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Table 4 Reduction in HRQOL subscales in adolescents with persistent pain explained by direct (pain intensity) and indirect (self-efficacy and self-esteem) effects

From: Pain and health-related quality of life in adolescents and the mediating role of self-esteem and self-efficacy: a cross-sectional study including adolescents and parents

 

Direct effect

Indirect effect of self-efficacy

Indirect effect of self-esteem

Total indirect effecta

Physical well-beingb

54.2%

13.7%

32.1%*

45.8%*

Psychological well-beingb

35.4%

5.7%

58.8%*

64.6%*

Autonomy and parent relationb

–

–

–

–

Social support and peersb

–

–

–

–

School environmentb

26.5%

20.5%

53.0%*

73.5%*

  1. HRQOL health-related quality of life
  2. *Statistically significant; the 95% confidence interval for the effect did not include zero
  3. aThe specific indirect effect of self-efficacy + the specific indirect effect of self-esteem (a1b1 + a2b2)
  4. bKIDSCREEN subscales
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BMC Psychology

ISSN: 2050-7283

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