Research and scientific reasoning

Research design and validity

Variables, experimental and quasi-experimental designs, between-, within- and mixed-group designs, single-case and correlational methods, and threats to validity.

Source: Chapter 4 Intermediate about 40 minutes

What this module draws on:

  • Textbook concept Scientific method, experimental designs, validity threats, case studies, correlational, epidemiological, cross-sectional and longitudinal designs (Ch. 4).
  • Original elaboration Design decision tree, research-reasoning exercises and fictional studies.
  • Contemporary update Validity terminology aligned with Shadish, Cook & Campbell (2002).

Learning objectives

After this module you should be able to:

  1. Identify independent and dependent variables in a research question.
  2. Explain why random assignment allows causal inference and why it is often impractical in clinical research.
  3. Distinguish true experimental, quasi-experimental, between-, within- and mixed-group, analogue, single-case, correlational and epidemiological designs.
  4. Recognise common threats to internal and external validity and suggest controls.
  5. Choose an appropriate design for a given clinical question.

Introduction

Research is the foundation of clinical psychology: it tells clinicians which assessments are trustworthy and which treatments help. Good research design is about ruling out alternative explanations. Every design choice is a trade-off between control, realism, ethics and cost.

Variables and the logic of experiments Textbook concept

An independent variable (IV) is what the researcher manipulates or compares (for example, type of treatment). A dependent variable (DV) is the outcome measured (for example, symptom severity). Experiments try to show that changes in the IV cause changes in the DV, while minimising experimenter bias and error.

Random assignment is the hallmark of a true experiment: every participant has an equal chance of being in each condition, so pre-existing differences are spread evenly. Clinical research often cannot randomise for ethical, legal or practical reasons — you cannot randomly assign people to experience trauma, for instance.

Choosing a research design A decision tree. If the researcher can manipulate the independent variable and randomly assign participants, a true experiment is possible. If manipulation is possible without random assignment, a quasi-experiment is used. If the variable cannot be manipulated, correlational or epidemiological methods are used. When the focus is intensive study of one person, case studies or single-case designs apply. Can you manipulate the independent variable? Yes No Can you randomly assign participants to conditions? Correlational or epidemiological methods Yes No True experiment between / within / mixed Quasi-experiment Intensive study of one person? → case study / single-case design Time can be added to any branch: cross-sectional (one point) or longitudinal (repeated).
A simplified decision tree for choosing a design. Real studies often combine features.

Families of designs Textbook concept

Common designs in clinical research
DesignKey featureMain strengthMain limitation
True experimentIV manipulated; random assignmentStrongest causal inferenceOften impractical or unethical in clinical settings
Quasi-experimentIV manipulated or compared without random assignmentFeasible in real settingsGroups may differ before the study
Between-groupDifferent participants in each conditionNo carry-over effectsNeeds larger samples; group differences
Within-groupSame participants measured across conditions or timeEach person is their own controlOrder and carry-over effects
Mixed-groupCombines between and within factorsTests group × time interactionsMore complex analysis
AnalogueSimulates clinical conditions (e.g., students with mild fears)High controlMay not generalise to clinical populations
Case studyIntensive description of one personRich detail; useful for rare problems and hypothesis generationCannot establish cause; generalisation limited
Single-case (e.g., ABAB, multiple baseline)Repeated measurement of one person across phasesCan show functional control experimentallyGeneralisation needs replication
CorrelationalMeasures association between variablesStudies variables that cannot be manipulatedCorrelation is not causation
EpidemiologicalStudies incidence, prevalence and risk factors in populationsPopulation-level pictureCausal inference limited

Time: cross-sectional and longitudinal designs Textbook concept

Cross-sectional designs compare different groups at one point in time (for example, people of different ages) — quick but vulnerable to cohort effects. Longitudinal designs follow the same people over time — they show development and change but are costly and suffer attrition.

Threats to validity Textbook concept

Internal validity asks whether the IV really caused the change in the DV. External validity asks whether results generalise to other people, settings and times. The textbook lists the threats shown below.

