4.7 Article

Psychological networks in clinical populations: investigating the consequences of Berkson's bias

Journal

PSYCHOLOGICAL MEDICINE
Volume 51, Issue 1, Pages 168-176

Publisher

CAMBRIDGE UNIV PRESS
DOI: 10.1017/S0033291719003209

Keywords

Berkson's bias; conditioning on a collider; psychological networks; selection bias; simulation study

Ask authors/readers for more resources

The study investigates the impact of Berkson's bias on Gaussian Graphical Model and Ising Model, finding that higher cut-off values result in worse recovery of network structure and selection reduces recovery rates. Berkson's bias is identified as a significant and underappreciated issue in the clinical network literature.
Background In clinical research, populations are often selected on the sum-score of diagnostic criteria such as symptoms. Estimating statistical models where a subset of the data is selected based on a function of the analyzed variables introduces Berkson's bias, which presents a potential threat to the validity of findings in the clinical literature. The aim of the present paper is to investigate the effect of Berkson's bias on the performance of the two most commonly used psychological network models: the Gaussian Graphical Model (GGM) for continuous and ordinal data, and the Ising Model for binary data. Methods In two simulation studies, we test how well the two models recover a true network structure when estimation is based on a subset of the data typically seen in clinical studies. The network is based on a dataset of 2807 patients diagnosed with major depression, and nodes in the network are items from the Hamilton Rating Scale for Depression (HRSD). The simulation studies test different scenarios by varying (1) sample size and (2) the cut-off value of the sum-score which governs the selection of participants. Results The results of both studies indicate that higher cut-off values are associated with worse recovery of the network structure. As expected from the Berkson's bias literature, selection reduced recovery rates by inducing negative connections between the items. Conclusion Our findings provide evidence that Berkson's bias is a considerable and underappreciated problem in the clinical network literature. Furthermore, we discuss potential solutions to circumvent Berkson's bias and their pitfalls.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Psychology, Clinical

Mental Health and Social Contact During the COVID-19 Pandemic: An Ecological Momentary Assessment Study

Eiko I. Fried, Faidra Papanikolaou, Sacha Epskamp

Summary: A study on Dutch undergraduate students during the COVID-19 pandemic found that anxiety, loneliness, and COVID-19-related concerns decreased initially, while depressive symptoms increased. Despite social-distancing measures, students did not change their frequency of in-person social activities.

CLINICAL PSYCHOLOGICAL SCIENCE (2022)

Article Mathematics, Interdisciplinary Applications

Bayesian Uncertainty Estimation for Gaussian Graphical Models and Centrality Indices

J. Jongerling, S. Epskamp, D. R. Williams

Summary: In the network approach to psychopathology, psychological constructs are conceptualized as networks of interacting components. This study compares estimation methods for symptom networks and finds that the Bayesian GLASSO performed better than the frequentist GLASSO in several measures of bias and specificity.

MULTIVARIATE BEHAVIORAL RESEARCH (2023)

Article Psychology, Clinical

Psychopathological networks: Theory, methods and practice

Laura F. Bringmann, Casper Albers, Claudi Bockting, Denny Borsboom, Eva Ceulemans, Angelique Cramer, Sacha Epskamp, Markus Eronen, Ellen Hamaker, Peter Kuppens, Wolfgang Lutz, Richard J. McNally, Peter Molenaar, Pia Tio, Manuel C. Voelkle, Marieke Wichers

Summary: Network approaches to psychopathology have had a significant impact on how mental disorders are perceived in clinical psychology. This article brings together different perspectives from methodologists and clinicians to provide a critical overview of the challenges in integrating theory, empirical research, and clinical practice. The focus is on methodological issues related to temporal networks, including selecting and assessing network nodes, distinguishing between-and within-person effects, relating items measured at different time scales, and managing changes in network structures.

