Evaluation of Pressing Issues in Ecological Momentary Assessment

Stone, Arthur A.; Schneider, Stefan; Smyth, Joshua M.

doi:10.1146/annurev-clinpsy-080921-083128

Cited by 60 publications

(32 citation statements)

References 137 publications

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“…Single item measures are considered valid and recommended for short, repeated assessments in EMA study designs (Hughes et al., 2019; Nock et al., 2009; Victor & Klonsky, 2014). The items were phrased “in the past 15 min” to increase coverage and capture recent activities whilst avoiding retrospective reporting as per the coverage model of EMA (Shiffman et al., 2008; Stone et al., 2023). For example, if imagery was only captured in the exact moment of the assessment, there is a chance it may not have been reported compared to “in the past 15 min.” Item order was randomized for each assessment with items being rated on a 5‐point scale from “0 = do not agree at all” to “4 = completely agree.”…”

Section: Methodsmentioning

confidence: 99%

“…Although this item was sourced from Wetherall et al (2018) and is characteristic of other studies exploring imagery (Lawrence et al, 2023), the inclusion of both self-harm and suicide attempt within the one question is a limitation in that it is unclear which aspect participants were responding to. Finally, the phrasing of "in the past 15 min" could have possibly introduced a degree of recall bias (Stone et al, 2023). Because of this potential limitation, it is important to consider these findings as exploratory.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

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Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

Bayliss,

Hughes,

Lamont‐Mills

et al. 2023

Suicide & Life Threat Behav

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IntroductionSuicide capability is posited to facilitate the movement from ideation‐to‐action. Emerging evidence suggests capability comprises both trait‐ and state‐like facets. This study examined fluctuations in and associations of acquired, dispositional, practical, and perceived capabilities, and suicidal mental imagery, and suicidal ideation.MethodSeventy‐five adults (48 females, Mage = 36.53 years) with lived experience of suicidal ideation and/or attempt responded to four prompts per day for 2 weeks that assessed suicide capability and suicidal ideation. Mean‐squared successive differences and probability of acute change indices and multilevel models were used for analyses.ResultsAll facets of suicide capability fluctuated. Acquired and dispositional capabilities were trait‐like, with practical and perceived capabilities being state‐like. Suicidal mental imagery was the only facet of suicide capability that distinguished participants with a suicide attempt in the past 12 months from participants with a suicide attempt more than 1 year ago and suicide ideators. Suicidal mental imagery was associated with concurrent suicidal ideation and predictive of next assessment suicidal ideation.ConclusionSuicidal mental imagery may be uniquely associated with suicide capability. This study suggests there are trait‐ and state‐like facets of capability that can combine to potentially ready an individual to engage in suicidal behaviors.

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Section: Methodsmentioning

confidence: 99%

Section: Limitations and Future Directionsmentioning

confidence: 99%

Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

Bayliss,

Hughes,

Lamont‐Mills

et al. 2023

Suicide & Life Threat Behav

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show abstract

“…Similarly, our sample size (N=65) was too small to conduct other psychometric analyses (e.g., confirmatory factor analysis to compare structural validity across reward/relief drinking measures). The EMA measures used in the present study have not undergone extensive psychometric evaluation, which is limitation of EMA research broadly (Stone et al, 2023). These measures may not demonstrate good psychometric properties, thus contributing to null predictive validity findings.…”

