Early warning signals and critical transitions in psychopathology: challenges and recommendations

Marieke A. Helmich*, Merlijn Olthof, Tineke Oldehinkel, Marieke Wichers, Laura F. Bringmann, Arnout C. Smit

*Bijbehorende auteur voor dit werk

Onderzoeksoutputpeer review

28 Citaten (Scopus)
125 Downloads (Pure)


Empirical evidence is mounting that monitoring momentary experiences for the presence of early warning signals (EWS) may allow for personalized predictions of meaningful symptom shifts in psychopathology. Studies aiming to detect EWS require intensive longitudinal measurement designs that center on individuals undergoing change. We recommend that researchers (1) define criteria for relevant symptom shifts a priori to allow specific hypothesis testing, (2) balance the observation period length and high-frequency measurements with participant burden by testing ambitious designs with pilot studies, and (3) choose variables that are meaningful to their patient group and facilitate replication by others. Thoroughly considered designs are necessary to assess the promise of EWS as a clinical tool to detect, prevent, or encourage impending symptom changes in psychopathology.

Originele taal-2English
Pagina's (van-tot)51-58
Aantal pagina's8
TijdschriftCurrent Opinion in Psychology
StatusPublished - okt.-2021

Citeer dit