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Integrating theory-based and data-driven methods to case conceptualization: A functional analysis approach with ecological momentary assessment
Psychotherapy Research ( IF 4.117 ) Pub Date : 2021-04-20 , DOI: 10.1080/10503307.2021.1916639
S Scholten 1 , T Lischetzke 1 , J A Glombiewski 1
Affiliation  

Abstract

Objective Ecological momentary assessment (EMA) and network analysis are promising empirical developments for psychotherapy research and practice, but they lack a therapeutic rationale that could guide case conceptualization and treatment planning. We developed an assessment strategy that aims to assess functional analysis with EMA. Method: The assessment strategy was applied to a series of three N-of-1 assessments in a proof-of-concept study. After selecting a personalized set of items, EMA was implemented with three measurement time points per day for a period of 30 days. The participants evaluated feasibility and acceptance. Practicing psychotherapists discussed clinical implications in a focus group. Results: The implementation of the assessment strategy seemed feasible and accepted; participants did not report any side effects. Principal component and network analyses indicated interpretable components (e.g., participant 1: hopelessness, procrastination, coping, avoidance). The focus group pointed out potentials (e.g., efficient profit of the waiting time, empowering patients) and challenges (e.g., prioritize and interpret all the information). Conclusion: The presented assessment strategy may enhance the scientific quality of case conceptualization empowering therapists’ decision-making regarding treatment planning. At the same time, it is a concrete demonstration of the challenges that need to be addressed in future research.



中文翻译:

将基于理论和数据驱动的方法整合到案例概念化:具有生态瞬时评估的功能分析方法

摘要

客观生态瞬时评估(EMA)和网络分析是心理治疗研究和实践的有希望的经验发展,但它们缺乏可以指导病例概念化和治疗计划的治疗原理。我们制定了一种评估策略,旨在使用 EMA 评估功能分析。方法:在概念验证研究中,将评估策略应用于一系列三个 N-of-1 评估。在选择了一组个性化的项目后,EMA 实施了每天三个测量时间点,为期 30 天。参与者评估了可行性和接受度。执业心理治疗师在焦点小组中讨论了临床意义。结果:评估战略的实施似乎可行并被接受;参与者没有报告任何副作用。主成分和网络分析表明了可解释的成分(例如,参与者 1:绝望、拖延、应对、回避)。焦点小组指出了潜力(例如,等待时间的有效利润,赋予患者权力)和挑战(例如,优先考虑和解释所有信息)。结论:所提出的评估策略可以提高案例概念化的科学质量,使治疗师能够就治疗计划做出决策。同时,它也具体说明了未来研究中需要解决的挑战。

更新日期:2021-04-20
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