Integrating theory-based and data-driven methods to case conceptualization: A functional analysis approach with ecological momentary assessment

Scholten, Saskia; Lischetzke, Tanja; Glombiewski, Julia Anna

doi:10.1080/10503307.2021.1916639

Cited by 26 publications

(16 citation statements)

References 69 publications

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“…Regarding practical implications, the identification of central symptom patterns using NA and monitoring change processes over time using AA and SCED may support clinical decision-making on the individualization of treatment. AA and NA allow the integration of theory- and data-driven approaches into the conceptualization of cases because they are able to identify internal and situational determinants of variability in symptomatology, uncover processes that maintain symptomatology, and pinpoint potential targets for intervention (Fried & Cramer, 2017; Myin-Germeys et al, 2018; Rubel et al, 2018; Scholten et al, 2022). The emphasis here lies on supporting clinical decision-making.…”

Section: Discussionmentioning

confidence: 99%

All good things come in threes: A systematic review and Delphi study on the advances and challenges of ambulatory assessments, network analyses, and single-case experimental designs.

Schemer¹,

Glombiewski²,

Scholten³

2023

Clinical Psychology: Science and Practice

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This article reviewed 47 methodological publications critically evaluating ambulatory assessments (AA), network analyses (NA), and single-case experimental designs (SCED) for psychotherapy research and practice. To develop a consensus about the most essential advances and challenges, we invited methodological and clinical experts to participate in a subsequent Delphi study. The experts agreed upon 17 essential advances (e.g., AA particularly disentangles within-and between-psychological processes; NA improves the conceptualization of interacting symptoms, and SCED provides a promising tool for initial proof-of-principle studies). They agreed upon 10 major challenges (e.g., to provide standardized, clear-cut recommendations and userfriendly tools). We discuss how future research could combine rigorous sampling schemes (AA) with a more holistic view on interacting symptoms (NA) and/or a systematic experimental manipulation (SCED). Public Health Significance StatementWe reviewed and evaluated major advancements and challenges of new research methods for psychotherapy research and practice: Ambulatory assessments disentangle within-and between-psychological processes; network analyses are valuable for conceptualizing interacting symptoms; singlecase experimental designs are a promising tool for providing initial proof of principles. Future research urgently needs to provide clear-cut recommendations and user-friendly tools to contribute to the further dissemination of these methods.

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Section: Discussionmentioning

confidence: 99%

All good things come in threes: A systematic review and Delphi study on the advances and challenges of ambulatory assessments, network analyses, and single-case experimental designs.

Schemer¹,

Glombiewski²,

Scholten³

2023

Clinical Psychology: Science and Practice

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“…Technological devices such as smartphones and smartwatches allow the collection of real-time psychological, physiological, and behavioural variables in patients' daily lives. In this way, EMA represents an ecologically valid assessment procedure that can provide a reliable representation of intrapersonal processes that can be used for CF (Scholten et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Data-Informed Case Formulation with the Trier Treatment Navigator

Moggia

Schaffrath

Bommer

et al. 2022

rdp

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The current article presents a way of practising case formulation using technology augmentation in the context of data-informed psychotherapy. First, we explain how case formulation guides the decision-making processes in psychotherapy and how decisions made under an intuitive clinical judgement can be biased. The use of actuarial methods is pointed out as a way of addressing these biases, mainly through clinical decision support systems based on statistical tools and machine learning algorithms. We present the Trier Treatment Navigator (TTN), a clinical decision support system developed in a University research-based clinical training programme. We show how the TTN can contribute to an initial case formulation and its dynamic adaptations during treatment with a clinical case. Finally, we discuss how case formulation and data-informed psychotherapy are aimed at the same goal: treatment personalisation. We argue that case formulation and data-informed psychotherapy enrich and feedback on each other.

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“…These approaches have been extended to the idiographic context, referred to as Perceived Causal Problem Networks (Klintwall et al, 2021). Furthermore, there are new approaches that use EMA data to assess relationships within functional analysis (Scholten et al, 2021).…”

Section: A Formal Integration Of Case Formulation and Personalized Ne...mentioning

confidence: 99%

A clinical PREMISE for personalized models: Toward a formal integration of case formulations and statistical networks.

Burger¹,

Epskamp²,

Veen³

et al. 2022

Journal of Psychopathology and Clinical Science

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Over the past decade, the idiographic approach has received significant attention in clinical psychology, incentivizing the development of novel approaches to estimate statistical models, such as personalized networks. Although the notion of such networks aligns well with the way clinicians think and reason, there are currently several barriers to implementation that limit their clinical utility. To address these issues, we introduce the Prior Elicitation Module for Idiographic System Estimation (PREMISE), a novel approach that formally integrates case formulations with personalized network estimation via prior elicitation and Bayesian inference. PREMISE tackles current implementation barriers of personalized networks; incorporating clinical information into personalized network estimation systematically allows theoretical and data-driven integration, supporting clinician and patient collaboration when building a dynamic understanding of the patient’s psychopathology. To illustrate its potential, we estimate clinically informed networks for a patient suffering from obsessive–compulsive disorder. We discuss open challenges in selecting statistical models for PREMISE, as well as specific future directions for clinical implementation.

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Integrating theory-based and data-driven methods to case conceptualization: A functional analysis approach with ecological momentary assessment

Cited by 26 publications

References 69 publications

All good things come in threes: A systematic review and Delphi study on the advances and challenges of ambulatory assessments, network analyses, and single-case experimental designs.

All good things come in threes: A systematic review and Delphi study on the advances and challenges of ambulatory assessments, network analyses, and single-case experimental designs.

Data-Informed Case Formulation with the Trier Treatment Navigator

A clinical PREMISE for personalized models: Toward a formal integration of case formulations and statistical networks.

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