scholarly journals O1.6. AFFECTIVE DETERMINANTS OF LIFE-SPACE THROUGH GPS AND ECOLOGICAL MOMENTARY ASSESSMENT IN SCHIZOPHRENIA: WHAT GETS PEOPLE OUT OF THE HOUSE?

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S3-S3
Author(s):  
Emma Parrish ◽  
Colin Depp ◽  
Raeanne C Moore ◽  
Philip D Harvey ◽  
Jason Holden ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Negative Symptoms ◽  
Negative Emotion ◽  
Temporal Association ◽  
Life Space ◽  
Chi Square ◽  
Daily Life Activities ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
At Home

Abstract Background Previous research employing global positioning satellite (GPS) data and ecological momentary assessment (EMA) has shown that greater aggregated time at home and less distance traveled (diminished life-space) were associated with poorer community functioning and with more severe negative symptoms in people with schizophrenia. Emotional experiences (e.g., pleasure or anxious avoidance) may reduce time spent outside of the home. We evaluated the associations between concurrent and time-lagged positive and negative affective experiences in relation to time at home and distance travelled in the community (life-space) among people with schizophrenia compared to healthy comparators (HCs). Methods Sixty HCs (mean age = 51.2, SD = 10.9) and 91 people with schizophrenia (mean age=52, SD=9), matched on demographic characteristics, completed in-lab assessments of symptoms, cognition, and functioning. They were then given a smartphone and completed EMA assessments 7 times daily for 7 days at stratified random intervals. EMA surveys included questions about daily life activities and affect. GPS coordinates were collected every 5 minutes, 24 hours a day, over the 7-day study period. Results Participants with schizophrenia spent more time at home than HCs (t = -4.95, p < 0.001). Sadness and ratings of relaxation were not associated with distance traveled away or time spent at home. For HCs, happiness was associated with more distance traveled away as measured by GPS (B=6.85, SE= 3.04, Wald Chi-Square = 5.067, p=0.024). However, for people with schizophrenia, only greater nervousness ratings were associated with more distance from home (B=3.41, SE=1.30, Wald Chi-Square=6.88, p=0.009). Moreover, for people with schizophrenia, greater nervousness ratings were associated with more time spent at home (B=2.07, SE= 0.98, Wald Chi-Square=4.43, p=0.035), and greater nervousness also predicted that a person with schizophrenia would be at home at the next survey in lead analyses, (F(1, 3029)=7.533, p=0.006). Taken together, these results suggest both greater nervousness associated with greater distance away from home and anxious avoidance of leaving the home. Discussion For individuals with schizophrenia, greater overall anxiety was associated with reduced time spent out of the home, and when patients did leave the home, greater distance travelled was associated with greater nervousness. In contrast, HC participants experienced greater positive emotion with larger life-space. These data suggest a significant momentary temporal association of anxiety and behavior in schizophrenia, such that greater nervousness predicted an individual would be more likely to stay at home. These findings suggest avoidance of negative emotion may also contribute to diminished motivated behavior, which may even act as an emotion regulation strategy. Life-space, which can be measured readily over time by mobile devices, may be a novel target for rehabilitative interventions for anxious avoidance in schizophrenia.

scholarly journals Emotional determinants of life-space through GPS and ecological momentary assessment in schizophrenia: What gets people out of the house?

2020 ◽  
Vol 224 ◽  
pp. 67-73
Author(s):  
Emma M. Parrish ◽  
Colin A. Depp ◽  
Raeanne C. Moore ◽  
Philip D. Harvey ◽  
Tanya Mikhael ◽  
...  
Keyword(s):  
Ecological Momentary Assessment ◽  
Life Space ◽  
Ecological Momentary ◽  
Momentary Assessment

scholarly journals Differences in stress-related ratings between research center and home environments in dementia caregivers using ecological momentary assessment

2011 ◽  
Vol 24 (1) ◽  
pp. 90-98 ◽  
Author(s):  
Irina Fonareva ◽  
Alexandra M. Amen ◽  
Roger M. Ellingson ◽  
Barry S. Oken
Keyword(s):  
Perceived Stress ◽  
Ecological Momentary Assessment ◽  
Personal Digital Assistant ◽  
Assessment Method ◽  
Research Center ◽  
Dementia Caregivers ◽  
Testing Environment ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
At Home

