Ambulatory Assessment

Ambulatory Assessment
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DOI:
10.1146/annurev-clinpsy-050212-185510
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发表时间:
2013-01-01
期刊:
ANNUAL REVIEW OF CLINICAL PSYCHOLOGY, VOL 9
影响因子:
--
通讯作者:
Ebner-Priemer, Ulrich
Ebner-Priemer, Ulrich
中科院分区:
其他
文献类型:
--
作者:
Trull, Timothy J.;Ebner-Priemer, Ulrich

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动态评估(AA)涵盖了广泛的评估方法,以研究自然环境中的人,包括自我报告,观察和生物/生理/行为。AA方法在实时或接近实时地从患者的日常生活中收集生态有效数据的同时,最大限度地减少了回顾性偏差。在这里,我们报告了AA的主要特征,并提供了AA在临床心理学中的应用实例(a)研究症状的机制和动态,(b)预测症状的未来复发或发作,(c)监测治疗效果,(d)预测治疗成功,(e)预防复发,以及(f)作为干预措施。此外,我们提出并讨论了未来最紧迫和最引人注目的AA应用:技术发展(智能手机),通过联合实验室现场研究提高实验室结果的生态有效性,以及调查基因-环境相互作用。最后,我们讨论了可接受性、遵从性、隐私和道德问题。
Ambulatory assessment (AA) covers a wide range of assessment methods to study people in their natural environment, including self-report, observational, and biological/physiological/behavioral. AA methods minimize retrospective biases while gathering ecologically valid data from patients' everyday life in real time or near real time. Here, we report on the major characteristics of AA, and we provide examples of applications of AA in clinical psychology (a) to investigate mechanisms and dynamics of symptoms, (b) to predict the future recurrence or onset of symptoms, (c) to monitor treatment effects, (d) to predict treatment success, (e) to prevent relapse, and (f) as interventions. In addition, we present and discuss the most pressing and compelling future AA applications: technological developments (the smartphone), improved ecological validity of laboratory results by combined lab-field studies, and investigating gene-environment interactions. We conclude with a discussion of acceptability, compliance, privacy, and ethical issues.