An ecological momentary intervention incorporating personalised feedback to improve symptoms and social functioning in schizophrenia spectrum disorders

PSYCHIATRY RESEARCH

卷:284

Article

Hanssen, Esther^1,2  Balvert, Sanne^1,2  Oorschot, Margreet³  Borkelmans, Karel⁴  van Os, Jim⁵  Delespaul, Philippe^4,6  Fett, Anne-Kathrin^1,2,7,8 

[1] Vrije Univ Amsterdam, Fac Behav & Movement Sci, Dept Clin Neuro & Dev Psychol, Amsterdam, Netherlands

[2] Vrije Univ Amsterdam, Inst Brain & Behav Amsterdam, Amsterdam, Netherlands

[3] GGZ Delfland, Delft, Netherlands

[4] Maastricht Univ, Sch Mental Hlth & Neurosci, Dept Psychiat & Neuropsychol, Med Ctr, Maastricht, Netherlands

[5] Univ Med Ctr Utrecht, Brain Ctr Rudolf Magnus, Dept Psychiat, Utrecht, Netherlands

[6] Mondriaan Mental Hlth Trust, Heerlen, Netherlands

[7] City Univ London, Dept Psychol, London, England

[8] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Psychosis Studies, CSI Lab, London, England

关键词: Psychoses;    Experience sampling method;    Mobile health;    Treatment;    Intervention;    Social contact;   

DOI  :  10.1016/j.psychres.2019.112695

来源: Elsevier

【 摘 要 】

This study examined the feasibility and effectiveness of an interactive smartphone application that aimed to improve daily-life social functioning and symptoms in schizophrenia spectrum disorders (SZ) with Experience Sampling Method (ESM) derived personalised feedback.Two groups of outpatients with a diagnosis of SZ were included (one receiving ESM-derived personalised feedback (n = 27) and one without feedback (n = 23)) and used the interactive smartphone application for three weeks. Main outcomes were momentary symptoms and social functioning, as assessed by ESM questionnaires. Additionally, feasibility and user-friendliness of the application were assessed. The response rate was 64% for the ESM questionnaires. In the feedback group, participants indicated that on 49% of the ESM days they acted on at least one personalised feedback prompt per day. Momentary psychotic symptoms significantly decreased over time only in the feedback group. Momentary loneliness and questionnaire-assessed psychotic symptoms decreased over time, irrespective of feedback. Participants evaluated the app as user-friendly and understandable. Momentary personalised feedback may impact momentary psychosis in daily life. Feelings of loneliness and questionnaire-based measured psychotic symptoms may be more responsive to non-specific effects of daily-life self-monitoring, not requiring specific feedback. Ecological momentary interventions offer opportunities for accessible and effective interventions in SZ.

【 授权许可】

Free