Ecological momentary assessment of the relationships between social activity and mood in bipolar disorder

2020 ◽  
Vol 30 (1) ◽  
pp. 41-48
Author(s):  
Snigdha Kamarsu ◽  
Christopher N. Kaufmann ◽  
Barton W. Palmer ◽  
Colin A. Depp
Keyword(s):  
Bipolar Disorder ◽  
Ecological Momentary Assessment ◽  
Social Activity ◽  
Ecological Momentary ◽  
Momentary Assessment

scholarly journals Use of ecological momentary assessment to detect variability in mood, sleep and stress in bipolar disorder

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Han Li ◽  
Dahlia Mukherjee ◽  
Venkatesh Basappa Krishnamurthy ◽  
Caitlin Millett ◽  
Kelly A. Ryan ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Ecological Momentary Assessment ◽  
Sleep Time ◽  
Control Group ◽  
Social Stressors ◽  
Parallel Group ◽  
Healthy Control ◽  
The Difference ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Objective Our aim was to study within-person variability in mood, cognition, energy, and impulsivity measured in an Ecological Momentary Assessment paradigm in bipolar disorder by using modern statistical techniques. Exploratory analyses tested the relationship between bipolar disorder symptoms and hours of sleep, and levels of pain, social and task-based stress. We report an analysis of data from a two-arm, parallel group study (bipolar disorder group N = 10 and healthy control group N = 10, with 70% completion rate of 14-day surveys). Surveys of bipolar disorder symptoms, social stressors and sleep hours were completed on a smartphone at unexpected times in an Ecological Momentary Assessment paradigm twice a day. Multi-level models adjusted for potential subject heterogeneity were adopted to test the difference between the bipolar disorder and health control groups. Results Within-person variability of mood, energy, speed of thoughts, impulsivity, pain and perception of skill of tasks was significantly higher in the bipolar disorder group compared to health controls. Elevated bipolar disorder symptom domains in the evening were associated with reduced sleep time that night. Stressors were associated with worsening of bipolar disorder symptoms. Detection of symptoms when an individual is experiencing difficulty allows personalized, focused interventions.

scholarly journals Temporal Associations Between Social Activity and Mood, Fatigue, and Pain in Older Adults With HIV: An Ecological Momentary Assessment Study (Preprint)

2018 ◽  
Author(s):  
Emily W Paolillo ◽  
Bin Tang ◽  
Colin A Depp ◽  
Alexandra S Rooney ◽  
Florin Vaida ◽  
...  
Keyword(s):  
Real Time ◽  
Ecological Momentary Assessment ◽  
Social Activity ◽  
Well Being ◽  
High Rate ◽  
Related Factors ◽  
Increased Risk ◽  
Persons Living With Hiv ◽  
Ecological Momentary ◽  
Momentary Assessment

BACKGROUND Social isolation is associated with an increased risk for mental and physical health problems, especially among older persons living with HIV (PLWH). Thus, there is a need to better understand real-time temporal associations between social activity and mood- and health-related factors in this population to inform possible future interventions. OBJECTIVE This study aims to examine real-time relationships between social activity and mood, fatigue, and pain in a sample of older PLWH. METHODS A total of 20 older PLWH, recruited from the University of California, San Diego HIV Neurobehavioral Research Program in 2016, completed smartphone-based ecological momentary assessment (EMA) surveys 5 times per day for 1 week. Participants reported their current social activity (alone vs not alone and number of social interactions) and levels of mood (sadness, happiness, and stress), fatigue, and pain. Mixed-effects regression models were used to analyze concurrent and lagged associations among social activity, mood, fatigue, and pain. RESULTS Participants (mean age 58.8, SD 4.3 years) reported being alone 63% of the time, on average, (SD 31.5%) during waking hours. Being alone was related to lower concurrent happiness (beta=−.300; 95% CI −.525 to −.079; P=.008). In lagged analyses, social activity predicted higher levels of fatigue later in the day (beta=−1.089; 95% CI −1.780 to −0.396; P=.002), and higher pain levels predicted being alone in the morning with a reduced likelihood of being alone as the day progressed (odds ratio 0.945, 95% CI 0.901-0.992; P=.02). CONCLUSIONS The use of EMA elucidated a high rate of time spent alone among older PLWH. Promoting social activity despite the presence of pain or fatigue may improve happiness and psychological well-being in this population.

scholarly journals Ecological Momentary Assessment of Bipolar Disorder Symptoms and Partner Affect: Longitudinal Pilot Study

10.2196/30472 ◽  
2021 ◽  
Vol 5 (9) ◽  
pp. e30472
Author(s):  
Mor Yerushalmi ◽  
Andrew Sixsmith ◽  
Ariel Pollock Star ◽  
David B King ◽  
Norm O'Rourke
Keyword(s):  
Bipolar Disorder ◽  
Pilot Study ◽  
Data Collection ◽  
Negative Affect ◽  
Ecological Momentary Assessment ◽  
World Health ◽  
Ecological Momentary ◽  
The Impact ◽  
Momentary Assessment

