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Development and Validation of the Motives for Using Substances for Trauma Coping (MUST-Cope) Questionnaire: A Novel Multidimensional Scale to Assess Trauma-Specific Substance Use Coping Motives. 创伤应对物质使用动机的开发与验证(MUST-Cope)问卷:一种评估创伤特异性物质使用应对动机的新多维量表。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-26 DOI: 10.1177/10731911251403897
Kelly E Dixon, Andrew Lac

The present study sought to develop and validate a novel multidimensional assessment of substance use (SU) coping motives to manage trauma symptoms. In Study 1 (N = 326 trauma-exposed adults recruited from several online platforms), a set of questionnaire items was created and administered, and exploratory factor analysis was performed. A correlated four-factor structure represented by cognitive-affective motives, physiological motives, sleep motives, and social motives emerged. In Study 2 (N = 261 trauma-exposed adults recruited from ResearchMatch), confirmatory factor analysis cross-validated the correlated four-factor structure and additionally tested a five-factor higher-order structure. In tests of convergent, discriminant, and criterion validities, the subscales demonstrated differential correlations with previously validated measures of SU motives and positively correlated with higher PTSD symptom severity, functional impairment, and alcohol and drug use severity. The final 31-item Motives for Using Substances for Trauma Coping (MUST-Cope) Questionnaire offers a novel multifactorial measurement instrument to help researchers and clinicians assess and identify functional coping motives for SU that can be targeted in psychosocial treatment.

本研究旨在开发和验证一种新的多维评估物质使用(SU)应对动机来管理创伤症状。在研究1中(N = 326名从多个网络平台招募的创伤暴露成人),我们创建并实施了一套问卷,并进行了探索性因素分析。形成了认知情感动机、生理动机、睡眠动机和社会动机四个相关的四因素结构。在研究2中(N = 261名来自ResearchMatch的创伤暴露成人),验证性因子分析交叉验证了相关的四因素结构,并额外测试了五因素高阶结构。在收敛效度、判别效度和标准效度的测试中,子量表显示出与先前验证过的SU动机测量的差异相关性,并与较高的PTSD症状严重程度、功能损害、酒精和药物使用严重程度呈正相关。最后的31项创伤应对动机问卷(MUST-Cope)提供了一种新的多因素测量工具,帮助研究人员和临床医生评估和确定SU的功能性应对动机,从而可以针对性地进行心理社会治疗。
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引用次数: 0
One Construct or Many? Clarifying the Structure and Meaning of Measures of Psychological and Cognitive Flexibility and Their Components in a Community and Chronic Pain Sample. 一个构造还是多个构造?澄清社区和慢性疼痛样本的心理和认知灵活性及其组成部分的结构和意义。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-26 DOI: 10.1177/10731911251399030
Jayden Lucas, Jeffery M Lackner, Gregory Gudleski, Andrew H Rogers, Rodrigo Becerra, Kristin Naragon-Gainey

There are a plethora of "flexibility" constructs and measures in psychology, but the extent to which they assess the same or different constructs, and whether flexibility and inflexibility are separate constructs (vs. extremes of the same bipolar continuum), remains underexplored. We examined the distinctiveness of seven different self-report measures of psychological (in)flexibility and cognitive flexibility using an online community (N = 465) and a chronic pain sample (N = 445). We analyzed the latent structure of these questionnaires using item-level exploratory structural equation modeling that controlled for measure-specific variance, and we tested these factors in relation to a range of mental health outcomes (concurrent validity) and discriminant validity measures. Findings indicate that psychological and cognitive flexibility questionnaires can be characterized at multiple levels, including six lower-order components that span individual measures and global factors that account for their shared variance. The six factors were broadly and uniquely associated with clinically relevant variables, including symptoms and well-being. We also found support for the notion that flexibility and inflexibility exist on a single bipolar continuum, rather than being characterized as separate. Implications for clinical assessment in research and intervention settings are discussed.

