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Standard approaches in generalizability often focus on generalizing the intent-to-treat effect. However, in practice, a more policy-relevant quantity is the generalized impact of an intervention across compliers. While instrumental variable methods are commonly used to estimate the complier average causal effect (CACE) within samples, standard approaches cannot be applied to a target population with a different distribution from the study sample. This article makes several key contributions. First, we introduce a new set of identifying assumptions in the form of a population-level exclusion restriction that allows for identification of the target CACE (T-CACE) in both randomized experiments and observational studies. This allows researchers to identify the T-CACE without relying on standard principal ignorability assumptions. Second, we propose a class of inverse-weighted estimators for the T-CACE and derive their asymptotic properties. We provide extensions for settings in which researchers have access to auxiliary compliance information across the target population. Finally, we introduce a sensitivity analysis for researchers to evaluate the robustness of the estimators in the presence of unmeasured confounding and extend existing tests to evaluate instrument validity in this context. We illustrate our proposed method through extensive simulations and a study evaluating the impact of deep canvassing on reducing exclusionary attitudes.
Attention-deficit hyperactivity disorder (ADHD) is associated with high risks of adverse academic outcomes. A major motivation for initiating pharmacological treatment of ADHD is to mitigate these risks; however, the evidence regarding its long-term effects is inconclusive.
Aims
Our objective was to investigate the long-term causal effects of pharmacological treatment of ADHD on school grades in Norwegian children and adolescents.
Method
We analysed individual-level registry data of all Norwegians aged 5–15 years in 2009–2011 who were diagnosed with ADHD during this period (n = 6255). Treatment was measured as cumulative ADHD medication prescriptions from time of diagnosis to graduation from mandatory schooling (tenth grade). Outcomes included final grades in nine main school subjects, grade point average and non-assessment (exemption, no basis for assessment). We estimated ordinary least squares (OLS) and instrumental variable models. By exploiting naturally occurring variation in treatment practices, instrumental variable analysis can address residual confounding and estimate causal effects for patients ‘on the margin of treatment’, i.e. those prone to varying treatment practices.
Results
OLS analysis indicated that pharmacological treatment for ADHD was associated with slightly improved grade point average (0.05, 95% CI 0.02–0.09; grade point average s.d. 0.94). Instrumental variable analysis indicated no causal effect of pharmacological treatment on grade point average (−0.01, Anderson−Rubin 95% CI −1.13 to 0.15), individual school subjects or non-assessment.
Conclusions
For children and adolescents on the margin of pharmacological treatment for ADHD, we found no causal effect of pharmacological treatment on any of our measures of academic performance. Although further research is needed, this finding should be considered in the context of clinical decision-making and treatment planning.
Biomass burning aerosols (BBAs) from Southern Africa seasonally overlie the semi-permanent South-East Atlantic (SEA) stratocumulus deck, impacting the region’s energy budget through complex aerosol-cloud-radiation-meteorology interactions. Climate model intercomparison initiatives, like the Aerosol Comparisons between Observations and Models (AeroCom), have highlighted the large inter-model variability for BBA radiative effects, especially over the SEA, due to parameterization of emission modeling and smoke properties. Observational constraints are needed to reduce these uncertainties, but correlative observational studies are typically affected by confounding meteorological influences. We propose a physically informed statistical approach, based on causal graphs applied to satellite observations, to disentangle BBA influences on shortwave radiation over the SEA and identify the main sources of statistical biases plaguing observational studies. We find that, during the fire season, BBAs cause a regional shortwave cooling of −2.5 W m−2, which can be decomposed into equal contributions from three physical pathways: aerosol-radiation interactions (ARI), adjustments to ARI, and aerosol-cloud interactions (ACI). We also perform ablation experiments with graph variants to investigate the main sources of confounding—like large-scale winds, humidity-biased retrievals, or spatial aggregation of data—and show that they result in biased radiative effect estimates (between −50% and +15%). Once free of such biases, our derived causal estimates of smoke radiative effects can be used as observational constraints to improve climate models.
This chapter tests the “enclave theory,” that is, the physical segregation of female officers improves outcomes for women (complainants and staff). Following all-women police stations, complainants of violence against women face challenges in terms of having their cases deflected from standard police stations.
This chapter discusses some widely used strategies (not just in psychiatry but elsewhere) for inferring causal relations, including randomized controlled trials and instrumental variables. The author emphasizes the advantages of these design-based strategies over more traditional strategies based on identifying and conditioning on possible confounders. However, these design-based strategies can come with costs, including failures of generalizability and interpretability, as well as inattention to patient heterogeneity. The role of such considerations as stability and specificity in controlling for possible confounders, as well as the benefits of triangulation strategies, is also emphasized.
