Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study

Abstract Background Little is known about the everyday experiences of individuals transitioning from acute to outpatient psychiatric care, an important period of risk for mood symptom relapse. This study used ecological momentary assessment (EMA) to examine whether specific daily experiences were related to momentary affective states following discharge from a partial hospitalization program (PHP). Methods A sample of 114 adults (Mage = 36 years old, 52% female, 83% White) completed four brief EMA surveys every day for 2 weeks assessing intensity/type of stressful events and social contact, as well as positive/negative affect (PA/NA). Half of participants reported therapeutic skills use. Results Stress severity ratings prospectively predicted increased NA. NA predicted spending less time with close relationships. However, interacting with close relationships predicted increased positive affect (PA). Finally, PA predicted spending time with more people. The use of two skills (behavioral activation and interpersonal effectiveness) was concurrently, but not prospectively, associated with improved affect. Conclusions Examining daily experiences of individuals discharging from partial hospitalization provides important information about factors that may influence affective states during the transition from acute to outpatient care. Findings from this study can be used to help prepare patients for discharge and develop interventions for the post-acute period.

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Social Contact Frequency and Pain among Older Adults with HIV: An Ecological Momentary Assessment Study

Journal of Pain ◽

10.1016/j.jpain.2021.03.134 ◽

2021 ◽

Vol 22 (5) ◽

pp. 612

Author(s):

Matthew Herbert ◽

Jennalee Wooldridge ◽

Emily Paolillo ◽

Colin Depp ◽

Raeanne Moore

Keyword(s):

Older Adults ◽

Ecological Momentary Assessment ◽

Social Contact ◽

Assessment Study ◽

Contact Frequency ◽

Ecological Momentary ◽

Momentary Assessment

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Perceptions of the Meaningfulness of Work Among Older Social Purpose Workers: An Ecological Momentary Assessment Study

Journal of Applied Gerontology ◽

10.1177/0733464817727109 ◽

2017 ◽

Vol 38 (8) ◽

pp. 1121-1146 ◽

Cited By ~ 4

Author(s):

Christina Matz-Costa ◽

Stephanie Cosner Berzin ◽

Marcie Pitt-Catsouphes ◽

Cal J Halvorsen

Keyword(s):

Older Adults ◽

Ecological Momentary Assessment ◽

Meaning In Life ◽

Healthy Aging ◽

Meaningful Work ◽

Affective States ◽

Social Entrepreneurs ◽

The Moment ◽

Ecological Momentary ◽

Momentary Assessment

The ecological momentary assessment (EMA) method was used to examine the antecedents and correlates of older adults’ in-the-moment perceptions of meaning at work. Data were collected six times per day for 7 days from 30 older adults who were mostly social entrepreneurs and who were engaged in purpose work (i.e., work that addresses a social problem or issue). We found concurrent effects of two types of affective states (i.e., relaxed and energetic) and generative work behaviors (i.e., sharing information about one’s work and encouraging/inviting others into one’s work) on three measures of perceptions of meaningful work (i.e., high passion for one’s work, high sense of engagement in one’s work, and high connection to a sense of meaning in life). Feeling energetic had a lagged effect on meaningful work approximately 2.5 and 5 hr later in the day. We consider ways to foster engagement in meaningful work as a path toward healthy aging.

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Ecological momentary assessment of stressful events and negative affect in bulimia nervosa.

Journal of Consulting and Clinical Psychology ◽

10.1037/a0034974 ◽

2014 ◽

Vol 82 (1) ◽

pp. 30-39 ◽

Cited By ~ 74

Author(s):

Andrea B. Goldschmidt ◽

Stephen A. Wonderlich ◽

Ross D. Crosby ◽

Scott G. Engel ◽

Jason M. Lavender ◽

...

