Shoulder pain, shoulder disability, and depression as serial mediators between stress and health-related quality of life among middle-aged women

Table 3 Total, direct, and indirect effects for multiple mediation model (N = 565)

	Effect	SE	t	P	95% BC CI
Total effect of stress on health-related quality of life	−0.4408	0.0773	−5.7020	< 0.001	[− 0.5926, − 0.2889]
Direct effect of stress on health-related quality of life	−0.2598	0.0934	−2.7816	0.0056	[− 0.4433, − 0.0763]
Total indirect effect	−0.1809	0.0655			[− 0.3157, − 0.0558]
Indirect effect via shoulder pain	0.0679	0.0276			[0.0217, 0.1289]
Indirect effect via shoulder disability	−0.0414	0.0211			[− 0.0896, − 0.0059]
Indirect effect via depression	−0.1197	0.0574			[− 0.2368, − 0.0127]
Indirect effect via shoulder pain and shoulder disability	−0.0733	0.0215			[− 0.1199, − 0.0363]
Indirect effect via shoulder pain and depression	−0.0065	0.0044			[− 0.0170, − 0.0002]
Indirect effect via shoulder disability and depression	−0.0029	0.0023			[− 0.0087, 0.0001]
Indirect effect via shoulder pain, shoulder disability, and depression	−0.0050	0.0033			[− 0.0132, − 0.0003]

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