BEHAVIOUR RESEARCH AND THERAPY (2022)

Article Psychology, Multidisciplinary

Which Estimation Method to Choose in Network Psychometrics? Deriving Guidelines for Applied Researchers

Adela-Maria Isvoranu, Sacha Epskamp

Summary: This study compares the performance of different estimation algorithms for Gaussian and skewed ordered categorical data in various settings through large-scale simulation, and provides guidelines for empirical researchers in choosing estimation methods.

PSYCHOLOGICAL METHODS (2023)

Article Psychology, Multidisciplinary

Investigating the Feasibility of Idiographic Network Models

Alessandra C. Mansueto, Reinout W. Wiers, Julia C. M. van Weert, Barbara C. Schouten, Sacha Epskamp

Summary: Recent times have seen an increasing demand for personalized psychotherapy and tailored communication during treatment. This has led to the need to model the complex dynamics of mental disorders in individual patients. Time-series data can be collected through ecological momentary assessment and analyzed using the graphical vector autoregressive model to estimate personalized networks. These networks can be used to customize psychotherapy and provide personalized feedback to clients, making them a promising tool for clinical practice. However, it remains unclear whether these networks can be reliably estimated in clinical settings. A large-scale simulation study was conducted, and the results showed that sensitivity is low with sample sizes feasible for clinical practice. While the global network structure can be retrieved, the full network may not be recoverable. Estimating temporal networks is particularly challenging, and it is recommended to reduce the number of nodes to around six variables when using 75 and 100 observations. Full information maximum likelihood and the Kalman filter are effective in handling missing data, with planned missingness being a valid method. Methodological and clinical solutions to the challenges raised in this study are discussed.

PSYCHOLOGICAL METHODS (2023)

Article Psychology, Clinical

Identifying Components of Drive for Muscularity and Leanness Associated With Core Body Image Disturbance: A Network Analysis

Katarina Prnjak, Eiko Fried, Jonathan Mond, Phillipa Hay, Kay Bussey, Scott Griffiths, Nora Trompeter, Alexandra Lonergan, Deborah Mitchison

Summary: Desire for muscularity and desire for leanness are associated with both positive and negative aspects of body image disturbance, suggesting a multifaceted assessment of these concepts. Internalizing muscular and/or lean body ideals is more strongly related to eating disorder symptoms in males. Some components of drive for muscularity show negative associations with body image disturbance.

PSYCHOLOGICAL ASSESSMENT (2022)

Review Psychology, Clinical

A review of mathematical modeling of addiction regarding both (neuro-) psychological processes and the social contagion perspectives

Maarten W. J. van den Ende, Sacha Epskamp, Michael H. Lees, Han L. J. van der Maas, Reinout W. Wiers, Peter M. A. Sloot

Summary: This paper reviews and categorizes formal models of addiction, including psychological and social models. The authors argue that these models are too disjointed and recommend integrating intra- and inter-individual factors to unravel the complexities of addiction.

ADDICTIVE BEHAVIORS (2022)

Article Psychology, Multidisciplinary

Reporting Standards for Psychological Network Analyses in Cross-Sectional Data

Julian Burger, Adela-Maria Isvoranu, Gabriela Lunansky, Jonas M. B. Haslbeck, Sacha Epskamp, Ria H. A. Hoekstra, Eiko I. I. Fried, Denny Borsboom, Tessa F. F. Blanken

Summary: Statistical network models for multivariate dependency structures in psychological data are gaining popularity, but there is little guidance on reporting standards for these techniques. This lack of reporting standards may lead to questionable reporting practices and a lack of transparency. In this article, the authors introduce reporting standards for network analyses in cross-sectional data and provide a tutorial and examples. These guidelines are aimed at researchers, reviewers, and journal editors to improve the reporting and transparency of network analyses.

PSYCHOLOGICAL METHODS (2023)

Article Psychology, Clinical

Investigating the DSM-5 and the ICD-11 PTSD Symptoms Using Network Analysis Across Two Distinct Samples

Maj Hansen, Cherie Armour, Emily McGlinchey, Jana Ross, Sophie Lykkegaard Ravn, Tonny Elmose Andersen, Nanna Lindekilde, Mette Elmose, Sidsel Karsberg, Eiko Fried

Summary: This study is the first to investigate the combined network structure of PTSD symptoms according to both the DSM-5 and ICD-11 diagnostic systems. The results show that five symptoms hold central positions across two trauma samples and may be crucial for treatment.

