Experience Sampling Method (ESM) is a structured diary technique assessing variations in thoughts, mood, and psychiatric symptoms in everyday life. Research has provided ample evidence for the efficacy of the use of ESM in general psychiatry but its use in forensic psychiatry has been limited. Twenty forensic psychiatric patients participated. The PsyMate™ Device emitted a signal 10 times a day on six consecutive days, at unpredictable moments. After each “beep,” the patients completed ESM forms assessing current context, thoughts, positive and negative affect, and psychotic experiences. Stress was measured using the average scores of the stress related items. Compliance rate was high (85% beeps responded). Activity stress was related to more negative affect, lower positive affect, and more psychotic symptoms. This finding was restricted to moments when a team member was present; not when patients were alone or with other patients. ESM can be useful in forensic psychiatry and give insights into the relationships between symptoms and mood in different contexts. In this study activity-related stress was contextualized. These findings can be used to personalize interventions.

经验抽样法 (ESM) 是一种结构化日记技术，用于评估日常生活中的思想、情绪和精神症状的变化。研究为 ESM 在一般精神病学中的使用提供了充足的证据，但它在法医精神病学中的使用受到限制。二十名法医精神病患者参加了。PsyMate™ 设备在不可预测的时刻连续六天每天发出 10 次信号。每次发出“哔”声后，患者都会填写 ESM 表格，评估当前的背景、想法、正面和负面影响以及精神病经历。压力是使用压力相关项目的平均分数来衡量的。依从率高（85% 的蜂鸣声响应）。活动压力与更多的负面情绪、较低的正面情绪和更多的精神病症状有关。这一发现仅限于团队成员在场的时刻；不是当患者单独或与其他患者在一起时。ESM 可用于法医精神病学，并深入了解不同背景下症状与情绪之间的关系。在这项研究中，与活动相关的压力是情境化的。这些发现可用于个性化干预。