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Updated: Nov 2, 2025

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Integrated multiple mediation analysis: A robustness-specificity trade-off in causal structure.

An-Shun Tai1, Sheng-Hsuan Lin1

  • 1Institute of Statistics, National Yang Ming Chiao Tung University, Hsinchu, Taiwan.

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|June 11, 2021
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Summary

This study unifies multiple mediator causal mediation analysis methods into a single framework. It proposes four effect decomposition strategies, clarifying path-specific effects and aiding method selection for robust causal inference.

Keywords:
effect decompositioninverse probability weightingmultiple mediation analysispath-specific effects

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Area of Science:

  • Causal Inference
  • Biostatistics
  • Epidemiology

Background:

  • Causal mediation analysis with multiple mediators has seen recent methodological advancements.
  • Existing methods vary in causal parameter definitions, identification assumptions, and effect interpretations, creating ambiguity in method selection.

Purpose of the Study:

  • To develop an integrated framework for causal mediation analysis with multiple mediators.
  • To propose and clarify four distinct strategies for effect decomposition (two-way, partially forward, partially backward, complete).
  • To evaluate the utility of interventional direct and indirect effects.

Main Methods:

  • Construction of an integrated framework unifying existing methodologies for multiple mediator analysis.
  • Proposal of four effect decomposition strategies: two-way, partially forward, partially backward, and complete.
  • Utilization of inverse probability weighting for estimation and application to a real-world dataset.

Main Results:

  • The study clarifies the interpretation of direct and indirect effects as path-specific effects under various causal structures.
  • It demonstrates the utility of interventional analogues of effects when natural effects are unidentifiable or crossworld exchangeability is violated.
  • A robustness-specificity trade-off is identified in the selection of decomposition strategies.

Conclusions:

  • The integrated framework provides a standard for mediation analysis with multiple mediators.
  • The proposed decomposition strategies offer explicit interpretations and aid in selecting appropriate methods.
  • The findings are validated through simulation studies and applied to analyze hepatitis C virus infection's causal effect on mortality.