生态瞬时评估应用于自杀研究的可行性评价  

Feasibility of Ecological Momentary Assessment in Suicide Research

作　　者：朱佳鑫 牛璐 侯筱菲[2] 曾梦 陈腾伟 李同赫 陶好娟[3] 马亚荣 林康广[4] 周亮[4] ZHU Jia-xin;NIU Lu;HOU Xiao-fei;ZENG Meng;CHEN Teng-wei;LI Tong-he;TAO Hao-juan;MA Ya-rong;LIN Kang-guang;ZHOU Liang(Department of Social Medicine and Health Management,Xiangya School of Public Health,Central South University,Changsha 410078,China;Tianjin Anding Hospital,Tianjin 300000,China;National Clinical Research Center for Mental disorder,and Department of Psychiatry,the Second Xiangya Hospital of Center South University,Changsha 410011,China;The Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510000,China)

机构地区：[1]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 [2]天津市安定医院,天津300000 [3]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 [4]广州医科大学附属脑科医院,广州510000

出　　处：《中国临床心理学杂志》2024年第1期46-50,31,共6页Chinese Journal of Clinical Psychology

基　　金：教育部人文社会科学青年基金(21YJCZH109):基于生态瞬时评估的抑郁症患者自杀危险性动态监测研究。

摘　　要：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 momentary 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。Objective:To investigate the feasibility of using Ecological Momentary Assessment(EMA) based on smartphones 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 clinics 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 exercise.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 using 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.

关 键 词：生态瞬时评估法 自杀想法 动态监测 可行性 心境障碍 

分 类 号：R395.2[哲学宗教—心理学]