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大学生样本中跨诊断精神病理学生态瞬时评估方案的验证

Validation of a transdiagnostic psychopathology ecological momentary assessment protocol in a university student sample.

作者信息

Jover Martínez Alberto, Lemmens Lotte H J M, Fried Eiko I, Guðmundsdóttir Guðrún R, Roefs Anne

机构信息

Maastricht University, Faculty of Psychology and Neuroscience, Department of Clinical Psychological Science.

Leiden University, Faculty of Social and Behavioral Sciences, Department of Clinical Psychology.

出版信息

Psychol Assess. 2025 Jan-Feb;37(1-2):46-61. doi: 10.1037/pas0001348.

Abstract

Ecological momentary assessment (EMA) collects real-time data in daily life, enhancing ecological validity and reducing recall bias. An EMA questionnaire that measures symptoms and transdiagnostic factors was recently developed with network modeling purposes. This study examines this EMA protocol's (a) subjective experience (e.g., burden, item clarity, survey frequency adequacy); (b) compliance, dropout, and predictors thereof; (c) the variability of EMA items across and within participants; and (d) the relations between EMA items and baseline standardized psychopathology questionnaires. University students (n = 262, Mage = 21.9, 84.8% females, 17.2% Dutch) completed eight daily momentary surveys (with the first including the morning survey), an evening survey, and a weekly survey during a 4-week EMA protocol. Additionally, a concluding survey examined participants' subjective experiences. Perceived burden was 3.40 on a 7-point scale, and people with higher levels of psychopathology found it more burdensome and more difficult to complete. Moreover, 67% of the surveys were completed, and 16% of the participants dropped out. Baseline psychopathology was not significantly associated with dropout or compliance. Moreover, surveys triggered in later study days, during the weekend, longer surveys, and surveys with lower financial reward were more likely to be missed. Between-subjects and within-subjects variability and correlations with baseline psychopathology varied across EMA items, with most EMA items showing sufficient within-individual variability for network modeling purposes and showing correlations across all types of psychopathology and transdiagnostic factors. The results suggest that the collection of intensive time-series data is feasible, and data quality and characteristics match requirements of different network models. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

生态瞬时评估(EMA)收集日常生活中的实时数据,提高了生态效度并减少了回忆偏差。最近为网络建模目的开发了一份测量症状和跨诊断因素的EMA问卷。本研究考察了该EMA方案的:(a)主观体验(如负担、项目清晰度、调查频率适当性);(b)依从性、退出情况及其预测因素;(c)参与者之间和参与者内部EMA项目的变异性;以及(d)EMA项目与基线标准化精神病理学问卷之间的关系。大学生(n = 262,年龄中位数 = 21.9岁,84.8%为女性,17.2%为荷兰人)在为期4周的EMA方案中完成了8次每日瞬时调查(第一次包括早晨调查)、一次晚上调查和一次每周调查。此外,一项总结性调查考察了参与者的主观体验。在7分制量表上,感知负担为3.40,精神病理学水平较高的人认为完成调查更有负担且更困难。此外,67%的调查得以完成,16%的参与者退出。基线精神病理学与退出或依从性无显著关联。此外,在研究后期、周末触发的调查、较长的调查以及经济奖励较低的调查更有可能被错过。不同EMA项目的组间和组内变异性以及与基线精神病理学的相关性各不相同,大多数EMA项目显示出足够的个体内部变异性以用于网络建模目的,并且显示出与所有类型的精神病理学和跨诊断因素的相关性。结果表明,密集时间序列数据收集是可行的,数据质量和特征符合不同网络模型的要求。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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