Mobile therapy: case study evaluations of a cell phone application for emotional self-awareness.
Mobile therapy: case study evaluations of a cell phone application for emotional self-awareness.
复制标题
DOI：
10.2196/jmir.1371
复制
发表时间：
2010-04-30
影响因子：
7.4
通讯作者：
Deleeuw W
中科院分区：
文献类型：
--
作者：
Morris ME;Kathawala Q;Leen TK;Gorenstein EE;Guilak F;Labhard M;Deleeuw W
情绪意识和自我调节是改善心理健康和降低心血管疾病风险的重要技能。认知行为疗法可以教授这些技能，但尚未广泛应用。这项探索性研究探讨了移动电话技术在扩大认知行为治疗技术的使用范围和提供即时支持方面的潜力。我们开发了一款带有触摸屏秤的手机应用程序，用于进行情绪报告和认知重新评估（即检查不适应的解释）和身体放松的治疗练习。该应用程序是在一项为期一个月的实地研究中部署的，对八名在员工健康评估期间报告有巨大压力的人进行了研究。参与者每天被提示通过手机在情绪地图（情绪循环模型的翻译）和一系列单维情绪量表上报告自己的情绪。使用原型，参与者还可以根据需要激活移动疗法。在每周一次的开放式访谈中，参与者讨论了他们对设备的使用，并对他们的数据的纵向视图做出了回应。分析包括对采访叙述的主题回顾、对研究过程中情绪变化和昼夜周期的评估，以及根据采访中报告的压力事件对移动数据进行询问。五个案例研究说明了参与者使用手机应用程序来提高自我意识和应对压力。一个例子是一位参与者一直在应对长期的婚姻冲突。在反思了他的情绪数据，特别是每天晚上精力下降后，参与者开始在进入家中之前通过电话练习放松疗法，应用认知重新评估技术来应对压力较大的家庭互动，并与妻子更开诚布公地交谈。在实地研究的后半段，他的平均愤怒、焦虑和悲伤评分均低于前半段（所有三个量表的 P ≤ .01）。当其他参与者使用该应用程序来协商官僚挫折、工作紧张和人际关系时，他们也观察到了类似的变化。参与者似乎了解针对该体验采样应用程序开发的情绪量表，并以与每周访谈中的自我反思基本一致的方式做出回应。与昼夜周期、研究过程中的个人进步以及压力事件相关的情绪变化的访谈记录可以在经验抽样数据中看到。访谈和经验抽样数据之间的差异凸显了个人对两种形式的询问的反应方式以及他们在研究过程中如何校准情绪评级。参与者很快掌握了情绪图和治疗概念，并创造性地应用它们来帮助自己和同情他人。为手机开发的应用程序有望以一种非污名化的方式向许多原本无法获得治疗的人提供最先进的心理治疗。
Emotional awareness and self-regulation are important skills for improving mental health and reducing the risk of cardiovascular disease. Cognitive behavioral therapy can teach these skills but is not widely available. This exploratory study examined the potential of mobile phone technologies to broaden access to cognitive behavioral therapy techniques and to provide in-the-moment support. We developed a mobile phone application with touch screen scales for mood reporting and therapeutic exercises for cognitive reappraisal (ie, examination of maladaptive interpretations) and physical relaxation. The application was deployed in a one-month field study with eight individuals who had reported significant stress during an employee health assessment. Participants were prompted via their mobile phones to report their moods several times a day on a Mood Map—a translation of the circumplex model of emotion—and a series of single-dimension mood scales. Using the prototype, participants could also activate mobile therapies as needed. During weekly open-ended interviews, participants discussed their use of the device and responded to longitudinal views of their data. Analyses included a thematic review of interview narratives, assessment of mood changes over the course of the study and the diurnal cycle, and interrogation of this mobile data based on stressful incidents reported in interviews. Five case studies illustrate participants' use of the mobile phone application to increase self-awareness and to cope with stress. One example is a participant who had been coping with longstanding marital conflict. After reflecting on his mood data, particularly a drop in energy each evening, the participant began practicing relaxation therapies on the phone before entering his house, applying cognitive reappraisal techniques to cope with stressful family interactions, and talking more openly with his wife. His mean anger, anxiety and sadness ratings all were lower in the second half of the field study than in the first (P ≤ .01 for all three scales). Similar changes were observed among other participants as they used the application to negotiate bureaucratic frustrations, work tensions and personal relationships. Participants appeared to understand the mood scales developed for this experience sampling application and responded to them in a way that was generally consistent with self-reflection in weekly interviews. Interview accounts of mood changes, associated with diurnal cycles, personal improvement over the course of the study, and stressful episodes, could be seen in the experience sampling data. Discrepancies between interview and experience-sampling data highlighted the ways that individuals responded to the two forms of inquiry and how they calibrated mood ratings over the course of the study. Participants quickly grasped the Mood Mapping and therapeutic concepts, and applied them creatively in order to help themselves and empathize with others. Applications developed for mobile phones hold promise for delivering state-of-the-art psychotherapies in a nonstigmatizing fashion to many people who otherwise would not have access to therapy.
登录
查看更多内容
影响因子：
1.6
作者：
Morris, Margaret;Guilak, Farzin
通讯作者：
Guilak, Farzin
影响因子：
7.6
作者：
RUSSELL, JA
通讯作者：
RUSSELL, JA
影响因子：
1.9
作者：
CSIKSZENTMIHALYI, M;LARSON, R
通讯作者：
LARSON, R
影响因子：
16.4
作者：
Diener, E
通讯作者：
Diener, E
影响因子：
2.9
作者：
Gorenstein, Ethan E.;Tager, Felice A.;Sloan, Richard P.
通讯作者：
Sloan, Richard P.