scholarly journals Personalized Prescriptions of Therapeutic Skills from Patient Characteristics: An Ecological Momentary Assessment Approach

2020 ◽  
Author(s):  
Christian A. Webb ◽  
Marie Forgeard ◽  
Elana Israel ◽  
Nathaniel Lovell-Smith ◽  
Courtney Beard ◽  
...  
Keyword(s):  
Dialectical Behavior Therapy ◽  
Ecological Momentary Assessment ◽  
Behavioral Therapy ◽  
Patient Characteristics ◽  
Psychomotor Retardation ◽  
Data Driven ◽  
Patient Specific ◽  
Data Driven Approach ◽  
Ecological Momentary ◽  
Momentary Assessment

Objective: Rather than relying on a single psychotherapeutic orientation, most clinicians draw from a range of therapeutic approaches to treat their clients. To date, no data-driven approach exists for personalized predictions of which skill domain would be most therapeutically beneficial for a given patient. The present study combined ecological momentary assessment (EMA) and machine learning to test a data-driven approach for predicting patient-specific skill-outcome associations.Method: Fifty (Mage= 37 years old, 54% female, 84% White) adults received training in Behavioral Therapy (BT) and Dialectical Behavior Therapy (DBT) skills within a behavioral health partial hospital program. Following discharge, patients received four EMA surveys per day for two weeks (total observations = 2,036) assessing use of therapeutic skills and positive/negative affect (PA/NA). Clinical and demographic characteristics were submitted to elastic net regularization to predict, via cross-validation, patient-specific associations between use of BT vs. DBT skills and level of PA/NA.Results: Cross-validated accuracy was 81% (sensitivity=93%; specificity=63%) in predicting whether a patient would exhibit a stronger association between use of BT vs. DBT skills and PA level. Predictors of positive DBT skills-PA associations included higher levels of non-suicidal self-injury and sleep disturbance, whereas predictors of positive BT skills-PA relations included higher emotional lability and anxiety disorder comorbidity, and lower psychomotor retardation/agitation and worthlessness/guilt. Corresponding models with NA yielded no predictors.

Ecological Momentary Assessment and Intervention in Nonsuicidal Self-Injury: A Novel Approach to Treatment

2012 ◽  
Vol 26 (4) ◽  
pp. 299-317 ◽  
Author(s):  
Michael F. Armey
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Ecological Momentary Assessment ◽  
The Novel ◽  
Self Injury ◽  
Novel Approach ◽  
Regulation Function ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Nonsuicidal Self Injury

This study provides an introduction to ecological momentary assessment (EMA) methods and the potential use of ecological momentary intervention (EMI) for nonsuicidal self-injury (NSSI). The novel use of EMA and EMI are discussed within the context of the emotion regulation function of NSSI, the ability of these approaches to complement established treatments (i.e., cognitive behavior therapy & dialectical behavior therapy), and the specific areas in which an EMI treatment approach can augment traditional treatment. Based on established EMA findings in general and specific applications of EMA to the NSSI, a model EMI for NSSI is proposed.

Considerations in the Use of Interactive Voice Recording for the Temporal Assessment of Suicidal Ideation and Alcohol Use

Crisis ◽  
2016 ◽  
Vol 37 (5) ◽  
pp. 370-376 ◽  
Author(s):  
Todd M. Bishop ◽  
Stephen A. Maisto ◽  
Peter C. Britton ◽  
Wilfred R. Pigeon
Keyword(s):  
Suicidal Ideation ◽  
Dialectical Behavior Therapy ◽  
Suicidal Behavior ◽  
Ecological Momentary Assessment ◽  
Effective Prevention ◽  
Temporal Relationships ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Temporal Assessment ◽  
Voice Recording

Abstract. Background: A greater understanding of the temporal variation of suicidal ideation and suicidal behavior is needed to inform more effective prevention efforts. Interactive voice recording (IVR) allows for the study of temporal relationships that cannot be captured with most traditional methodologies. Aims: To examine the feasibility of implementing IVR for the assessment of suicidal ideation. Method: Participants (n = 4) receiving a brief intervention based on dialectical behavior therapy were asked to respond to three phone-based surveys each day over 6 weeks that assessed suicidal ideation and alcohol consumption. Results: Participants completed 77.7% of daily assessments, reported that calls were not burdensome, and indicated that calls were sometimes helpful in interrupting suicidal ideation. Conclusion: The preliminary data reported here provide optimism for the use of IVR and other forms of ecological momentary assessment in the exploration of the antecedents of suicidal behavior.

scholarly journals A Review of Explicit and Implicit Assumptions When Providing Personalized Feedback Based on EMA Data.

