自我评估和休息活动节奏监测,以有效地管理双相情感障碍:一项纵向动图学研究
Bianca Pfaffenseller1, Jakub Schneider2,3,4, Taiane de Azevedo Cardoso5
1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada.
International journal of bipolar disorders
|November 28, 2025
概括
数字工具,如自我评估应用程序和动作图,可以帮助管理双相情感障碍 (BD). 这项研究验证了ASERT工具,并表明这些技术可以预测抑郁情节,改善临床护理.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 数字健康数字健康
- 时间生物学 时间生物学
背景情况:
- 双极性障碍 (BD) 的特点是经常出现情绪发作和扰乱昼夜节律.
- 有效的BD临床管理需要持续的症状监测.
研究的目的:
- 为了验证ASERT (Aktibipo问卷) 的英语版本,用于BD中自我评估的情绪症状.
- 检查自我评估症状,临床医生评分和动图之间的相关性.
- 探索主观和数字测量对BD抑郁情节的预测能力.
主要方法:
- 一项纵向研究涉及20名BD患者,持续了11个月.
- 每周通过智能手机应用程序 (ASERT) 和手腕动图进行情绪自我评估.
- 每月临床医生对情绪严重性的评分,以及FAST和BRIAN问卷.
主要成果:
- 在BD中,ASERT证明了主观情绪评估的有效性和可靠性.
- 在ASERT,临床尺度 (MADRS,YMRS) 和动图数据之间发现了显著的关联.
- 自我评估和动作图的综合方法预测了81%的平衡精度 (AUC=0.80) 的抑郁复发.
- 动图学衍生的日间稳定性与生物节律扰乱相关 (BRIAN分数),突出了昼夜节律在BD中的作用.
结论:
- 数字工具,包括自我评估和动作图,显示了提高BD管理的前景.
- 这些技术为情绪状态提供了宝贵的见解,可以帮助检测复发.
- 需要进一步的研究来优化这些数字工具,以实现个性化的治疗计划和临床应用.
相关概念视频
01:30Pulse rhythm
1.3K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.3K
01:30Bipolar Disorder
584
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
584
01:25Dysrhythmias VII: Nursing Management of Dysrhythmias
308
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
308
01:24Mania and Antimanic Drugs: Overview
522
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
522
01:19Management of Insomnia
495
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
495