心理学中有过多的“灵活性”构念和测量,但它们评估相同或不同构念的程度,以及灵活性和不灵活性是否是单独的构念(相对于同一双相连续体的极端),仍未得到充分探索。我们使用在线社区(N = 465)和慢性疼痛样本(N = 445)检验了七种不同的心理(in)灵活性和认知灵活性自我报告测量的独特性。我们使用项目水平探索性结构方程模型分析了这些问卷的潜在结构,控制了测量特定方差,并测试了这些因素与一系列心理健康结果(并发效度)和判别效度的关系。研究结果表明,心理和认知灵活性问卷可以在多个层面上进行表征,包括跨越个体测量的六个低阶成分和解释其共同方差的全局因素。这六个因素与临床相关变量广泛而独特地相关,包括症状和幸福感。我们还发现,灵活性和不灵活性存在于一个单一的两极连续体上,而不是被描述为分开的概念得到了支持。在研究和干预设置临床评估的意义进行了讨论。
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引用次数: 0
A Psychometric Analysis of the Military Stigma Scale. 军人耻感量表的心理测量分析。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-25 DOI: 10.1177/10731911251398039
Samantha Cacace, Robert J Cramer, Max Stivers, Raymond P Tucker, Marcus VanSickle

U.S. military populations experience a high level of mental health concerns, including post-traumatic stress disorder, clinical depression, and suicide, when compared with their civilian counterparts, and tend to access mental health services at a lower rate. Military health scholars have noted that stigma against mental health help-seeking has multiple sources, including professional, personal, and social components, though these components are rarely separated in examining why military service members avoid clinical help. Valid measurement of these factors is necessary to examine the heart of rising clinical needs. The current study replicates and extends prior work applying a bifactor model to the Military Stigma Scale (MSS). In a sample of n = 1,832 Army National Guard members, a bifactor model presented acceptable fit, though invariance testing by rank and education indicates disparate experiences with military service as deviating influences. Specifically, Private Stigma was significantly lower in higher paygrade service members and those with a college degree, while Public Stigma was higher. Results call into question the theoretical viability of a bifactor model of the MSS, especially in the evaluation of Expected Common Variance and specific factor reliability.

与平民相比,美国军人经历了高度的心理健康问题,包括创伤后应激障碍、临床抑郁症和自杀,并且倾向于以较低的比率获得心理健康服务。军事健康学者注意到,对寻求心理健康帮助的耻辱感有多种来源,包括专业、个人和社会因素,尽管在研究军人为什么避免临床帮助时很少将这些因素分开。这些因素的有效测量是必要的,以检查日益增长的临床需求的核心。本研究复制并扩展了先前的工作,将双因素模型应用于军事耻辱量表(MSS)。在一个n = 1832名陆军国民警卫队成员的样本中,一个双因素模型呈现出可接受的拟合,尽管军衔和教育的不变性检验表明,兵役的不同经历是偏离的影响。具体来说,在高工资等级和大学学历的服役人员中,私人耻辱感明显较低,而公共耻辱感较高。结果对MSS的双因素模型的理论可行性提出了质疑,特别是在评估预期共同方差和特定因素可靠性方面。
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引用次数: 0
Embedded Validity Scales to Examine Caregiver Response Styles When Measuring Infant/Toddler Developmental Status. 在测量婴儿/幼儿发展状态时,嵌入效度量表来检验照顾者的反应风格。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-22 DOI: 10.1177/10731911251391563
Renee Lajiness-O'Neill, Michelle Lobermeier, Angela D Staples, Annette Richard, Alissa Huth-Bocks, Seth Warschausky, H Gerry Taylor, Natasha Lang, Angela Lukomski, Laszlo Erdodi

Validity of caregiver response to a developmental screening instrument was examined in 571 caregivers (51.7% identifying as ethnic minority) of infants/toddlers (48% female) assessed longitudinally from birth to 18 months. Three embedded validity scales were designed to detect: atypical (ATP), negative (NRS), and positive (PRS) response styles. Rates of responding on the ATP, NRS, and PRS scales relative to established validity measures, temporal stability including test-retest reliability of the scales, and relations between response styles and maternal education were examined. Response bias was low; however, significant differences due to maternal education were evident. More variable scores (ATP) and more advanced development (PRS) was consistently reported by caregivers with lower education. Caregivers with higher education reported their infants' development as less advanced (NRS). Base rates of uncommon responding ranged from 11.6% to 14.4% and 5.8% to 9.1% at liberal and conservative cut scores. Preliminary analysis of additional social-contextual sources of variation (e.g., caregiver mental health) in response styles suggests the need for complex modeling of multiple sources of bias in caregiver-reported developmental outcomes. These are the first embedded validity scales to be designed within a caregiver-reported instrument of infant/toddler development.

