Antipsychotic-induced weight gain in psychosis: causal mediation analysis and feasibility study of causal actionable prediction model development using counterfactuals to target obesity

Our results show that it may be early rather than later weight change that causally mediates antipsychotic-induced weight gain at 1 year. They also demonstrate the potential for causal actionable prediction of counterfactuals for true precision medicine, although this is tempered by the feasibility scope of this study and small sample size. Our results are hypothesis-generating and not yet clinically deployable.

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Publication Details

Journal
The British Journal of Psychiatry
Published
2026-03-09
DOI
https://doi.org/10.1192/bjp.2026.10561
Primary Topic
Schizophrenia research and treatment
Type
article
Field-Weighted Citation Impact
0.00

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article

Antipsychotic-induced weight gain in psychosis: causal mediation analysis and feasibility study of causal actionable prediction model development using counterfactuals to target obesity

SM Lawrie, Damian Machlanski, Rajeev Krishnadas, Sotirios Tsaftaris et al.
The British Journal of Psychiatry
Schizophrenia research and treatment
article

Antipsychotic-induced weight gain in psychosis: causal mediation analysis and feasibility study of causal actionable prediction model development using counterfactuals to target obesity

SM Lawrie, Damian Machlanski, Rajeev Krishnadas, Sotirios Tsaftaris, Samuel Leighton, Fani Deligianni, I Lam Leong, Benjamin I. Perry
article en

Abstract

Our results show that it may be early rather than later weight change that causally mediates antipsychotic-induced weight gain at 1 year. They also demonstrate the potential for causal actionable prediction of counterfactuals for true precision medicine, although this is tempered by the feasibility scope of this study and small sample size. Our results are hypothesis-generating and not yet clinically deployable.

The British Journal of Psychiatry
University of Cambridge (GB), University of Glasgow (GB), University of Birmingham (GB), University of Edinburgh (GB)
UK Research and Innovation, National Institute for Health and Care Research, Department of Health and Social Care, Engineering and Physical Sciences Research Council, NIHR Cambridge Biomedical Research Centre, Scottish Mental Health Research Network
Openalex Percentile: Top 37%
Schizophrenia research and treatment
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Antipsychotic-induced weight gain in psychosis: causal mediation analysis and feasibility study of causal actionable prediction model development using counterfactuals to target obesity — SM Lawrie, Damian Machlanski, et al. · The British Journal of Psychiatry (2026) | TGRS Research Map | TGRS