Effects of momentary self-monitoring on empowerment in a randomized controlled trial in patients with depression

C. J. P. Simons*, J. A. Hartmann, I. Kramer, C. Menne-Lothmann, P. Hoehn, A. L. Van Bemmel, I. Myin-Germeys, P. Delespaul, J. Van Os, M. Wichers

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

19 Citations (Scopus)

Abstract

Background: Interventions based on the experience sampling method (ESM) are ideally suited to provide insight into personal, contextualized affective patterns in the flow of daily life. Recently, we showed that an ESM-intervention focusing on positive affect was associated with a decrease in symptoms in patients with depression. The aim of the present study was to examine whether ESM-intervention increased patient empowerment.

Methods: Depressed out-patients (n = 102) receiving psychopharmacological treatment who had participated in a randomized controlled trial with three arms: (i) an experimental group receiving six weeks of ESM self-monitoring combined with weekly feedback sessions, (ii) a pseudo-experimental group participating in six weeks of ESM self-monitoring without feedback, and (iii) a control group (treatment as usual only). Patients were recruited in the Netherlands between January 2010 and February 2012. Self-report empowerment scores were obtained pre- and post-intervention.

Results: There was an effect of group x assessment period, indicating that the experimental (B = 7.26, P = 0.061, d = 0.44, statistically imprecise) and pseudo-experimental group (B = 11.19, P = 0.003, d = 0.76) increased more in reported empowerment compared to the control group. In the pseudo-experimental group, 29% of the participants showed a statistically reliable increase in empowerment score and 0% reliable decrease compared to 17% reliable increase and 21% reliable decrease in the control group. The experimental group showed 19% reliable increase and 4% reliable decrease.

Conclusions: These findings tentatively suggest that self-monitoring to complement standard antidepressant treatment may increase patients' feelings of empowerment. Further research is necessary to investigate long-term empowering effects of self-monitoring in combination with person-tailored feedback. (C) 2015 Elsevier Masson SAS. All rights reserved.

Original languageEnglish
Pages (from-to)900-906
Number of pages7
JournalEuropean Psychiatry
Volume30
Issue number8
DOIs
Publication statusPublished - Nov-2015

Keywords

  • Ecological momentary assessment
  • Intervention study
  • Self-monitoring
  • Personalized feedback
  • Depressive disorder
  • Empowerment
  • SHARED DECISION-MAKING
  • MENTAL-HEALTH-CARE
  • EXPERIENCE SAMPLING RESEARCH
  • DAILY-LIFE STRESS
  • POSITIVE EMOTIONS
  • PSYCHOLOGICAL EMPOWERMENT
  • BEHAVIORAL ACTIVATION
  • GENETIC RISK
  • REACTIVITY
  • DISORDER

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