Psychiatry Department, Hospital Universitario Fundación Jiménez Díaz, 2, Av. Reyes Católicos, 28040 Madrid, Spain; Department of Psychiatry, General Hospital of Villalba, Villalba, Madrid, Spain.
Child and Adolescent Psychiatry Department, Hospital General Universitario Gregorio Marañón, 46, Dr. Esquerdo, 28007 Madrid, Spain.
Psychiatry Res. 2018 May;263:212-219. doi: 10.1016/j.psychres.2018.02.051. Epub 2018 Feb 27.
Conceptualization and assessment of non-suicidal self-injury (NSSI) has evolved substantially in recent years. In both cross-sectional and longitudinal studies, NSSI and its related variables have traditionally been assessed retrospectively, leading to less precise studies of the mechanisms involved in the maintenance, cessation, or aggravation of this behavior. Ecological momentary assessment (EMA) enables real-time collection of patient states, which can be very useful in the study of the mechanisms implied in this behavior. This systematic review aims to elucidate the current status of EMA use in NSSI investigation. An exhaustive search in PubMed and PsycINFO was conducted up to September 2017. All papers included were focused on the study of NSSI using EMA. Studies with methodological diversity were included, which were afterwards organized according to main topic of studies. There were no ineligibility criteria based on age or diagnosis. Twenty-three papers were studied, the majority of which are short-term studies focused on the study of affect dynamics and the emotion-regulation function of NSSI. Implications of these results and recommendations for future research are discussed.
近年来，非自杀性自我伤害（NSSI）的概念化和评估有了很大的发展。在横断面和纵向研究中，NSSI 及其相关变量传统上都是回顾性评估的，这导致了对维持、停止或加剧这种行为的机制的研究不够精确。生态瞬时评估（EMA）能够实时收集患者状态，这在研究这种行为所涉及的机制方面非常有用。本系统评价旨在阐明 EMA 在 NSSI 研究中的使用现状。对 PubMed 和 PsycINFO 进行了详尽的搜索，截至 2017 年 9 月。所有纳入的论文都集中在使用 EMA 研究 NSSI。纳入了具有不同方法学的研究，并根据研究的主要主题进行了组织。没有基于年龄或诊断的排除标准。共研究了 23 篇论文，其中大部分是短期研究，侧重于研究情绪动态和 NSSI 的情绪调节功能。讨论了这些结果的意义和对未来研究的建议。
