Kaplan Deanna M, Hughes Christopher D, Schatten Heather T, Mehl Matthias R, Armey Michael F, Nugent Nicole R
Department of Family and Preventive Medicine, Emory University School of Medicine.
Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University.
J Psychother Integr. 2023 Jun;33(2):123-140. doi: 10.1037/int0000291. Epub 2022 Sep 22.
Ambulatory assessment methods have made it possible to study psychological phenomena in real-time, with translational potential for psychotherapy process research. This article uses case example data to demonstrate applications of ambulatory assessment to measuring emotion regulation, a process with relevance across diagnoses and treatment modalities that may be particularly important to measure . Two methods are reviewed: Ecological Momentary Assessment (EMA), which enables self-reported momentary assessments as people go about their days, and the Electronically Activated Recorder (EAR), an unobtrusive naturalistic observation methodology that collects short audio recordings from participants' moment-to-moment environments, capturing an acoustic diary of their social interactions, daily behaviors, and natural daily language use. Using case example data from research applying EMA and EAR methods in the context of adolescent self-injurious thoughts and behaviors, we illustrate how EMA can be used to measure emotion regulation over time and across contexts, and how EAR can assess the behaviors and social-environmental factors that interact with emotion regulation in clinically important ways. We suggest applications of this measurement approach for investigations of clients' emotional change over the course of psychotherapy, as well as potential clinical applications of these methods.
动态评估方法使实时研究心理现象成为可能,对心理治疗过程研究具有转化潜力。本文通过案例示例数据展示了动态评估在测量情绪调节方面的应用,情绪调节这一过程在各种诊断和治疗方式中都具有相关性,可能是特别重要的测量对象。本文回顾了两种方法:生态瞬时评估(EMA),它能让人们在日常生活中进行自我报告的瞬时评估;以及电子激活记录器(EAR),一种非侵入性的自然观察方法,它从参与者的即时环境中收集简短的音频记录,捕捉他们社交互动、日常行为和日常自然语言使用的声学日记。利用在青少年自我伤害性想法和行为背景下应用EMA和EAR方法的研究中的案例示例数据,我们说明了EMA如何用于测量不同时间和情境下的情绪调节,以及EAR如何以临床上重要的方式评估与情绪调节相互作用的行为和社会环境因素。我们建议将这种测量方法应用于研究客户在心理治疗过程中的情绪变化,以及这些方法潜在的临床应用。