Published September 14, 2026 | Version v1
Acyclic Directed Mixed Graph Open

Causal relationship between depressive symptoms and metabolic profile

Contributors

  • Melpomeni Bazaka1 ORCID icon
  • 1 Utrecht University

Visualisation

Description

The directed acyclic graph (DAG) represents the hypothesized relationships between depression and metabolic profile, including potential confounding variables. Depression was considered the main exposure and metabolic profile the outcome of interest. The covariates included were age, sex, education, smoking and study center and they were selected based on their potential influence on both the exposure and the outcome.

According to the DAG, the minimal sufficient adjustment set for statistical models contained age, sex, education, smoking and study center for estimating the total effect of depression on metabolic profile.

Code

Original

The graph exactly as it was submitted.

opencausal_nkozm8gx.txt

Derived

The same graph, converted to other common formats.

This JSON follows CausalJSON 0.2, the Open Causal Graph Format.

{
  "$schema": "https://opencausal.org/causaljson/0.2/causaljson.schema.json",
  "graph": {
    "id": "nkozm8gx",
    "version": 1,
    "title": "Causal relationship between depressive symptoms and metabolic profile",
    "description": "The directed acyclic graph (DAG) represents the hypothesized relationships between depression and metabolic profile, including potential confounding variables. Depression was considered the main exposure and metabolic profile the outcome of interest. The covariates included were age, sex, education, smoking and study center and they were selected based on their potential influence on both the exposure and the outcome.\r\n\r\nAccording to the DAG, the minimal sufficient adjustment set for statistical models contained age, sex, education, smoking and study center for estimating the total effect of depression on metabolic profile.",
    "type": "admg",
    "created": "2026-09-14T18:17:59+00:00",
    "authors": [
      {
        "given_name": "Melpomeni",
        "family_name": "Bazaka",
        "orcid": "0009-0005-4396-877X",
        "affiliations": [
          {
            "name": "Utrecht University"
          }
        ]
      }
    ],
    "submitter": {
      "given_name": "Melpomeni",
      "family_name": "Bazaka",
      "orcid": "0009-0005-4396-877X"
    },
    "license": "CC-BY-4.0",
    "rights_url": "https://creativecommons.org/licenses/by/4.0/legalcode",
    "publisher": "Open Causal",
    "language": "en",
    "layout": {
      "coordinate_system": "screen"
    }
  },
  "nodes": [
    {
      "id": "Metabolic_Profile",
      "label": "Metabolic Profile",
      "role": "outcome",
      "position": {
        "x": 0.14,
        "y": 0.643
      }
    },
    {
      "id": "Study_center",
      "label": "Study center",
      "position": {
        "x": 0.323,
        "y": 0.091
      }
    },
    {
      "id": "Age",
      "label": "Age",
      "position": {
        "x": 0.604,
        "y": 0.575
      }
    },
    {
      "id": "Depression",
      "label": "Depression",
      "role": "exposure",
      "position": {
        "x": 0.145,
        "y": 0.386
      }
    },
    {
      "id": "Education",
      "label": "Education",
      "position": {
        "x": 0.526,
        "y": 0.725
      }
    },
    {
      "id": "Sex",
      "label": "Sex",
      "position": {
        "x": 0.52,
        "y": 0.175
      }
    },
    {
      "id": "Smoking",
      "label": "Smoking",
      "position": {
        "x": 0.605,
        "y": 0.359
      }
    }
  ],
  "edges": [
    {
      "source": "Study_center",
      "target": "Metabolic_Profile",
      "type": "directed"
    },
    {
      "source": "Study_center",
      "target": "Depression",
      "type": "directed"
    },
    {
      "source": "Study_center",
      "target": "Education",
      "type": "directed"
    },
    {
      "source": "Study_center",
      "target": "Smoking",
      "type": "directed"
    },
    {
      "source": "Age",
      "target": "Metabolic_Profile",
      "type": "directed"
    },
    {
      "source": "Age",
      "target": "Depression",
      "type": "directed"
    },
    {
      "source": "Age",
      "target": "Smoking",
      "type": "directed"
    },
    {
      "source": "Depression",
      "target": "Metabolic_Profile",
      "type": "directed"
    },
    {
      "source": "Depression",
      "target": "Smoking",
      "type": "bidirected"
    },
    {
      "source": "Education",
      "target": "Metabolic_Profile",
      "type": "directed"
    },
    {
      "source": "Education",
      "target": "Depression",
      "type": "directed"
    },
    {
      "source": "Education",
      "target": "Smoking",
      "type": "directed"
    },
    {
      "source": "Sex",
      "target": "Metabolic_Profile",
      "type": "directed"
    },
    {
      "source": "Sex",
      "target": "Depression",
      "type": "directed"
    },
    {
      "source": "Sex",
      "target": "Education",
      "type": "directed"
    },
    {
      "source": "Sex",
      "target": "Smoking",
      "type": "directed"
    },
    {
      "source": "Smoking",
      "target": "Metabolic_Profile",
      "type": "directed"
    }
  ]
}
source,target,edge_type
Study center,Metabolic Profile,directed
Study center,Depression,directed
Study center,Education,directed
Study center,Smoking,directed
Age,Metabolic Profile,directed
Age,Depression,directed
Age,Smoking,directed
Depression,Metabolic Profile,directed
Depression,Smoking,bidirected
Education,Metabolic Profile,directed
Education,Depression,directed
Education,Smoking,directed
Sex,Metabolic Profile,directed
Sex,Depression,directed
Sex,Education,directed
Sex,Smoking,directed
Smoking,Metabolic Profile,directed
dag {
bb="0,0,1,1"
"Metabolic Profile" [outcome,pos="0.140,0.643"]
"Study center" [adjusted,pos="0.323,0.091"]
Age [adjusted,pos="0.604,0.575"]
Depression [exposure,pos="0.145,0.386"]
Education [adjusted,pos="0.526,0.725"]
Sex [adjusted,pos="0.520,0.175"]
Smoking [adjusted,pos="0.605,0.359"]
"Study center" -> "Metabolic Profile"
"Study center" -> Depression
"Study center" -> Education
"Study center" -> Smoking
Age -> "Metabolic Profile"
Age -> Depression
Age -> Smoking
Depression -> "Metabolic Profile"
Depression <-> Smoking
Education -> "Metabolic Profile"
Education -> Depression
Education -> Smoking
Sex -> "Metabolic Profile"
Sex -> Depression
Sex -> Education
Sex -> Smoking
Smoking -> "Metabolic Profile"
}

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