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Table 4 Summary of the mediation analysis and support for the reciprocal effects model

From: Reciprocal effects among changes in weight, body image, and other psychological factors during behavioral obesity treatment: a mediation analysis

Model

Meadiator

Outcome

Classification

Notes

Body Size Dissatisfaction

1a

Δ BSD

Δ Weight

Partially mediates Δ Weight

Partial support for REM. Slightly stronger effects of changes in body dissatisfaction on weight changes than the opposite model.

1b

Δ Weight

Δ BSD

Partially mediates Δ BSD

 

Body Shape Concerns

2a

Δ BSQ

Δ Weight

Partially mediates Δ Weight

Partial support for REM. Weight loss mediation was stronger on body shape concerns than the opposite model.

2b

Δ Weight

Δ BSQ

Fully mediates Δ BSQ

 

Weight-Related Quality of Life

3a

Δ WR-QoL

Δ Weight

Irrelevant to Δ Weight

No support for REM. Weight loss has an indirect effect on quality of life improvements.

3b

Δ Weight

Δ WR-QoL

Indirect effect on Δ WR-QoL

 

Self-esteem Change

4a

Δ Self-esteem

Δ Weight

Irrelevant to Δ Weight

No support for REM. Weight loss has an indirect effect on self-esteem improvements.

4b

Δ Weight

Δ Self-esteem

Indirect effect on Δ Self-esteem

 

Depression Change

5a

Δ Depression

Δ Weight

Irrelevant to Δ Weight

No support for REM.

5b

Δ Weight

Δ Depression

Irrelevant to Δ Depression

 
  1. Note: Δ – Difference from baseline to program's end; REM – Reciprocal effect model; BSD – Body Size Dissatisfaction; BSQ – Body Shape Concerns; WR-QoL – Weight-Related Quality of Life.