La hora de la evaluación ambulatoria

  1. Eduardo Fonseca-Pedrero 1
  2. Gabriel Ródenas-Perea 2
  3. Alicia Pérez-Albéniz 1
  4. Susana Al-Halabí 3
  5. Marino Pérez 3
  6. José Muñiz 4
  1. 1 Universidad de La Rioja, España
  2. 2 Hospital Virgen del Rocío, España
  3. 3 Universidad de Oviedo, España
  4. 4 Universidad Nebrija, España
Revista:
Papeles del psicólogo

ISSN: 0214-7823 1886-1415

Año de publicación: 2022

Volumen: 43

Número: 1

Páginas: 21-28

Tipo: Artículo

Otras publicaciones en: Papeles del psicólogo

Repositorio institucional: lock_openAcceso abierto Editor lock_openAcceso abierto Editor

Resumen

La evaluación ambulatoria aglutina un conjunto de métodos que permiten evaluar mediante dispositivos móviles, y en múltiples momentos temporales, el comportamiento de las personas en su entorno natural y contexto diario. Permite una evaluación más precisa, dinámica, contextual e ideográfica que los métodos clásicos, abriendo nuevos horizontes con claras implicaciones para el diagnóstico y la intervención psicológica. El objetivo de este trabajo es realizar una introducción a la evaluación ambulatoria. En primer lugar, se realiza una delimitación conceptual y se comentan las cuestiones que viene a solucionar y sus posibles beneficios. En segundo lugar, se exponen aspectos relacionados con la metodología, abordando los diseños, los tipos de datos y un protocolo general de evaluación. En tercer lugar, se comentan algunas de las principales limitaciones, y se exponen las aplicaciones más relevantes. Finalmente, se comentan algunas recomendaciones para la aplicación de este tipo de metodología, y se analizan los retos y perspectivas futuras.

