Measuring mood and complex behavior in natural environments: Use of ecological momentary assessment in pediatric affective disorders
Abstract
This article describes the theoretical background and methodology of ecological momentary assessment (EMA) and reports results from a pilot study using EMA techniques in 16 children and adolescents with affective disorders and 5 subjects who were healthy and at low risk to develop future affective disorders. Multiple daily assessments of the subjects' mood, thoughts, and behaviors were performed in their natural environments using brief interviews on cellular phone calls by the study staff and by wrist actigraphy. The pilot results demonstrated that the EMA methodology is feasible in this population, as 17 of 21 subjects were able to complete the entire 8-week protocol. The potential usefulness of the EMA methodology is illustrated by specific case reports. Potential applications of the EMA methodology to the study of neurobehavioral systems and the pathophysiology of pediatric affective disorders are discussed.
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MDD youth reported fewer planned activities, less positive affect, and more negative affect than healthy controls.
“Moreover, they reported fewer planned activities, less PA, and more NA.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Axelson et al. (2003)
Compared to healthy controls, MDD youth were more than twice as likely to report being alone at the time of a phone interview.
“Compared to healthy controls, MDD youth were more than twice as likely to report being alone at the time of a phone interview.”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Axelson et al. (2003)
ESM/EMA data fed back to individual patients close in time to their recording may give them insight into factors influencing their everyday moods and could therefore be therapeutic.
“ESM/EMA data that are fed back to individual patients close in time to their recording may give them insight into the factors that in fl uence their everyday moods and could therefore be therapeutic (Axelson et al., 2003; Depp et al., 2010; Wichers et al., 2011).”
From Mood Disorders in Everyday Life: A Systematic Review of Experience Sampling and Ecological Momentary Assessment Studies (2012) · cites this paper as Axelson et al., 2003
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- Authors
- Axelson, D. A., Bertocci, M. A., Lewin, D. S., Trubnick, L. S., Birmaher, B., Williamson, D. E., Ryan, N. D., & Dahl, R. E.
- Affiliations
- University of Pittsburgh Medical Center (US)
- ORCID
- Venue
- Journal of Child and Adolescent Psychopharmacology
- Publisher
- SAGE Publications
- Published
- 2003-09
- Volume
- 13
- Issue
- 3
- Pages
- 253-266
- ISSN
- 1044-5463 (ISSN-L)
- 1557-8992
- OpenAlex
- W2054735373
- Cited by
- 91
- References
- 31
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 2 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 6 · 2014: 1 · 2013: 9 · 2012: 8
- FWCI
- 3.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Child and Adolescent Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (P01MH041712, MH67436, MH-41712, MH-01878, K23MH001878)
- 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 › Applied Psychology › Digital Mental Health Interventions
- Keywords
- ecological momentary assessment, mood measurement, complex behavior, naturalistic assessment, actigraphy, children and adolescents, feasibility, pathophysiology
- MeSH terms
- Adolescent, Affect, Bipolar Disorder, Child, Depressive Disorder, Major, Major Depressive Disorder, Environment, Female, Humans, Male, Motivation, Motor Activity, Pilot Projects, Psychiatric Status Rating Scales, Social Environment, Mood Disorders, Cell Phone
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