Table 3

Standardised indirect effects and ratio of indirect to total effects for the paths on the SMMs

Indirect effects of pain on HRQoLRatio of indirect to total effect
b (boot SE)BC 95% CI (LL-UL)* b (boot SE)BC 95% CI (LL-UL)*
SMM1: PN ->AXT ->DEP ->FTG ->HRQoL
PN ->AXT ->HRQoL −0.138 (0.057)(−0.268 to –0.04)0.299 (0.126)(0.082 to 0581)
 PN ->AXT ->DEP ->HRQoL−0.042 (0.033)(−0.109 to 0.022)0.091 (0.074)(−0.049 to 0.239)
PN ->AXT ->FTG ->HRQoL −0.108 (0.032)(−0.186 to –0.057)0.234 (0.077)(0.114 to 0.424)
 PN ->AXT ->DEP ->FTG ->HRQoL−0.004 (0.01)(−0.028 to 0.013)0.009 (0.022)(−0.029 to 0.063)
 PN ->DEP ->HRQoL−0.018 (0.018)(−0.069 to 0.005)0.04 (0.04)(−0.012 to 0.153)
 PN ->DEP ->FTG ->HRQoL−0.002 (0.005)(−0.019 to 0.005)0.004 (0.011)(−0.01 to 0.041)
PN ->FTG ->HRQoL −0.071 (0.024)(−0.13 to –0.033)0.154 (0.056)(0.07 to 0.296)
SMM2: PN ->FTG ->AXT DEP ->HRQoL
PN ->FTG ->HRQoL −0.186 (0.042)(−0.272 to –0.11)0.299 (0.126)(0.082 to 0.581)
PN ->FTG ->AXT ->HRQoL −0.074 (0.032)(−0.146 to –0.023)0.244 (0.077)(0.119 to 0.427)
 PN ->FTG ->DEP ->HRQoL−0.002 (0.006)(−0.022 to 0.006)0.088 (0.074)(−0.047 to 0.241)
 PN ->FTG ->AXT ->DEP ->HRQoL−0.022 (0.018)(−0.063 to 0.011)0.003 (0.008)(−0.007 to 0.029)
PN ->AXT ->HRQoL −0.064 (0.03)(−0.141 to –0.018)0.158 (0.058)(0.071 to 0.304)
 PN ->AXT ->DEP ->HRQoL−0.019 (0.017)(−0.062 to 0.008)0.002 (0.005)(−0.004 to 0.024)
 PN ->DEP ->HRQoL−0.018 (0.017)(−0.067 to 0.005)0.038 (0.039)(−0.012 to 0.147)
SMM3: PN ->DEP> AXT ->FTG->HRQoL
 PN ->DEP ->HRQoL−0.061 (0.048)(−0.156 to 0.03)0.131 (0.106)(−0.072 to 0.343)
PN ->DEP ->AXT ->HRQoL −0.074 (0.031)(−0.15 to –0.021)0.161 (0.07)(0.044 to 0.324)
 PN ->DEP ->FTG ->HRQoL−0.006 (0.015)(−0.043 to 0.018)0.014 (0.032)(−0.038 to 0.094)
PN ->DEP ->AXT ->FTG ->HRQoL −0.058 (0.019)(−0.105 to –0.028)0.126 (0.047)(0.057 to 0.248)
PN ->AXT ->HRQoL −0.064 (0.029)(−0.138 to –0.019)0.138 (0.065)(0.042 to 0.306)
PN ->AXT ->FTG ->HRQoL −0.05 (0.017)(−0.094 to –0.025)0.108 (0.038)(0.053 to 0.212)
 PN ->FTG ->HRQoL−0.071 (0.024)(−0.13 to –0.033)0.154 (0.056)(0.07 to 0.296)
SMM4: PN ->AXT ->FTG ->DEP> ->HRQoL
PN ->AXT ->HRQoL −0.138 (0.056)(−0.262 to –0,04)0.299 (0.125)(0.076 to 0.578)
PN ->AXT ->FTG ->HRQoL −0.113 (0.031)(−0.187 to –0061)0.244 (0.076)(0.122 to 0.426)
 PN ->AXT ->DEP ->HRQoL−0.041 (0.034)(−0.115 to 0.02)0.088 (0.075)(−0.045 to 0.259)
 PN ->AXT ->FTG ->DEP ->HRQoL−0.001 (0.004)(−0.013 to 0.003)0.003 (0.008)(−0.007 to 0.028)
PN ->FTG ->HRQoL −0.073 (0.025)(−0.131 to –0.031)0.158 (0.058)(0.065 to 0.299)
 PN ->FTG ->DEP ->HRQoL−0.001 (0.003)(−0.011 to 0.002)0.002 (0.006)(−0.004 to 0.022)
 PN ->DEP ->HRQoL−0.018 (0.017)(−0.067 to  0.005)0.038 (0.039)(−0.01 to 0.152)
SMM5: PN ->FTG ->DEP> AXT ->HRQoL
PN ->FTG ->HRQoL −0.186 (0.042)(−0.272 to –0.11)0.402 (0.103)(0.223 to 0.632)
 PN ->FTG ->DEP ->HRQoL−0.024 (0.019)(−0.064 to  0.011)0.052 (0.042)(−0.023 to 0.146)
PN ->FTG ->AXT ->HRQoL −0.052 (0.023)(−0.106 to –0.016)0.112 (0.051)(0.031 to 0.23)
PN ->FTG ->DEP ->AXT ->HRQoL −0.022 (0.011)(−0.05 to –0.007)0.049 (0.024)(0.015 to 0.11)
 PN ->DEP ->HRQoL−0.036 (0.031)(−0.106 to 0.016)0.079 (0.069)(−0.034 to 0.238)
PN ->DEP ->AXT ->HRQoL −0.034 (0.015)(−0.07 to –0.01)0.073 (0.034)(0.021 to 0.156)
PN ->AXT ->HRQoL −0.03 (0.019)(−0.082 to –0.004)0.065 (0.042)(0.008 to 0.181)
SMM6: PN ->DEP> FTG ->AXT ->HRQoL
 PN ->DEP ->HRQoL−0.061 (0.048)(−0.158 to 0.029)0.131 (0.107)(−0.065 to 0.355)
PN ->DEP ->FTG ->HRQoL −0 .065 (0.023)(−0.12 to –0.03)0.14 (0.054)(0.062 to 0.283)
PN ->DEP ->AXT ->HRQoL −0.056 (0.023)(−0.111 to –0.017)0.122 (0.053)(0.033 to 0.245)
PN ->DEP ->FTG ->AXT ->HRQoL −0.018 (0.009)(−0.043 to –0.006)0.039 (0.021)(0.011 to 0.096)
PN ->FTG ->HRQoL −0.121 (0.031)(−0.192 to –0.07)0.262 (0.073)(0.146 to 0.44)
PN ->FTG ->AXT ->HRQoL −0.034 (0.016)(−0.073 to –0.011)0.073 (0.035)(0.021 to 0.16)
PN ->AXT ->HRQoL −0.03 (0.019)(−0.082 to –0.004)0.065 (0.042)(0.008 to 0.181)
  • Table shows standardised indirect effects with bootstrapped SEs; Paths in bold indicate statistically significant indirect effects.

  • Bias-corrected 95% CIs.

  • *LL- Lower Limit, UL- Upper Limit

  • AXT, anxiety; DEP, depression; FTG, fatigue; HRQoL, health-related quality of life; PN, pain; SMM, serial mediation model.