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

Reichert, Markus 1; Gan, Gabriela; Renz, Malika; Braun, Urs; Brüßler, Sarah 1; Timm, Irina 1; 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. 1; Meyer-Lindenberg, Andreas
1 Institut für Sport und Sportwissenschaft (IfSS), Karlsruher Institut für Technologie (KIT)

Abstract (englisch):

Precision psychiatry stands to benefit from the latest digital technologies for assessment and analyses to tailor treatment towards individuals. Insights into dynamic psychological processes as they unfold in humans' everyday life can critically add value in understanding symptomatology and environmental stressors to provide individualized treatment where and when needed.

Towards this goal, ambulatory assessment encompasses methodological approaches to investigate behavioral, physiological, and biological processes in humans' everyday life. It combines repeated assessments of symptomatology over time, e.g., via Ecological Momentary Assessment (e.g., smartphone-diaries), with monitoring of physical behavior, environmental characteristics (such as geolocations, social interactions) and physiological function via sensors, e.g., mobile accelerometers, global-positioning-systems, and electrocardiography.

In this review, we expand on promises of ambulatory assessment in the investigation of mental states (e.g., real-life, dynamical and contextual perspective), on chances for precision psychiatry such as the prediction of courses of psychiatric disorders, detection of tipping points and critical windows of relapse, and treatment effects as exemplified by ongoing projects, and on future avenues of how ambulatory interventions can benefit personalized care for psychiatric patients (e.g., through real-time feedback in everyday life). ... mehr

DOI: 10.1016/j.expneurol.2021.113807
Zitationen: 16
Web of Science
Zitationen: 15
Zitationen: 22
Zugehörige Institution(en) am KIT Institut für Sport und Sportwissenschaft (IfSS)
Publikationstyp Zeitschriftenaufsatz
Publikationsmonat/-jahr 11.2021
Sprache Englisch
Identifikator ISSN: 0014-4886
KITopen-ID: 1000136576
Erschienen in Experimental neurology
Verlag Academic Press
Band 345
Seiten Art.-Nr.: 113807
Schlagwörter Precision psychiatryAmbulatory assessmentEcological momentary assessmentExperience sampling methodAmbulatory assessment interventionsEcological momentary interventionsJust in time adaptive interventionsEnvironmental risk and resilience
Nachgewiesen in Scopus
Web of Science
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