Keyword(s):

Negative Affect ◽

Bulimia Nervosa ◽

Ecological Momentary Assessment ◽

Stressful Events ◽

Ecological Momentary ◽

Momentary Assessment

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Rationale and Design of the Women’s Health And Daily Experiences Project: Protocol for an Ecological Momentary Assessment Study to Identify Real-Time Predictors of Midlife Women’s Physical Activity (Preprint)

10.2196/preprints.19044 ◽

2020 ◽

Author(s):

Danielle Arigo ◽

Megan M Brown ◽

Kristen Pasko ◽

Matthew Cole Ainsworth ◽

Laura Travers ◽

...

Keyword(s):

Physical Activity ◽

Women's Health ◽

Ecological Momentary Assessment ◽

Midlife Women ◽

Additional Risk ◽

Psychosocial Experiences ◽

Daily Experiences ◽

Psychosocial Influences ◽

Ecological Momentary ◽

Momentary Assessment

BACKGROUND Midlife women are at an elevated risk for cardiovascular disease (CVD) and associated mortality. Those who have additional risk conditions such as obesity or hypertension report specific barriers to engaging in cardioprotective behaviors such as physical activity (PA). Considerable effort has been devoted to understanding PA determinants and designing interventions for midlife women, although with suboptimal success, as increasing PA could meaningfully attenuate CVD risk. An updated approach to understanding PA among midlife women could improve upon existing resources by focusing on novel psychosocial influences on PA in this population (ie, body satisfaction, social interactions, social comparisons, mood state) and within-person relations between these influences and PA in the natural environment. OBJECTIVE The overarching goal of Project WHADE (Women’s Health And Daily Experiences) is to use an ecological momentary assessment (EMA) approach to capture ecologically valid relations between midlife women’s psychosocial experiences and PA as they engage in their normal daily activities. The primary aim of the study is to identify within-person psychosocial predictors of variability in PA (ie, experiences associated with higher vs lower PA for a given individual). METHODS Midlife women (aged 40-60 years) with one or more additional risk markers for CVD (eg, hypertension) will be recruited from primary care clinics and the general community (target n=100). Eligible women will complete an initial survey and a face-to-face baseline session before engaging in a 10-day EMA protocol. Psychosocial experiences will be assessed using a brief self-report via a smartphone 5 times per day, and PA will be assessed throughout waking hours using a research-grade monitor. Participants will return for a brief exit interview at the end of 10 days. Multilevel models that address the nested structure of EMA data will be used to evaluate the study aims. RESULTS Recruitment and enrollment are ongoing, and a total of 75 women have completed the protocol to date. Data collection is expected to be completed in Fall 2020. CONCLUSIONS Project WHADE is designed to identify naturally occurring psychosocial experiences that predict short-term variability in midlife women’s PA. As such, the results of this study should advance the current understanding of PA among midlife women by providing further insight into within-person psychosocial influences on PA in this group. In the future, this information could help inform the design of interventions for this population. INTERNATIONAL REGISTERED REPORT DERR1-10.2196/19044

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Rationale and Design of the Women’s Health And Daily Experiences Project: Protocol for an Ecological Momentary Assessment Study to Identify Real-Time Predictors of Midlife Women’s Physical Activity

JMIR Research Protocols ◽

10.2196/19044 ◽

2020 ◽

Vol 9 (10) ◽

pp. e19044

Author(s):

Danielle Arigo ◽

Megan M Brown ◽

Kristen Pasko ◽

Matthew Cole Ainsworth ◽

Laura Travers ◽

...

