Fig. 1: Directed acyclic graph representing associations between prepubertal body size, body image dissatisfaction, and disordered eating and self-harm in adolescence.

This graph illustrates the hypothesized role of prepubertal body size and body image dissatisfaction on disordered eating and self-harm in adolescence, and includes the intermediate confounders considered in the main analysis. The thick line indicates a direct effect. The thin lines indicate the indirect pathway. The dotted lines indicate pathways from intermediate confounders. Baseline confounders assumed to confound all paths: Sex; Birthweight; IQ; Indicators of SEP: Maternal education, ethnicity, father absence, weekly income, parent social class, Maternal age; Maternal BMI; Maternal depressive symptoms (32 weeks gestation & 21 months); Stressful life events.