Clinical assessment of affective instability: comparing EMA indices, questionnaire reports, and retrospective recall.
Clinical assessment of affective instability: comparing EMA indices, questionnaire reports, and retrospective recall.
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DOI：
10.1037/a0016869
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发表时间：
2009-09
影响因子：
3.6
通讯作者：
Wood, Phillip K.
中科院分区：
文献类型：
--
作者：
Solhan, Marika B.;Trull, Timothy J.;Jahng, Seungmin;Wood, Phillip K.
关键词：
传统的精神病理学自我报告测量可能会受到各种回忆偏差的影响。生态瞬时评估（EMA）通过评估个人在自然环境中的经历来减少这些偏差。本研究探讨了特质问卷，回顾性报告，情绪不稳定的精神科门诊患者之间的差异，无论是与边缘性人格诊断（BPD; n=58）或与当前的重性抑郁发作或恶劣心境（MDD/DYS; n=42）。我们研究了情感不稳定性的三个特质测量（人格评估量表-边缘特征量表-情感不稳定性量表，情感强度测量和情感不稳定性量表）和一个回顾性情绪回忆任务与情绪和情绪不稳定性EMA指数的一致性。结果表明，只有温和的临时和问卷评估的特质情感不稳定性之间的协议，回忆情绪变化和EMA指数之间的协议是穷人。临床研究和实践的EMA方法和可能的应用的影响进行了讨论。
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 (BPD; n=58) or with a current major depressive episode or dysthymia (MDD/DYS; n=42). We examined the agreement of three trait measures of affective instability (Personality Assessment Inventory-Borderline Features scale – Affective Instability scale, Affect Intensity Measure, and the Affect Lability Scales) and one 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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