Keyword(s):

Physical Activity ◽

Women's Health ◽

Ecological Momentary Assessment ◽

Midlife Women ◽

Additional Risk ◽

Psychosocial Experiences ◽

Daily Experiences ◽

Psychosocial Influences ◽

Ecological Momentary ◽

Momentary Assessment

Background Midlife women are at an elevated risk for cardiovascular disease (CVD) and associated mortality. Those who have additional risk conditions such as obesity or hypertension report specific barriers to engaging in cardioprotective behaviors such as physical activity (PA). Considerable effort has been devoted to understanding PA determinants and designing interventions for midlife women, although with suboptimal success, as increasing PA could meaningfully attenuate CVD risk. An updated approach to understanding PA among midlife women could improve upon existing resources by focusing on novel psychosocial influences on PA in this population (ie, body satisfaction, social interactions, social comparisons, mood state) and within-person relations between these influences and PA in the natural environment. Objective The overarching goal of Project WHADE (Women’s Health And Daily Experiences) is to use an ecological momentary assessment (EMA) approach to capture ecologically valid relations between midlife women’s psychosocial experiences and PA as they engage in their normal daily activities. The primary aim of the study is to identify within-person psychosocial predictors of variability in PA (ie, experiences associated with higher vs lower PA for a given individual). Methods Midlife women (aged 40-60 years) with one or more additional risk markers for CVD (eg, hypertension) will be recruited from primary care clinics and the general community (target n=100). Eligible women will complete an initial survey and a face-to-face baseline session before engaging in a 10-day EMA protocol. Psychosocial experiences will be assessed using a brief self-report via a smartphone 5 times per day, and PA will be assessed throughout waking hours using a research-grade monitor. Participants will return for a brief exit interview at the end of 10 days. Multilevel models that address the nested structure of EMA data will be used to evaluate the study aims. Results Recruitment and enrollment are ongoing, and a total of 75 women have completed the protocol to date. Data collection is expected to be completed in Fall 2020. Conclusions Project WHADE is designed to identify naturally occurring psychosocial experiences that predict short-term variability in midlife women’s PA. As such, the results of this study should advance the current understanding of PA among midlife women by providing further insight into within-person psychosocial influences on PA in this group. In the future, this information could help inform the design of interventions for this population. International Registered Report Identifier (IRRID) DERR1-10.2196/19044

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Social Contact Frequency and Pain among Older Adults with HIV: An Ecological Momentary Assessment Study

Annals of Behavioral Medicine ◽

10.1093/abm/kaab037 ◽

2021 ◽

Author(s):

Matthew S Herbert ◽

Jennalee S Wooldridge ◽

Emily W Paolillo ◽

Colin A Depp ◽

Raeanne C Moore

Keyword(s):

Older Adults ◽

Negative Affect ◽

Positive Affect ◽

Ecological Momentary Assessment ◽

Social Contact ◽

Contact Frequency ◽

Ecological Momentary ◽

The Impact ◽

The Relationship ◽

Momentary Assessment

Abstract Background Social relationships are important for pain management among individuals with HIV, but the impact of daily social contact on pain responses in real-time, real-world settings has never been specifically examined. Purpose The purpose of the present study was to examine the relationship between social contact frequency and pain, and the role of negative and positive affect in this relationship among older adults with HIV using ecological momentary assessment (EMA). Methods A total of 66 (Mage = 59.3, SD = 6.3, range: 50–74) older adults with HIV completed EMA surveys that included social contact frequency, pain level, and negative and positive affect four times per day for 2 weeks. Mixed-effects regression models were used to examine concurrent and lagged associations between social contact frequency, pain, and negative and positive affect. Results Greater recent social contact frequency was associated with less severe current pain (unstandardized B = −0.04, 95% CI: −0.08, −0.01, p = .014), while greater current pain was associated with lower subsequent social contact frequency (unstandardized B = −0.07, 95% CI: −0.11, −0.03, p < .001). Further, higher current negative affect was related to greater current pain, and this relationship was dampened by increased recent social contact frequency (unstandardized B = −0.17, 95% CI: −0.26, −0.08, p < .001). Neither negative nor positive affect was significantly associated with the relationship between current pain and subsequent social contact frequency. Conclusions Social contact frequency and pain are bidirectionally and inversely associated among older adults with HIV. Further, recent social contact influences current pain by attenuating negative affect. Together, these results highlight the need to address social engagement in interventions for pain among older adults with HIV.

