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The 98th Annual Meeting
March 6-8, 2008

The Crowne Plaza Hotel Times Square Manhattan, New York, NY

Scientific Program

Causality and Psychopathology: Finding the Determinants of Disorders and their Cures

Scientifically informed prevention and treatment of psychopathology requires a sophisticated understanding of its causes and the processes by which those causes affect individuals.  In the last several decades, progress has been made by documenting various associations between risk factors and mental disorders, and by ground-breaking discoveries of pharmacologic agents that alleviate symptoms and increase functioning.

As psychopathology researchers move beyond the findings of the last decade to multiple effects of interventions as well as pathology process, they often rely on clinical trials, prevention trials, and natural experiments to make causal inferences.  These designs provide inferential strength, but they do not necessarily avoid ambiguous findings and controversial interpretations.  Issues of compliance, missing data, contamination of treatments, and confounding can undermine clear causal inference.

In this meeting, we review new approaches to causal analysis that are being discussed in the statistical and epidemiological literatures to address the challenge of interpreting experimental and observational findings. We examine how these approaches can inform studies of psychopharmacologic effects, of genetic effects, and of social and environmental effects on psychopathology.  We also examine novel ways to design epidemiological studies and clinical trials to provide efficient and useful information. We conclude the meeting with a consideration of how causal evidence can help refine the definition of diagnostic categories.

Thursday, March 6, 2008
8:30 -- 9:00 Registration
9:00 -- 9:10 Welcome and Introduction
Patrick E. Shrout, PhD, New York University
SESSION 1 Rethinking Causal Claims: What We Can Learn from the Women's Health Initiative
  Chair: Rosalind Neuman, PhD, Washington University School of Medicine 
9:10 -- 9:40 Lessons from The Women’s Health Initiative
Garnet L. Anderson, PhD - Fred Hutchinson Cancer Research Center
9:40 -- 9:50 Discussion
9:50 -- 10:35 The Mathematics of Causal Relations
Judea Pearl, PhD - UCLA
10:35 -- 10:45 Discussion
10:45 -- 11:05 Coffee Break
11:05 -- 11:35 Large simple trials: the no man's land between randomized clinical trials and observational cohorts
Miguel A. Hernán, MD, DrPh - Harvard University
11:35 -- 11:45 Discussion
11:45 -- 11:55 Presentation of Hoch Award to: James M. Robins, MD 
11:55 -- 12:25 Causal Effects of Socio-economic Status on Mental Health: Adjusting for Undiagnosed Illness in Longitudinal Studies
James M. Robins, MD
- Harvard University
12:25 -- 12:45 Discussant and General Discussion
12:45 -- 2:30 LUNCH
SESSION 2 Genetically Informed Approaches to Causes of Psychopathology
Chair: Ezra Susser, MD, DrPH, Columbia University
2:30 -- 3:00 Causal Thinking in Psychiatry: A Manipulationist Perspective
Kenneth S. Kendler, MD
- Virginia Commonwealth University  
3:00 -- 3:10 Discussion
3:10 -- 3:40 Promise of Mendelian Randomization
George Davey Smith, MD, DSc
- University of Bristol
3:40 -- 3:50 Discussion
3:50 -- 4:10 Coffee Break
4:10 -- 4:40 Rare variant genetics and psychiatric disorders: Trying to use exceptions to find the rule
Matthew W. State, MD, PhD - Yale University  
4:40 -- 4:50 Discussion
4:50 -- 5:10 Discussant and General Discussion
5:40 -- 7:30 Poster reception
Friday, March 7, 2008
SESSION 3 Multiple Effects of Pharmacologic Treatments: Example of Adolescent Depression
Chair: Vilma Gabbay, MD, NYU Child Study Center
9:00 -- 9:10 Presentation and Acceptance of Robins-Guze Award
Catherine W. Striley, PhD, MSW, MPE - Washington University School of Medicine
9:10 -- 9:40 Suicide and SSRI treatment
David Shaffer, MD - Columbia University
9:40 -- 9:50 Discussion
9:50 -- 10:20 New designs for clinical trials
Susan A. Murphy, PhD
- University of Michigan
10:20 -- 10:30 Discussion
10:30 -- 10:50 Coffee Break
10:50 -- 11:20 What would have been is not what would be: Counterfactuals past and future
Sharon Schwartz, PhD
- Columbia University
11:20 -- 11:30 Discussion
11:30 -- 11:50 Discussant and General Discussion
11:50 -- 12:20 APPA Business Meeting (Members Only)
12:20 -- 2:10 LUNCH
SESSION 4 Social and Behavioral Causes of Psychopathology
  Chair: Bruce Link, PhD, Columbia University
2:10 -- 2:20 Presentation of Zubin Award to: Bruce P. Dohrenwend, PhD
2:20 -- 2:50 Causes of PTSD 
Naomi Breslau, PhD - Michigan State University   
2:50 -- 3:00 Discussion
3:00 -- 3:30 Causal thinking in developmental disorders
E. Jane Costello, PhD - Duke University
3:30-- 3:40 Discussion
3:40 -- 4:00 Coffee Break
4:00 -- 4:30 General approaches to analysis of course
Bengt Muthén, PhD- UCLA
4:30 -- 4:40 Discussion
4:40 -- 5:00 Discussant and General Discussion
Saturday, March 8, 2008
SESSION 5 DSM-V: Considerations of Etiology and Cures
  Chair: Andrew Skodol, MD, Institute for Mental Health Research
9:00 -- 9:30 Causal Thinking for Objective Psychiatric Diagnostic Criteria
Donald F. Klein, MD - Columbia University & New York University
9:30 -- 9:40 Discussion
9:40 -- 10:10 Dimensions, categories and causal thinking
Robert F. Krueger, PhD -
University of Minnesota
10:10 -- 10:20 Discussion
10:20 -- 10:40 Coffee Break
10:40 -- 10:50 Presentation of Hamilton Award to: Patrick E. Shrout, PhD
10:50 -- 11:20 Integrating causal analysis into psychopathology research
Patrick E. Shrout, PhD, New York University
11:20 -- 11:30 Discussion
11:30 -- 11:50 Discussant and General Discussion
11:50 Adjourn

This page was prepared by Gary Heiman, Ph.D. of Columbia University.

Revised 3/16/2007