effect | |
| β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | |
| Direct morbidity Yes | 2.80(1.80, 3.80) a | No path | 0.20(0.04) a | 0.81(0.54,1.07) a | 2.50(1.62, 3.38) a | 3.31(2.39, 4.23) a | No path | 2.61(1.88, 3.34) a | 2.61(1.88, 3.34) a |
|
Fear of childbirth Yes |
0.05(0.04, 0.07) a | No path | 0.21(0.03) a | No path | 0.05(0.03, 0.06) a | 0.05(0.03, 0.06) a | No path | 0.04(0.03, 0.05) a | 0.04(0.03, 0.05) a |
| Gravidity | 1.21(0.35, 2.06) b | No path | 0.21(0.07) b | No path | 1.09 (0.34, 1.84) b | 1.09 (0.34, 1.84) b | No path | 0.87(0.28, 1.46) b | 0.87(0.28, 1.46) b |
| Parity | -1.22(-2.08, -0.35) b | No path | -0.20(0.07) b | No path | -1.11 (-1.87, -0.34) b | -1.11 (-1.87, -0.34) b | No path | -0.89 (-1.49, -0.29) b | -0.89 (-1.49, -0.29) b |
| Social support | -0.72(-0.97, -0.48) a | No path | -0.22(0.04) a | No path | -0.63 (-0.84, -0.421) a | -0.63 (-0.84, -0.421) a | No path | -0.49 (-0.65, -0.32) a | -0.49 (-0.65, -0.32) a |
|
Traumatic birth Yes |
3.06(2.19, 3.93) a | No path | 0.23(0.03) a | No path | 2.74(1.97, 3.51) a | 2.74(1.97, 3.51) a | No path | 2.17(1.56, 2.77) a | 2.17(1.56, 2.77) a |
| Indirect morbidity Yes | No path | 0.14(0.38) a | 0.14(0.38) a | No path | 2.41 (1.72, 3.11) a | 2.41 (1.72, 3.11) a | No path | 1.90(1.36, 2.45) a | 1.90(1.36, 2.45) a |
| T1 depression | 0.06(0.02, 0.11) b | No path | 0.06(0.02, 0.11) b | No path | 0.09 (0.04, 0.14) b | 0.09 (0.04, 0.14) b | |||
| T1 anxiety | 0.82(0.77, 0.87) b | No path | 0.82(0.77, 0.87) b | No path | 0.61 (0.55, 0.66) a | 0.61 (0.55, 0.66) a | |||
| Variable’s pathway | Type of mental health disorder at each follow up time | ||||||||
| T1 PTSD | T2 PTSD | T3 PTSD | |||||||
| Direct effect | Indirect effect | Total effect | Direct effect | Indirect effect | Total effect | Direct effect | Indirect effect | Total effect | |
| β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | β (95% CI) | |
| Direct morbidity Yes | 4.74(2.87, 6.61) a | No path | 4.74(2.87, 6.61) a | 1.42(1.02, 1.81) a | 4.22(2.60, 5.85) a | 5.64(3.97, 7.31) a | No path | 4.59 (3.25, 5.93) a | 4.59 (3.25, 5.93) a |
|
Fear of childbirth Yes |
0.13(0.10, 0.17) a | No path | 0.13(0.10, 0.17) a | No path | 0.12(0.09, 0.14) a | 0.12(0.09, 0.14) a | No path | 0.09 (0.07, 0.11) a | 0.09 (0.07, 0.11) a |
| Gravidity | 2.45(0.85,4.04) a | No path | 2.45(0.85,4.04) a | No path | 2.15(0.76, 3.54) b | 2.15(0.76, 3.54) b | No path | 1.74 (0.64, 2.85) b | 1.74 (0.64, 2.85) b |
| Parity | -2.57(-4.19, -0.96) b | No path | -2.57(-4.19, -0.96) b | No path | -2.25(-3.66, -0.85) b | -2.25(-3.66, -0.85) b | No path | -1.83 (-2.95, -0.72) b | -1.83 (-2.95, -0.72) b |
| Social support | -0.99(-0.14, -0.55) b | No path | -0.99(-0.14, -0.55) b | No path | -0.90(-1.29, -0.52) a | -0.90(-1.29, -0.52) a | No path | -0.73 (-1.04, -0.42) a | -0.73 (-1.04, -0.42) a |
|
Traumatic birth Yes |
7.45(5.82, 9.08) a | No path | 7.45(5.82, 9.08) a | No path | 6.46(5.04, 7.88) a | 6.46(5.04, 7.88) a | No path | 5.13(3.99, 6.27) a | 5.13(3.99, 6.27) a |
| Indirect morbidity Yes | No path | 3.46(2.07, 4.85) a | 3.46(2.07, 4.85) a | No path | 4.12(2.86, 5.37) a | 4.12(2.86, 5.37) a | No path | 3.35 (2.34, 4.36) a | 3.35 (2.34, 4.36) a |
| T1 PTSD | 0.81(0.79, 0.83) a | No path | 0.81(0.79, 0.83) a | No path | 0.60(0.57, 0.63) a | 0.60(0.57, 0.63) a | |||
| T1 depression | 0.13(0.09, 0.17) a | No path | 0.13(0.09, 0.17) a | No path | 0.09 (0.04, 0.14) b | 0.09 (0.04, 0.14) b | |||
| T1 anxiety | No path | No path | No path | No path | 0.12 (0.08, 0.15) a | 0.12 (0.08, 0.15) a | |||
a p-value ≤ 0.001, b p-value < 0.01, β is unstandardized estimate