在精神分裂症谱系障碍患者和未受影响个体中比较对经验采样方法的坚持:来自多中心DiAPAson项目的观察研究
Cristina Zarbo1,2, Manuel Zamparini1, Olav Nielssen3,4
1Unit of Epidemiological and Evaluation Psychiatry, IRCCS Istituto Centro San Giovanni di Dio Fatebenefratelli, Brescia, Italy.
Journal of medical Internet research
|July 18, 2023
概括
精神分裂症谱系障碍 (SSD) 患者对经验采样方法 (ESM) 的坚持较低. 更高的自尊和协作技能预测SSD患者更好的ESM坚持.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 数字健康数字健康
背景情况:
- 经验采样方法 (ESM) 是一种经过验证的工具,用于远程监测活动和情绪.
- 在患有精神分裂症谱系障碍 (SSD) 的患者中,对ESM坚持的预测因素尚不清楚.
- 了解坚持是优化ESM研究设计和治疗计划的关键.
研究的目的:
- 为了比较SSD患者和未受影响的对照患者之间的ESM坚持.
- 为了研究两个组的坚持模式.
- 确定SSD患者ESM坚持的预测因素.
主要方法:
- 131名SSD患者和115名对照患者参加了10个意大利中心的研究.
- 基于智能手机的ESM在7天内每天使用8次,以评估时间使用和情绪.
- 通过响应率来衡量坚持;使用千平方,ANOVA,Kruskal-Wallis,弗里德曼测试和后勤回归来分析数据.
主要成果:
- 与对照组 (78%) 相比,SSD患者表现出较低的ESM坚持 (50-59%).
- 所有参与者的坚持在晚上晚些时候和6天后都下降了.
- 对于SSD患者来说,更高的坚持与更好的协作技能和自尊相联系,以及较低的积极症状严重程度.
结论:
- 在SSD患者中,ESM遵守率较低,受白天时间和监测持续时间的影响.
- 协作技巧,自尊和积极的症状严重程度预测SSD患者的坚持.
- 建议包括优化监测时间表,患者选择,以及为未来的ESM研究提供技术培训.
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