Ecological momentary assessment in posttraumatic stress disorder and coping. An eHealth study protocol

Autor: Lorenz, Patrick, Schindler, Lena, Steudte-Schmiedgen, Susann, Weidner, Kerstin, Kirschbaum, Clemens, Schellong, Julia
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Cortisol en cabello
ehealth
lcsh:RC435-571
Salud móvil
Evaluación Ecológica del momento
ecological momentary assessment
移动健康
mhealth
afrontamiento
coping
Trastorno de Estrés postraumático
生态瞬时评估
posttraumatic stress disorder
创伤后应激障碍
lcsh:Psychiatry
hair cortisol
e-Health applications in the field of traumatic stress
头发皮质醇
• Study Protocol presents a multimodal approach
combining traditional measures
those of Ecological Momentary Assessment (EMA) including CoachPTBS
and hair cortisol concentrations (HCC) as a biomarker of traumatic stress.• Effects on Posttraumatic stress disorder (PTSD) symptomology by participants’ differences in intra-individual coping strategies to be explored.• Effects of coping behaviour taught through mHealth tools
such as CoachPTBS
to be explored.• Contrasting retrospective recall and instant assessment through EMA in regarding PTSD symptoms and coping behaviour
Salud electrónica
应对
Zdroj: European Journal of Psychotraumatology, Vol 10, Iss 1 (2019)
European Journal of Psychotraumatology
ISSN: 2000-8066
Popis: Background: It is well known from cross-sectional studies that individual coping strategies significantly influence the pathogenesis of posttraumatic stress disorder (PTSD). Equally, undisputed is the role of biological processes, e.g. of the so-called ‘stress hormone’ cortisol for the trajectory of PTSD. Ecological momentary assessment (EMA), the repeated collection of self-reported momentary states via smartphones, is ideal for shedding light upon symptom fluctuations and coping strategies. EMA may also constitute a promising approach to provide closer associations to biomarkers than retrospective self-report. The mobile application ‘CoachPTBS’, created to facilitate transition into health-care systems, bridges waiting periods for trauma-specific psychotherapy. CoachPTBS offers tools akin to EMA that could elucidate coping with stress symptoms. Moreover, the app’s self-management tools may improve coping strategies. However, these processes have never been examined in a combined, longitudinal fashion. Objective: The aim of the current study is to assess symptom fluctuations, coping strategies and long-term endocrine correlates of PTSD by a longitudinal, multimodal approach, combining traditional, online and EMA self-report with hair cortisol data and CoachPTBS as a possible novel mHealth tool. Method: 120 participants waiting for PTSD psychotherapy will be randomly grouped. After in-situ assessment and hair sample collection, 40 will receive CoachPTBS, using it daily throughout 4 weeks. A parallel group of 40 will participate in EMA, completing daily questionnaires on symptoms and coping. In between, online surveys will be conducted. After 6 weeks, a final interview and another hair sample collection will follow. Comparisons between these groups and waitlist-control, also consisting of 40 PTSD participants, and 40 non-traumatized participants assessed via EMA regarding aversive emotions and coping are planned. Discussion: Novel insights into the interplay of biological and coping strategies in PTSD are expected due to the innovative multimodal study design. Results will further explore benefits of eHealth tools on coping with PTSD.
Databáze: OpenAIRE
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