Background The World Health Organization ranks bipolar disorder (BD) as the 7th leading cause of disability. Although the effects on those with BD are well described, less is reported on the impact of BD on cohabiting partners or any interactions between the two; this requires in vivo data collection measured each day over several months. Objective We set out to demonstrate the utility of ecological momentary assessment with BD couples measured using yoked smartphone apps. When randomly prompted over time, we assumed distinct patterns of association would emerge between BD symptoms (both depression and hypo/mania) and partner mood (positive and negative affect). Methods For this pilot study, we recruited an international sample of young and older adults with BD and their cohabiting partners where available. Both participants and partners downloaded separate apps onto their respective smartphones. Within self-specified “windows of general availability,” participants with BD were randomly prompted to briefly report symptoms of depression and hypo/mania (ie, BDSx), positive and negative mood (ie, POMS-15; partners), and any important events of the day (both). The partner app was yoked to the participant app so that the former was prompted roughly 30 minutes after the participant with BD or the next morning if outside the partner’s specified availability. Results Four couples provided 312 matched BD symptom and partner mood responses over an average of 123 days (range 65-221 days). Both were GPS- and time-stamped (mean 3:11 hrs between questionnaires, SD 4:51 hrs). Total depression had a small but significant association with positive (r=–.14; P=.02) and negative partner affect (r=.15; P=.01]. Yet total hypo/mania appeared to have no association with positive partner affect (r=–.01; P=.87); instead, negative partner affect was significantly correlated with total hypo/mania (r=.26; P=.01). However, when we look specifically at BD factors, we see that negative partner affect is associated only with affrontive symptoms of hypo/mania (r=.38; P=.01); elation or loss of insight appears unrelated to either positive (r=.10; P=.09) or negative partner affect (r=.02; P=.71). Yet affrontive symptoms of hypo/mania were significantly correlated with negative affect, but only when couples were together (r=.41; P=.01), not when apart (r=.22; P=.12). That is, these angry interpersonal symptoms of hypo/mania appear to be experienced most negatively by spouses when couples are together. Conclusions These initial findings demonstrate the utility of in vivo ambulatory data collection in longitudinal mental health research. Preliminary analyses suggest different BD symptoms are associated with negative and positive partner mood. These negative effects appear greater for hypo/mania than depressive symptoms, but proximity to the person with BD is important.

scholarly journals Temporal Associations Between Social Activity and Mood, Fatigue, and Pain in Older Adults With HIV: An Ecological Momentary Assessment Study

2018 ◽  
Vol 5 (2) ◽  
pp. e38 ◽  
Author(s):  
Emily W Paolillo ◽  
Bin Tang ◽  
Colin A Depp ◽  
Alexandra S Rooney ◽  
Florin Vaida ◽  
...  
Keyword(s):  
Real Time ◽  
Ecological Momentary Assessment ◽  
Social Activity ◽  
Well Being ◽  
High Rate ◽  
Related Factors ◽  
Increased Risk ◽  
Persons Living With Hiv ◽  
Ecological Momentary ◽  
Momentary Assessment

Background Social isolation is associated with an increased risk for mental and physical health problems, especially among older persons living with HIV (PLWH). Thus, there is a need to better understand real-time temporal associations between social activity and mood- and health-related factors in this population to inform possible future interventions. Objective This study aims to examine real-time relationships between social activity and mood, fatigue, and pain in a sample of older PLWH. Methods A total of 20 older PLWH, recruited from the University of California, San Diego HIV Neurobehavioral Research Program in 2016, completed smartphone-based ecological momentary assessment (EMA) surveys 5 times per day for 1 week. Participants reported their current social activity (alone vs not alone and number of social interactions) and levels of mood (sadness, happiness, and stress), fatigue, and pain. Mixed-effects regression models were used to analyze concurrent and lagged associations among social activity, mood, fatigue, and pain. Results Participants (mean age 58.8, SD 4.3 years) reported being alone 63% of the time, on average, (SD 31.5%) during waking hours. Being alone was related to lower concurrent happiness (beta=−.300; 95% CI −.525 to −.079; P=.008). In lagged analyses, social activity predicted higher levels of fatigue later in the day (beta=−1.089; 95% CI −1.780 to −0.396; P=.002), and higher pain levels predicted being alone in the morning with a reduced likelihood of being alone as the day progressed (odds ratio 0.945, 95% CI 0.901-0.992; P=.02). Conclusions The use of EMA elucidated a high rate of time spent alone among older PLWH. Promoting social activity despite the presence of pain or fatigue may improve happiness and psychological well-being in this population.

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