2021 ◽  
Author(s):  
IJsbrand Leertouwer ◽  
Angélique Odette Joanne Cramer ◽  
Jeroen K. Vermunt ◽  
Noémi Katalin Schuurman
Keyword(s):  
Ecological Momentary Assessment ◽  
Data Driven ◽  
Evidence Based ◽  
Personalized Feedback ◽  
Retrospective Assessment ◽  
Different Types ◽  
Ecological Momentary ◽  
Ema Data ◽  
The Impact ◽  
Momentary Assessment

Ecological Momentary Assessment (EMA), in which participants report on their moment-to-moment experiences in their natural environment, is a hot topic. An emerging field in clinical psychology based on either EMA, or what we term Ecological Retrospective Assessment (ERA) as it requires retrospectivity, is the field of personalized feedback. In this field, EMA/ERA-data-driven summaries are presented to participants with the goal of promoting their insight in their functioning. Underlying this procedure are some fundamental assumptions about (1) the relation between true moment-to-moment experiences and retrospective evaluations of those experiences, (2) the translation of these experiences and evaluations to different types of data (3) the comparison of these different types of data (4) the impact of a summary of moment-to-moment experiences on retrospective evaluations of those experiences. We argue that these assumptions deserve further exploration, in order to create a strong evidence-based foundation for the personalized feedback procedure.

scholarly journals Examining the Theoretical Framework of Behavioral Activation for Major Depressive Disorder: Smartphone-Based Ecological Momentary Assessment Study

10.2196/32007 ◽  
2021 ◽  
Vol 8 (12) ◽  
pp. e32007
Author(s):  
Claire Rosalie van Genugten ◽  
Josien Schuurmans ◽  
Adriaan W Hoogendoorn ◽  
Ricardo Araya ◽  
Gerhard Andersson ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Ecological Momentary Assessment ◽  
Behavioral Activation ◽  
Behavioral Therapy ◽  
Theoretical Framework ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cross Sectional ◽  
Ecological Momentary ◽  
Momentary Assessment

Background Behavioral activation (BA), either as a stand-alone treatment or as part of cognitive behavioral therapy, has been shown to be effective for treating depression. The theoretical underpinnings of BA derive from Lewinsohn et al’s theory of depression. The central premise of BA is that having patients engage in more pleasant activities leads to them experiencing more pleasure and elevates their mood, which, in turn, leads to further (behavioral) activation. However, there is a dearth of empirical evidence about the theoretical framework of BA. Objective This study aims to examine the assumed (temporal) associations of the 3 constructs in the theoretical framework of BA. Methods Data were collected as part of the “European Comparative Effectiveness Research on Internet-based Depression Treatment versus treatment-as-usual” trial among patients who were randomly assigned to receive blended cognitive behavioral therapy (bCBT). As part of bCBT, patients completed weekly assessments of their level of engagement in pleasant activities, the pleasure they experienced as a result of these activities, and their mood over the course of the treatment using a smartphone-based ecological momentary assessment (EMA) application. Longitudinal cross-lagged and cross-sectional associations of 240 patients were examined using random intercept cross-lagged panel models. Results The analyses did not reveal any statistically significant cross-lagged coefficients (all P>.05). Statistically significant cross-sectional positive associations between activities, pleasure, and mood levels were identified. Moreover, the levels of engagement in activities, pleasure, and mood slightly increased over the duration of the treatment. In addition, mood seemed to carry over, over time, while both levels of engagement in activities and pleasurable experiences did not. Conclusions The results were partially in accordance with the theoretical framework of BA, insofar as the analyses revealed cross-sectional relationships between levels of engagement in activities, pleasurable experiences deriving from these activities, and enhanced mood. However, given that no statistically significant temporal relationships were revealed, no conclusions could be drawn about potential causality. A shorter measurement interval (eg, daily rather than weekly EMA reports) might be more attuned to detecting potential underlying temporal pathways. Future research should use an EMA methodology to further investigate temporal associations, based on theory and how treatments are presented to patients. Trial Registration ClinicalTrials.gov, NCT02542891, https://clinicaltrials.gov/ct2/show/NCT02542891; German Clinical Trials Register, DRKS00006866, https://tinyurl.com/ybja3xz7; Netherlands Trials Register, NTR4962, https://www.trialregister.nl/trial/4838; ClinicalTrials.Gov, NCT02389660, https://clinicaltrials.gov/ct2/show/NCT02389660; ClinicalTrials.gov, NCT02361684, https://clinicaltrials.gov/ct2/show/NCT02361684; ClinicalTrials.gov, NCT02449447, https://clinicaltrials.gov/ct2/show/NCT02449447; ClinicalTrials.gov, NCT02410616, https://clinicaltrials.gov/ct2/show/NCT02410616; ISRCTN registry, ISRCTN12388725, https://www.isrctn.com/ISRCTN12388725

scholarly journals Examining the Theoretical Framework of Behavioral Activation for Major Depressive Disorder: Smartphone-Based Ecological Momentary Assessment Study (Preprint)

