The Experience Sampling Method—Evaluation of treatment effect of escitalopram in IBS with comorbid panic disorder

Vork, Lisa; Mujagic, Zlatan; Drukker, Marjan; Keszthelyi, Dániel; Conchillo, José M.; Hesselink, Martine; Os, Jim van; Masclee, Ad; Leue, Carsten; Kruimel, Joanna W.

doi:10.1111/nmo.13515

Cited by 15 publications

(9 citation statements)

References 31 publications

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“…Therefore, subjects were instructed to complete as many questionnaires as possible each day, as soon as possible following each signal, but to skip questionnaires when considering completing impossible at that moment (e.g., when driving a car). Previous studies using this specific ESM algorithm have shown reasonably high completion rates ( 11 , 22 ).…”

Section: Methodsmentioning

confidence: 75%

Patient-Specific Stress–Abdominal Pain Interaction in Irritable Bowel Syndrome: An Exploratory Experience Sampling Method Study

Vork

Keszthelyi

Kuijk

et al. 2020

Clin Transl Gastroenterol

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INTRODUCTION: Gastrointestinal symptoms in irritable bowel syndrome (IBS) have been correlated with psychological factors using retrospective symptom assessment. However, real-time symptom assessment might reveal the interplay between abdominal and affective symptoms more reliably in a longitudinal perspective. The aim was to evaluate the association between stress and abdominal pain, using the Experience Sampling Method (ESM) as a real-time, repeated measurement method. METHODS: Thirty-seven patients with IBS (26 women; mean age 36.7 years) and 36 healthy controls (HC; 24 women; mean age 31.1 years) completed an electronic ESM during 7 consecutive days. Abdominal pain and stress were scored on an 11-point Numeric Rating Scale at a maximum of 10 random moments each day. RESULTS: Abdominal pain scores were 2.21 points higher in patients with IBS compared with those in HC ( P < 0.001), whereas stress levels did not differ significantly (B: 0.250, P = 0.406). In IBS, a 1-point increase in stress was associated with, on average, 0.10 points increase in abdominal pain ( P = 0.017). In HC, this was only 0.02 ( P = 0.002). Stress levels at t = −1 were not a significant predictor for abdominal pain at t = 0 in both groups, and vice versa. DISCUSSION: Our results demonstrate a positive association between real-time stress and abdominal pain scores and indicate a difference in response to stress and not a difference in experienced stress per se . Furthermore, an in-the-moment rather than a longitudinal association is suggested. This study underlines the importance of considering the individual flow of daily life and supports the use of real-time measurement when interpreting potential influencers of abdominal symptoms in IBS.

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Section: Methodsmentioning

confidence: 75%

Patient-Specific Stress–Abdominal Pain Interaction in Irritable Bowel Syndrome: An Exploratory Experience Sampling Method Study

Vork

Keszthelyi

Kuijk

et al. 2020

Clin Transl Gastroenterol

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“…Following the previous development of an ESM tool for psychiatric conditions [20], irritable bowel syndrome (IBS) [22][23][24], functional dyspepsia [25], and overactive bladder syndrome [26], we aimed to develop an ESM assessment tool for patients with endometriosis.…”

Section: Objectivementioning

confidence: 99%

“…The app can measure real-time experiences in daily life using the concept of ESM. MEASuRE has been described in previous research and has been adjusted for patients with endometriosis using the questions that were selected in the final expert meeting [22][23][24][25][26].…”

Section: Phase Iv: Development Of a Smartphone Appmentioning

confidence: 99%

“…Following the development of an ESM tool specific to psychiatric conditions [20] and gastrointestinal and urological disorders, such as IBS, functional dyspepsia, or overactive bladder syndrome [22][23][24][25][26], we developed a modern assessment tool for patients with endometriosis. This new tool was developed according to the international guidelines on PROM development and comprised 5 phases: a selection of items on the basis of a literature review, a focus group study, expert meetings, the development of an electronic PROM using a smartphone app, and testing of the usability and feasibility with a pilot study.…”

Section: Overviewmentioning

confidence: 99%

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Patient-Reported Outcome Measure for Real-time Symptom Assessment in Women With Endometriosis: Focus Group Study (Preprint)

