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一项生态瞬时评估研究的研究方案:TempRes“自杀意念风险与复原力因素的时间变异性”

Study Protocol for an Ecological Momentary Assessment Study: TempRes "Temporal Variability of Risk and Resilience Factors for Suicidal Ideation".

作者信息

Ernst Mareike, Tibubos Ana N, Kubiak Thomas, O'Connor Rory C, Beutel Manfred E

机构信息

Department of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.

Diagnostics in Healthcare & E-Health, University of Trier, Trier, Germany.

出版信息

Front Psychiatry. 2022 Apr 25;13:877283. doi: 10.3389/fpsyt.2022.877283. eCollection 2022.

Abstract

Suicide prevention is an important public mental health issue that can be significantly brought forward by recent advances in psychological research methods and assessment. The project "TempRes" aims to harness the power of Ecological Momentary Assessment (EMA) to investigate the transdiagnostic risk and resilience factors associated with suicidal ideation drawn from the most recent research in suicide prevention and personality assessment. Participants will comprise the general population (planned: = 100) and a risk group (patients currently in psychosomatic or psychiatric treatment) (planned: = 50). After a comprehensive baseline assessment, they will complete up to ten short assessments per day over the course of 10 days at roughly equidistant intervals. In detail, the project examines the interplay of biography (previous suicidal behavior, experiences of childhood maltreatment), individual differences (level of personality functioning), and time-varying factors (entrapment, loneliness, mood) with respect to the emergence and fluctuation of suicidal ideation. There are two main research foci: First, the project will provide an operationalization and empirical verification of a core assumption of the (IMV model). It will test whether the interaction of the time-varying predictors entrapment with loneliness (as a motivational moderator) explains reports of suicidal ideation over time. Second, it will be the first to examine (a transdiagnostic, psychodynamically grounded conceptualization of vulnerability to psychological crises over the life span) as a time-invariant predictor of suicidal ideation assessed within an intensive longitudinal study design. The main analyses will be built on linear mixed models. The overarching aim of the project is to gain a better understanding of the psychological dynamics underlying suicidal ideation in different populations by bringing together concepts from different theoretical traditions. This will inform prevention efforts geared toward the general public as well as intervention in clinical populations.

摘要

自杀预防是一个重要的公共心理健康问题,近期心理研究方法和评估的进展能够显著推动这一问题的解决。“TempRes”项目旨在利用生态瞬时评估(EMA)的力量,依据自杀预防和人格评估的最新研究,探究与自杀意念相关的跨诊断风险和复原力因素。参与者将包括普通人群(计划: = 100)和一个风险群体(目前正在接受身心或精神治疗的患者)(计划: = 50)。在进行全面的基线评估后,他们将在10天内每天完成多达十次简短评估,评估时间间隔大致相等。详细而言,该项目考察传记因素(既往自杀行为、童年虐待经历)、个体差异(人格功能水平)和随时间变化的因素(陷入困境、孤独、情绪)在自杀意念的出现和波动方面的相互作用。有两个主要研究重点:第一,该项目将对[具体理论模型名称](IMV模型)的一个核心假设进行操作化和实证验证。它将测试随时间变化的预测因素“陷入困境”与孤独感(作为动机调节因素)之间的相互作用是否能解释自杀意念随时间的报告情况。第二,它将首次在密集纵向研究设计中,将[具体概念名称](一种基于精神动力学的跨诊断概念化,用于解释一生中对心理危机的易感性)作为自杀意念的一个时间不变预测因素进行考察。主要分析将基于线性混合模型。该项目的总体目标是通过整合不同理论传统中的概念,更好地理解不同人群中自杀意念背后的心理动力学。这将为针对普通公众的预防工作以及临床人群的干预提供参考。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b003/9082499/9669629d89be/fpsyt-13-877283-g0001.jpg

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