ABSTRACTBackground: Clinicians and researchers working with dementia caregivers typically assess caregiver stress in a clinic or research center, but caregivers’ stress is rooted at home where they provide care. This study aimed to compare ratings of stress-related measures obtained in research settings and in the home using ecological momentary assessment (EMA).Methods: EMA of 18 caregivers (mean age 66.4 years ±7.8; 89% females) and 23 non-caregivers (mean age 66.4 years ±7.9; 87% females) was implemented using a personal digital assistant. Subjects rated their perceived stress, fatigue, coping with current situation, mindfulness, and situational demand once in the research center and again at 3–4 semi-random points during a day at home. The data from several assessments conducted at home were averaged for statistical analyses and compared with the data collected in the research center.Results: The testing environment had a differential effect on caregivers and non-caregivers for the ratings of perceived stress (p < 0.01) and situational demand (p = 0.01). When tested in the research center, ratings for all measures were similar between groups, but when tested at home, caregivers rated their perceived stress as higher than non-caregivers (p = 0.02). Overall, caregivers reported higher perceived stress at home than in the research center (p = 0.02), and non-caregivers reported greater situational demand in the research center than at home (p < 0.01).Conclusions: The assessment method and environment affect stress-related outcomes. Evaluating participants in their natural environment provides a more sensitive measure of stress-related outcomes. EMA provides a convenient way to gather data when evaluating dementia caregivers.

scholarly journals Measuring the temporal association between cannabis and tobacco use among Co-using young adults using ecological momentary assessment

2020 ◽  
Vol 104 ◽  
pp. 106250 ◽  
Author(s):  
Jess Wilhelm ◽  
Haneen Abudayyeh ◽  
Lexie Perreras ◽  
Reddhyia Taylor ◽  
Erica N. Peters ◽  
...  
Keyword(s):  
Young Adults ◽  
Tobacco Use ◽  
Ecological Momentary Assessment ◽  
Temporal Association ◽  
Ecological Momentary ◽  
Momentary Assessment

scholarly journals Feasibility of Ecological Momentary Assessment of Negative Emotion in Girls With ADHD: A Pilot Study

2019 ◽  
Vol 123 (4) ◽  
pp. 1027-1043 ◽  
Author(s):  
Dara E. Babinski ◽  
Janelle Welkie
Keyword(s):  
Mobile Phone ◽  
Ecological Momentary Assessment ◽  
Negative Emotion ◽  
Comorbid Depression ◽  
High Level ◽  
Assessment Procedures ◽  
Ecological Momentary ◽  
Future Work ◽  
Girls With Adhd ◽  
Momentary Assessment

This study explores the feasibility of using mobile phone ecological momentary assessment to evaluate negative emotion in adolescent girls with attention-deficit/hyperactivity disorder (ADHD). A total of 13 girls with ADHD, ages 12–16 years old (38.5% with comorbid depression), and their mothers completed several daily surveys assessing the intensity and variability of youth negative emotion using mobile phone-based ecological momentary assessment for approximately one week. The rate of response to survey prompts by youth and maternal reports was examined. In addition, associations between girls’ and mothers’ ratings of negative emotion were calculated. Finally, the severity and fluctuation in negative emotion were compared between girls with and without depression. Girls and their mothers demonstrated a high level of compliance with assessment procedures, and maternal and youth ratings were significantly correlated. In addition, girls with comorbid depression and their mothers endorsed significantly more intense and variable negative emotion compared to girls with ADHD alone. These preliminary findings show that ecological momentary assessment is a feasible and valid method for collecting information on emotion regulation among girls with ADHD and their mothers that can be applied to future work aimed at collecting ecologically valid assessments of functioning in girls with ADHD.

scholarly journals Adolescents’ sedentary time, affect, and contextual factors: An ecological momentary assessment study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Chelsea L. Kracht ◽  
Robbie A. Beyl ◽  
Jaclyn P. Maher ◽  
Peter T. Katzmarzyk ◽  
Amanda E. Staiano
Keyword(s):  
Positive Affect ◽  
Sedentary Behavior ◽  
Ecological Momentary Assessment ◽  
Sedentary Time ◽  
Contextual Factors ◽  
Stage 1 ◽  
Ecological Momentary ◽  
The Relationship ◽  
Momentary Assessment ◽  
At Home