Referencias bibliográficas

  • Balaskas, A., Schueller, S. M., Cox, A. L., y Doherty, G. (2021). Ecological momentary interventions for mental health: A scoping review. PLOS ONE, 16(3), e0248152. https://doi.org/10.1371/JOURNAL.PONE.0248152
  • Bell, I. H., Lim, M. H., Rossell, S. L., y Thomas, N. (2017). Ecological momentary assessment and intervention in the treatment of psychotic disorders: A systematic review. Psychiatric Services, 68(11), 1172–1181. https://doi.org/10.1176/appi.ps.201600523
  • Borsboom, D. (2017). A network theory of mental disorders. World Psychiatry, 16, 5–13. https://doi.org/10.1002/wps.20375
  • Burgess-Hull, A., y Epstein, D. H. (2021). Ambulatory assessment methods to examine momentary state-based predictors of opioid use behaviors. Current Addiction Reports, 8(1), 122–135. https://doi.org/10.1007/S40429-020-00351-7
  • Carpenter, R. W., Wycoff, A. M., y Trull, T. J. (2016). Ambulatory assessment: New adventures in characterizing dynamic processes. Assessment, 23(4), 414–424. https://doi.org/10.1177/1073191116632341
  • Csikszentmihalyi, M., y Larson, R. (1987). Validity and reliability of the experience-sampling method. Journal of Nervous and Mental Disease, 175(9), 526–536. https://doi.org/10.1097/00005053- 198709000-00004
  • De Moor, M. H. M., Distel, M. A., Trull, T. J., y Boomsma, D. I. (2009). Assessment of borderline personality features in population samples: Is the Personality Assessment Inventory-Borderline Features Scale measurement invariant across sex and age? Psychological Assessment, 21, 125–130.
  • Elosua, P. (2021). Aplicación remota de test: Riesgos y recomendaciones. Papeles del Ps icólogo, 42 , 33-37. https://doi.org/10.23923/pap.psicol2021.2952
  • Fonseca-Pedrero, E. (2017). Network analysis: A new way of understanding psychopathology? Revista de Psiquiatria y Salud Mental, 10, 206–215. https://doi.org/10.1016/j.rpsm.2017.06.004
  • Fonseca-Pedrero, E. (2018). Análisis de redes en psicología. Papeles del Psicólogo, 39, 1–12. https://doi.org/10.23923/pap.psicol2018.2852
  • Fonseca-Pedrero, E. (coord.) (2019). Tratamientos psicológicos para la psicosis. Pirámide.
  • Fonseca-Pedrero, E. (coord.) (2021a). Manual de tratamientos psicológicos. Adultos. Pirámide.
  • Fonseca-Pedrero, E. (coord.) (2021b). Manual de tratamientos psicológicos. Infancia y adolesencia. Pirámide.
  • Haladyna, T. M., y Rodríguez, M. C. (2013). Developing and validating test items. Routledge.
  • Hall, M., Scherner, P. V., Kreidel, Y., y Rubel, J. A. (2021). A systematic review of momentary assessment designs for mood and anx ie ty symptoms. Fron t ie rs in Psychology , 12 . https://doi.org/10.3389/FPSYG.2021.642044
  • Hektner, J., Schmidt, J., y Csikszentmihalyi, M. (2007). Experience sampling method: measuring the quality of everyday life. SAGE Publications.
  • Heron, K. E., Everhart, R. S., McHale, S. M., y Smyth, J. M. (2017). Using mobile-technology-based ecological momentary assessment (ema) methods with youth: A systematic review and recommendations. Journal of Pediatr ic Psychology , 42(10), 1087–1107. https://doi.org/10.1093/JPEPSY/JSX078
  • Heron, K. E., y Smyth, J. M. (2010). Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. British Journal of Health Psychology, 15, 1–39. https://doi.org/10.1348/135910709X466063
  • Hirschtritt, M. E., y Insel, T. R. (2018). Digital technologies in Psychiatry: Present and future. Focus, 16(3), 251–258. https://doi.org/10.1176/APPI.FOCUS.20180001
  • Insel, T. R. (2017). Digital phenotyping: Technology for a new science of behavior. JAMA , 318(13), 1215–1216. https://doi.org/10.1001/jama.2017.11295
  • Lane, S., Raymond, M. R., y Haladyna, T. M. (2016). Handbook of test development (2nd edition). Routledge.
  • McCutcheon, R. A., Merritt, K., y Howes, O. D. (2021). Dopamine and glutamate in individuals at high risk for psychosis: A metaanalysis of in vivo imaging findings and their variability compared to controls . World Psychiatry , 20(3), 405–416. https://doi.org/10.1002/WPS.20893
  • Mehl, M. (2012). Handbook of research methods for studying daily life. Guilford Press.
  • Muñiz, J., y Fonseca-Pedero, E. (2019). Diez pasos para la construcción de un test. Psicothema, 31, 7-16. https://doi.org/10.7334/psicothema2018.291
  • Muñiz, J., Hernández, A., y Fernández-Hermida, J. R. (2020).Utilización de los test en España: El punto de vista de los psicólogos. Papeles del Psicólogo, 41, 1-15. https://doi.org/10.23923/pap.psicol2020.2921
  • Myin-Germeys, I., Kasanova, Z., Vaessen, T., Vachon, H., Kirtley, O., Viechtbauer, W., y Reininghaus, U. (2018). Experience sampling methodology in mental health research: New insights and technical developments. World Psychiatry , 17(2), 123–132. https://doi.org/10.1002/wps.20513
  • Myin-Germeys, I., Klippel, A., Steinhart, H., y Reininghaus, U. (2016). Ecological momentary interventions in psychiatry. Cur ren t Op in ion i n P sych ia t ry , 29 , 258–263. https://doi.org/10.1097/YCO.0000000000000255
  • Myin-Germeys, I., y Kuppens, P. (2021). The Open Handbook of Experience Sampling Methodology: A step-by-step guide to de- signing, conducting, and analyzing ESM studies. The center for Research on Experience sampling and Ambulatory methods Leu- ven (REAL) Belgium.
  • Palmier-Claus, J. E., Myin-Germeys, I., Barkus, E., Bentley, L., Udachina, A., Delespaul, P. A., Lewis, S. W., y Dunn, G. (2011). Experience sampling research in individuals with mental illness: Reflections and guidance. Acta psychiatrica Scandinavica, 123(1), 12–20. ht tps://doi.org/10.1111/j.1600- 0447.2010.01596.x
