Evidence map›Paper›PMID 34550343›Full record

ReviewEpidemiologic reviews2022

Assumptions Not Often Assessed or Satisfied in Published Mediation Analyses in Psychology and Psychiatry.

Elizabeth A Stuart, Ian Schmid, Trang Nguyen, Elizabeth Sarker, Adam Pittman, Kelly Benke, Kara Rudolph, Elena Badillo-Goicoechea, Jeannie-Marie Leoutsakos

Abstract readReview
In one paragraph

Review in Epidemiologic reviews, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Toward New Directions in Human Biology: A Roadmap for Anthropological Causal Inference With Observational Data.American journal of human biology : the official journal of the Human Biology Council · 2025
    Article
  7. Review
  8. Practical challenges in mediation analysis: a guide for applied researchers.Health services & outcomes research methodology · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Elizabeth A Stuart
Ian Schmid
Trang Nguyen
Elizabeth Sarker
Adam Pittman
Kelly Benke
Kara Rudolph
Elena Badillo-Goicoechea
Jeannie-Marie Leoutsakos

Funding

Research Education ComponentP30AG066507 · NIA · JOHNS HOPKINS UNIVERSITY · PI Corinne Pettigrew · 2020 to 2026
$29.3M
Integrating data for causal inference in behavioral healthT32MH122357 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Rashelle Jean Musci, Elizabeth A. Stuart · 2020 to 2026
$1.8M
Causal mediation methods for studying mechanisms in mental healthR01MH115487 · NIMH · JOHNS HOPKINS UNIVERSITY · PI STUART, ELIZABETH A. · 2018 to 2021
$1.3M
NIA NIH HHS P30 AG066507NIMH NIH HHS R01 MH115487NIMH NIH HHS T32 MH122357
6 · The paper itself

Abstract

Mediation analysis aims to investigate the mechanisms of action behind the effects of interventions or treatments. Given the history and common use of mediation in mental health research, we conducted this review to understand how mediation analysis is implemented in psychology and psychiatry and whether analyses adhere to, address, or justify the key underlying assumptions of their approaches. All articles (n = 206) were from top academic psychiatry or psychology journals in the PsycInfo database and were published in English from 2013 to 2018. Information extracted from each article related to study design, covariates adjusted for in the analysis, temporal ordering of variables, and the specific method used to perform the mediation analysis. In most studies, underlying assumptions were not adhered to. Only approximately 20% of articles had full temporal ordering of exposure, mediator, and outcome. Confounding of the exposure-mediator and/or mediator-outcome relationships was controlled for in fewer than half of the studies. In almost none of the articles were the underlying assumptions of their approaches discussed or causal mediation methods used. These results provide insights to how methodologists should aim to communicate methods, and motivation for more outreach to the research community on best practices for mediation analysis.

Indexed as

Mediation AnalysisPsychiatryCausalityHumansModels, StatisticalPublicationsResearch Designcausal inferencemental healthstatistical methods

Identifiers

PMID34550343
PMCPMC8900288

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.