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Chunk #9 — Challenges in analyzing the role of epigenetic change in psychopathology — Causal Models in Epigenetic Studies

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Putting the 'epi' into epigenetics research in psychiatry.
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we propose a directed acyclic graph for a generalized epigenetic pathway by which an environmental exposure may operate via epigenetic modification to produce an outcome of interest, shown in Figure 1. The graph demonstrates potential mediation and confounding germane to causal inference in epigenetic studies, as well as the temporal relationships in which these factors must be measured and in which they must be accounted.