对571名婴幼儿(少数民族占51.7%)(女性占48%)的照护者(从出生到18个月)进行纵向评估,考察了照护者对发育筛查工具反应的有效性。设计了三个嵌入效度量表来检测:非典型(ATP)、消极(NRS)和积极(PRS)的反应风格。研究了ATP、NRS和PRS量表相对于已建立的效度量表的反应率、量表的时间稳定性(包括重测信度)以及反应方式与母亲教育程度之间的关系。反应偏倚低;然而,由于母亲教育程度的不同,显著差异是明显的。更多的可变分数(ATP)和更先进的发展(PRS)一致报告较低的教育照顾者。受过高等教育的护理人员报告他们的婴儿发育较不先进(NRS)。在自由派和保守派的削减分数中,不常见反应的基本比率从11.6%到14.4%不等,从5.8%到9.1%不等。对反应方式的其他社会环境差异来源(例如,照顾者心理健康)的初步分析表明,需要对照顾者报告的发展结果中的多种偏见来源进行复杂的建模。这些是第一个嵌入效度量表被设计在照顾者报告的婴儿/幼儿发展的工具。
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引用次数: 0
Psychometric Properties of the Child and Adolescent PsychProfiler: Self-Report Form. 儿童和青少年心理分析者的心理测量特性:自我报告表。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-16 DOI: 10.1177/10731911251398037
Rapson Gomez, Shane Langsford, Stephen Houghton, Leila Karimi

The Child and Adolescent PsychProfiler version 5 (CAPP v5) is a comprehensive multi‑informant screening measure encompassing 17 symptom scales that map onto 14 Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) disorders. The self‑report form (CAPP‑SRF) has not previously undergone a comprehensive psychometric evaluation. The objective of the study is to analyze the internal structure (Independent Clusters Model of Confirmatory Factor Analysis [ICM‑CFA]), reliability (α, ω), and validity evidence (discriminant, convergent, criterion‑related) of the CAPP‑SRF. Study 1 examined the 17‑factor model within a community sample of 790 adolescents (M = 14.48 years). Study 2 evaluated convergent, criterion‑related, and discriminant validity in a clinic‑referred sample of 173 adolescents (M = 14.50 years) utilizing the Conners 3‑SR, Beck Youth Inventories, Second Edition (BYI‑2), Wechsler Intelligence Scale for Children-Fifth Edition (WISC‑V), and Wechsler Individual Achievement Test, Third Edition (WIAT‑III). Independent‑samples t tests compared CAPP‑SRF means across samples. The ICM‑CFA analysis confirmed the 17‑factor structure (χ²/df = 3.02; standardized root mean squared error [SRMR] = .076). Scale reliability was acceptable (ω = .79-.89). Clinic participants scored significantly higher than community participants on 15 of the 17 scales (all p < .001; d = .55-1.20), supporting criterion validity. Convergent and discriminant patterns with external measures were as hypothesized (|r| = .32-.68; R2 = .10-.46). The CAPP‑SRF demonstrates robust psychometric properties and complements the parent‑ and teacher‑report forms as an effective adolescent self‑report screener for common DSM‑5 disorders.

