Ambulatory assessment for precision psychiatry: Foundations, current developments and future avenues

Reichert, Markus; Gan, Gabriela; Renz, Malika; Braun, Urs; Brüßler, Sarah; Timm, Irina; Ma, Ren; Berhe, Oksana; Benedyk, Anastasia; Moldavski, Alexander; Schweiger, Janina I.; Hennig, Oliver; Zidda, Francesca; Heim, Christine; Banaschewski, Tobias; Tost, Heike; Ebner‐Priemer, Ulrich W.; Meyer‐Lindenberg, Andreas

doi:10.1016/j.expneurol.2021.113807

Cited by 25 publications

(19 citation statements)

References 101 publications

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“…However, when statistically controlling for these associations with holidays and intentions, we still found significant decreases instead of the expected increases of AC during hard lockdown. the findings, our naturalistic observation precludes drawing causal conclusions because of potentially hidden third variables on specific triggers of AC changes 15 ; therefore, experimental manipulation in everyday life is critically warranted to confirm positive influences of drinking intentions on AC. 30…”

Section: Limitationsmentioning

confidence: 83%

“…Eligible participants were scheduled for a basic assessment appointment during which baseline data were collected and a customized ecological momentary assessment (EMA) smartphone application (movisens app, movisens GmbH) was installed. 15 All participants gave written informed consent before participating in the study. For participants younger than 18 years, a parent or guardian had to provide cosignature of consent.…”

Section: Study Proceduresmentioning

confidence: 99%

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Patterns of Alcohol Consumption Among Individuals With Alcohol Use Disorder During the COVID-19 Pandemic and Lockdowns in Germany

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Section: Limitationsmentioning

confidence: 83%

Section: Study Proceduresmentioning

confidence: 99%

Patterns of Alcohol Consumption Among Individuals With Alcohol Use Disorder During the COVID-19 Pandemic and Lockdowns in Germany

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“…For instance, Reichert et al. ( 2021 ) discuss the potential of ambulatory assessment for precision psychiatry which can also be considered for applied sport science and sport psychological interventions. One advantage is that data can be assessed in real-time and real-life conditions over longer periods of time.…”

Section: Discussionmentioning

confidence: 99%

Self-tracking via smartphone app: Potential tool for athletes’ recovery self-management?

Jakowski

2022

Ger J Exerc Sport Res

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Self-tracking technologies are possible approaches to support recovery self-management activities for athletes. These may have become even more appealing due to stay-at-home restrictions as part of the 2020 pandemic regulations. This study examined user behaviour of smartphone and wearable technologies among 217 athletes (29% women, M age = 26.9 ± 7 years). The online survey comprised demographic questions and standardised questionnaires to assess usage of technologies, sleep quality (Pittsburgh Sleep Quality Index), daytime sleepiness (Epworth Sleepiness Scale), attitudes about sleep (Dysfunctional Beliefs and Attitudes about Sleep Scale), bedtime procrastination (Bedtime Procrastination Scale), and self-control (Brief Self-Control Scale). Fitness apps (46.5%) were more popular than sleep apps (15.7%) followed by nutrition apps (12%). The correlation between sleep apps and the other two apps indicate that non-users of sleep apps are probably also non-users of fitness or nutrition apps. Wearables were more frequently used to track fitness activities (36.9%) than sleep (17.5%). Considering sex, type of sport, competition participation, and training volume, no remarkable characteristics among users versus non-users of sleep apps were identified. There were also no significant differences among sleep indices between sleep app users and non-users. However, self-control was highest among sleep app users compared to non-users (d = 0.58). Despite 34.1% being identified as poor sleepers, behavioural sleeping patterns were within normal range. The results imply that athletes are not as attracted to self-tracking technologies as expected, which makes them less vulnerable to unsubstantiated feedback and inappropriate interventions by those tools. This serves as a starting point to explore the potential of self-tracking ambulatory assessment for physical activity and sleep behaviour of athletes in the post-pandemic era.

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“…To create individual-level buffers, another, more advanced approach is to assess one’s actual activity space using ambulatory assessment methods, such as logging devices that record one’s whereabouts using global positioning systems, thereby allowing to match environmental characteristics and time with high spatial and temporal resolution [ 74 ]. This approach can be extended to other sensors, such as accelerometers [ 75 ] and e-diaries [ 76 ] to assess behavior and psychological constructs in the context of natural environments. The value of such approaches becomes clear when considering the uncertain geographic context problem, referring to how much the spatial area used for a study deviates from the true causal geographically relevant context [ 77 ].…”

Section: Discussionmentioning

confidence: 99%

The geospatial and conceptual configuration of the natural environment impacts the association with health outcomes and behavior in children and adolescents

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Background Studies investigating associations between natural environments and health outcomes or health behaviors in children and adolescents yielded heterogenous results to date. This may be the result of different geospatial configurations of the natural environment and confounding characteristics of the study population. Thus, we investigated how the relationship between the natural environment and mental health, muscular fitness, and physical activity varies depending on the geospatial configuration of nature and children’s and adolescents’ characteristics. Methods Data were derived from the German Motorik-Modul (MoMo) cohort study (2018–2020) that investigates physical activity, muscular fitness, and health parameters in a national sample of children and adolescents (N = 2843) between four and 17 years (Mage = 10.46 ± 3.49 years; 48.3% girls). Mental health was assessed via questionnaire, muscular fitness via standing long jump, and physical activity with 7-day accelerometer measurement. Using geographic information systems, land cover, and land use data, three different nature definitions were applied. Both circular buffers (100–1000 m) and street-network buffers (1000–5000 m) were created for each of the nature definitions. Associations were explored with linear regression models, and interaction analysis was used to investigate how those relationships vary by gender, age, and socio-economic status. Results The relationship between the three outcomes and the natural environment varied considerably depending on the nature definition, buffer size, and buffer type, as well as socio-demographic characteristics. Specifically, when comparing youth with a high socio-economic status to those with a medium socio-economic status, smaller circular buffer distances were related to less physical activity, but larger street-network buffer distances were related to greater mental health problems. Distinct relationships also occurred for youth with low socio-economic status in those relationships, with the pattern being less clear. Conclusions For future health research studies that investigate the role of the natural environment, we argue for the development of an a-priori model that integrates both geospatial considerations (nature definition, buffer type, and buffer size) and conceptual considerations (health outcome/behavior, sample characteristics) based on potentially underlying mechanisms that link the natural environment and the health outcome or behavior under investigation to theoretically underpin the geospatial configuration of the natural environment.

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Ambulatory assessment for precision psychiatry: Foundations, current developments and future avenues

Cited by 25 publications

References 101 publications

Patterns of Alcohol Consumption Among Individuals With Alcohol Use Disorder During the COVID-19 Pandemic and Lockdowns in Germany

Patterns of Alcohol Consumption Among Individuals With Alcohol Use Disorder During the COVID-19 Pandemic and Lockdowns in Germany

Self-tracking via smartphone app: Potential tool for athletes’ recovery self-management?

The geospatial and conceptual configuration of the natural environment impacts the association with health outcomes and behavior in children and adolescents

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