  • Pérez-Álvarez, M. (2020). El embrollo científico de la psicoterapia: cómo sal i r . Papeles del Ps icólogo , 41 , 174-183. https://doi.org/10.23923/pap.psicol2020.2944
  • Pérez-Álvarez, M. (2018). Para pensar la psicología más allá de la mente y el cerebro: un enfoque transteórico. Papeles del Psicólogo, 39, 161– 173. https://doi.org/10.23923/pap.psicol2018.2875
  • Pérez-Álvarez, M. (2019). La psicoterapia como ciencia humana, más que tecnológica. Papeles del Psicólogo, 40, 1–14. https://doi.org/10.23923/pap.psicol2019.2877
  • Pérez Álvarez, M. (2012). Las raíces de la psicopatología moderna: La melancolía y la esquizofrenia. Pirámide.
  • Pérez Álvarez, M., y García-Montes, J. M. (2018). Evaluacion fenomenológica más allá de los síntomas. En Fonseca-Pedrero, E. (coord), Evaluación de los trastornos del espectro psicótico (pp. 331–363). Pirámide.
  • Radua, J., Ramella-Cravaro, V., Ioannidis, J. P. A., Reichenberg, A., Phiphopthatsanee, N., Amir, T., Yenn Thoo, H., Oliver, D., Davies, C., Morgan, C., McGuire, P., Murray, R. M., y Fusar-Poli, P. (2018). What causes psychosis? An umbrella review of risk and protect ive factors. World Psychiatry , 17, 49–66. https://doi.org/10.1002/wps.20490
  • Rath, D., de Beurs, D., Hallensleben, N., Spangenberg, L., Glaesmer, H., y Forkmann, T. (2019). Modelling suicide ideation from beep to beep: Application of network analysis to ecological momentary assessment data. Internet Intervent ions , 18 . https://doi.org/10.1016/J.INVENT.2019.100292
  • Raugh, I. M., James, S. H., Gonzalez, C. M., Chapman, H. C., Cohen, A. S., Kirkpatrick, B., y Strauss, G. P. (2021). Digital phenotyping adherence, feasibility, and tolerability in outpatients with schizophrenia. Journal of Psychiatric Research, 138, 436–443. https://doi.org/10.1016/J.JPSYCHIRES.2021.04.022
  • Rintala, A., Wampers, M., Myin-Germeys, I., y Viechtbauer, W. (2019). Response compliance and predictors thereof in studies using the experience sampling method. Psychological Assessment, 31(2), 226–235. https://doi.org/10.1037/PAS0000662
  • Rintala, A., Wampers, M., Myin-Germeys, I., y Viechtbauer, W. (2020). Momentary predictors of compliance in studies using the experience sampling method. Psychiatry Research, 286 . https://doi.org/10.1016/J.PSYCHRES.2020.112896
  • Russell, M. A., y Gajos, J. M. (2020). Annual Research Review: Ecological momentary assessment studies in child psychology and psychiatry. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 61(3), 376–394. https://doi.org/10.1111/JCPP.13204
  • Sedano-Capdevila, A., Porras-Segovia, A., Bello, H. J., Baca-García, E., y Barrigon, M. L. (2021). Use of ecological momentary assessment to study suicidal thoughts and behavior: A systematic review. Current Psychiatry Reports , 23(7). https://doi.org/10.1007/s11920-021-01255-7
  • Smith, K. E., y Juarascio, A. (2019). From ecological momentary assessment (ema) to ecological momentary intervention (emi): Past and future directions for ambulatory assessment and interventions in eat ing disorders. Current Psychiatry Reports , 21(7). https://doi.org/10.1007/s11920-019-1046-8
  • Smyth, J. M., Jones, D. R., Wen, C. K. F., Materia, F. T., Schneider, S., y Stone, A. (2021). Influence of ecological momentary assessment study design features on reported willingness to participate and perceptions of potential research studies: an experimental study. BMJ Open, 11(7). https://doi.org/10.1136/BMJOPEN2021-049154
  • Stone, A. A., y Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavorial medicine. Annals of Behavioral Medicine, 16, 199–202.
  • Torous, J., Onnela, J., y Keshavan, M. S. (2017). New dimensions and new tools to realize the potential of RDoC: Digital phenotyping via smartphones and connected devices. Translational Psychiatry, 7, e1053. https://doi.org/10.1038/tp.2017.25
  • Torous, John, Bucci, S., Bell, I. H., Kessing, L. V, Faurholt-Jepsen, M., Whelan, P., Carvalho, A. F., Keshavan, M., Linardon, J., y Firth, J. (2021). The growing field of digital psychiatry: Current evidence and the future of apps, social media, chatbots, and virtual reality. World Psychiatry, 20(3), 318–335. https://doi.org/10.1002/wps.20883
  • Trull, T. J., y Ebner-Priemer, U. W. (2013). Ambulatory assessment. Annual Review of Cl inical Psychology , 9 , 151–176. https://doi.org/10.1146/annurev-clinpsy-050212-185510
  • Trull, T. J., y Ebner-Priemer, U. W. (2020). Ambulatory assessment in psychopathology research: A review of recommended reporting guidelines and current practices. Journal of Abnormal Psychology, 129(1), 56– 63. https://doi.org/10.1037/ABN0000473
  • van Os, J., Delespaul, P., Wigman, J., Myin-Germeys, I., y Wichers, M. (2013). Psychiatry beyond labels: Introducing contex tua l p rec i s ion d iagnos i s ac ros s s tages o f psychopathology. Psychological Medicine, 43(07), 1563– 1567. https://doi.org/10.1017/S0033291713000937
  • Wen, C. K. F., Schneider, S., Stone, A. A., y Spruijt-Metz, D. (2017). Compliance with mobile ecological momentary assessment protocols in children and adolescents: A systematic review and metaanalysis . Journal of Medical Internet Research , 19(4). https://doi.org/10.2196/JMIR.6641
  • Williams, M. T., Lewthwaite, H., Fraysse, F., Gajewska, A., Ignatavicius, J., y Ferrar, K. (2021). Compliance with mobile ecological momentary assessment of self-reported health-related behaviors and psychological constructs in adults: systematic review and meta-analysis. Journal of Medical Internet Research, 23(3). https://doi.org/10.2196/17023