Ecological Momentary Assessment and Intervention in Nonsuicidal Self-Injury: A Novel Approach to Treatment

Armey, Michael F.

doi:10.1891/0889-8391.26.4.299

Cited by 26 publications

(26 citation statements)

References 77 publications

(70 reference statements)

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“…Studies have demonstrated clear emotional precipitants (e.g. increased negative affect and anger) to increases in SI and self-harm behavior (Armey, 2012;Armey, Crowther, & Miller, 2011;Armey, Nugent, & Crowther, 2012;Armey, Schatten, Haradhvala, & Miller, 2015;Nock, Prinstein, & Sterba, 2009), with some indication that the inclusion of EMA methods incrementally improves our ability to predict episodes of selfharm above and beyond distal, retrospective, self-reports (Armey, 2012). In addition, this research suggests that changes in negative affect were detectable hours before the event, which has obvious implications for early intervention.…”

Section: Introductionmentioning

confidence: 63%

“…This finding is also consistent with the need to build ecologically valid predictive models of suicide risk using idiographic data from individual patients, rather than relying solely on population-level predictors. Past research has already found that EMA measures contribute unique variance above and beyond that of traditional retrospective self-report measures of life history, traits, or personality measures (Armey, 2012). While we believe that these traditional measures are still vitally important, and play a foundational role in suicide prediction, it may be the case that if the ultimate goal is to predict episodic risk and/or behavior, it will be essential to employ ecologically valid measures in future research and intervention.…”

Section: Discussionmentioning

confidence: 87%

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Ecologically assessed affect and suicidal ideation following psychiatric inpatient hospitalization

Armey

Brick

Schatten

et al. 2020

General Hospital Psychiatry

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Section: Introductionmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 87%

Ecologically assessed affect and suicidal ideation following psychiatric inpatient hospitalization

Armey

Brick

Schatten

et al. 2020

General Hospital Psychiatry

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“…This implies that, in most instances, there will be a brief window of opportunity to intervene and interrupt the transition to behavioral action. Ecological momentary interventions using mobile devices might have particular merit in this context (22,72,73), as these can be delivered when people report experiencing NSSI thoughts, and facilitate relapse prevention techniques. In line with the Cognitive-Emotional Model of NSSI (23), we found evidence that low self-efficacy to resist NSSI may be particularly relevant in identifying high-risk situations among people experiencing NSSI thoughts.…”

Section: Discussionmentioning

confidence: 99%

Fluctuations in Affective States and Self-Efficacy to Resist Non-Suicidal Self-Injury as Real-Time Predictors of Non-Suicidal Self-Injurious Thoughts and Behaviors

et al. 2020

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Introduction: Although research over the past decade has resulted in significantly increased knowledge about distal risk factors for non-suicidal self-injury (NSSI), little is known about short-term (proximal) factors that predict NSSI thoughts and behaviors. Drawing on contemporaneous theories of NSSI, as well as the concept of ideation-to-action, the present study clarifies (a) real-time factors that predict NSSI thoughts and (b) the extent to which theoretically important momentary factors (i.e., negative affect, positive affect, and selfefficacy to resist NSSI) predict NSSI behavior in daily life, beyond NSSI thoughts.Methods: Using experience sampling methodology, intensive longitudinal data was obtained from 30 young adults with frequent NSSI episodes in the last year. Participants completed assessments up to eight times per day for 12 consecutive days (signal-contingent sampling). This resulted in the collection of 2,222 assessments (median compliance = 79.2%) during which 591 NSSI thoughts and 270 NSSI behaviors were recorded. Using the dynamic structural equation modeling framework, multilevel vector autoregressive models were constructed.Results: Within the same assessment, negative affect was positively associated with NSSI thoughts, whereas positive affect and self-efficacy to resist NSSI were each negatively associated with NSSI thoughts. Across assessments, higher-than-usual negative affect and self-efficacy to resist NSSI were predictive of short-term change in NSSI thoughts. While fluctuations in both negative affect and positive affect prospectively predicted NSSI behavior, these factors became non-significant in models that controlled for the predictive effect of NSSI thoughts. In contrast, self-efficacy to resist NSSI incrementally predicted a lower probability of engaging in NSSI, above and beyond NSSI thoughts.Discussion: This study provides preliminary evidence that affective fluctuations may uniquely predict NSSI thoughts but not NSSI behaviors, and point to the role of personal belief in the ability to resist NSSI in preventing NSSI behavior. These findings illustrate the need to differentiate between the development of NSSI thoughts and the progression from NSSI thoughts to behavior, as these are likely distinct processes, with different predictors.

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“…Recently, studies have employed EMA methods to study this behavior, allowing for the identification of proximal (i.e, EMA) and distal (i.e., self-report) factors that influence NSSI engagement [34]. …”

Section: Non-suicidal Self-injurymentioning

confidence: 99%

Ecological momentary assessment (EMA) of depression-related phenomena

Armey

Schatten

Haradhvala

et al. 2015

Current Opinion in Psychology

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Ecological momentary assessment (EMA) is one research method increasingly employed to better understand the processes that underpin depression and related phenomena. In particular, EMA is well suited to the study of affect (e.g., positive and negative affect), affective responses to stress (e.g., emotion reactivity), and behaviors (e.g., activity level, sleep) that are associated with depression. Additionally, EMA can provide insights into self-harm behavior (i.e. suicide and non-suicidal self-injury), and other mood disorders (e.g. bipolar disorder) commonly associated with depressive episodes. Given the increasing availability and affordability of handheld computing devices such as smartphones, EMA is likely to play an increasingly important role in the study of depression and related phenomena in the future.

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Ecological Momentary Assessment and Intervention in Nonsuicidal Self-Injury: A Novel Approach to Treatment

Cited by 26 publications

References 77 publications

Ecologically assessed affect and suicidal ideation following psychiatric inpatient hospitalization

Ecologically assessed affect and suicidal ideation following psychiatric inpatient hospitalization

Fluctuations in Affective States and Self-Efficacy to Resist Non-Suicidal Self-Injury as Real-Time Predictors of Non-Suicidal Self-Injurious Thoughts and Behaviors

Ecological momentary assessment (EMA) of depression-related phenomena

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