This chapter shifts the focus from causal inference to causal explanation, emphasizing that valid explanations require more than the identification of causal effects. While causal inference addresses “what if” questions by tracing the consequences of interventions, causal explanation responds to “why” questions by reconstructing the sequence of causes that produced an outcome. The chapter proposes a framework of explanatory adequacy, defined in terms of depth, density, and relevance. It argues that qualitative causal inference, by rigorously addressing sources of bias and systematically evaluating causal paths, generates richer and more meaningful explanations of singular outcomes than inference alone can provide. The chapter situates this discussion within broader debates about the “credibility revolution” in causal inference, noting the growing recognition that credible identification does not automatically yield satisfactory explanations.
Individual patient data meta-analyses (IPDMAs) provide powerful tools for synthesizing evidence across studies, yet methods for addressing unmeasured confounding in observational IPDMAs with survival outcomes are rarely implemented. Instrumental variable (IV) approaches offer causal inference capabilities but face practical challenges in hierarchical data structures, particularly the lack of standard diagnostics for instrument strength in nonlinear mixed-effects models. We adapt and evaluate a frequentist mixed-effects two-stage residual inclusion (2SRI) framework for survival IPDMAs, extending traditional IV methods to accommodate study-level and temporal clustering while handling time-to-event outcomes through Cox proportional hazards models. Because classical F-statistics are unavailable for logistic mixed-effects first-stage models, we propose the Wald $\chi ^2$ statistic as a practical instrument-strength diagnostic and empirically characterize its relationship to estimator performance. Through a comprehensive simulation study with 48 scenarios—varying unmeasured confounding (weak to very strong), instrument–treatment association strength (0.3–1.0), and cross-study IV allocation patterns—we evaluated 2SRI against naive mixed-effects Cox models using bias, coverage, variance, and mean squared error. The design was anchored to realistic IPDMA structure (10 studies, $N \approx 4,357$) from pooled Ebola data, with 1,000 replications per scenario. Results show that under weak confounding, naive models dominate on all metrics. With moderate-to-strong confounding and realized Wald $\chi ^2$ exceeding 150–200, mixed-effects 2SRI substantially reduces bias and achieves near-nominal coverage, though with inflated variance. We provide empirical guideposts linking realized first-stage strength to expected performance, enabling analysts to judge when 2SRI will outperform conventional approaches in hierarchical survival IPDMAs. All simulations assume a common treatment effect across studies. Performance under heterogeneous effects remains to be established.
The design-based paradigm may be adopted in causal inference and survey sampling when we assume Rubin’s stable unit treatment value assumption (SUTVA) or impose similar frameworks. While often taken for granted, such assumptions entail strong claims about the data-generating process. We develop an alternative design-based approach: we first invoke a generalized, non-parametric model that allows for unrestricted forms of interference, such as spillover. We define an associated set of inferential targets and discuss their interpretation under SUTVA and a weaker assumption that we call the “no unmodeled revealable variation assumption” (NURVA). We then reconstruct the standard paradigm, reconsidering SUTVA at the end rather than assuming it at the beginning. Despite its similarity to SUTVA, we demonstrate the practical limitations of NURVA alone for identifying substantively interesting quantities. In so doing, we provide clarity on the nature and importance of SUTVA for applied research.
Synthetic control methods are widely used for causal inference in case studies and panel data settings, often applied to model counterfactuals for proportional outcomes. However, conventional synthetic control methods are designed for univariate outcomes, leading researchers to model counterfactuals for each proportion separately. We make the case for jointly estimating synthetic controls across multiple compositional outcomes. Using the same weights for each proportion establishes a constant control comparison, improving comparability while adhering to compositional constraints on treatment effects. We illustrate the benefits of the method through a simulation and two applications to recent empirical studies. This implementation integrates naturally with a wide range of synthetic control approaches, providing interpretable estimates for compositional panel data common in political science.
This Element critically examines the claim that United States economic sanctions on Venezuela constituted 'collective punishment' of the Venezuelan population, contributing significantly to the country's economic collapse and humanitarian crisis. Through comprehensive analysis of economic, developmental, and welfare indicators from 2013 to 2023, it demonstrates that the bulk of Venezuela's economic devastation - including 52 percent of GDP losses and 98 percent of import declines - largely occurred before financial sanctions were imposed in August 2017. Key welfare indicators such as infant mortality, undernourishment, and life expectancy had deteriorated substantially by 2017 and subsequently stabilized or improved following sanctions implementation, contradicting narratives that attribute Venezuela's collapse primarily to external economic pressure. The Element provides a timeline of Venezuelan economic and political events around sanctions and a critical review of the literature on their economic effects. This title is also available as Open Access on Cambridge Core.
This book shows how to warrant claims about causation in a particular place at a particular time, ‘here and now’, ‘there and then’ – ‘singular’ causation. Good warrant matters if your efforts to affect change are to work. But you cannot properly warrant that a relation obtains without understanding what that relation is. To this end, Part 1 offers a set of features that characterise singular causal relations. These make up a ‘thick’ theory of singular causation, offering far more information than the usual ‘thin’ definitions, like those based on counterfactual or probabilistic dependence, difference-making or production. Details about how causal processes work play a central role here. This theory then provides the grounds for, in Part 2, identifying and systemising what kinds of evidence can warrant singular causal claims. Part 3 shows how this account may be used in practice, using examples from child protection.
