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Clinical assessment of affective instability: Comparing EMA indices, questionnaire reports, and retrospective recall.
Open accessAbstract
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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“Additionally, prospective studies, especially those including ecological momentary assessment methodology, could offer more accurate periodic or “real-time” reports of behavior, rather than relying on retrospective reports of emotionally laden experiences which may be influenced by recall biases [99,100].”
Background
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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