儿童和青少年心理分析器第5版(CAPP v5)是一个全面的多信息筛选措施,包括17个症状量表,映射到14个精神障碍诊断和统计手册(第5版;DSM-5)障碍。自我报告表(CAPP - SRF)以前没有经过全面的心理测量评估。本研究的目的是分析CAPP - SRF的内部结构(验证性因子分析的独立聚类模型[ICM - CFA])、信度(α, ω)和效度证据(判别,收敛,标准相关)。研究1在790名青少年(M = 14.48岁)的社区样本中检验了17因素模型。研究2利用Conners 3 - SR、Beck青年量表第二版(BYI - 2)、韦氏儿童智力量表第五版(WISC - V)和韦氏个人成就测验第三版(WIAT - III)对173名临床参考样本(M = 14.50岁)的收敛效度、标准相关效度和判别效度进行了评估。独立样本t检验比较了样本间的CAPP - SRF均值。ICM - CFA分析证实了17因素结构(χ²/df = 3.02;标准化均方根误差[SRMR] = 0.076)。量表信度可接受(ω = 0.79 - 0.89)。临床参与者在17个量表中的15个得分显著高于社区参与者(p = 0.55 -1.20),支持标准效度。假设与外部测量的收敛和判别模式(|r| = 0.32 - 0.68; R2 = 0.10 - 0.46)。CAPP - SRF显示了强大的心理测量特性,并作为家长和教师报告表的补充,作为常见DSM - 5障碍的有效青少年自我报告筛查工具。
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引用次数: 0
Cultural Validity of the Mental Help Seeking Attitudes Scale Among Three Racially Minoritized Groups With Chronic Pain in the United States. 心理求助态度量表在美国慢性疼痛的三个少数种族群体中的文化有效性。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-09 DOI: 10.1177/10731911251394290
Jessica L Fossum, Melissa-Ann Lagunas, Emi Ichimura, Cammy Widman, Elizabeth Mateer, Koji Tohmon, Joel Jin

The Mental Help Seeking Attitudes Scale (MHSAS) is commonly used in psychological research. This nine-item unidimensional scale was designed to measure how favorable or unfavorable respondents' attitudes are toward seeking help from a mental health professional and was originally validated using a primarily White sample. To address the potential limitations of using this scale cross-culturally, we recruited participants who identified as Asian American (n = 161), Black American (n = 259), and Latine American (n = 259) to take the MHSAS, and then we ran confirmatory factor analyses. Our samples also all consisted of individuals with chronic pain. The original measure validation demonstrated excellent overall model fit; however, all three of our non-White samples had only adequate overall model fit and factor loading values. An exploratory bifactor analysis still confirmed the unidimensional structure of the scale. These findings suggest that the MHSAS should be used cautiously in cross-cultural contexts with racially minoritized groups experiencing chronic pain.

心理求助态度量表(MHSAS)是心理学研究中常用的量表。这个包含9个项目的单维量表旨在衡量受访者对寻求心理健康专家帮助的态度是赞成还是不赞成,最初主要使用白人样本进行验证。为了解决跨文化使用该量表的潜在局限性,我们招募了被认为是亚裔美国人(n = 161)、黑人美国人(n = 259)和拉丁美洲人(n = 259)的参与者参加MHSAS,然后我们进行了验证性因素分析。我们的样本也都是由慢性疼痛患者组成的。原始测量验证显示了良好的整体模型拟合;然而,我们所有的三个非怀特样本只有足够的整体模型拟合和因子加载值。探索性双因子分析仍然证实了量表的单维结构。这些发现表明,在有慢性疼痛经历的少数族裔群体的跨文化背景下,应谨慎使用MHSAS。
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引用次数: 0
Item Response Theory Analysis and Differential Item Functioning of the Social Appearance Anxiety Scale. 社交外表焦虑量表的项目反应理论分析与差异项目功能。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-01 Epub Date: 2024-12-23 DOI: 10.1177/10731911241306370
Tapan A Patel, Morgan Robison, Jesse R Cougle

This study examined the item- and scale-level functioning of the Social Appearance Anxiety Scale (SAAS) as well as differential functioning by gender using an item response theory (IRT) analysis. SAAS data collected from 840 college students were analyzed. A graded response model was used to analyze the 16 items comprising the SAAS. The measure was found to be unidimensional in its factor structure, and every item demonstrated high to very high ability to differentiate respondents varying in levels of the underlying trait (i.e., appearance concerns). In addition, we found evidence of differential item functioning (DIF) by gender for four items, corresponding to small effect sizes. Two of these items were related to internal experiences of appearance concerns (e.g., nervousness and discomfort when a flaw is noticed by others) that were more likely to be endorsed by women, and two of the items were related to external evaluative experiences related to appearance (e.g., missing opportunities and life being more difficult) that were more likely to be endorsed by men. Overall, the IRT and DIF results suggest that the SAAS effectively identifies appearance concerns among individuals with low to very high appearance concerns.

