在强迫症背景下使用生态瞬时评估方法和设计：系统回顾

IF 1.9 4区医学 Q3 PSYCHIATRY

Journal of Obsessive-Compulsive and Related Disorders Pub Date : 2025-04-01 DOI:10.1016/j.jocrd.2025.100952

Rui Braga , Divo Faustino , Maria João Faria , Miguel M. Gonçalves , Julian Rubel , João Tiago Oliveira

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引用次数: 0

摘要

背景：在强迫症（OCD）研究领域，即时评估（EMA）是一种越来越流行的方法，它提供了一种实时捕捉症状波动的方法。尽管其灵活性使其能够适应广泛的研究目标，但目前还没有对强迫症研究中的EMA设计进行全面的研究。方法系统检索了34项使用EMA治疗强迫症患者的研究。提取有关研究目标、抽样计划、数据收集平台、反应量表和评估变量的数据。项目内容进行定性分析，对主题进行分类评估。结果研究设计有相当大的差异。数据收集的平均持续时间从1天到7天不等，平均每天进行4次评估。共抽取了374项，确定了12个主题。最常见的项目主题与强迫症症状（49.7%）和情绪/情绪（27%）有关。使用的平台包括数字设备（35.3%）和传统的纸笔方法（58.8%）。只有32.4%的研究报告的应答率平均为74.2%，而辍学率平均为24.8%。方法的可变性强调了EMA的适应性，但也强调了标准化的挑战。结论与强迫症症状和情绪相关的主题占主导地位，反映了EMA对捕捉动态过程的关注。总结本综述中确定的方法趋势，为未来基于ema的强迫症研究改进设计和标准化提供了基础。系统评价注册[CRD42023406887]。

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The use of ecological momentary assessment methods and designs in the context of obsessive-compulsive disorder: A systematic review

Background

Ecological momentary assessment (EMA) is becoming an increasingly prevalent methodology in the field of obsessive-compulsive disorder (OCD) research, offering a means of capturing symptom fluctuations in real-time. Although its flexibility allows it to be adapted to a wide range of study objectives, there is currently no comprehensive study of EMA designs in OCD research.

Methods

A systematic search identified 34 studies that employed EMA with patients diagnosed with OCD. Data were extracted on the study objectives, sampling schedules, data collection platforms, response scales, and variables assessed. Items content was subjected to qualitative analysis to categorize the theme assessed.

Results

There was considerable variation in the studies’ designs. The mean duration of data collection varied from one to seven days, with an average of four daily assessments. A total of 374 items were extracted, and 12 themes were identified. The most frequent item themes were related to OCD symptoms (49.7 %) and mood/emotions (27 %). The platforms used included digital devices (35.3 %) and traditional pen-and-paper methods (58.8 %). Response rates, reported in only 32.4 % of studies, averaged 74.2 %, while dropout rates averaged 24.8 %. The variability of the methods underlined the adaptability of EMA, but also highlighted standardization challenges.

Conclusions

Item themes related to OCD symptoms and mood were dominant, reflecting the focus of EMA on capturing dynamic processes. Summarising the methodological trends identified in this review provides a foundation for improving design and standardization in future EMA-based OCD research.

Systematic review registration

[CRD42023406887].

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来源期刊

Journal of Obsessive-Compulsive and Related Disorders PSYCHIATRY-

CiteScore

4.00

自引率

5.60%

发文量

审稿时长

47 days

期刊介绍： Journal of Obsessive-Compulsive and Related Disorders (JOCRD) is an international journal that publishes high quality research and clinically-oriented articles dealing with all aspects of obsessive-compulsive disorder (OCD) and related conditions (OC spectrum disorders; e.g., trichotillomania, hoarding, body dysmorphic disorder). The journal invites studies of clinical and non-clinical (i.e., student) samples of all age groups from the fields of psychiatry, psychology, neuroscience, and other medical and health sciences. The journal''s broad focus encompasses classification, assessment, psychological and psychiatric treatment, prevention, psychopathology, neurobiology and genetics. Clinical reports (descriptions of innovative treatment methods) and book reviews on all aspects of OCD-related disorders will be considered, as will theoretical and review articles that make valuable contributions. Suitable topics for manuscripts include: -The boundaries of OCD and relationships with OC spectrum disorders -Validation of assessments of obsessive-compulsive and related phenomena -OCD symptoms in diverse social and cultural contexts -Studies of neurobiological and genetic factors in OCD and related conditions -Experimental and descriptive psychopathology and epidemiological studies -Studies on relationships among cognitive and behavioral variables in OCD and related disorders -Interpersonal aspects of OCD and related disorders -Evaluation of psychological and psychiatric treatment and prevention programs, and predictors of outcome.