van Genugten Claire R, Schuurmans Josien, Lamers Femke, Riese Harriëtte, Penninx Brenda Wjh, Schoevers Robert A, Riper Heleen M, Smit Johannes H
Department of Research and Innovation, GGZ inGeest, Specialized Mental Health Care, 1081 Amsterdam, The Netherlands.
Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit, 1081 Amsterdam, The Netherlands.
J Clin Med. 2020 Jan 23;9(2):322. doi: 10.3390/jcm9020322.
(1) Background: The use of smartphone-based ecological momentary assessment (EMA) questionnaires in affective disorder research has rapidly increased. Though, a thorough understanding of experienced burden of and adherence to EMA is crucial in determining the usefulness of EMA. (2) Methods: Persons with current affective disorders ( = 100), remitted persons ( = 190), and healthy controls ( = 94) participated in a smartphone-based EMA two-week monitoring period. Our primary outcomes were (momentary) perceived burden of and adherence to EMA. (3) Results: In the whole sample, lower positive and higher negative affect were associated with slightly higher levels of perceived momentary burden (B = -0.23 [95%CI = -0.27-0.19], B = 0.30 [95%CI = 0.24-0.37], respectively). The persons with current affective disorders reported slightly higher levels of experienced momentary burden (Mdn = 1.98 [IQR = 1.28-2.57]), than the remitted persons (Mdn = 1.64 [IQR = 1.11-2.24]) and healthy controls (Mdn = 1.28 [IQR = 1.04-1.92]). Nevertheless, the persons with current affective disorders still showed very high adherence rates (Mdn = 94.3% [IQR = 87.9-97.1]), at rates on a par with the remitted persons (Mdn = 94.3% [IQR = 90.0-97.1]) and healthy controls (Mdn = 94.3% [IQR = 90.0-98.6]). (4) Discussion: Frequent momentary questionnaires of mental well-being are slightly more burdensome to the persons with current affective disorders, but this does not seem to have a negative impact on adherence. Their high rate of adherence to EMA-which was similar to that in remitted persons and healthy controls -suggests that it is feasible to apply (short-duration) EMA.
(1) 背景：基于智能手机的生态瞬时评估（EMA）问卷在情感障碍研究中的应用迅速增加。然而，全面了解EMA带来的负担感受和对其的依从性对于确定EMA的实用性至关重要。(2) 方法：患有当前情感障碍的人（n = 100）、缓解期患者（n = 190）和健康对照者（n = 94）参与了为期两周的基于智能手机的EMA监测期。我们的主要结果是（瞬时）对EMA的负担感受和依从性。(3) 结果：在整个样本中，较低的积极情绪和较高的消极情绪与略高的瞬时负担感受水平相关（分别为B = -0.23 [95%CI = -0.27 - 0.19]，B = 0.30 [95%CI = 0.24 - 0.37]）。患有当前情感障碍的人报告的瞬时负担感受水平略高于缓解期患者（中位数 = 1.98 [四分位距 = 1.28 - 2.57]）和健康对照者（中位数 = 1.28 [四分位距 = 1.04 - 1.92]）。然而，患有当前情感障碍的人仍表现出非常高的依从率（中位数 = 94.3% [四分位距 = 87.9 - 97.1]），与缓解期患者（中位数 = 94.3% [四分位距 = 90.0 - 97.1]）和健康对照者（中位数 = 94.3% [四分位距 = 90.0 - 98.6]）相当。(4) 讨论：频繁的心理健康瞬时问卷对患有当前情感障碍的人来说负担稍重，但这似乎并未对依从性产生负面影响。他们对EMA的高依从率——与缓解期患者和健康对照者相似——表明应用（短期）EMA是可行的。
