Effects of momentary self-monitoring on empowerment in a randomized controlled trial in patients with depression

随机对照试验 授权 心理干预 经验抽样法 自我监控 萧条(经济学) 心理学 感觉 物理疗法 医学 临床心理学 内科学 精神科 社会心理学 政治学 法学 经济 宏观经济学
作者
Claudia J.P. Simons,Jessica Hartmann,Ingrid Kramer,Claudia Menne‐Lothmann,Petra Höhn,A.L. van Bemmel,Inez Myin‐Germeys,Philippe Delespaul,Jim van Os,Marieke Wichers
出处
期刊:European Psychiatry [Cambridge University Press]
卷期号:30 (8): 900-906 被引量:54
标识
DOI:10.1016/j.eurpsy.2015.09.004
摘要

Abstract Background Interventions based on the experience sampling method (ESM) are ideally suited to provide insight into personal, contextualized affective patterns in the flow of daily life. Recently, we showed that an ESM-intervention focusing on positive affect was associated with a decrease in symptoms in patients with depression. The aim of the present study was to examine whether ESM-intervention increased patient empowerment. Methods Depressed out-patients ( n = 102) receiving psychopharmacological treatment who had participated in a randomized controlled trial with three arms: (i) an experimental group receiving six weeks of ESM self-monitoring combined with weekly feedback sessions, (ii) a pseudo-experimental group participating in six weeks of ESM self-monitoring without feedback, and (iii) a control group (treatment as usual only). Patients were recruited in the Netherlands between January 2010 and February 2012. Self-report empowerment scores were obtained pre- and post-intervention. Results There was an effect of group × assessment period, indicating that the experimental (B = 7.26, P = 0.061, d = 0.44, statistically imprecise) and pseudo-experimental group (B = 11.19, P = 0.003, d = 0.76) increased more in reported empowerment compared to the control group. In the pseudo-experimental group, 29% of the participants showed a statistically reliable increase in empowerment score and 0% reliable decrease compared to 17% reliable increase and 21% reliable decrease in the control group. The experimental group showed 19% reliable increase and 4% reliable decrease. Conclusions These findings tentatively suggest that self-monitoring to complement standard antidepressant treatment may increase patients’ feelings of empowerment. Further research is necessary to investigate long-term empowering effects of self-monitoring in combination with person-tailored feedback.
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