The interplay of daily affect and impulsivity measured by mobile surveys in bipolar disorder.
The interplay of daily affect and impulsivity measured by mobile surveys in bipolar disorder.
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DOI：
10.1186/s40345-022-00270-8
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发表时间：
2022-10-31
影响因子：
4
通讯作者：
Eyler, Lisa T.
中科院分区：
文献类型：
--
作者：
Titone, Madison K.;Depp, Colin;Klaus, Federica;Carrasco, Jessica;Young, Jared W.;Eyler, Lisa T.
冲动是双相情感障碍的一个突出特征，与各种负面后遗症相关;此外，它可能是情感或情绪变化的前兆，但对其与日常时间尺度上的情感的关联知之甚少。使用移动的调查对冲动性和情感进行的生态瞬时评估（一种通过对同一个体重复采样来获取心理状态的即时评级的方法）允许对情绪和行为失调的机制进行更细致的检查。然而，很少有现有的研究已经验证了双相情感障碍的冲动性的生态瞬时评估，并检查其与积极和消极的影响的时间滞后的协会。70名双相情感障碍患者和102名健康对照参与了一项密集的纵向研究：他们每年进行1-4天的生态瞬时评估数据收集，持续1-4年。使用自我报告、行为和生态瞬时评估模式收集冲动性和情感的多项指标;比较这些指标，并比较双相情感障碍和健康对照组之间的冲动性水平。使用每日平均值的时间滞后分析探讨了第二天的预测关系的冲动积极/消极的影响，反之亦然。冲动性的生态瞬时测量与自我报告中度相关，但与行为冲动性测量无关。双相情感障碍的参与者表现出更高的自我报告，行为和日常冲动比健康的对照参与者。时间滞后分析显示，高冲动性和高第二天的负面（但不是正面）影响之间存在双向关联。事后分析表明，冲动性特别预测第二天的愤怒和焦虑。我们对冲动性的多模态评估允许检查冲动性和情感的日常过程，这是理解双相情感障碍情绪症状和发作机制的关键步骤。
Impulsivity is a prominent feature of bipolar disorder associated with various negative sequelae; moreover, it may be a precursor to shifts in affect or mood, but little is known about its association with affect on a day-to-day timescale. Ecological momentary assessments (a method that captures moment-to-moment ratings of psychological states by repeatedly sampling the same individual) of impulsivity and affect using mobile surveys allow for more nuanced examination of mechanisms of mood and behavior dysregulation. However, few existing studies have validated an ecological momentary assessment of impulsivity in bipolar disorder and examined its time-lagged associations with positive and negative affect. 70 participants with bipolar disorder and 102 healthy comparisons participated in an intensive longitudinal study: they underwent 14 days of ecological momentary assessment data collection annually for 1–4 years. Multiple measures of impulsivity and affect were collected using self-report, behavioral, and ecological momentary assessment modalities; these measures were compared, and levels of impulsivity were compared between bipolar disorder and healthy comparison groups. Time-lagged analyses using daily means explored the next-day predictive relationship of impulsivity on positive/negative affect, and vice versa. The ecological momentary measure of impulsivity was moderately correlated with the self-report but not behavioral impulsivity measure. Bipolar disorder participants evinced higher self-report, behavioral, and daily impulsivity than healthy comparison participants. Time-lagged analyses revealed a bi-directional association between high impulsivity and high next-day negative (but not positive) affect. Post hoc analyses showed that impulsivity specifically predicted next-day anger and anxiety. Our multimodal assessment of impulsivity allowed for an examination of the day-to-day course of impulsivity and affect, crucial steps toward understanding the mechanisms of mood symptom and episode onset in bipolar disorder.
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影响因子：
5.4
作者：
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通讯作者：
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