Section: Limitations and Future Directionsmentioning

confidence: 96%

Comparing the Psychometric Properties of Reward and Relief Drinking Measures

Votaw,

Pearson,

Kranzler

et al. 2023

Preprint

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Previous work examining the extent to which individuals seek alcohol to enhance positive experiences (reward drinking) or relieve aversive states (relief drinking) has shown that reward/relief drinking predicts response to naltrexone and acamprosate treatment for alcohol use disorder (AUD). Yet, various measures of reward/relief drinking have been used in prior research, and the comparative psychometric properties of these measures are unknown. Evaluating and comparing the psychometric properties of these reward/relief drinking measures could identify measures with the most promise for translating precision medicine findings to clinical practice. In a community sample of 65 individuals with heavy/hazardous alcohol use on the Alcohol Use Disorder Identification Test, we showed good internal consistency reliability, test-retest reliability, and concurrent validity for theoretically aligned measures (e.g., reward drinking and reward responsiveness, relief drinking and depression/anxiety symptoms) of the reward and relief subscales across the six measures. We then used ecological momentary assessment (EMA) to determine whether reward and relief drinking subscales predicted within-person associations between contextual factors of interest (e.g., negative affect, positive affect, distress intolerance, physical pain, hangover symptoms, social drinking situations, alcohol cues) and same-moment alcohol craving. All six measures demonstrated limited predictive validity for alcohol craving contexts in daily life assessed via EMA. Despite these findings, reward and relief drinking measures show good reliability and concurrent validity and previously demonstrated clinical utility for predicting outcomes of naltrexone response and other AUD treatments. Future research should aim to elucidate the mechanisms underlying the association between responses to reward/relief drinking measures and pharmacotherapy response.

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“…There are still some challenges in the EMA application that remain unsolved, as recently pointed out by Stone et al [ 35 ]. Despite reports of high feasibility [ 14 , 57 , 58 ], acceptance [ 11 ], and compliance [ 12 , 42 ], EMA can be burdensome to patients with pain [ 43 ]).…”

Section: Future Directionsmentioning

confidence: 99%

The Effect of Everyday-Life Social Contact on Pain

Weiß,

Gründahl,

Jachnik

et al. 2024

J Med Internet Res

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Pain is a biopsychosocial phenomenon, resulting from the interplay between physiological and psychological processes and social factors. Given that humans constantly interact with others, the effect of social factors is particularly relevant. Documenting the significance of the social modulation of pain, an increasing number of studies have investigated the effect of social contact on subjective pain intensity and pain-related physiological changes. While evidence suggests that social contact can alleviate pain, contradictory findings indicate an increase in pain intensity and a deterioration of pain coping strategies. This evidence primarily stems from studies examining the effect of social contact on pain within highly controlled laboratory conditions. Moreover, pain assessments often rely on one-time subjective reports of average pain intensity across a predefined period. Ecological momentary assessments (EMAs) can circumvent these problems, as they can capture diverse aspects of behavior and experiences multiple times a day, in real time, with high resolution, and within naturalistic and ecologically valid settings. These multiple measures allow for the examination of fluctuations of pain symptoms throughout the day in relation to affective, cognitive, behavioral, and social factors. In this opinion paper, we review the current state and future relevance of EMA-based social pain research in daily life. Specifically, we examine whether everyday-life social support reduces or enhances pain. The first part of the paper provides a comprehensive overview of the use of EMA in pain research and summarizes the main findings. The review of the relatively limited number of existing EMA studies shows that the association between pain and social contact in everyday life depends on numerous factors, including pain syndromes, temporal dynamics, the nature of social interactions, and characteristics of the interaction partners. In line with laboratory research, there is evidence that everyday-life social contact can alleviate, but also intensify pain, depending on the type of social support. Everyday-life emotional support seems to reduce pain, while extensive solicitous support was found to have opposite effects. Moreover, positive short-term effects of social support can be overshadowed by other symptoms such as fatigue. Overall, gathering and integrating experiences from a patient’s social environment can offer valuable insights. These insights can help interpret dynamics in pain intensity and accompanying symptoms such as depression or fatigue. We conclude that factors determining the reducing versus enhancing effects of social contact on pain need to be investigated more thoroughly. We advocate EMA as the assessment method of the future and highlight open questions that should be addressed in future EMA studies on pain and the potential of ecological momentary interventions for pain treatment.

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Evaluation of Pressing Issues in Ecological Momentary Assessment

Cited by 60 publications

References 137 publications

Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

Fluidity in capability: Longitudinal assessments of suicide capability using ecological momentary assessments

Comparing the Psychometric Properties of Reward and Relief Drinking Measures

The Effect of Everyday-Life Social Contact on Pain

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