A Clinician's Guide to Statistics and Epidemiology in Mental by S. Nassir Ghaemi

By S. Nassir Ghaemi

Available and clinically proper, A Clinician's advisor to stats and Epidemiology in psychological future health describes statistical techniques in undeniable English with minimum mathematical content material, making it ideal for the busy medical professional. utilizing transparent language in favour of complicated terminology, barriers of statistical strategies are emphasised, in addition to the significance of interpretation - rather than 'number-crunching' - in research. Uniquely for a textual content of this sort, there's wide insurance of causation and the conceptual, philosophical and political components concerned, with forthright dialogue of the pharmaceutical industry's position in psychiatric study. via making a larger figuring out of the realm of study, this ebook empowers well-being execs to make their very own judgments on which information to think - and why.

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Extra info for A Clinician's Guide to Statistics and Epidemiology in Mental Health: Measuring Truth and Uncertainty

Sample text

Here is an example of effect modification: cigarette smoking frequently causes blood clots in women on birth control pills. Being female itself is not a cause of blood clots; nor do oral contraceptives themselves have a large risk; but those two variables (gender and oral contraceptive status) together increase this risk of cigarette smoking greatly. Contrast this example with confounding bias: coffee causes cancer; numerous epidemiological studies show this. Of course, it does not, because coffee drinking is higher among those who smoke cigarettes, and cigarette smoking (the confounding variable) is the cause of the cancer.

The answer seems to be about n = 50. 1). Interpreting small RCTs If the sample size is too small (< 50), what are we to make of the RCT? In other words, if someone conducts a double-blind placebo-controlled RCT of 10 or 20 or 30 patients, what are we to make of it? Basically, since it is highly likely that confounding factors will be unequal between groups, my view is that small RCTs should be seen as observational studies: they are perhaps slightly better in that they should not be as biased as a standard observational study, yet they are still biased.

This equation is a bivariate analysis. Sometimes researchers report bivariate analyses, comparing the experimental with the outcome, correcting for a single variable, one after the other, separately. This would be something like: P (Outcome) = β1 (Predictor1 ) + β2 (Predictor2 ) P (Outcome) = β1 (Predictor1 ) + β3 (Predictor3 ) P (Outcome) = β1 (Predictor1 ) + β4 (Predictor4 ) P (Outcome) = β1 (Predictor1 ) + β5 (Predictor5 ). The problem with these bivariate analyses is that they will correct the experimental predictor for each one separately, but they do not correct it for all variables together.

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