Use of ecological momentary assessment (EMA) in non-suicidal self-injury (NSSI): a systematic review
Abstract
Conceptualization and assessment of non-suicidal self-injury (NSSI) has evolved substantially in recent years. In both cross-sectional and longitudinal studies, NSSI and its related variables have traditionally been assessed retrospectively, leading to less precise studies of the mechanisms involved in the maintenance, cessation, or aggravation of this behavior. Ecological momentary assessment (EMA) enables real-time collection of patient states, which can be very useful in the study of the mechanisms implied in this behavior. This systematic review aims to elucidate the current status of EMA use in NSSI investigation. An exhaustive search in PubMed and PsycINFO was conducted up to September 2017. All papers included were focused on the study of NSSI using EMA. Studies with methodological diversity were included, which were afterwards organized according to main topic of studies. There were no ineligibility criteria based on age or diagnosis. Twenty-three papers were studied, the majority of which are short-term studies focused on the study of affect dynamics and the emotion-regulation function of NSSI. Implications of these results and recommendations for future research are discussed.
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EMA may be used to assess a range of experiences from affect to self-harm and substance use.
“it may be used to assess a range of experiences from affect (16) to self-harm (17) and substance use (18).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [17]
A similar pattern is observable in the EMA literature on NSSI, where most studies have elucidated the immediate context, rather than precipitants, of self-harm behavior.
“A similar pattern is observable in the EMA literature on NSSI, where most studies have elucidated on the immediate context, rather than precipitants, of self-harm behavior (17).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [17]
A recent review of EMA of NSSI noted similar study heterogeneity and lack of reporting on compliance.
“A recent review of EMA of NSSI noted similar study heterogeneity and lack of reporting on compliance (17).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [17]
A previous review of EMA studies on NSSI also identified affective variability as a risk factor for engaging in self-harm behavior.
“In line with these findings, a previous review of EMA studies on NSSI also identified affective variability as a risk factor for engaging in self-harm behavior (17).”
From Don't Miss the Moment: A Systematic Review of Ecological Momentary Assessment in Suicide Research (2022) · cites this paper as [17]
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Negative Affect and Nonsuicidal Self-Injury
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- Authors
- Rodríguez-Blanco, L., Carballo, J. J., & Baca-García, E.
- Affiliations
- Hospital Universitario Fundación Jiménez Díaz (ES)
- Hospital General Universitario Gregorio Marañón (ES)
- Corresponding author
- Rodríguez-Blanco, Lucía
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-05
- Volume
- 263
- Pages
- 212-219
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2789878559
- Cited by
- 140
- References
- 68
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 12 · 2023: 25 · 2022: 18 · 2021: 23 · 2020: 21 · 2019: 10 · 2018: 2
- FWCI
- 2.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Keywords
- non-suicidal self-injury, ecological momentary assessment, real-time data acquisition, affect dynamics, emotion regulation
- MeSH terms
- Ecological Momentary Assessment, Adolescent, Cross-Sectional Studies, Emotions, Female, Humans, Male, Retrospective Studies, Self-Injurious Behavior
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