本研究运用项目反应理论(IRT)分析了社会外表焦虑量表(SAAS)的项目和量表水平功能,以及性别差异功能。对840名大学生的SAAS数据进行分析。采用分级反应模型对构成SAAS的16个项目进行分析。该措施被发现在其因素结构中是单维的,并且每个项目都表现出高到非常高的区分受访者的能力,这些受访者在潜在特征(即,外观问题)的水平上有所不同。此外,我们发现了四个项目的性别差异项目功能(DIF)的证据,对应于小的效应量。其中两个项目与外表问题的内部体验(例如,当别人注意到缺陷时的紧张和不适)有关,这更有可能得到女性的认可,另外两个项目与外表相关的外部评估体验(例如,失去机会和生活更加困难)有关,这更有可能得到男性的认可。总体而言,IRT和DIF结果表明,SAAS有效地识别了低到非常高外观关注的个体的外观关注。
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引用次数: 0
The Meaning in Life Questionnaire: Revisiting the Evidence of Validity and Measurement Invariance Using the Exploratory Structural Equation Modeling. 生活意义问卷:用探索性结构方程模型重新审视效度和测量不变性的证据。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-01 Epub Date: 2024-12-26 DOI: 10.1177/10731911241304223
Veljko Jovanović, Mihajlo Ilić, Dušana Šakan, Ingrid Brdar

The Meaning in Life Questionnaire (MLQ) assesses two distinct dimensions of meaning in life: presence of meaning and search for meaning. The MLQ is the most widely used instrument for measuring meaning in life, yet there is a limited variety of validity evidence on the originally proposed two-factor confirmatory factor analysis (CFA) solution. In this light, the present research examined, across five studies (total N = 3,205), several aspects of the MLQ's validity and tested cross-gender and cross-national measurement invariance. We also examined the usefulness of the exploratory structural equation model (ESEM) of the MLQ as an alternative to the standard CFA model. The results obtained provide evidence for: (a) the validity (structural, convergent, concurrent, and incremental) of the MLQ ESEM factors; (b) full scalar invariance of the MLQ ESEM model across gender and partial measurement invariance across four countries; and (c) similar cross-national relationships between MLQ ESEM factors and measures of depression and life satisfaction. The present research provides support for the value of applying the ESEM framework in overcoming limitations of the CFA model when examining evidence on the MLQ's validity.

生活意义问卷(MLQ)评估生活意义的两个不同维度:意义的存在和寻找意义。MLQ是最广泛使用的测量生活意义的工具,但最初提出的双因素验证性因素分析(CFA)解决方案的有效性证据有限。有鉴于此,本研究通过五项研究(总N = 3,205)检验了MLQ有效性的几个方面,并测试了跨性别和跨国测量的不变性。我们还研究了MLQ的探索性结构方程模型(ESEM)作为标准CFA模型的替代方案的实用性。结果表明:(a) MLQ ESEM因子的效度(结构效度、收敛效度、并发效度和增量效度);(b) MLQ ESEM模型跨性别的全标量不变性和四个国家的部分测量不变性;(c) MLQ ESEM因素与抑郁和生活满意度测量之间存在类似的跨国关系。本研究支持了ESEM框架在检验MLQ效度证据时克服CFA模型局限性的价值。
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引用次数: 0
A Taxometric Analysis and External Validation of the Latent Structure of Student Risks and Needs. 学生风险与需求潜在结构的分类分析与外部验证。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-01 Epub Date: 2024-12-07 DOI: 10.1177/10731911241299499
David K Marcus, Paul S Strand, Brian F French

The present study applied taxometric analyses to the Washington Assessment of Risks and Needs of Students (WARNS)-an instrument designed to assess multiple domains of functioning related to justice system involvement arising from school disengagement-a trajectory referred to as the school to prison pipeline. Previous taxometric studies of constructs related to juvenile justice system involvement found dimensional rather than taxonic (dichotomous) latent structures. Participants were 5008 students from 89 Washington school districts who completed the WARNS as part of standard educational practices. The results were uniformly consistent with a dimensional latent structure. Also supporting a dimensional latent structure, dichotomized WARNS scores were significantly less strongly associated with student arrests, school suspensions, and school skip days than continuous WARNS scores. These findings support the dimensionality of risk and needs and have implications for assessments undertaken to improve school and social outcomes for at-risk youth.

