Всемирная психиатрия. №2 2018

Методика выборки переживаний в исследованиях психического здоровья: новые идеи и технические разработки

Inez Myin-Germeys1, Zuzana Kasanova1, Thomas Vaessen1, Hugo Vachon1, Olivia Kirtley1, Wolfgang Viechtbauer1,2, Ulrich Reininghaus2,3

1Center for Contextual Psychiatry, Department of Neurosciences, KU Leuven, Leuven, Belgium; 2School for Mental Health & Neuroscience, Maastricht University, Maastricht, The Netherlands; 3Centre for Epidemiology and Public Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King’s College London, London, UK

Стр. 123-132

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Опубликовано: 12 ноября 2018

Аннотация / Abstract

a:2:{s:4:"TEXT";s:65535:"a:2:{s:4:"TYPE";s:4:"HTML";s:4:"TEXT";s:89913:"Перевод: Шишорин Родион (Москва) Редактура: к.м.н. Северова Е.А. (Смоленск) В области психического здоровья растет осознание того, что исследование психических симптомов в контексте повседневной жизни, с использованием методики выборки переживаний (experience sampling methodology – ESM), может дать мощное и необходимое дополнение к более традиционным исследовательским подходам. ESM – это структурированная методика дневниковых самонаблюдений, позволяющая изучать переживания и опыт пациента в реальном контексте и во взаимодействии с ним. В статье показано, как детализация переживаний и поведения на микроуровне, с использованием ESM, предоставляет новые данные и открывает дополнительные перспективы для стандартных подходов. Точнее говоря, в ней рассмотрено, как ESM: а) способствует более глубокому пониманию психопатологических явлений; b) позволяет фиксировать изменчивость симптомов во времени; c) позволяет определить внутренние и ситуативные детерминанты изменчивости симптомов; d) позволяет провести тщательное исследование взаимодействий между личностью и ее средой и реальными социальными взаимодействиями. Вместе с улучшением оценки психопатологических явлений и лежащих в их основе механизмов ESM способствует улучшению и изменению клинической практики, позволяя оценить эффекты лечения более точно, а также давая возможность распространить лечение за пределы лечебных учреждений с разработкой приложений для экологических ситуативных вмешательств (ecological momentary interventions – EMIs). Более того, в данной статье приведен обзор технических моментов организации исследования ESM с точки зрения дизайна, составления опросника и статистических подходов. В целом, хотя число вопросов и трудностей не уменьшается, ESM предоставляет одну из лучших возможностей для персонализированной медицины в психиатрии, как с точки зрения клинических исследований, так и в отношении клинической практики. ...

Перевод: Шишорин Родион (Москва) Редактура: к.м.н. Северова Е.А. (Смоленск) В области психического здоровья растет осознание того, что исследование психических симптомов в контексте повседневной жизни, с использованием методики выборки переживаний (experience sampling methodology – ESM), может дать мощное и необходимое дополнение к более традиционным исследовательским подходам. ESM – это структурированная методика дневниковых самонаблюдений, позволяющая изучать переживания и опыт пациента в реальном контексте и во взаимодействии с ним. В статье показано, как детализация переживаний и поведения на микроуровне, с использованием ESM, предоставляет новые данные и открывает дополнительные перспективы для стандартных подходов. Точнее говоря, в ней рассмотрено, как ESM: а) способствует более глубокому пониманию психопатологич...

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