Abstract Background Few adolescents achieve sufficient levels of physical activity, and many are spending most of their time in sedentary behavior. Affective response following sedentary time may influence motivation to remain sedentary. Ecological Momentary Assessment (EMA) is a real-time data capture methodology that can be used to identify factors influencing sedentary time, such as the context of the home setting, and resulting affective state within a free-living setting. The purpose of this study was to evaluate the relationship between context at home and adolescent sedentary time, and the relationship of sedentary time and subsequent affect. Methods Adolescents (n = 284; 10–16 y) participated in an EMA study that used random, interval-based sampling methods. Adolescents each received 22 unannounced surveys over 7-days through a smartphone application. One survey was randomly sent within each 2-h time-period. These time-periods occurred between 4:00 pm-8:00 pm on weekdays and 8:00 am-8:00 pm on the weekend. This 15-question survey included a series of questions on context (indoors/outdoors, alone/not alone) and positive affect. Adolescents concurrently wore an accelerometer at the hip, and the 30-min bout of accelerometry data prior to each survey was used in analyses. Mixed-effect location scale models were used to examine the association between context at home and sedentary time (stage 1) and the adjusted sedentary time and positive affect (stage 2), with each model adjusted for covariates. Results Adolescents were 12.6 ± 1.9 y of age on average, about half were White (58%), and engaged in high levels of sedentary behavior during the 30 min prior to the survey (21.4 ± 6.8 min). Most surveys occurred when adolescents were with others (59%) and indoors (88%). In Stage 1, both being alone and being indoors at home were positively associated with sedentary time (p <  0.001 for both). In Stage 2, adjusted sedentary time was not related to positive affect. Age was negatively related to positive affect (p <  0.001). Conclusions Both contextual factors, being alone and indoors at home, were related to additional time spent sedentary compared to being with someone or outdoors. After adjustment, sedentary time was not related to subsequent positive affect, indicating other factors may be related to adolescent’s positive affect in home settings.

An ecological momentary assessment evaluation of emotion regulation abnormalities in schizophrenia

2018 ◽  
Vol 48 (14) ◽  
pp. 2337-2345 ◽  
Author(s):  
Katherine Frost Visser ◽  
Farnaz Zamani Esfahlani ◽  
Hiroki Sayama ◽  
Gregory P. Strauss
Keyword(s):  
Emotion Regulation ◽  
Ecological Momentary Assessment ◽  
Negative Emotion ◽  
Emotional Experience ◽  
Self Report ◽  
Regulation Process ◽  
Limited Effectiveness ◽  
Three Stages ◽  
Ecological Momentary ◽  
Momentary Assessment

AbstractBackgroundPrior studies using self-report questionnaires and laboratory-based methods suggest that schizophrenia is characterized by abnormalities in emotion regulation (i.e. using strategies to increase or decrease the frequency, duration, or intensity of negative emotion). However, it is unclear whether these abnormalities reflect poor emotion regulation effort or adequate effort, but limited effectiveness. It is also unclear whether dysfunction results primarily from one of the three stages of the emotion regulation process: identification, selection, or implementation.MethodThe current study used ecological momentary assessment (EMA) to address these questions in the context of everyday activities. Participants included 28 outpatients diagnosed with schizophrenia (SZ) and 28 demographically matched healthy controls (CN) who completed 6 days of EMA reports of in-the-moment emotional experience, emotion regulation strategy use, and context.ResultsResults indicated that SZ demonstrated adequate emotion regulation effort, but poor effectiveness. Abnormalities were observed at each of the three stages of the emotion regulation process. At the identification stage, SZ initiated emotion regulation efforts at a lower threshold of negative emotion intensity. At the selection stage, SZ selected more strategies than CN and strategies attempted were less contextually appropriate. At the implementation stage, moderate to high levels of effort were ineffective at decreasing negative emotion.ConclusionsFindings suggest that although SZ attempt to control their emotions using various strategies, often applying more effort than CN, these efforts are unsuccessful; emotion regulation abnormalities may result from difficulties at the identification, selection, and implementation stages.

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