Smartphone assessment uncovers real-time relationships between depressed mood and daily functional behaviors after stroke.
Smartphone assessment uncovers real-time relationships between depressed mood and daily functional behaviors after stroke.
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DOI：
10.1177/1357633x221100061
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发表时间：
2024-06
影响因子：
4.7
通讯作者：
Wong, Alex W. K.
中科院分区：
文献类型：
--
作者：
Bui, Quoc;Kaufman, Katherine J.;Munsell, Elizabeth G. S.;Lenze, Eric J.;Lee, Jin-Moo;Mohr, David C.;Fong, Mandy W. M.;Metts, Christopher L.;Tomazin, Stephanie E.;Pham, V. Y.;Wong, Alex W. K.
关键词：
日常生活中抑郁情绪的影响很难用传统的回溯性评估来调查，因为在不同的背景下，每天甚至一天内的情绪波动。这项研究旨在使用基于智能手机的动态评估来检查中风患者抑郁情绪和功能行为之间的实时关系。共有202名患有轻中度中风的参与者(90%为缺血性，45%为女性，44%为黑人)在两周内每天五次完成生态瞬时评估，报告他们的抑郁情绪和功能行为，包括在哪里、与谁一起以及进行什么活动。参与者在醒来时有28%的时间参与被动休闲活动，但花在体力活动(4%)和职业活动(9%)上的时间最少。参与社会活动(β=−0.023±0.011)和日常生活工具活动(β=−0.061±0.013)、与家人(β=−0.061±0.014)、配偶(β=−0.043±0.016)、朋友(β=−0.094±0.021)和同事(β=−0.050±0.021)在一起时，抑郁情绪较低；分布于饭店(β=−0.068±0.029)、家人家中(β=−0.039±0.020)或朋友家中(β=−0.069±0.031)。同时(βS=−0.036±0.003，−0.053±0.003，−0.044±0.003)和时滞模型(β=−0.011±0.004，−0.012±0.004，−0.013±0.004)中，抑郁情绪越强，满意度、表现和活动参与度越差。基于智能手机的动态评估可以阐明中风后的功能行为和相关情绪。研究结果支持行为激活疗法，为中风幸存者安排社交和工具性活动，以减少他们的抑郁情绪。
The impact of depressed mood in daily life is difficult to investigate using traditional retrospective assessments, given daily or even within-day mood fluctuations in various contexts. This study aimed to use a smartphone-based ambulatory assessment to examine real-time relationships between depressed mood and functional behaviors among individuals with stroke. A total of 202 participants with mild-to-moderate stroke (90% ischemic, 45% female, 44% Black) completed an ecological momentary assessment five times per day for 2 weeks by reporting their depressed mood and functional behaviors regarding where, with whom, and what activity was spent. Participants spent 28% of their wake-up time participating in passive leisure activities but spent the least time in physical (4%) and vocational (9%) activities. Depressed mood was concurrently lower when participants engaged in social activities (β = −0.023 ± 0.011) and instrumental activities of daily living (β = −0.061 ± 0.013); spent time with family members (β = −0.061 ± 0.014), spouses (β = −0.043, ± 0.016), friends (β = −0.094, ± 0.021), and coworkers (β = −0.050 ± 0.021); and were located in restaurants (β = −0.068 ± 0.029), and homes of family members (β = −0.039 ± 0.020) or friends (β = −0.069 ± 0.031). Greater depressed mood was associated with worse ratings in satisfaction, performance, and engagement of activities in concurrent (βs = −0.036 ± 0.003, −0.053 ± 0.003, −0.044 ± 0.003) and time-lagged models (β = −0.011 ± 0.004, −0.012 ± 0.004, −0.013 ± 0.004). Smartphone-based ambulatory assessment can elucidate functional behaviors and associated mood after stroke. Findings support behavioral activation treatments to schedule social and instrumental activities for stroke survivors to reduce their depressed mood.