本研究将分类分析应用于华盛顿学生风险和需求评估(警告)——一种旨在评估因学校脱离而引起的与司法系统参与相关的多个功能领域的工具——一种被称为学校到监狱管道的轨迹。先前对青少年司法系统参与相关构式的分类研究发现了维度而不是分类(二分)潜在结构。参与者是来自华盛顿89个学区的5008名学生,他们完成了警告,作为标准教育实践的一部分。结果与维度潜结构一致。与连续警告分数相比,二分类警告分数与学生被捕、停学和逃课天数的关系明显较弱,这也支持了维度潜在结构。这些发现支持了风险和需求的维度,并对为改善有风险青年的学校和社会结果而进行的评估产生了影响。
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引用次数: 0
Completion Rates of Smart Technology Ecological Momentary Assessment (EMA) in Populations With a Higher Likelihood of Cognitive Impairment: A Systematic Review and Meta-Analysis. 智能技术生态瞬间评估(EMA)在认知障碍可能性较高人群中的完成率:一项系统回顾和荟萃分析。
IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Pub Date : 2025-12-01 Epub Date: 2025-01-03 DOI: 10.1177/10731911241306364
Kate Fifield, Kanyakorn Veerakanjana, John Hodsoll, Jonna Kuntsi, Charlotte Tye, Sara Simblett

Ecological Momentary Assessment using smartphone technology (smart EMA) has grown substantially over the last decade. However, little is known about the factors associated with completion rates in populations who have a higher likelihood of cognitive impairment. A systematic review of Smart EMA studies in populations who have a higher likelihood of cognitive impairment was carried out (PROSPERO; ref no CRD42022375829). Smartphone EMA studies in neurological, neurodevelopmental and neurogenetic conditions were included. Six databases were searched, and bias was assessed using Egger's test. Completion rates and moderators were analyzed using meta-regression. Fifty-five cohorts were included with 18 cohorts reporting confirmed cognitive impairment. In the overall cohort, the completion rate was 74.4% and EMA protocol characteristics moderated completion rates. Participants with cognitive impairment had significantly lower completion rates compared with those without (p = .021). There were no significant moderators in the cognitive impairment group. Limitations included significant methodological issues in reporting of completion rates, sample characteristics, and associations with completion and dropout rates. These findings conclude that smart EMA is feasible for people with cognitive impairment. Future research should focus on the efficacy of using smart EMA within populations with cognitive impairment to develop an appropriate methodological evidence base.

使用智能手机技术的生态瞬间评估(智能EMA)在过去十年中有了实质性的增长。然而,对于认知障碍可能性较高的人群中与完成率相关的因素知之甚少。对在认知障碍可能性较高的人群中进行的Smart EMA研究进行了系统回顾(PROSPERO;参考编号CRD42022375829)。包括神经、神经发育和神经遗传条件下的智能手机EMA研究。检索了6个数据库,并使用Egger检验评估偏倚。使用元回归分析完成率和调节因素。纳入55个队列,其中18个队列报告确诊的认知障碍。在整个队列中,完成率为74.4%,EMA方案特征调节了完成率。与没有认知障碍的参与者相比,有认知障碍的参与者的完成率明显较低(p = 0.021)。认知障碍组没有显著的调节因子。局限性包括在报告完成率、样本特征以及与完成率和辍学率的关联方面存在重大的方法学问题。这些发现表明,智能EMA对认知障碍患者是可行的。未来的研究应侧重于在认知障碍人群中使用智能EMA的功效,以建立适当的方法学证据基础。
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引用次数: 0
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