2021 ◽  
Author(s):  
Claire Rosalie van Genugten ◽  
Josien Schuurmans ◽  
Adriaan W Hoogendoorn ◽  
Ricardo Araya ◽  
Gerhard Andersson ◽  
...  
Keyword(s):  
Cognitive Behavioral Therapy ◽  
Ecological Momentary Assessment ◽  
Behavioral Activation ◽  
Behavioral Therapy ◽  
Theoretical Framework ◽  
Cognitive Behavioral ◽  
Future Research ◽  
Cross Sectional ◽  
Ecological Momentary ◽  
Momentary Assessment

BACKGROUND Behavioral activation (BA), either as a stand-alone treatment or as part of cognitive behavioral therapy, has been shown to be effective for treating depression. The theoretical underpinnings of BA derive from Lewinsohn et al’s theory of depression. The central premise of BA is that having patients engage in more pleasant activities leads to them experiencing more pleasure and elevates their mood, which, in turn, leads to further (behavioral) activation. However, there is a dearth of empirical evidence about the theoretical framework of BA. OBJECTIVE This study aims to examine the assumed (temporal) associations of the 3 constructs in the theoretical framework of BA. METHODS Data were collected as part of the “European Comparative Effectiveness Research on Internet-based Depression Treatment versus treatment-as-usual” trial among patients who were randomly assigned to receive blended cognitive behavioral therapy (bCBT). As part of bCBT, patients completed weekly assessments of their level of engagement in pleasant activities, the pleasure they experienced as a result of these activities, and their mood over the course of the treatment using a smartphone-based ecological momentary assessment (EMA) application. Longitudinal cross-lagged and cross-sectional associations of 240 patients were examined using random intercept cross-lagged panel models. RESULTS The analyses did not reveal any statistically significant cross-lagged coefficients (all <i>P</i>&gt;.05). Statistically significant cross-sectional positive associations between activities, pleasure, and mood levels were identified. Moreover, the levels of engagement in activities, pleasure, and mood slightly increased over the duration of the treatment. In addition, mood seemed to carry over, over time, while both levels of engagement in activities and pleasurable experiences did not. CONCLUSIONS The results were partially in accordance with the theoretical framework of BA, insofar as the analyses revealed cross-sectional relationships between levels of engagement in activities, pleasurable experiences deriving from these activities, and enhanced mood. However, given that no statistically significant temporal relationships were revealed, no conclusions could be drawn about potential causality. A shorter measurement interval (eg, daily rather than weekly EMA reports) might be more attuned to detecting potential underlying temporal pathways. Future research should use an EMA methodology to further investigate temporal associations, based on theory and how treatments are presented to patients. CLINICALTRIAL ClinicalTrials.gov, NCT02542891, https://clinicaltrials.gov/ct2/show/NCT02542891; German Clinical Trials Register, DRKS00006866, https://tinyurl.com/ybja3xz7; Netherlands Trials Register, NTR4962, https://www.trialregister.nl/trial/4838; ClinicalTrials.Gov, NCT02389660, https://clinicaltrials.gov/ct2/show/NCT02389660; ClinicalTrials.gov, NCT02361684, https://clinicaltrials.gov/ct2/show/NCT02361684; ClinicalTrials.gov, NCT02449447, https://clinicaltrials.gov/ct2/show/NCT02449447; ClinicalTrials.gov, NCT02410616, https://clinicaltrials.gov/ct2/show/NCT02410616; ISRCTN registry, ISRCTN12388725, https://www.isrctn.com/ISRCTN12388725

Emotionsregulation bei Depression

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

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.

Using Personal Cell Phones for Ecological Momentary Assessment

2013 ◽  
Vol 18 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Emmanuel Kuntsche ◽  
Florian Labhart
Keyword(s):  
Data Collection ◽  
Ecological Momentary Assessment ◽  
Communication Systems ◽  
Cell Phones ◽  
Personal Digital Assistants ◽  
Natural Environments ◽  
Mobility Patterns ◽  
Standard Data ◽  
Ecological Momentary ◽  
Momentary Assessment

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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