Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study

Forgeard, Marie; Beard, Courtney; Shayani, Danielle R; Silverman, Alexandra L.; Tsukayama, Eli; Björgvinsson, Thröstur

doi:10.1017/s0033291719004057

Cited by 5 publications

(3 citation statements)

References 51 publications

(51 reference statements)

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“…This first result confirms what previous literature has shown, i.e., that the representation of death as a passage is related to a positive representation of spirituality and helps people deal with stressful circumstances [ 41 , 42 , 43 ]. In the same direction, personal growth was positively correlated with VL, and this result is in line with literature on post-traumatic growth, which documents the greater appreciation of living reported by survivors of adversity who report developing through the experience [ 44 ]. Relatedly, the Sense of Peace about the death was inversely correlated with spiritual crisis and positively with the integration of the loss as a meaningful experience.…”

Section: Discussionsupporting

confidence: 87%

The Integration of Stressful Life Experiences Scale and the Inventory of Complicated Spiritual Grief: The Italian Validation of Two Instruments for Meaning-Focused Assessments of Bereavement

Neimeyer

Testoni

Ronconi

et al. 2021

Behavioral Sciences

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Background: Bereavement is an inevitable event that can cause pain, discomfort, and negative consequences in daily life. Spirituality and religiosity can help people cope with loss and bereavement. Sometimes, however, the death of a loved one can challenge core religious beliefs and faith, which has been found to be a risk factor for prolonged mourning. Objectives: (1) Determine whether the Italian versions of the Integration of Stressful Life Experiences Scale (ISLES) and Inventory of Complicated Spiritual Grief (ICSG) are valid in translation; (2) Evaluate the impact of socio-demographic variables on ISLES and ICSG dimensions; (3) Test whether Complicated Spiritual Grief mediates the relation between meaning reconstruction after loss and integration of the loss experience; (4) Test whether the representation of death as a form of passage or annihilation further moderated the relation between Complicated Spiritual Grief and integration of the loss. Methods: The sample is composed of 348 participants who had lost a loved person in the prior two years. Results: The ISLES and ICSG were validated in Italian and are more appropriately interpreted as having a unifactorial structure. A greater spiritual crisis was manifested in participants with less education, who did not actively participate in religious life, and who had lost a friend rather than a close relative. As hypothesised, spiritual struggle in grief mediated the role of continuing bonds, Emptiness and Meaninglessness, and Sense of Peace in predicting integration of the loss. Furthermore, death representation moderated the impact of spiritual grief on loss, such that those participants who viewed death as a form of annihilation rather than passage reported greater integration of the loss. Conclusion: The role of meaning making in integrating significant loss is partly accounted for by spiritual struggle in a way that can be analysed in Italian contexts through the use of these newly validated instruments.

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Section: Discussionsupporting

confidence: 87%

The Integration of Stressful Life Experiences Scale and the Inventory of Complicated Spiritual Grief: The Italian Validation of Two Instruments for Meaning-Focused Assessments of Bereavement

Neimeyer

Testoni

Ronconi

et al. 2021

Behavioral Sciences

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“…Fifty participants were recruited between December 2016 and July 2017 by research assistants during their treatment at a behavioral health partial hospital program (PHP) in the greater Boston area, as part of a larger study examining daily predictors of affect following discharge from partial hospitalization (see Forgeard et al, 2020). All PHP patients were eligible for the study except for those with active mania or psychosis; in addition, some could not be included due to practical constraints (early discharge from PHP, acuity requiring clinical care be prioritized over research activities, and erratic program attendance).…”

Section: Methodsmentioning

confidence: 99%

Personalized prescriptions of therapeutic skills from patient characteristics: An ecological momentary assessment approach.