Smartphone-based cognitive behavioral therapy (CBT) programs offer accessible interventions for subthreshold depression, yet engagement needed for meaningful benefit remains unclear. We examined how lesson and worksheet engagement relate to depressive symptom improvements in a behavioral activation (BA) intervention, accounting for time-varying confounders.
Methods
This secondary analysis included 298 adults assigned to the BA arm of the RESiLIENT trial, a randomized controlled trial in Japan. Lesson and worksheet completion were treated as time-varying exposures, each yielding four engagement patterns: minimal (Few-Few), early (Many-Few), late (Few-Many), and consistently high (Many-Many). Outcomes were depressive symptom changes measured by the Patient Health Questionnaire-9 (PHQ-9) at weeks 6 and 26. We applied the parametric g-formula to estimate counterfactual PHQ-9 changes under each pattern, adjusting for baseline and time-varying confounders.
Results
Early lesson engagement during weeks 0–3 was associated with larger PHQ-9 reductions at both weeks 6 and 26, even when later engagement declined (Many-Few vs. Few-Few: week 6: −1.47 [95% CI −2.52 to −0.53]; week 26: −1.27 [−2.53 to −0.17]). In contrast, higher worksheet engagement was linked to improved PHQ-9 at week 6, with maximal benefit among consistently high engagers (Many-Many vs. Few-Few: −1.25 [−2.17 to −0.44]) and late engagers (Few-Many vs. Few-Few: −1.18 [−2.20 to −0.08]), but not persist to week 26.
Conclusions
Greater engagement with smartphone-delivered BA is associated with larger symptom reductions. Early lesson engagement drives sustained benefit, whereas worksheet engagement did not persist. These findings may guide digital CBT design by emphasizing early lesson completion alongside concurrent skill practice.
This chapter will help you decide whether a research project is better suited to either a single-equation or multiple-equation modeling framework. We explain these exogeneity assumptions and describe statistical tests to evaluate whether any particular assumption is consistent with the data. We begin by delineating the shortcomings of the standard exogeneity concepts used in cross-sectional analysis. We then introduce key terms that help unpack the various concepts and take a deep dive into weak, strong, and super exogeneity. We offer definitions and explain what can be learned from different analyses and assumptions. We also consider the relationships between these exogeneity assumptions and causal inference. We then discuss tests that help discern whether an exogeneity assumption is reasonable with stationary data and offer a strategy for assessing the plausibility of each exogeneity assumption based on theory, previous evidence, and empirical tests. Last, we illustrate the strategy with an example.
How can we measure the effects of campaign events? We estimate how voters respond to a prominent campaign scandal—Donald Trump being convicted of 34 felony counts of falsifying business records—using data from a large, eight-wave panel study with waves fielded before, during, and after the verdict. We find the trial had virtually no effect on Trump supporters, even those who reported their support was conditional on an acquittal. We compare this precisely estimated null to estimates from popular cross-sectional methods, which fail to replicate it. The “change” question format estimates a 6% increase in support, while the “counterfactual” survey experimental design estimates a 10% decrease. We formalize the estimands each method estimates and discuss implications for the event study literature.
Concept formation is critical for many social scientific goals, yet it often appears neglected. This chapter underscores the importance of concepts in empirical work oriented toward causal inference, including experiments. It explores the role of conceptual hierarchies, typologies, and dichotomies both for causal attribution and for assessing generalizability. Using an example from the Metaketa Initiative, this chapter highlights the value of Sartori’s ladder of abstraction for fostering cumulative learning from experimental research. Wider use of the tools of concept formation can aid assessment of both the internal and external validity of causal claims.
Many inferential tasks involve fitting models to observed data and predicting outcomes at new covariate values, requiring interpolation or extrapolation. Conventional methods select a single best-fitting model, discarding fits that were similarly plausible in-sample but would yield sharply different predictions out-of-sample. Gaussian processes (GPs) offer a principled alternative. Rather than committing to one conditional expectation function, GPs deliver a posterior distribution over outcomes at any covariate value. This posterior effectively retains the range of models consistent with the data, widening uncertainty intervals where extrapolation magnifies divergence. In this way, the GP’s uncertainty estimates reflect the implications of extrapolation on our predictions, helping to tame the “dangers of extreme counterfactuals” (King and Zeng, 2006). The approach requires (i) specifying a covariance function linking outcome similarity to covariate similarity and (ii) assuming Gaussian noise around the conditional expectation. We provide an accessible introduction to GPs with emphasis on this property, along with a simple, automated procedure for hyperparameter selection implemented in the R package gpss. We illustrate the value of GPs for capturing counterfactual uncertainty in three settings: (i) treatment effect estimation with poor overlap, (ii) interrupted time series requiring extrapolation beyond pre-intervention data, and (iii) regression discontinuity designs where estimates hinge on boundary behavior.