General Hospital of Villalba, Carretera de Alpedrete a Moralzarzal M-608 Km 41, 28400 Collado Villalba, Madrid, Spain.
Gregorio Marañón University Hospital, Madrid, Spain; Madrid Complutense University, Madrid, Spain; CIBERSAM, Carlos III Institute of Health, Madrid, Spain.
Span J Psychiatry Ment Health. 2023 Jan-Mar;16(1):5-10. doi: 10.1016/j.rpsm.2020.04.001. Epub 2020 May 20.
Electronic ecological momentary assessment (EMA) can provide precise information regarding day-to-day functioning of patients overcoming some of the limitations of usual clinical evaluation; however adherence to this methodology might be a major threat. Research and application of EMA concerning clinical settings remains scant. Our goal was to study the user profiles of EMA in a clinical sample of adolescents.
209 adolescents following an outpatient mental health treatment accepted to use EMA. They were evaluated in different sociodemographic and clinical variables as well as the use that they made of EMA.
39.7% of patients were considered users and 60.3% non-active users. Certain self-harm behaviours were more common in the group of active users, while hyperkinetic disorders were more common in the group of non-active users. A regression analysis revealed that non-suicidal self-injury (OR=2.99) and hyperkinetic disorders (OR=0.51) were related to the use of EMA.
This preliminary study adds novel and promising information about EMA use in clinical practice. Adolescents with self-harm behaviours EMA seem more prone to use this tool. Our study provides support for actively monitoring self-harm behaviours with EMA. Future studies might consider a comprehensive analysis of adherence and EMA data collection.
电子生态瞬时评估（EMA）可以提供有关患者日常功能的精确信息，克服了常规临床评估的一些限制；然而，对这种方法的依从性可能是一个主要的威胁。关于临床环境的 EMA 的研究和应用仍然很少。我们的目标是研究临床青少年样本中 EMA 的用户特征。
209 名接受门诊心理健康治疗的青少年接受了使用 EMA 的评估。他们在不同的社会人口统计学和临床变量以及他们对 EMA 的使用情况方面进行了评估。
39.7%的患者被认为是使用者，60.3%是非使用者。在使用者组中，某些自我伤害行为更为常见，而在非使用者组中，多动障碍更为常见。回归分析显示，非自杀性自伤（OR=2.99）和多动障碍（OR=0.51）与 EMA 的使用有关。
这项初步研究提供了有关 EMA 在临床实践中使用的新的、有希望的信息。有自我伤害行为的青少年似乎更倾向于使用这种工具。我们的研究为主动监测 EMA 中的自我伤害行为提供了支持。未来的研究可能需要对依从性和 EMA 数据收集进行全面分析。
