scholarly journals Cognitive-behavioural therapy for heroin and cocaine use: Ecological momentary assessment of homework simplification and compliance

2015 ◽  
Vol 89 (3) ◽  
pp. 276-293 ◽  
Author(s):  
Jessica Willner-Reid ◽  
Damiya Whitaker ◽  
David H. Epstein ◽  
Karran A. Phillips ◽  
Amber R. Pulaski ◽  
...  
2020 ◽  
Vol 33 (1) ◽  
pp. e100161 ◽  
Author(s):  
Donald J Robinaugh ◽  
Mackenzie L Brown ◽  
Olivia M Losiewicz ◽  
Payton J Jones ◽  
Luana Marques ◽  
...  

BackgroundTreatments for anxiety disorders are among the most effective in psychiatry. Yet, there is considerable room for improvement.AimIn this paper, we discuss the value of ecological momentary assessment as a research method and clinical tool.MethodsWe begin by describing ecological momentary assessment and its advantages, including the ability to collect ecologically valid information about mental disorders, in real time, in individual patients. We then illustrate the value of this approach for anxiety disorder treatment using two patients with panic disorder who completed ecological momentary assessments for 2 weeks before and after a cognitive-behavioural therapy intervention. We focus especially on two key pieces of information provided by ecological momentary assessment data: information about symptom dynamics and information about the relationships among symptoms as they unfold over time within individual patients.PerspectiveAlthough considerable work is needed to further develop this methodology in the context of anxiety disorder treatment, we believe that these pieces of information may ultimately inform our understanding of how anxiety disorder treatments have their effect and how those treatments can be tailored to individual patients.


2020 ◽  
Author(s):  
Marta Anna Marciniak ◽  
Lilly Shanahan ◽  
Judith Rohde ◽  
Ava Schulz ◽  
Carolin Wackerhagen ◽  
...  

Introduction: A growing number of psychological interventions are delivered via smartphone with the aim to increase the efficacy and effectiveness of these treatments and provide scalable access to interventions for improving mental health. Most of the scientifically tested apps are based on cognitive behavioural therapy principles which are considered as a gold standard for the treatment of many mental health problems.Objective: This review aimed to investigate standalone smartphone-based ‘ecological momentary interventions’ (EMIs) to improve mental health, that were built based on principles derived from cognitive behavioural therapy (CBT).Methods: We searched MEDLINE, PsycINFO, Embase and PubMed databases for peer-reviewed studies published between 1st January 2007 and 15th January 2020. We included studies with a focus on standalone app-based approaches to improve mental health and their feasibility, and/or efficacy and/or effectiveness. Both within- and between-group designs and studies with both healthy and clinical samples were included. Blended interventions, e.g., app-based treatments in combination with psychotherapy, were not included. Selected studies were evaluated in terms of their design, i.e., choice of the control condition, sample characteristics, EMI content, EMI delivery characteristics, feasibility, efficacy and effectiveness. The latter was defined in terms of improvement in primary outcomes used in the studies.Results: A total of 26 studies were selected. The results show that EMIs based on CBT principles can be successfully delivered, significantly increase well-being among users, and reduce mental health symptoms. Standalone EMIs were rated as helpful (m=70.8%), and outcomes were satisfying by users (m=72.6%). Conclusions: Study quality was heterogeneous, and feasibility was often not reported in the reviewed studies, hence limiting the conclusions that can be drawn from the existing data. Together, the studies show that EMIs may help increase mental health and thus support individuals in their daily life. Such EMIs provide readily available, scalable and evidence-based mental health support. These characteristics appear crucial in the context of a global crisis, such as the COVID-19 pandemic, but may also help reduce personal and economic costs of mental health impairment beyond this situation or in the context of potential future pandemics.


2013 ◽  
Vol 64 (4) ◽  
pp. 235-243 ◽  
Author(s):  
Sven Barnow ◽  
Maren Aldinger ◽  
Ines Ulrich ◽  
Malte Stopsack

Die Anzahl der Studien, die sich mit dem Zusammenhang zwischen Emotionsregulation (ER) und depressiven Störungen befassen, steigt. In diesem Review werden Studien zusammengefasst und metaanalytisch ausgewertet, die den Zusammenhang zwischen ER und Depression mittels Fragebögen bzw. Ecological Momentary Assessment (EMA) erfassen. Dabei zeigt sich ein ER-Profil welches durch die vermehrte Nutzung von Rumination, Suppression und Vermeidung bei gleichzeitig seltenerem Einsatz von Neubewertung und Problemlösen gekennzeichnet ist. Mit mittleren bis großen Effekten, ist der Zusammenhang zwischen Depression und maladaptiven Strategien besser belegt als bei den adaptiven Formen, wo die Effekte eher moderat ausfielen. EMA-Messungen bestätigen dieses Profil. Da EMA-Studien neben der Häufigkeit des Strategieeinsatzes auch die Erfassung anderer ER-Parameter wie Effektivität und Flexibilität ermöglichen, sollten solche Designs in der ER-Forschung zukünftig vermehrt Einsatz finden.


2013 ◽  
Vol 18 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Emmanuel Kuntsche ◽  
Florian Labhart

Ecological Momentary Assessment (EMA) is a way of collecting data in people’s natural environments in real time and has become very popular in social and health sciences. The emergence of personal digital assistants has led to more complex and sophisticated EMA protocols but has also highlighted some important drawbacks. Modern cell phones combine the functionalities of advanced communication systems with those of a handheld computer and offer various additional features to capture and record sound, pictures, locations, and movements. Moreover, most people own a cell phone, are familiar with the different functions, and always carry it with them. This paper describes ways in which cell phones have been used for data collection purposes in the field of social sciences. This includes automated data capture techniques, for example, geolocation for the study of mobility patterns and the use of external sensors for remote health-monitoring research. The paper also describes cell phones as efficient and user-friendly tools for prompt manual data collection, that is, by asking participants to produce or to provide data. This can either be done by means of dedicated applications or by simply using the web browser. We conclude that cell phones offer a variety of advantages and have a great deal of potential for innovative research designs, suggesting they will be among the standard data collection devices for EMA in the coming years.


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