  • History — outside events during the study (a festival, an exam period, a news event).
  • Maturation — natural change over time (recovery, growing older, fatigue).
  • Testing — taking a test changes later scores.
  • Instrumentation — the measure or the raters change.
  • Statistical regression — extreme scorers tend to score closer to the mean when retested.
  • Selection bias — groups differ at the outset.
  • Attrition (experimental mortality) — participants drop out unevenly.
Threats to internal and external validity Two panels. Internal validity threats: history, maturation, testing, instrumentation, statistical regression, selection bias and attrition. External validity threats: testing or sensitisation, reactivity, multiple-treatment interference and interaction of selection with treatment. Internal validity Did the IV really cause the change? • History• Maturation• Testing• Instrumentation• Statistical regression• Selection bias• Attrition (mortality) External validity Will it hold for other people and settings? • Testing / sensitisation• Reactivity to the study• Multiple-treatment interference• Selection × treatment interaction
Threats to internal and external validity discussed in the textbook.

Culture and generalisability Original elaboration

Much of the research the textbook reviews was conducted with Western, often university-based samples. Before assuming a finding applies in Baramulla, Bengaluru or Bogotá, ask: Were similar people studied? Were measures translated and validated? Do the outcomes matter in this cultural context? These are external-validity questions.

Worked example: A sleep study with a hidden problem Original, fictional

A fictional research team offers a sleep-hygiene workshop to night-shift nurses in one hospital and compares them with day-shift nurses in another hospital who receive nothing. After six weeks, the workshop group reports better sleep. Before concluding the workshop worked, consider: the groups differ in shift pattern and hospital (selection bias); a new rota was introduced in one hospital during the study (history); and only nurses who slept well kept completing diaries (attrition). Randomising nurses within the same hospital, and analysing everyone who started, would strengthen the conclusion.

Interactive activity

Research-design reasoning

Work through each fictional scenario. You will get feedback as soon as you choose.

1 Researchers randomly assign 120 adults with panic disorder to CBT, relaxation training or a waiting list, and measure panic frequency at 12 weeks. What is the dependent variable?
Show the reasoning

Best answer: Panic frequency at 12 weeks. The DV is the outcome measured — panic frequency. Treatment type is the IV.

2 A team wants to know whether childhood bereavement is associated with adult depression. Which design is most appropriate?
Show the reasoning

Best answer: Correlational or longitudinal cohort study. Bereavement cannot ethically be manipulated, so correlational and longitudinal methods are used, accepting limits on causal inference.

3 Clinicians select their most motivated clients for a new therapy and compare them with other clients receiving usual care. What is the main threat?
Show the reasoning

Best answer: Selection bias. The groups differ in motivation from the start, so any difference could reflect selection rather than treatment.

4 Children who scored highest on an anxiety screen are retested a month later and score lower, without any treatment. The most likely explanation is:
Show the reasoning

Best answer: Statistical regression to the mean. Extreme scores partly reflect measurement error and tend to move toward the mean on retesting.

5 A psychologist measures a child's tantrums daily in baseline, introduces a reward plan, withdraws it, then reintroduces it. This is:
Show the reasoning

Best answer: ABAB (withdrawal) single-case design. Alternating baseline (A) and treatment (B) phases in the same person is an ABAB withdrawal design.

Knowledge check

5 questions. Every option has an explanation. Your answers are not sent anywhere when JavaScript is available; without it, they are checked by the server and immediately discarded.

1 In a study comparing mindfulness training with a waiting list on exam stress, what is the independent variable? (multiple choice)

Multiple choice Introductory

Basis: Textbook concept, original question

2 What most distinguishes a true experiment from a quasi-experiment? (multiple choice)

Multiple choice Intermediate

Basis: Textbook concept, original question

3 Participants who dropped out of a treatment study were mainly those who were not improving. Which threat does this illustrate? (multiple choice)

Multiple choice Intermediate

Basis: Textbook concept, original question

4 A within-group design is vulnerable to order and carry-over effects because the same participants experience multiple conditions. (true or false)

True / false Intermediate

Basis: Textbook concept, original question

5 Which design is most suitable for studying how the prevalence of depression varies across districts? (multiple choice)

Multiple choice Introductory

Basis: Textbook concept, original question

Summary

  • The IV is manipulated or compared; the DV is measured.
  • Random assignment allows causal inference but is often impossible in clinical research.
  • Each design trades control against feasibility and realism.
  • Internal validity concerns causation; external validity concerns generalisation.
  • Cultural and contextual fit is part of external validity.

Questions for reflection

  1. Think of a question you care about in clinical psychology. What is the strongest ethical design you could use to answer it?

Key terms

Further reading

  • Textbook Plante, T. G. (2005). Contemporary clinical psychology (2nd ed.). John Wiley & Sons.
  • Contemporary Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. Houghton Mifflin.
  • Further reading Kazdin, A. E. Research design in clinical psychology (latest edition). Pearson.