Ecological momentary assessment of mood disorders and mood dysregulation
Abstract
In this review, we discuss ecological momentary assessment (EMA) studies on mood disorders and mood dysregulation, illustrating 6 major benefits of the EMA approach to clinical assessment: (a) Real-time assessments increase accuracy and minimize retrospective bias; (b) repeated assessments can reveal dynamic processes; (c) multimodal assessments can integrate psychological, physiological, and behavioral data; (d) setting- or context-specific relationships of symptoms or behaviors can be identified; (e) interactive feedback can be provided in real time; and (f) assessments in real-life situations enhance generalizability. In the context of mood disorders and mood dysregulation, we demonstrate that EMA can address specific research questions better than laboratory or questionnaire studies. However, before clinicians and researchers can fully realize these benefits, sets of standardized e-diary questionnaires and time sampling protocols must be developed that are reliable, valid, and sensitive to change.
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Desktop- or laptop-based monitoring of panic disorder symptoms via daily or weekly electronic diaries is likely biased by memory effects because clients complete these diaries retrospectively rather than in real-time.
“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 [28]
Two prior reviews focused on EMAs for mood disorders, but most included studies were based on paper-and-pencil daily diaries, and the target population included adults and adolescents with bipolar disorder and borderline personality disorder.
“Although two reviews focused on EMAs for mood disorders [15,16], most of the included studies were based on paper-and-pencil daily diaries, and the target population included adults and adolescents with bipolar disorder (BD) and borderline personality disorder (BPD).”
From Current state and future directions of technology-based ecological momentary assessment and intervention for major depressive disorder: a systematic review (2019) · cites this paper as [16]
Compared to paper and pencil daily diaries, electronic devices and especially smartphones could increase the six EMA advantages identified by Ebner-Premier.
“Compared to paper and pencil daily diaries, the use of electronic devices, and especially smartphones, could further increase the six EMA advantages identified by Ebner-Premier (Table 5) [16]”
From Current state and future directions of technology-based ecological momentary assessment and intervention for major depressive disorder: a systematic review (2019) · cites this paper as [16]
Mobile phone technology has the capacity to facilitate ecological momentary assessment (EMA), that is, self-monitoring of symptoms and behaviors in real-time and in real-world contexts.
“A particular advantage of mobile phone technology is its capacity to facilitate ecological momentary assessment (EMA); that is, self-monitoring of symptoms and behaviors in real-time and in real-world contexts [14,15].”
From Breaking open the black box: isolating the most potent features of a web and mobile phone-based intervention for depression, anxiety, and stress (2015) · cites this paper as [14]
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“Ebner-Priemer and Trull (2009) review ESM/EMA studies that target mood disorders (e.g., major depressive disorder, bipolar disorder) and borderline personality disorder.”
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Emotional reactivity to daily events in major and minor depression.
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A lifespan view of anxiety disorders
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“…emotions, their regulation, and symptoms of psychopathology fluctuate substantially over time (e.g., Aldao, 2013; Barrett, Gross, Christensen, & Benvenuto, 2001; Bylsma & Rottenberg, 2011; Ebner-Priemer & Trull, 2009; Robinson & Clore, 2002; Srivastava, Tamir, McGonigal, John, & Gross, 2009).”
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Preferences for positive psychology exercises
Schueller, S. M. (2010) · The Journal of Positive Psychology · doi:10.1080/17439761003790948 · Cited by 182 · see citing works
Santangelo, P., Bohus, M., & Ebner-Priemer, U. W. (2014) · Journal of Personality Disorders · doi:10.1521/pedi_2012_26_067 · Cited by 152 · see citing works
Self-citationTemporal patterns of anxious and depressed mood in generalized anxiety disorder: a daily diary study
Starr, L. R., & Davila, J. (2012) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.11.005 · Cited by 134 · see citing works
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Real-time predictors of suicidal ideation: mobile assessment of hospitalized depressed patients
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Inferring Mood Instability on Social Media by Leveraging Ecological Momentary Assessments
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Meta-emotions in daily life: Associations with emotional awareness and depression
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Momentary predictors of compliance in studies using the experience sampling method
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Sleep quality in healthy and mood-disordered persons predicts daily life emotional reactivity
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The promise of digital mood tracking technologies: are we heading on the right track?
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Disentangling trait and state psychological inflexibility: A longitudinal multilevel approach
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- Authors
- Ebner-Priemer, U. W., & Trull, T. J.
- Affiliations
- University of Missouri (US)
- ORCID
- Trull, Timothy J.
- Venue
- Psychological Assessment
- Published
- 2009-12
- Volume
- 21
- Issue
- 4
- Pages
- 463-475
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W2013766552
- Cited by
- 530
- References
- 96
- Citations by year
- 2026: 35 · 2025: 37 · 2024: 49 · 2023: 36 · 2022: 25 · 2021: 52 · 2020: 51 · 2019: 42 · 2018: 42 · 2017: 30 · 2016: 32 · 2015: 21 · 2014: 20 · 2013: 17 · 2012: 19
- FWCI
- 16.50
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- ecological momentary assessment, mood disorders, mood dysregulation, real-time assessment, retrospective bias, multimodal assessment, interactive feedback, generalizability, assessment validity and reliability
- MeSH terms
- Ambulatory Care, Bipolar Disorder, Borderline Personality Disorder, Depressive Disorder, Major, Major Depressive Disorder, Humans, Personality Assessment, Social Environment, Feedback, Psychological, Computers, Handheld
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