Can a One-Item Mood Scale Do the Trick? Predicting Relapse over 5.5-Years in Recurrent Depression

Rijsbergen, Gerard D. van; Bockting, Claudi; Berking, Matthias; Koeter, Maarten W. J.; Schene, Aart H.

doi:10.1371/journal.pone.0046796

Cited by 51 publications

(39 citation statements)

References 50 publications

(42 reference statements)

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“…The circumplex model is a common EMA mood measure and recent studies have suggested that single-item mood measures can provide predictive information on the development of depressive symptoms (eg, [19]). However, there certainly remains much to be learned with regard to the psychometric properties of single-item EMA measures in different populations and contexts.…”

Section: Discussionmentioning

confidence: 99%

“…Levels on both dimensions were tapped on a 5-point scale scored from -2 to 2 (low to high). Because recent studies suggest that single-item mood measures can provide predictive information on the development of depressive symptoms (eg, [19]), we also added a one-dimensional mood question, which asked participants to rate their current mood on a 10-point scale, with 1 as the negative and 10 as the positive pole.…”

Section: Methodsmentioning

confidence: 99%

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Mobile Phone-Based Unobtrusive Ecological Momentary Assessment of Day-to-Day Mood: An Explorative Study

Asselbergs¹,

Ruwaard²,

Ejdys³

et al. 2016

J Med Internet Res

190

120

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BackgroundEcological momentary assessment (EMA) is a useful method to tap the dynamics of psychological and behavioral phenomena in real-world contexts. However, the response burden of (self-report) EMA limits its clinical utility.ObjectiveThe aim was to explore mobile phone-based unobtrusive EMA, in which mobile phone usage logs are considered as proxy measures of clinically relevant user states and contexts.MethodsThis was an uncontrolled explorative pilot study. Our study consisted of 6 weeks of EMA/unobtrusive EMA data collection in a Dutch student population (N=33), followed by a regression modeling analysis. Participants self-monitored their mood on their mobile phone (EMA) with a one-dimensional mood measure (1 to 10) and a two-dimensional circumplex measure (arousal/valence, –2 to 2). Meanwhile, with participants’ consent, a mobile phone app unobtrusively collected (meta) data from six smartphone sensor logs (unobtrusive EMA: calls/short message service (SMS) text messages, screen time, application usage, accelerometer, and phone camera events). Through forward stepwise regression (FSR), we built personalized regression models from the unobtrusive EMA variables to predict day-to-day variation in EMA mood ratings. The predictive performance of these models (ie, cross-validated mean squared error and percentage of correct predictions) was compared to naive benchmark regression models (the mean model and a lag-2 history model).ResultsA total of 27 participants (81%) provided a mean 35.5 days (SD 3.8) of valid EMA/unobtrusive EMA data. The FSR models accurately predicted 55% to 76% of EMA mood scores. However, the predictive performance of these models was significantly inferior to that of naive benchmark models.ConclusionsMobile phone-based unobtrusive EMA is a technically feasible and potentially powerful EMA variant. The method is young and positive findings may not replicate. At present, we do not recommend the application of FSR-based mood prediction in real-world clinical settings. Further psychometric studies and more advanced data mining techniques are needed to unlock unobtrusive EMA’s true potential.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Mobile Phone-Based Unobtrusive Ecological Momentary Assessment of Day-to-Day Mood: An Explorative Study

Asselbergs¹,

Ruwaard²,

Ejdys³

et al. 2016

J Med Internet Res

190

120

View full text Add to dashboard Cite

show abstract

“…Additionally, the subjects' pre-strategy mood ratings had to have a value of at least 10 (out of 100) on a visual analog scale so that the pre-mood was intense enough for participants to regulate it. The choice of this comparatively low threshold was based on the argument that research on cognitive and affective reactivity has shown that pre-existing, subtle mood deterioration may initiate depressogenic information processing in depression-prone individuals that may in turn lead to a vicious cycle of further mood-deterioration and increased depressogenic cognitions (Lau, Segal, & Williams, 2004;Segal, Gemar, & Williams, 1999;Teasdale & Barnard, 1993;Van Rijsbergen, Bockting, Berking, Koeter, & Schene, 2012).…”

