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生态瞬时评估应用于自杀研究的可行性评价

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目的:探究在中国文化背景下,运用智能手机结合可穿戴式设备的生态瞬时评估方法(ecological momen-tary assessment,EMA)进行自杀想法动态监测研究的可行性.方法:在国内三所医院门诊中招募32名心境障碍且目前有自杀意念的成人患者作为研究对象,通过智能手机完成28天每日5~8次自杀想法及相关因素调查,并佩戴智能手环以客观收集睡眠和运动情况.结果:调查对象平均完成23.0±8.0天调查(范围7~28天),其中68.8%完成28天调查.共发送调查3780次,应答2557次(应答依从性为67.6%).每位患者平均应答79.9±47.1次,平均佩戴手环19.5±10.3天.结论:结果初步支持在国内背景下运用主客观相结合的EMA动态监测自杀想法的可行性,未来可进一步探索自杀想法变化特征和短期预测因素.
Feasibility of Ecological Momentary Assessment in Suicide Research
Objective:To investigate the feasibility of using Ecological Momentary Assessment(EMA)based on smart-phones and wearable sensor devices to dynamically monitor of suicidal thoughts in the Chinese culture context.Methods:Thirty-two adults diagnosed with mood disorders and experiencing suicidal ideation(SI)were recruited from outpatient clin-ics in three hospitals of China.Over a 28-day EMA period,recruited subjects were required to complete 5~8 EMA surveys of SI and related factors daily via smartphones.They also wore a smart band daily to objectively collect data on sleep and ex-ercise.Results:Participants completed an average of 23.0±8.0 days of surveys,with 68.8%completing the full 28 days.A total of 3,780 surveys were sent,and 2,557(67.6%)were responded to.The average number of responses was 79.9±47.1,and the average number of days wearing the smart band was 19.5±10.3.Conclusion:This study reveals the potential of us-ing smartphones and wearable sensor devices to investigate the dynamic changes of suicidal thoughts among adults with mood disorders in the Chinese cultural context.Further research can be conducted to explore the underlying mechanisms and predictive factors of suicidal thoughts.

Ecological momentary assessmentSuicidal thoughtReal-time monitoringFeasibilityMood disorder

朱佳鑫、牛璐、侯筱菲、曾梦、陈腾伟、李同赫、陶好娟、马亚荣、林康广、周亮

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中南大学湘雅公共卫生学院社会医学与卫生事业管理系,长沙 410078

天津市安定医院,天津 300000

中南大学湘雅二医院精神科,国家精神心理疾病临床研究中心,长沙 410011

广州医科大学附属脑科医院,广州 510000

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生态瞬时评估法 自杀想法 动态监测 可行性 心境障碍

教育部人文社会科学青年基金

21YJCZH109

2024

中国临床心理学杂志
中国心理卫生协会

中国临床心理学杂志

CSTPCDCSSCI北大核心
影响因子:1.474
ISSN:1005-3611
年,卷(期):2024.32(1)
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