Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module
Background: The experience sampling methodology (ESM) is increasingly being suggested as a clinical tool in mental health care, as it offers ecologically valid, microlevel information on psychopathological processes. Patients and clinicians have recommended that applications of ESM should be persona...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-03-01
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| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023017140 |
| _version_ | 1797851769975341056 |
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| author | Lino von Klipstein Michelle N. Servaas Robert A. Schoevers Date C. van der Veen Harriëtte Riese |
| author_facet | Lino von Klipstein Michelle N. Servaas Robert A. Schoevers Date C. van der Veen Harriëtte Riese |
| author_sort | Lino von Klipstein |
| collection | DOAJ |
| description | Background: The experience sampling methodology (ESM) is increasingly being suggested as a clinical tool in mental health care, as it offers ecologically valid, microlevel information on psychopathological processes. Patients and clinicians have recommended that applications of ESM should be personalized and integrated into the existing clinical process, but there is still much uncertainty about how implementation may look like. Objective: To provide an example of personalized ESM assessment and feedback being integrated into psychotherapy for depression, specifically looking at the collaborative use of ESM in case conceptualization. Methods: George, a 27-year-old man diagnosed with depression, and his therapist participated in the Therap-i randomized controlled trial, which investigates the efficacy of a personalized ESM module added to psychotherapy. Together, they created a personalized ESM questionnaire, aiming to capture their hypotheses and questions regarding George’s case conceptualization. George then filled out his ESM questionnaire five times per day, for 8 weeks. During this period, ESM data were discussed and interpreted by George, his therapist, and a researcher, in three feedback sessions. In these sessions, data were visualized in a flexible feedback interface that allowed for collaborative exploration of George’s data. Both patient and therapist evaluated the module through questionnaires and George also participated in a semi-structured evaluation interview. Results: George’s ESM questionnaire included personalized items on the topics of self-esteem and open versus withdrawn behavior. He completed 241 (89.3%) assessments. Discussions during the feedback sessions focused on two core themes: First, George’s low energy level, which was further explored with regard to his sleep, medication, and activity patterns. Second, his low sense of self-esteem, which led to an in-depth exploration of his thinking patterns and social interactions. The ESM module was seen as useful and insightful by both George and therapist. Conclusions: This case shows how ESM and ESM-based feedback can stimulate the collaborative exploration of the patient’s complaints, and how it can provide useful insights for treatment. We discuss how our personalized ESM module relates to current clinical principles and practices, and make suggestions for further implementation. |
| first_indexed | 2024-04-09T19:22:06Z |
| format | Article |
| id | doaj.art-3a78cc540eb64d0485f71cb35f31faa2 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-09T19:22:06Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-3a78cc540eb64d0485f71cb35f31faa22023-04-05T08:26:01ZengElsevierHeliyon2405-84402023-03-0193e14507Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i moduleLino von Klipstein0Michelle N. Servaas1Robert A. Schoevers2Date C. van der Veen3Harriëtte Riese4Corresponding author.; University of Groningen, University Medical Center Groningen, Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, the NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, the NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, the NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, the NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Psychiatry, Interdisciplinary Center Psychopathology and Emotion Regulation (ICPE), Groningen, the NetherlandsBackground: The experience sampling methodology (ESM) is increasingly being suggested as a clinical tool in mental health care, as it offers ecologically valid, microlevel information on psychopathological processes. Patients and clinicians have recommended that applications of ESM should be personalized and integrated into the existing clinical process, but there is still much uncertainty about how implementation may look like. Objective: To provide an example of personalized ESM assessment and feedback being integrated into psychotherapy for depression, specifically looking at the collaborative use of ESM in case conceptualization. Methods: George, a 27-year-old man diagnosed with depression, and his therapist participated in the Therap-i randomized controlled trial, which investigates the efficacy of a personalized ESM module added to psychotherapy. Together, they created a personalized ESM questionnaire, aiming to capture their hypotheses and questions regarding George’s case conceptualization. George then filled out his ESM questionnaire five times per day, for 8 weeks. During this period, ESM data were discussed and interpreted by George, his therapist, and a researcher, in three feedback sessions. In these sessions, data were visualized in a flexible feedback interface that allowed for collaborative exploration of George’s data. Both patient and therapist evaluated the module through questionnaires and George also participated in a semi-structured evaluation interview. Results: George’s ESM questionnaire included personalized items on the topics of self-esteem and open versus withdrawn behavior. He completed 241 (89.3%) assessments. Discussions during the feedback sessions focused on two core themes: First, George’s low energy level, which was further explored with regard to his sleep, medication, and activity patterns. Second, his low sense of self-esteem, which led to an in-depth exploration of his thinking patterns and social interactions. The ESM module was seen as useful and insightful by both George and therapist. Conclusions: This case shows how ESM and ESM-based feedback can stimulate the collaborative exploration of the patient’s complaints, and how it can provide useful insights for treatment. We discuss how our personalized ESM module relates to current clinical principles and practices, and make suggestions for further implementation.http://www.sciencedirect.com/science/article/pii/S2405844023017140Personalized ecological momentary assessmentCase conceptualizationCase formulationCollaborative empiricismPerson-centered mental health careDepression |
| spellingShingle | Lino von Klipstein Michelle N. Servaas Robert A. Schoevers Date C. van der Veen Harriëtte Riese Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module Heliyon Personalized ecological momentary assessment Case conceptualization Case formulation Collaborative empiricism Person-centered mental health care Depression |
| title | Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module |
| title_full | Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module |
| title_fullStr | Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module |
| title_full_unstemmed | Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module |
| title_short | Integrating personalized experience sampling in psychotherapy: A case illustration of the Therap-i module |
| title_sort | integrating personalized experience sampling in psychotherapy a case illustration of the therap i module |
| topic | Personalized ecological momentary assessment Case conceptualization Case formulation Collaborative empiricism Person-centered mental health care Depression |
| url | http://www.sciencedirect.com/science/article/pii/S2405844023017140 |
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