Trends in ambulatory self-report: the role of momentary experience in psychosomatic medicine.
Trends in ambulatory self-report: the role of momentary experience in psychosomatic medicine.
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DOI：
10.1097/psy.0b013e3182546f18
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发表时间：
2012-05
影响因子：
3.3
通讯作者：
Barrett LF
中科院分区：
文献类型：
--
作者：
Conner TS;Barrett LF
在本文中，我们回顾了瞬间、回顾性和特质自我报告技术之间的差异，并讨论了瞬间经验的门诊报告在心身医学中发挥的独特作用。在简要回顾自我报告技术的历史之后，我们讨论了将动态自我报告与定性不同的意识自我-“体验自我”联系起来的最新观点，体验自我在功能和神经解剖学上不同于通过回顾性和特质问卷测量的“记忆”和“相信”自我。体验自我的功能是驾驭当前的环境，相对而言，它更多地与来自调节自主过程的身体的突出网络和物质信息联系在一起。作为证据，我们回顾了研究表明，与记忆或信念相比，通过门诊评估测量的经历与心血管反应性、皮质醇反应、免疫系统功能和威胁/奖励生物标志物有更强的关联。相比之下，记忆和信念在决策和长期规划中发挥着重要作用，但它们与身体过程的联系较少，而与默认/长期记忆网络的联系更多，这使它们对某些研究问题的敏感性降到最低。最后，我们提出了在心身医学中使用自我报告问卷的具体建议，并建议对经验进行密集的门诊评估可能为将心理过程与生物过程联系起来提供更大的敏感性。
In this article, we review the differences between momentary, retrospective, and trait self-report techniques and discuss the unique role that ambulatory reports of momentary experience play in psychosomatic medicine. Following a brief historical review of self-report techniques, we discuss the latest perspective which links ambulatory self-reports to a qualitatively different conscious self – the ‘experiencing self’– which is functionally and neuroanatomically different from the ‘remembering’ and ‘believing’ selves measured through retrospective and trait questionnaires. The experiencing self functions to navigate current environments and is relatively more tied to the salience network and corporeal information from the body that regulates autonomic processes. As evidence, we review research showing that experiences measured through ambulatory assessment have stronger associations with cardiovascular reactivity, cortisol response, immune system function, and threat/reward biomarkers compared to memories or beliefs. By contrast, memories and beliefs play important roles in decision making and long-term planning, but they are less tied to bodily processes and more tied to default/long-term memory networks, which minimizes their sensitivity for certain research questions. We conclude with specific recommendations for using self-report questionnaires in psychosomatic medicine and suggest that intensive ambulatory assessment of experiences may provide greater sensitivity for connecting psychological with biological processes.