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 Ecological Momentary Assessment of Bipolar Disorder Symptoms and Partner Affect: Longitudinal Pilot Study (Preprint)

2021 ◽  
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, BDS<sub>x</sub>), 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; <i>P</i>=.02) and negative partner affect (r=.15; <i>P</i>=.01]. Yet total hypo/mania appeared to have no association with positive partner affect (r=–.01; <i>P</i>=.87); instead, negative partner affect was significantly correlated with total hypo/mania (r=.26; <i>P</i>=.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; <i>P</i>=.01); elation or loss of insight appears unrelated to either positive (r=.10; <i>P</i>=.09) or negative partner affect (r=.02; <i>P</i>=.71). Yet affrontive symptoms of hypo/mania were significantly correlated with negative affect, but only when couples were together (r=.41; <i>P</i>=.01), not when apart (r=.22; <i>P</i>=.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.

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

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 &lt; .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 &lt; .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.

scholarly journals The prediction of study-emergent suicidal ideation in bipolar disorder: a pilot study using ecological momentary assessment data

2014 ◽  
Vol 16 (7) ◽  
pp. 669-677 ◽  
Author(s):  
Wesley K Thompson ◽  
Anda Gershon ◽  
Ruth O'Hara ◽  
Rebecca A Bernert ◽  
Colin A Depp
Keyword(s):  
Bipolar Disorder ◽  
Pilot Study ◽  
Suicidal Ideation ◽  
Ecological Momentary Assessment ◽  
Assessment Data ◽  
Ecological Momentary ◽  
Momentary Assessment

Using Personal Cell Phones for Ecological Momentary Assessment

2013 ◽  
Vol 18 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Emmanuel Kuntsche ◽  
Florian Labhart
Keyword(s):  
Data Collection ◽  
Ecological Momentary Assessment ◽  
Communication Systems ◽  
Cell Phones ◽  
Personal Digital Assistants ◽  
Natural Environments ◽  
Mobility Patterns ◽  
Standard Data ◽  
Ecological Momentary ◽  
Momentary Assessment

Ecological Momentary Assessment (EMA) is a way of collecting data in people’s natural environments in real time and has become very popular in social and health sciences. The emergence of personal digital assistants has led to more complex and sophisticated EMA protocols but has also highlighted some important drawbacks. Modern cell phones combine the functionalities of advanced communication systems with those of a handheld computer and offer various additional features to capture and record sound, pictures, locations, and movements. Moreover, most people own a cell phone, are familiar with the different functions, and always carry it with them. This paper describes ways in which cell phones have been used for data collection purposes in the field of social sciences. This includes automated data capture techniques, for example, geolocation for the study of mobility patterns and the use of external sensors for remote health-monitoring research. The paper also describes cell phones as efficient and user-friendly tools for prompt manual data collection, that is, by asking participants to produce or to provide data. This can either be done by means of dedicated applications or by simply using the web browser. We conclude that cell phones offer a variety of advantages and have a great deal of potential for innovative research designs, suggesting they will be among the standard data collection devices for EMA in the coming years.

scholarly journals Examining convergence of retrospective and ecological momentary assessment measures of negative affect and eating disorder behaviors

2014 ◽  
Vol 48 (3) ◽  
pp. 305-311 ◽  
Author(s):  
Joseph A. Wonderlich ◽  
Jason M. Lavender ◽  
Stephen A. Wonderlich ◽  
Carol B. Peterson ◽  
Scott J. Crow ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Negative Affect ◽  
Ecological Momentary Assessment ◽  
Assessment Measures ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Eating Disorder Behaviors

scholarly journals A Coordinated Analysis of Variance in Affect in Daily Life

Assessment ◽  
2018 ◽  
Vol 27 (8) ◽  
pp. 1683-1698 ◽  
Author(s):  
Stacey B. Scott ◽  
Martin J. Sliwinski ◽  
Matthew Zawadzki ◽  
Robert S. Stawski ◽  
Jinhyuk Kim ◽  
...  
Keyword(s):  
Negative Affect ◽  
Positive Affect ◽  
Ecological Momentary Assessment ◽  
Daily Life ◽  
Daily Diary ◽  
Levels Of Analysis ◽  
Total N ◽  
Ecological Momentary ◽  
Momentary Assessment ◽  
Widespread Interest

Despite widespread interest in variance in affect, basic questions remain pertaining to the relative proportions of between-person and within-person variance, the contribution of days and moments, and the reliability of these estimates. We addressed these questions by decomposing negative affect and positive affect variance across three levels (person, day, moment), and calculating reliability using a coordinated analysis of seven daily diary, ecological momentary assessment (EMA), and diary-EMA hybrid studies (across studies age = 18-84 years, total Npersons = 2,103, total Nobservations = 45,065). Across studies, within-person variance was sizeable (negative affect: 45% to 66%, positive affect: 25% to 74%); in EMA more within-person variance was attributable to momentary rather than daily level. Reliability was adequate to high at all levels of analysis (within-person: .73-.91; between-person: .96-1.00) despite different items and designs. We discuss the implications of these results for the design of future intensive studies of affect variance.

A-111 Ecological Momentary Assessment of Mood after Moderate to Severe Traumatic Brain Injury

2021 ◽  
Vol 36 (6) ◽  
pp. 1160-1160
Author(s):  
Julianne Wilson ◽  
Amanda R Rabinowitz ◽  
Tessa Hart
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Negative Affect ◽  
Severe Traumatic Brain Injury ◽  
Ecological Momentary Assessment ◽  
Community Dwelling ◽  
Positive And Negative Affect ◽  
Environmental Reward ◽  
Ecological Momentary ◽  
Momentary Assessment

Abstract Objective In persons with moderate–severe traumatic brain injury (msTBI), we compared traditional measures of mood with dynamic measures of affect derived from ecological momentary assessment (EMA), for the purpose of validating the EMA indices and exploring their unique contributions to emotional assessment. Method 23 community-dwelling participants with chronic msTBI were enrolled in a treatment trial for anxiety and/ or depression. At baseline, participants completed the Brief Symptom Inventory-18 Depression and Anxiety subscales (BSI-D, BSI-A) and the Environmental Reward Observation Scale (EROS), a measure of everyday pleasure and reward. EMA data, including the Positive and Negative Affect Scale (PANAS), were collected via smartphone 5 times daily for 7–14 days prior to treatment (M = 8.65; SD = 1.87). Spearman correlations tested associations between baseline BSI-D, BSI-A, and EROS scores with both overall means and temporal variability measures for positive and negative affect (PA, NA). Results Mean PA was significantly correlated with BSI-D (rho −0.60, p &lt; 0.05) and EROS (rho 0.72, p &lt; 0.01). Mean NA and affect variability measures were uncorrelated with baseline scores. NA mean and variability were intercorrelated (rho 0.87, p &lt; 0.001), but this was not the case for PA. Conclusion EMA measures of averaged positive affect showed robust relationships with retrospective measures of depression and environmental reward, providing support for the validity of EMA measures of PA, and for use of the EROS in msTBI. While negative findings must be interpreted with caution, the lack of association of affective variability with retrospective measures suggest a unique role for EMA in examining temporal dynamics of affect.

Sign in / Sign up

Export Citation Format

Share Document