Section: Waiting Conditionmentioning

confidence: 99%

Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder

Diedrich

Hofmann

Cuijpers

et al. 2016

Behaviour Research and Therapy

Self Cite

140

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Cognitive reappraisal has been shown to be an effective strategy to regulate depressed mood in healthy and remitted depressed individuals. However, individuals currently suffering from a clinical depression often experience difficulties in utilizing this strategy. Therefore, the goal of this study was to examine whether the efficacy of explicit cognitive reappraisal in major depressive disorder can be enhanced through the use of self-compassion and emotion-focused acceptance as preparatory strategies. Thereby, explicit cognitive reappraisal refers to purposefully identifying, challenging, and modifying depressiogenic cognitions to reduce depressed mood. To test our hypotheses, we induced depressed mood at four points in time in 54 participants (64.8% female; age M = 35.59, SD = 11.49 years) meeting criteria for major depressive disorder. After each mood induction, participants were instructed to either wait, or employ self-compassion, acceptance, or reappraisal to regulate their depressed mood. Depressed mood was assessed before and after each mood induction and regulation period on a visual analog scale. Results indicated that participants who had utilized self-compassion as a preparatory strategy experienced a significantly greater reduction of depressed mood during reappraisal than did those who had been instructed to wait prior to reappraisal. Participants who had used acceptance as a preparatory strategy did not experience a significantly greater reduction of depressed mood during subsequent reappraisal than those in the waiting condition. These findings provide preliminary evidence that the efficacy of explicit cognitive reappraisal is moderated by the precursory use of other emotion regulation strategies. In particular, they suggest that depressed individuals might benefit from using self-compassion to facilitate the subsequent use of explicit cognitive reappraisal.

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“…Evidently, there are factors possibly impacting treatment response. For the purpose of this study repeated measures were selected on the basis of relevant studies [42,45], and clinical insights. Thus, the set of questions have been tailored to the specific characteristics of the study population.…”

Section: Discussionmentioning

confidence: 99%

“…Mood will be measured using a validated single item measure [45]. For the purpose of this study we have altered the item 'At the moment I feel' to 'In the last week I felt' to make the timespan congruent to the other pre-session measures for possible predictors.…”

Section: Mood-measured Before Each Sessionmentioning

confidence: 99%

Predictors of change during Narrative Exposure Therapy for displaced populations: A repeated measures design

Ghafoerkhan

Heemstra

Scholte

et al. 2020

Preprint

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Background: Displaced victims of interpersonal violence, such as refugees, asylum seekers, and victims of sexual exploitation, are growing in numbers, and are often suffering from a posttraumatic stress disorder (PTSD). At the same time these victims are known to benefit less from trauma-focused therapy, and to be less compliant to treatment. This paper describes the rationale and research protocol of an ongoing trial. In that trial , perceived daily stress, emotion regulation, and mood are investigated as predictors of change in PTSD symptoms during a trauma-focused therapy (Narrative Exposure Therapy (NET)), since these factors might impact the feasibility of therapy effectiveness. Methods/design: Using an observational treatment design, 80 displaced victims of interpersonal violence will be measured before, during, and after partaking in NET. Several questionnaires tapping PTSD plus the aforementioned possible predictors of PTSD change will be administered: Post-Traumatic Stress Disorder Checklist-5, Perceived Stress Scale, Difficulties in Emotion Regulation ,subscale impulsivity of the Difficulties in Emotion Regulation Scale-18, Perceived Stress Scale short version, Primary Care Posttraumatic Stress Disorder and a single Mood item (each session). Multilevel modelling will be used to examine the relation between the possible predictors and treatment outcome.Discussion: The present study is the first to examine the interplay of facilitating and interfering factors possibly impacting treatment feasibility in displaced victims of interpersonal violence with PTSD receiving NET, using repeated measures. The current study can help to improve future treatment based on individual characteristics.

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Can a One-Item Mood Scale Do the Trick? Predicting Relapse over 5.5-Years in Recurrent Depression

Cited by 51 publications

References 50 publications

Mobile Phone-Based Unobtrusive Ecological Momentary Assessment of Day-to-Day Mood: An Explorative Study

Mobile Phone-Based Unobtrusive Ecological Momentary Assessment of Day-to-Day Mood: An Explorative Study

Self-compassion enhances the efficacy of explicit cognitive reappraisal as an emotion regulation strategy in individuals with major depressive disorder

Predictors of change during Narrative Exposure Therapy for displaced populations: A repeated measures design

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