Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT, USA.
Department of Epidemiology, Columbia University, New York, NY, USA.
Dev Psychopathol. 2023 Feb;35(1):12-23. doi: 10.1017/S0954579421000493. Epub 2021 Jun 22.
In this article, we consider an often overlooked model that combines mediation and moderation to explain how a third variable can relate to a risk factor-psychopathology relationship. We refer to it as moderation and mediation in a three-variable system. We describe how this model is relevant to studying vulnerability factors and how it may advance developmental psychopathology research. To illustrate the value of this approach, we provide several examples where this model may be applicable, such as the relationships among parental externalizing pathology, harsh parenting, and offspring psychopathology as well as between neuroticism, stressful life events, and depression. We discuss possible reasons why this model has not gained traction and attempt to clarify and dispel those concerns. We provide guidance and recommendations for when to consider this model for a given data set and point toward existing resources for testing this model that have been developed by statisticians and other methodologists. Lastly, we describe important caveats, limitations, and considerations for making this approach most useful for developmental research. Overall, our goal in presenting this information to developmental psychopathology researchers is to encourage testing moderation and mediation in a three-variable system with the aim of advancing analytic strategies for studying vulnerability factors.
在本文中,我们考虑了一个经常被忽视的模型,该模型将中介和调节结合起来,解释了第三个变量如何与风险因素-心理病理学之间的关系。我们将其称为三变量系统中的调节和中介。我们描述了该模型如何与易感性因素的研究相关,以及它如何促进发展心理病理学的研究。为了说明这种方法的价值,我们提供了几个可能适用这种模型的例子,例如父母的外化病理学、严厉的养育方式与子女的心理病理学之间的关系,以及神经质、生活压力事件与抑郁之间的关系。我们讨论了为什么该模型没有得到广泛应用的可能原因,并试图澄清和消除这些担忧。我们提供了关于何时为给定数据集考虑该模型的指导和建议,并指出了统计学家和其他方法学家为测试该模型而开发的现有资源。最后,我们描述了为使该方法对发展研究最有用而需要注意的重要注意事项、限制和考虑因素。总的来说,我们向发展心理病理学研究人员介绍这些信息的目的是鼓励对三变量系统中的调节和中介进行测试,旨在为研究易感性因素的分析策略提供支持。