Axelson David A, Bertocci Michele A, Lewin Daniel S, Trubnick Laura S, Birmaher Boris, Williamson Douglas E, Ryan Neal D, Dahl Ronald E
Department of Psychiatry, University of Pittsburgh Medical Center, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania 15213, USA.
J Child Adolesc Psychopharmacol. 2003 Fall;13(3):253-66. doi: 10.1089/104454603322572589.
This article describes the theoretical background and methodology of ecological momentary assessment (EMA) and reports results from a pilot study using EMA techniques in 16 children and adolescents with affective disorders and 5 subjects who were healthy and at low risk to develop future affective disorders. Multiple daily assessments of the subjects' mood, thoughts, and behaviors were performed in their natural environments using brief interviews on cellular phone calls by the study staff and by wrist actigraphy. The pilot results demonstrated that the EMA methodology is feasible in this population, as 17 of 21 subjects were able to complete the entire 8-week protocol. The potential usefulness of the EMA methodology is illustrated by specific case reports. Potential applications of the EMA methodology to the study of neurobehavioral systems and the pathophysiology of pediatric affective disorders are discussed.
本文描述了生态瞬时评估（EMA）的理论背景和方法，并报告了一项试点研究的结果，该研究对16名患有情感障碍的儿童和青少年以及5名健康且未来患情感障碍风险较低的受试者使用了EMA技术。研究人员通过手机简短访谈和手腕活动记录仪，在自然环境中对受试者的情绪、思维和行为进行了多次每日评估。试点结果表明，EMA方法在该人群中是可行的，因为21名受试者中有17名能够完成整个8周的方案。具体病例报告说明了EMA方法的潜在用途。讨论了EMA方法在神经行为系统研究和儿童情感障碍病理生理学研究中的潜在应用。