PSYCHOLOGICAL TRAUMA-THEORY RESEARCH PRACTICE AND POLICY (2023)

Letter Environmental Studies

Four challenges for measurement in environmental psychology, and how to address them

Claudio D. Rosa, Eiko I. Fried, Lincoln R. Larson, Silvia Collado

JOURNAL OF ENVIRONMENTAL PSYCHOLOGY (2023)

Article Psychology, Clinical

Common Cause Versus Dynamic Mutualism: An Empirical Comparison of Two Theories of Psychopathology in Two Large Longitudinal Cohorts

Michael E. Aristodemou, Rogier A. Kievit, Aja L. Murray, Manuel Eisner, Denis Ribeaud, Eiko I. Fried

Summary: Mental disorders are a major contributor to the global disease burden, and understanding the structure of psychopathology is crucial for effective response. This study empirically compared two competing frameworks, dynamic-mutualism theory and common-cause theory, in explaining the development of psychopathology. Statistical models were applied to investigate changes in the general factor of psychopathology and depression. The results supported a multicausal approach to understanding psychopathology and highlighted the importance of translating theories into testable statistical models in clinical sciences.

CLINICAL PSYCHOLOGICAL SCIENCE (2023)

Article Education & Educational Research

Effects of multicultural education on student engagement in low- and high-concentration classrooms: the mediating role of student relationships

Ceren S. Abacioglu, Sacha Epskamp, Agneta H. Fischer, Monique Volman

Summary: Having positive and meaningful social connections is crucial for students, and it directly affects their engagement and educational achievement. However, interethnic tension still exists in schools, leading to lower educational attainment for ethnically-minoritized students. This study focused on the impact of multicultural curriculum and instruction on student outcomes, specifically considering the mediating role of peer relationships. The findings showed that, in classrooms with a low minoritized student concentration, peer relationships can mediate the effects of multicultural education on student engagement.

LEARNING ENVIRONMENTS RESEARCH (2023)

Article Psychology, Educational

Towards a general modeling framework of resource competition in cognitive development

Jill de Ron, Marie Deserno, Donald Robinaugh, Denny Borsboom, Han L. J. van der Maas

Summary: This study presents an integrated formal model of typical and atypical development based on mutualism and resource competition mechanisms. The model extends the mutualistic network model by incorporating the dynamics of competition for limited resources, such as time and environmental factors. The proposed model generates patterns that resemble established phenomena in cognitive development, and provides avenues for future research.

CHILD DEVELOPMENT (2023)

Article Psychology, Clinical

Quantifying Skip-Out Information Loss When Assessing Major Depression Symptoms

Orla McBride, Jelle van Bezooijen, Steven H. Aggen, Kenneth S. Kendler, Eiko I. Fried

Summary: Large-scale mental health surveys often use a skip-out procedure, which limits the usefulness of the resulting data for research. In this study, the skip-out procedure was suspended to assess the impact on diagnosing major depressive disorder (MDD). Analyses revealed important differences in the associations between diagnostic criteria and symptoms, challenging the traditional approach. The study proposes alternative methods for future surveys to improve data quality.

JOURNAL OF PSYCHOPATHOLOGY AND CLINICAL SCIENCE (2023)

Article Psychology, Clinical

On Dimensionality, Measurement Invariance, and Suitability of Sum Scores for the PHQ-9 and the GAD-7

Jan Stochl, Eiko I. Fried, Jessica Fritz, Tim J. Croudace, Debra A. Russo, Clare Knight, Peter B. Jones, Jesus Perez

Summary: This study evaluated the multidimensionality and temporal measurement invariance of common measures of depression and anxiety, showing that while they are multidimensional instruments, sum scores can still be used as measures of severity. Researchers can compare sum scores across different time points with confidence.

ASSESSMENT (2022)

No Data Available