Regression: Understanding What Covariates and Confounds Do in Adjusted Analyses.

IF 4.5 2区 医学 Q1 PSYCHIATRY Journal of Clinical Psychiatry Pub Date : 2024-09-18 DOI:10.4088/JCP.24f15573
Chittaranjan Andrade
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Abstract

The use of regression analysis is common in research. This article presents an introductory section that explains basic terms and concepts such as independent and dependent variables (IVs and DVs), covariates and confounds, zero-order correlations and multiple correlations, variance explained by variables and shared variance, bivariate and multivariable linear regression, line of least squares and residuals, unadjusted and adjusted analyses, unstandardized (b) and standardized (β) coefficients, adjusted R2, interaction terms, and others. Next, this article presents a more advanced section with the help of 3 examples; the raw data files for these examples are included in supplementary materials, and readers are encouraged to download the data files and run the regressions on their own in order to better follow what is explained in the text (this, however, is not mandatory, and readers who do not do so can also follow the discussions in the text). The 3 examples illustrate many points. When important covariates are not included in regressions, the included IVs explain a smaller proportion of the variance in the DV, and the relationships between the included IVs and the DV may not be correctly understood. Including interaction terms between IVs can improve the explanatory value of the model whether the IVs are intercorrelated or not. When IVs are intercorrelated (such as when one is a confound), although their net effect in multivariable regression may explain a greater proportion of the variance in the DV, their individual b and β coefficients decrease in proportion to the shared variance that is removed. Thus, variables that were found statistically significant in unadjusted analyses may lose statistical significance in fully adjusted analyses. Readers may find it useful to keep these points in mind when running regressions on their data or when reading studies that present their results through regressions.

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回归:了解共变因素和混杂因素在调整分析中的作用。
回归分析是研究中的常用方法。本文首先介绍了基本术语和概念,如自变量和因变量(IV 和 DV)、协变量和混杂因素、零序相关和多重相关、变量解释的方差和共享方差、二元和多元线性回归、最小二乘法线和残差、未调整和调整分析、未标准化 (b) 和标准化 (β)系数、调整后 R2、交互项等。接下来,本文将借助 3 个示例介绍更高级的部分;这些示例的原始数据文件包含在补充材料中,我们鼓励读者下载数据文件并自行运行回归,以便更好地理解文中的解释(但这并不是强制性的,不这样做的读者也可以关注文中的讨论)。这 3 个例子说明了很多问题。如果在回归中不包含重要的协变量,则所包含的 IVs 对 DV 方差的解释比例较小,而且可能无法正确理解所包含的 IVs 与 DV 之间的关系。无论 IV 之间是否相互关联,加入 IV 之间的交互项都能提高模型的解释价值。当 IVs 相互关联时(如其中一个是混杂因素),虽然它们在多元回归中的净效应可能会解释 DV 中更大比例的变异,但它们各自的 b 和 β 系数会随着共同变异的去除而减少。因此,在未调整分析中具有统计意义的变量,在完全调整分析中可能会失去统计意义。读者在对自己的数据进行回归分析或阅读通过回归分析得出结果的研究报告时,记住这些要点可能会有所帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Psychiatry
Journal of Clinical Psychiatry 医学-精神病学
CiteScore
7.40
自引率
1.90%
发文量
0
审稿时长
3-8 weeks
期刊介绍: For over 75 years, The Journal of Clinical Psychiatry has been a leading source of peer-reviewed articles offering the latest information on mental health topics to psychiatrists and other medical professionals.The Journal of Clinical Psychiatry is the leading psychiatric resource for clinical information and covers disorders including depression, bipolar disorder, schizophrenia, anxiety, addiction, posttraumatic stress disorder, and attention-deficit/hyperactivity disorder while exploring the newest advances in diagnosis and treatment.
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