Barneveld¹,

Lim²,

Hanegem³

et al. 2021

Preprint

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BACKGROUND Symptoms related to endometriosis have a significant impact on the quality of life, and symptoms often recur. The experience sampling method (ESM), a digital questioning method characterized by randomly repeated momentary assessments, has several advantages over traditionally used measurements, including the ability to assess the temporal relationship between variables such as physical, mental, and social factors. OBJECTIVE The aim of this study is to develop an ESM tool for patients with endometriosis to accurately measure symptoms and their course over time, allowing for personalized treatment and adequate monitoring of treatment efficacy in individual patients. METHODS On the basis of international guidelines, items from validated questionnaires were selected through a literature review and during focus groups and multidisciplinary expert meetings. Data analysis was conducted using ATLAS.ti (ATLAS.ti Scientific Software Development GmbH). The feasibility and usability of the newly developed momentary assessment tool were tested for 28 consecutive days in 5 patients with endometriosis-related pain symptoms. RESULTS Momentary assessment items contained questions concerning endometriosis symptoms, general somatic symptoms, psychological symptoms, contextual information, and the use of food and medication. A morning questionnaire on sleep and sexuality was included. In a pilot study, the patients considered the tool easy to use but time consuming. The average compliance rate of momentary assessments was 37.8% (106/280), with the highest completion rate during the first week (39/70, 56%). Therefore, it is advisable to use the ESM for a maximum of 7 days. CONCLUSIONS A new digital tool for endometriosis symptom assessment was developed using the ESM, which may help overcome the limitations of current retrospective questionnaires. After validation and testing, future studies will be planned to evaluate the use of this tool in a clinical setting in order to propose a personalized treatment plan for women with endometriosis. CLINICALTRIAL

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“…Following the previous development of an ESM tool for psychiatric conditions [ 20 ], irritable bowel syndrome (IBS) [ 22 - 24 ], functional dyspepsia [ 25 ], and overactive bladder syndrome [ 26 ], we aimed to develop an ESM assessment tool for patients with endometriosis.…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Outcome Measure for Real-time Symptom Assessment in Women With Endometriosis: Focus Group Study

Barneveld¹,

Lim²,

Hanegem³

et al. 2021

JMIR Form Res

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Background Symptoms related to endometriosis have a significant impact on the quality of life, and symptoms often recur. The experience sampling method (ESM), a digital questioning method characterized by randomly repeated momentary assessments, has several advantages over traditionally used measurements, including the ability to assess the temporal relationship between variables such as physical, mental, and social factors. Objective The aim of this study is to develop an ESM tool for patients with endometriosis to accurately measure symptoms and their course over time, allowing for personalized treatment and adequate monitoring of treatment efficacy in individual patients. Methods On the basis of international guidelines, items from validated questionnaires were selected through a literature review and during focus groups and multidisciplinary expert meetings. Data analysis was conducted using ATLAS.ti (ATLAS.ti Scientific Software Development GmbH). The feasibility and usability of the newly developed momentary assessment tool were tested for 28 consecutive days in 5 patients with endometriosis-related pain symptoms. Results Momentary assessment items contained questions concerning endometriosis symptoms, general somatic symptoms, psychological symptoms, contextual information, and the use of food and medication. A morning questionnaire on sleep and sexuality was included. In a pilot study, the patients considered the tool easy to use but time consuming. The average compliance rate of momentary assessments was 37.8% (106/280), with the highest completion rate during the first week (39/70, 56%). Therefore, it is advisable to use the ESM for a maximum of 7 days. Conclusions A new digital tool for endometriosis symptom assessment was developed using the ESM, which may help overcome the limitations of current retrospective questionnaires. After validation and testing, future studies will be planned to evaluate the use of this tool in a clinical setting in order to propose a personalized treatment plan for women with endometriosis.

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The Experience Sampling Method—Evaluation of treatment effect of escitalopram in IBS with comorbid panic disorder

Cited by 15 publications

References 31 publications

Patient-Specific Stress–Abdominal Pain Interaction in Irritable Bowel Syndrome: An Exploratory Experience Sampling Method Study

Patient-Specific Stress–Abdominal Pain Interaction in Irritable Bowel Syndrome: An Exploratory Experience Sampling Method Study

Patient-Reported Outcome Measure for Real-time Symptom Assessment in Women With Endometriosis: Focus Group Study (Preprint)

Patient-Reported Outcome Measure for Real-time Symptom Assessment in Women With Endometriosis: Focus Group Study

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