Webb¹,

Forgeard²,

Israel³

et al. 2022

Journal of Consulting and Clinical Psychology

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Objective: Rather than relying on a single psychotherapeutic orientation, most clinicians draw from a range of therapeutic approaches to treat their clients. To date, no data-driven approach exists for personalized predictions of which skill domain would be most therapeutically beneficial for a given patient. The present study combined ecological momentary assessment (EMA) and machine learning to test a data-driven approach for predicting patient-specific skilloutcome associations.Method: Fifty (Mage= 37 years old, 54% female, 84% White) adults received training in Behavioral Therapy (BT) and Dialectical Behavior Therapy (DBT) skills within a behavioral health partial hospital program. Following discharge, patients received four EMA surveys per day for two weeks (total observations = 2,036) assessing use of therapeutic skills and positive/negative affect (PA/NA). Clinical and demographic characteristics were submitted to elastic net regularization to predict, via cross-validation, patient-specific associations between use of BT vs. DBT skills and level of PA/NA.Results: Cross-validated accuracy was 81% (sensitivity=93%; specificity=63%) in predicting whether a patient would exhibit a stronger association between use of BT vs. DBT skills and PA level. Predictors of positive DBT skills-PA associations included higher levels of non-suicidal self-injury and sleep disturbance, whereas predictors of positive BT skills-PA relations included higher emotional lability and anxiety disorder comorbidity, and lower psychomotor retardation/agitation and worthlessness/guilt. Corresponding models with NA yielded no predictors. PERSONALIZED PRESCRIPTIONS OF SKILLS 3Conclusions: Findings from this initial proof-of-concept study highlight the potential of datadriven approaches to inform personalized prescriptions of which skill domains may be most therapeutically beneficial for a given patient.

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“…To reduce participant burden and minimise drop-out rate, researchers investigating daily mood fluctuations typically use very brief mood surveys. In many studies an approach is to have participants rate a small handful of mood adjectives that are averaged into composite scores of positive and/or negative emotion (some examples: Bastian et al, 2015;Brose et al, 2020;Buttner et al, 2015;Carr et al, 2018;Dunton et al, 2014;Forgeard et al, 2020;Fosco & Lydon-Staley, 2019;Gruber et al, 2013;Gunaydin et al, 2016;Hamilton et al, 2008;Hankin et al, 2005;Iijima et al, 2018;Koval et al, 2019;Larson et al, 2002;Maciejewski et al, 2015;McIntyre et al, 2019;Ottenstein & Lischetzke, 2019;Panaite et al, 2019;Penner et al, 1994;Ryan et al, 2010;Spindler et al, 2016;van Laethem et al, 2016;Wichers et al, 2009). The measures used are generally reported to have good internal consistency (i.e., Cronbach's alpha values generally above 0.7).…”

Section: Introductionmentioning

confidence: 99%

Reliability and validity of the Brief Emotional Experience Scale (BEES) for mood monitoring

Rogers¹,

Cruickshank²,

Kk³

2021

Preprint

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The Brief Emotional Experience Scale (BEES) has been used in several studies, however its reliability and validity are yet to be investigated. This study evaluated the reliability and validity of the BEES across three independent studies. In studies 1 and 2, convergent validity was established between the BEES with existing emotional well-being instruments - The Scale of Positive and Negative Experience (SPANE), the Depression Anxiety and Stress Scales (DASS-21), and the Kessler Psychological Distress Scale (K10/K6). Confirmatory factor analysis of the BEES reveals it confirms to the same two-factor structure as the SPANE that includes positive and negative emotion. Study 3 provides an example of the utility of the BEES for monitoring temporal changes in mood. BEES scores fluctuated depending on self-reported positive and negative events during the week. Additionally, mood variability as determined by the standard deviation of BEES scores, was negatively associated with mean levels of emotion.

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Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study

Cited by 5 publications

References 51 publications

The Integration of Stressful Life Experiences Scale and the Inventory of Complicated Spiritual Grief: The Italian Validation of Two Instruments for Meaning-Focused Assessments of Bereavement

The Integration of Stressful Life Experiences Scale and the Inventory of Complicated Spiritual Grief: The Italian Validation of Two Instruments for Meaning-Focused Assessments of Bereavement

Personalized prescriptions of therapeutic skills from patient characteristics: An ecological momentary assessment approach.

Reliability and validity of the Brief Emotional Experience Scale (BEES) for mood monitoring

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