Moving beyond self-report data collection in the natural environment: a review of the past and future directions for ambulatory assessment in eating disorders
Abstract
OBJECTIVE: In recent years, ecological momentary assessment (EMA) has been used to repeatedly assess eating disorder (ED) symptoms in naturalistic settings, which has allowed for increased understanding of temporal processes that potentiate ED behaviors. However, there remain notable limitations of self-report EMA, and with the rapid proliferation of technology there are ever-increasing possibilities to improve ambulatory assessment methods to further the understanding and treatment of EDs. Therefore, the purpose of this review was to (a) systematically review the studies in EDs that have utilized ambulatory assessment methods other than self-report, and (b) provide directions for future research and clinical applications. METHOD: A systematic literature search of electronic databases was conducted, and data regarding study characteristics and methodological quality were extracted. RESULTS: The search identified 17 studies that used ambulatory assessment methods to gather objective data, and focused primarily on autonomic functioning, physical activity, and cognitive processes in ED and control groups. DISCUSSION: Together the literature demonstrates the promise of using a range of ecologically valid ambulatory assessment approaches in EDs, though there remains limited research that has utilized methods other than self-report (e.g., wearable sensors), particularly in recent years. Going forward, there are several technology-enhanced momentary assessment methods that have potential to improve the understanding and treatment of EDs.
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Recent reviews indicate that EMA is an acceptable and feasible data collection method in psychiatric samples.
“These reviews indicate that EMA is an acceptable and feasible data collection method in psychiatric samples as well”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [13]
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- Authors
- Smith, K. E., Mason, T. B., Juarascio, A., Schaefer, L. M., Crosby, R. D., Engel, S. G., & Wonderlich, S. A.
- Affiliations
- University of North Dakota (US)
- University of Southern California (US)
- Drexel University (US)
- Sanford Research (US)
- Corresponding author
- Smith, Kathryn E.
- ORCID
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2019-07-16
- Volume
- 52
- Issue
- 10
- Pages
- 1157-1175
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- OpenAlex
- W2958013504
- Cited by
- 34
- References
- 118
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 7 · 2022: 9 · 2021: 4 · 2020: 3 · 2019: 1
- FWCI
- 0.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (T32MH082761)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Keywords
- eating disorders, ambulatory assessment, ecological momentary assessment, self-report limitations, objective measurement, wearable sensors, physical activity, cognitive processes, technology-enhanced assessment
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Child, Data Collection, Environment, Humans, Middle Aged, Young Adult, Self Report
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