Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study.
Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study.
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部分住院出院后影响的预测因素：一项为期两周的生态瞬时评估研究。
DOI：
10.1017/s0033291719004057
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发表时间：
2021-05
影响因子：
6.9
通讯作者：
Bjorgvinsson, Throstur
中科院分区：
文献类型：
--
作者：
Forgeard, Marie;Beard, Courtney;Shayani, Danielle;Silverman, Alexandra L.;Tsukayama, Eli;Bjorgvinsson, Throstur
人们对个人从急性精神病护理过渡到门诊精神病护理的日常经历知之甚少，这是情绪症状复发的重要风险时期。这项研究使用生态瞬时评估(EMA)来检查特定的日常经历是否与部分住院计划出院后的瞬时情感状态有关。114名成年人(MAGE=36岁，女性52%，白人83%)在两周内每天完成四次简短的EMA调查，评估压力事件和社会接触的强度/类型，以及积极/消极的影响。一半的参与者报告使用了治疗技能。压力严重程度评级前瞻性地预测了增加的负面影响。负面情绪预示着与亲密关系相处的时间会减少。然而，与亲密关系互动预示着更多的积极情绪。最后，积极的情感预测会花更多的时间与更多的人相处。同时，使用两种技能(行为激活和人际效能)与改善情绪有关，但不是前瞻性的。检查个人从部分住院出院的日常经历提供了关于从急诊到门诊护理过渡期间可能影响情感状态的因素的重要信息。这项研究的结果可用于帮助患者为出院做准备，并为后急性期制定干预措施。
Little is known about the everyday experiences of individuals transitioning from acute to outpatient psychiatric care, an important period of risk for mood symptom relapse. This study used Ecological Momentary Assessment (EMA) to examine whether specific daily experiences were related to momentary affective states following discharge from a partial hospitalization program. A sample of 114 adults (Mage = 36 years old, 52% female, 83% White) completed four brief EMA surveys every day for two weeks assessing intensity/type of stressful events and social contact, as well as positive/negative affect. Half of participants reported therapeutic skills use. Stress severity ratings prospectively predicted increased negative affect. Negative affect predicted spending less time with close relationships. However, interacting with close relationships predicted increased positive affect. Finally, positive affect predicted spending time with more people. Use of two skills (behavioral activation and interpersonal effectiveness) was concurrently, but not prospectively, associated with improved affect. Examining daily experiences of individuals discharging from partial hospitalization provides important information about factors that may influence affective states during the transition from acute to outpatient care. Findings from this study can be used to help prepare patients for discharge and develop interventions for the post-acute period.