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Clinical assessment of affective instability: Comparing EMA indices, questionnaire reports, and retrospective recall.
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Traditional self-report measures of psychopathology may be influenced by a variety of recall biases. Ecological momentary assessment (EMA) reduces these biases by assessing individuals' experiences as they occur in their natural environments. This study examines the discrepancy between trait questionnaire, retrospective report, and EMA measures of affective instability in psychiatric outpatients either with a borderline personality diagnosis (n = 58) or with a current episode of major depressive disorder or dysthymia (n = 42). The authors examined the agreement of 3 trait measures of affective instability-the Affective Instability subscale of the Personality Assessment Inventory-Borderline Features scale (L. C. Morey, 1991), the Affect Intensity Measure (R. J. Larsen, E. Diener, & R. Emmons, 1986), and the Affect Lability Scales (P. D. Harvey, B. R. Greenberg, & M. R. Serper, 1989)-and 1 retrospective mood recall task with EMA indices of mood and mood instability. Results indicate only modest to moderate agreement between momentary and questionnaire assessments of trait affective instability; agreement between recalled mood changes and EMA indices was poor. Implications for clinical research and practice and possible applications of EMA methodology are discussed.
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“when desktop PCs or laptops are used to monitor symptoms of PD to identify factors that cue panic attacks and avoidance, clients typically use daily or weekly electronic diary entries, which are likely biased by memory effects because clients must complete these diaries retrospectively and not in real-time [22–28].”
From Efficacy of a hybrid online training for panic symptoms and agoraphobia: study protocol for a randomized controlled trial. (2014) · cites this paper as [23]
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Iwakabe, S., Nakamura, K., & Thoma, N. C. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2183155 · Cited by 65
“They are also subject to recall bias and do not necessarily correspond to the concurrent report of ER (Aldao et al., 2010; Solhan et al., 2009).”
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Vaessen, T., Rintala, A., Otsabryk, N., Viechtbauer, W., Wampers, M., Claes, S. J., & Myin‐Germeys, I. (2021) · PLoS ONE · doi:10.1371/journal.pone.0259557 · Cited by 61
“Such diary entries consist of questions on momentary experiences, contexts, and appraisals, providing insight into the participants’ daily lives while keeping recall bias low [13, 14].”
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Dzubur, E., Ponnada, A., Nordgren, R. K., Yang, C., Intille, S. S., Dunton, G. F., & Hedeker, D. (2020) · Behavior Research Methods · doi:10.3758/s13428-019-01322-1 · Cited by 44
The correspondence of daily and retrospective PTSD reports among female victims of sexual assault.
Naragon‐Gainey, K., Simpson, T. L., Moore, S. A., Varra, A. A., & Kaysen, D. L. (2012) · Psychological Assessment · doi:10.1037/a0028518 · Cited by 48
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Methodologies for Monitoring Mental Health on Twitter: Systematic Review
Cara, N. H. D., Maggio, V., Davis, O. S. P., & Haworth, C. M. A. (2023) · Journal of Medical Internet Research · doi:10.2196/42734 · Cited by 50
“…could even contribute to clinical assessments by health care professionals, who typically use questionnaire-style diagnostic tools that can be biased by a patient’s retrospective recall [17] and so cannot always provide an accurate overview of a patient’s well-being for weeks, or months, at a time.”
Emotional Impulsivity in Children with ADHD Associated with Comorbid—Not ADHD—Symptomatology
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Multimethod Investigation of Interpersonal Functioning in Borderline Personality Disorder
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“However, electronic diary methods reduce recall bias of events and provide greater flexibility compared to traditional assessment methods (c.f. Solhan et al., 2009).”
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“Assessment methods also rely on the recollection of often subtle momentary experiences, potentially missing nuanced dynamics that could be relevant for tailoring interventions [24,25].”
Affective Instability and Reactivity in Depressed Patients With and Without Borderline Pathology
Köhling, J., Moessner, M., Ehrenthal, J. C., Bauer, S., Cierpka, M., Kämmerer, A., Schauenburg, H., & Dinger, U. (2015) · Journal of Personality Disorders · doi:10.1521/pedi_2015_29_230 · Cited by 39
Reactive and proactive aggression in children with and without ADHD and negative emotional lability
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Using ambulatory assessment to measure dynamic risk processes in affective disorders
Stange, J. P., Kleiman, E. M., Mermelstein, R. J., & Trull, T. J. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.08.060 · Cited by 42
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Maintaining sleep and physical activity alleviate mood instability
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Metadata
- Authors
- Solhan, M. B., Trull, T. J., Jahng, S., & Wood, P. K.
- Affiliations
- University of Missouri (US)
- Venue
- Psychological Assessment
- Published
- 2009-09
- Volume
- 21
- Issue
- 3
- Pages
- 425-436
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- PMC
- PMC2864015
- OpenAlex
- W2019004439
- Cited by
- 362
- References
- 50
- Citations by year
- 2026: 27 · 2025: 31 · 2024: 24 · 2023: 24 · 2022: 29 · 2021: 40 · 2020: 31 · 2019: 24 · 2018: 24 · 2017: 22 · 2016: 16 · 2015: 14 · 2014: 12 · 2013: 11 · 2012: 17
- FWCI
- 13.97
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (MH069472)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- neuroticism, ecological momentary assessment, recall bias, borderline personality disorder, major depressive disorder, dysthymia, psychiatric outpatients, mood instability
- MeSH terms
- Adult, Borderline Personality Disorder, Depressive Disorder, Major, Major Depressive Disorder, Depressive Disorder, Female, Humans, Male, Personality Inventory, Psychiatric Status Rating Scales, Surveys and Questionnaires, Mental Recall, Self Disclosure, Social Environment, Reproducibility of Results, Dysthymic Disorder, Mood Disorders
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