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Reciprocal effects between cognitive and affective states in women with Premenstrual Dysphoric Disorder: An Ecological Momentary Assessment study

Behaviour Research and Therapy ◽

10.1016/j.brat.2020.103613 ◽

2020 ◽

Vol 131 ◽

pp. 103613

Author(s):

Theresa Beddig ◽

Iris Reinhard ◽

Ulrich Ebner-Priemer ◽

Christine Kuehner

Keyword(s):

Ecological Momentary Assessment ◽

Premenstrual Dysphoric Disorder ◽

Reciprocal Effects ◽

Affective States ◽

Assessment Study ◽

Ecological Momentary ◽

Momentary Assessment

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Mental Health and Social Contact During the COVID-19 Pandemic: An Ecological Momentary Assessment Study

Clinical Psychological Science ◽

10.1177/21677026211017839 ◽

2021 ◽

pp. 216770262110178

Author(s):

Eiko I. Fried ◽

Faidra Papanikolaou ◽

Sacha Epskamp

Keyword(s):

Mental Health ◽

Undergraduate Students ◽

Ecological Momentary Assessment ◽

Mental Health Problems ◽

Dynamic Network ◽

Social Contact ◽

Network Models ◽

Dynamic Network Models ◽

Ecological Momentary ◽

Momentary Assessment

For many students, the COVID-19 pandemic caused once-in-a-lifetime disruptions of daily life. In March 2020, during the beginning of the outbreak in the Netherlands, we used ecological momentary assessment to follow 80 undergraduate students four times per day for 14 days to assess mental health, social contact, and COVID-19-related variables. Despite rapidly increasing rates of infections and deaths, we observed decreases in anxiety, loneliness, and COVID-19-related concerns, especially in the first few days. Other mental health variables, such as stress levels, remained stable, whereas depressive symptoms increased. Despite social-distancing measures implemented by the Dutch government halfway through our study, students showed no changes in the frequency of in-person social activities. Dynamic network models identified potential vicious cycles between mental health variables and being alone, which predicted concerns about COVID-19 and was followed by further mental health problems. Findings and implications are discussed in detail.

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The costs of over-control in anorexia nervosa: evidence from fMRI and ecological momentary assessment

Translational Psychiatry ◽

10.1038/s41398-021-01405-8 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Sophie Pauligk ◽

Maria Seidel ◽

Sophia Fürtjes ◽

Joseph A. King ◽

Daniel Geisler ◽

...

Keyword(s):

Anorexia Nervosa ◽

Cognitive Processing ◽

Ecological Momentary Assessment ◽

Self Control ◽

Affective States ◽

Positive Effects ◽

Fmri Session ◽

Negative Affective States ◽

Ecological Momentary ◽

Momentary Assessment

AbstractA growing body of evidence suggests that a high level of self-control may, despite its positive effects, influence cognitive processing in an unfavorable manner. However, the affective costs of self-control have only rarely been investigated. Anorexia nervosa (AN) is an eating disorder that is often characterized by excessive self-control. Here, we used fMRI to explore whether over-control in AN may have negative affective consequences. 36 predominantly adolescent female AN patients and 36 age-matched healthy controls (HC) viewed negative and neutral pictures during two separate fMRI sessions before and after 10 min of rest. We tested whether abnormally elevated neural activity during the initial presentation in a brain region broadly implicated in top-down control, the dorsolateral prefrontal cortex (dlPFC), could predict subsequent activation in limbic areas relevant to bottom-up affective processing. Using ecological momentary assessment (EMA), we also tested for associations between the aforementioned neuroimaging markers and negative affective states in the two weeks following the experiment. fMRI data revealed that higher initial activation of the dlPFC in AN predicted increased amygdala reactivity during the second fMRI session, which in turn was related to increased self-reported tension during two weeks following the scan. These data suggest that over-control in AN patients may come at a cost including negative affective states on a short (minutes) as well as a longer time scale (days). This mechanism may significantly contribute to the persistence of AN.

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