Ecological Momentary Assessment in psychotherapy research: A systematic review

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2025-02-28 DOI:10.1016/j.cpr.2025.102565

Fabienne Mink , Wolfgang Lutz , Miriam I. Hehlmann

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Abstract

Ecological Momentary Assessment (EMA) stands as a valuable method to capture real-time data on individuals' daily experiences and behaviors. In recent years, the utilization of EMA as a measurement method has substantially increased with the majority of studies emphasizing its clinical utility. However, a comprehensive overview of its use in psychotherapy research is lacking. This study addresses that gap by systematically reviewing EMA's application in psychotherapy research. In total, 168 studies met the inclusion criteria and were classified according to clinical utilization. Six areas of clinical EMA application were identified: prediction of therapy outcome (n = 8), prediction of psychopathology (n = 40), prediction of biopsychosocial states (n = 44), evaluation of therapy outcome (n = 21), acquisition of further clinical insights into specific disorders (n = 68) and adaptation of treatment processes (n = 18). Despite studies consistently highlighting EMA's potential in tailoring psychotherapeutic treatments, its limited use in this area warrants further research. Drawing from our findings, we discuss future research directions for the direct application of EMA in psychotherapeutic settings.

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生态瞬间评估（EMA）是一种获取个人日常经验和行为实时数据的重要方法。近年来，EMA 作为一种测量方法的使用率大幅提高，大多数研究都强调了它的临床实用性。然而，关于其在心理治疗研究中的应用却缺乏全面的概述。本研究通过系统回顾 EMA 在心理治疗研究中的应用，填补了这一空白。共有 168 项研究符合纳入标准，并根据临床应用情况进行了分类。研究确定了 EMA 临床应用的六个领域：治疗结果预测（8 项）、心理病理学预测（40 项）、生物心理社会状态预测（44 项）、治疗结果评估（21 项）、获得对特定疾病的进一步临床见解（68 项）和治疗过程调整（18 项）。尽管不断有研究强调 EMA 在定制心理治疗方面的潜力，但其在这一领域的有限应用仍值得进一步研究。根据我们的研究结果，我们讨论了在心理治疗环境中直接应用 EMA 的未来研究方向。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.