在基于智能手机的研究中确定影响失踪的因素:对青少年自杀思想和行为进行密集的纵向研究的含义
Paul A Bloom1, Ranqing Lan1, Hanga Galfalvy1
1Department of Psychiatry, New York State Psychiatric Institute, Columbia University Irving Medical Center.
Journal of psychopathology and clinical science
|July 18, 2024
概括
青少年自杀思想和行为 (STB) 密集纵向研究中缺少的数据通常是由于研究设计,而不是临床因素. 时间特征,而不是症状严重程度,预测数据缺口,影响研究有效性.
科学领域:
- 精神病学是一个精神病学.
- 数字健康数字健康
- 青少年心理健康 青少年心理健康
背景情况:
- 密集的纵向研究,包括智能手机监控,可以确定精神病理和自杀思想和行为 (STB) 的危险因素.
- 缺少数据对此类研究的分析和解释构成了重大挑战.
研究的目的:
- 调查临床/设计因素与青少年心理健康研究中缺失的数据之间的关联.
- 确定数据缺失是否预测症状严重程度或STB的变化.
主要方法:
- 患有情绪,焦虑或物质使用障碍的青少年 (N=179,年龄13-18岁) 提供了被动智能手机传感器数据,并完成了6个月的每日/每周调查.
- 数据采集包括GPS,加速度计,键盘输入,情绪调查和通过智能手机应用程序进行自杀想法调查.
- 统计分析检查了缺少数据,临床变量和时间/设计因素之间的关系.
主要成果:
- 被动智能手机数据采集与当天调查数据采集有很强的相关性.
- 缺少的数据基本上与性病或精神症状无关.
- 时间因素 (例如,研究持续时间,周末,季节) 比临床因素更能预测缺失的数据.
- 缺失数据的变化并不能预测自杀意念或症状的后续变化.
结论:
- 在密集的纵向研究中,缺少的数据主要受到研究设计和时间因素的影响,而不是临床状态.
- 研究人员必须考虑技术和设计要素,以确保数字心理健康研究结果的有效性.
- 解决导致数据差距的因素对于青少年心理健康研究中准确的临床解释至关重要.
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