[生态瞬时评估作为精神病学临床工具：前景、陷阱与可能性]
[Ecological momentary assessment as a clinical tool in psychiatry: promises, pitfalls, and possibilities].
作者信息
Bos F M, van der Krieke L, Wichers M, Bruggeman R, Snippe E
出版信息
Tijdschr Psychiatr. 2023;65(1):54-59.
BACKGROUND
Ecological momentary assessment (EMA) is a promising method to gain insight into the daily lives of people with mental disorders. EMA can be used to monitor mood, symptoms, and experiences multiple times per day. Using advanced statistical methods, such as network analysis, as EMA feedback might result in novel insights that are relevant to psychiatric care.
AIM
To investigate the promise, pitfalls, and possibilities of EMA and network analysis for psychiatric care.
METHOD
Empirical network studies, reviews, and qualitative research were employed to investigate the state of research and the perspectives of patients and clinicians on EMA and network analysis. Furthermore, an empirical study will be discussed, in which twenty patients with bipolar disorders completed five EMA diaries per day for four months within treatment.
RESULTS
Studies using network analysis demonstrated conflicting results. Qualitative research indicated that bipolar patients and clinicians are aware of the added benefit of EMA for psychiatric care, especially for improving insight and self-management. At the same time, EMA was seen as burdensome. Personalization and integration with existing treatment protocols emerged as necessary requirements for adequate implementation of EMA in psychiatric care.
CONCLUSION
EMA can have added value for psychiatric care, provided it is adequately implemented.
BACKGROUND
Ecological momentary assessment (EMA) is a promising method to gain insight into the daily lives of people with mental disorders. EMA can be used to monitor mood, symptoms, and experiences multiple times per day. Using advanced statistical methods, such as network analysis, as EMA feedback might result in novel insights that are relevant to psychiatric care.
AIM
To investigate the promise, pitfalls, and possibilities of EMA and network analysis for psychiatric care.
METHOD
Empirical network studies, reviews, and qualitative research were employed to investigate the state of research and the perspectives of patients and clinicians on EMA and network analysis. Furthermore, an empirical study will be discussed, in which twenty patients with bipolar disorders completed five EMA diaries per day for four months within treatment.
RESULTS
Studies using network analysis demonstrated conflicting results. Qualitative research indicated that bipolar patients and clinicians are aware of the added benefit of EMA for psychiatric care, especially for improving insight and self-management. At the same time, EMA was seen as burdensome. Personalization and integration with existing treatment protocols emerged as necessary requirements for adequate implementation of EMA in psychiatric care.
CONCLUSION
EMA can have added value for psychiatric care, provided it is adequately implemented.
背景
生态瞬时评估（EMA）是一种很有前景的方法，可用于深入了解精神障碍患者的日常生活。EMA可用于每天多次监测情绪、症状和经历。将网络分析等先进统计方法用作EMA反馈，可能会产生与精神科护理相关的新见解。
目的
探讨EMA和网络分析在精神科护理中的前景、陷阱和可能性。
方法
采用实证网络研究、综述和定性研究，以调查研究现状以及患者和临床医生对EMA和网络分析的看法。此外，还将讨论一项实证研究，其中20名双相情感障碍患者在治疗期间的四个月里每天完成五篇EMA日记。
结果
使用网络分析的研究结果相互矛盾。定性研究表明，双相情感障碍患者和临床医生都意识到EMA对精神科护理的额外益处，尤其是在提高洞察力和自我管理方面。与此同时，EMA被视为负担。个性化以及与现有治疗方案的整合，已成为在精神科护理中充分实施EMA的必要条件。
结论
只要实施得当，EMA可为精神科护理增添价值。
背景
生态瞬时评估（EMA）是一种很有前景的方法，可用于深入了解精神障碍患者的日常生活。EMA可用于每天多次监测情绪、症状和经历。将网络分析等先进统计方法用作EMA反馈，可能会产生与精神科护理相关的新见解。
目的
探讨EMA和网络分析在精神科护理中的前景、陷阱和可能性。
方法
采用实证网络研究、综述和定性研究，以调查研究现状以及患者和临床医生对EMA和网络分析的看法。此外，还将讨论一项实证研究，其中20名双相情感障碍患者在治疗期间的四个月里每天完成五篇EMA日记。
结果
使用网络分析的研究结果相互矛盾。定性研究表明，双相情感障碍患者和临床医生都意识到EMA对精神科护理的额外益处，尤其是在提高洞察力和自我管理方面。与此同时，EMA被视为负担。个性化以及与现有治疗方案的整合，已成为在精神科护理中充分实施EMA的必要条件。
结论
只要实施得当，EMA可为精神科护理增添价值。
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