Cognitive and affective trait and state factors influencing the long-term symptom course in remitted depressed patients

Timm, Christina; Ubl, Bettina; Zamoscik, Vera; Ebner‐Priemer, Ulrich W.; Reinhard, Iris; Huffziger, Silke; Kirsch, Peter; Kuehner, Christine

doi:10.1371/journal.pone.0178759

Cited by 22 publications

(29 citation statements)

References 67 publications

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“…It may also predict future course of symptoms. Affective variability at baseline predicted the recurrence of depressive symptoms over a three‐year period in remitted depressed patients. Similarly, elevated temporal auto‐correlation and variance, as well as increased correlation between emotions, increased the probability for an upcoming shift between a normal and a depressed state.…”

Section: Applications Of Esm In the Mental Health Research Fieldmentioning

confidence: 99%

Experience sampling methodology in mental health research: new insights and technical developments

et al. 2018

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In the mental health field, there is a growing awareness that the study of psychiatric symptoms in the context of everyday life, using experience sampling methodology (ESM), may provide a powerful and necessary addition to more conventional research approaches. ESM, a structured self-report diary technique, allows the investigation of experiences within, and in interaction with, the real-world context. This paper provides an overview of how zooming in on the micro-level of experience and behaviour using ESM adds new insights and additional perspectives to standard approaches. More specifically, it discusses how ESM: a) contributes to a deeper understanding of psychopathological phenomena, b) allows to capture variability over time, c) aids in identifying internal and situational determinants of variability in symptomatology, and d) enables a thorough investigation of the interaction between the person and his/her environment and of real-life social interactions. Next to improving assessment of psychopathology and its underlying mechanisms, ESM contributes to advancing and changing clinical practice by allowing a more fine-grained evaluation of treatment effects as well as by providing the opportunity for extending treatment beyond the clinical setting into real life with the development of ecological momentary interventions. Furthermore, this paper provides an overview of the technical details of setting up an ESM study in terms of design, questionnaire development and statistical approaches. Overall, although a number of considerations and challenges remain, ESM offers one of the best opportunities for personalized medicine in psychiatry, from both a research and a clinical perspective.

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Section: Applications Of Esm In the Mental Health Research Fieldmentioning

confidence: 99%

Experience sampling methodology in mental health research: new insights and technical developments

et al. 2018

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“…Particularly rumination, the tendency to repetitively and passively focus on the meanings, causes and consequences of one’s current feelings of distress, problems, and other negative aspects of the self, has been identified as a reliable risk factor for the development and course of depression [ 34 – 38 ], but also as a transdiagnostic risk factor for predicting various types of mainly internalising, but also externalising psychopathologies and their comorbidities [ 37 , 39 ]. Momentary rumination in daily life has been shown to deteriorate mood [ 40 ] and to enhance cortisol secretion over the day [ 36 ].…”

Section: Introductionmentioning

confidence: 99%

Lab meets real life: A laboratory assessment of spontaneous thought and its ecological validity

et al. 2017

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People’s minds frequently wander towards self-generated thoughts, which are unrelated to external stimuli or demands. These phenomena, referred to as “spontaneous thought” (ST) and “mind wandering” (MW), have previously been linked with both costs and benefits. Current assessments of ST and MW have predominantly been conducted in the laboratory, whereas studies on the ecological validity of such lab-related constructs and their interrelations are rare. The current study examined the stability of ST dimensions assessed in the lab and their predictive value with respect to MW, repetitive negative thought (uncontrollable rumination, RUM), and affect in daily life. Forty-three university students were assessed with the Amsterdam Resting State Questionnaire (2nd version) to assess ten ST dimensions during the resting state in two laboratory sessions, which were separated by five days of electronic ambulatory assessment (AA). During AA, individuals indicated the intensity of MW and RUM, as well as of positive and negative affect in daily life ten times a day. ST dimensions measured in the lab were moderately stable across one week. Five out of ten ST lab dimensions were predicted by mental health-related symptoms or by dispositional cognitive traits. Hierarchical linear models revealed that a number of ST lab dimensions predicted cognitive and affective states in daily life. Mediation analyses showed that RUM, but not MW per se, accounted for the relationship between specific ST lab dimensions and mood in daily life. By using a simple resting state task, we could demonstrate that a number of lab dimensions of spontaneous thought are moderately stable, are predicted by mental health symptoms and cognitive traits, and show plausible associations with categories of self-generated thought and mood in daily life.

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“…Our findings indicate that a 4-week mindfulness-based attention training in contrast to an active control condition was associated with decreased momentary NA and rumination and increased momentary PA and self-acceptance in daily life, thereby addressing relevant vulnerability factors for the long-term course of clinical depression [5, 6]. Although effect sizes were in the small range, they nevertheless indicate reliable benefits of MBAT during multiple assessments in daily life.…”

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confidence: 75%

“…In this context, possible changes in dysfunctional experiential processes during daily life may constitute promising targets of investigation. First, momentary affective and cognitive vulnerability patterns, measured at the “micro-level” of experience, contribute to the prediction of the “macro-level” long-term course of clinical depression [5, 6]. Second, first evidence suggests that increases in positive affect (PA) and reward sensitivity in daily life following MBCT may increase resilience, thereby reducing the risk of relapse, and that changes in momentary PA and negative affect (NA) possibly mediate the efficacy of MBCT [4].…”

mentioning

confidence: 99%

Mindfulness-Based Attention Training Improves Cognitive and Affective Processes in Daily Life in Remitted Patients with Recurrent Depression: A Randomized Controlled Trial

Timm

Rachota-Ubl

Beddig

et al. 2018

Psychother Psychosom

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Cognitive and affective trait and state factors influencing the long-term symptom course in remitted depressed patients

Abstract: Background

Cited by 22 publications

References 67 publications

Experience sampling methodology in mental health research: new insights and technical developments

Experience sampling methodology in mental health research: new insights and technical developments

Lab meets real life: A laboratory assessment of spontaneous thought and its ecological validity

Mindfulness-Based Attention Training Improves Cognitive and Affective Processes in Daily Life in Remitted Patients with Recurrent Depression: A Randomized Controlled Trial

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