Jeffrey M Pavlacic, John Young, Christine K Hahn, Kenneth J Ruggiero, Alyssa A Rheingold
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Heterogeneity in posttraumatic psychopathology, posttraumatic psychopathology diagnostic classification models, and applicability of technology are reviewed. Next, we discuss JITA-EMA and EMI frameworks, EMA of posttraumatic psychopathology, EMI outcomes, and JITA-EMA and EMI outcomes. We conclude by discussing clinical application and considering dilemmas, ethical issues, and limitations. Future research directions and potential treatment adaptations and innovations are given.</p><p><strong>Results: </strong>JITA-EMA/Is have the potential to reinforce skill acquisition and uptake in evidence-based treatments if implemented as standalones or in conjunction with established, evidence-based interventions.</p><p><strong>Conclusions: </strong>JITA-EMA and EMIs may eventually inform clinical and research efforts by affording an understanding of how idiographic variability in biopsychosocial factors relates to changes in etiology, course, and treatment outcomes. 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引用次数: 0
摘要
目的:一种针对具体问题定制干预措施和匹配循证程序的技术是即时适应方法,也称为生态瞬时干预。这些基于技术的方法涉及在最需要的时候实时提供基于证据的技能,这些技能可以根据个人数据输入进行定制。本文综述了即时适应性生态瞬时评价(jit - ema;Schneider et al., 2023)和生态瞬间干预(EMIs;Heron & Smyth, 2010)在现代技术时代创伤相关精神病理学领域的研究。方法:我们提供一个广泛的,叙述性的概述。本文综述了创伤后精神病理的异质性、创伤后精神病理诊断分类模型和技术的适用性。接下来,我们将讨论jata -EMA和EMI框架、创伤后精神病理学的EMA、EMI结果以及jata -EMA和EMI结果。最后,我们讨论了临床应用,并考虑了困境、伦理问题和局限性。提出了今后的研究方向和可能的治疗适应与创新。结果:JITA-EMA/Is如果单独实施或与已建立的循证干预措施结合实施,有可能加强循证治疗中的技能获取和吸收。结论:JITA-EMA和EMIs可能最终通过了解生物心理社会因素的特异性变异如何与病因、病程和治疗结果的变化相关,从而为临床和研究工作提供信息。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Just-in-time adaptive ecological momentary assessment and ecological momentary interventions for posttraumatic psychopathology in the modern age of technology.
Objective: One technique for tailoring interventions and matching evidence-based procedures to idiographic problems is just-in-time adaptive approaches, also referred to as ecological momentary intervention. These technology-based approaches involve real-time delivery of evidence-based skills when most needed, which can be tailored to individual data inputs. The current article reviews just-in-time adaptive ecological momentary assessment (JITA-EMA; Schneider et al., 2023) and ecological momentary interventions (EMIs; Heron & Smyth, 2010) with respect to the field of trauma-related psychopathology in the modern age of technology.
Method: We provide a broad, narrative overview. Heterogeneity in posttraumatic psychopathology, posttraumatic psychopathology diagnostic classification models, and applicability of technology are reviewed. Next, we discuss JITA-EMA and EMI frameworks, EMA of posttraumatic psychopathology, EMI outcomes, and JITA-EMA and EMI outcomes. We conclude by discussing clinical application and considering dilemmas, ethical issues, and limitations. Future research directions and potential treatment adaptations and innovations are given.
Results: JITA-EMA/Is have the potential to reinforce skill acquisition and uptake in evidence-based treatments if implemented as standalones or in conjunction with established, evidence-based interventions.
Conclusions: JITA-EMA and EMIs may eventually inform clinical and research efforts by affording an understanding of how idiographic variability in biopsychosocial factors relates to changes in etiology, course, and treatment outcomes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Psychological Trauma: Theory, Research, Practice, and Policy publishes empirical research on the psychological effects of trauma. The journal is intended to be a forum for an interdisciplinary discussion on trauma, blending science, theory, practice, and policy.
The journal publishes empirical research on a wide range of trauma-related topics, including:
-Psychological treatments and effects
-Promotion of education about effects of and treatment for trauma
-Assessment and diagnosis of trauma
-Pathophysiology of trauma reactions
-Health services (delivery of services to trauma populations)
-Epidemiological studies and risk factor studies
-Neuroimaging studies
-Trauma and cultural competence