Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study
Background and Objectives. In the proposed symptom network approach to psychopathology, psychiatric disorders are assumed to result from the (causal) interplay between symptoms. By implementing this approach we explored whether individual feedback on symptom dynamics complements current categorical...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Lund University Library
2017-11-01
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| Series: | Journal for Person-Oriented Research |
| Subjects: | |
| Online Access: | https://journals.lub.lu.se/jpor/article/view/20383 |
| _version_ | 1818139020592414720 |
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| author | Renske Kroeze Date C. van der Veen Michelle N. Servaas Jojanneke A. Bastiaansen Richard C. Oude Voshaar Denny Borsboom Henricus G. Ruhe Robert A. Schoevers Harriëtte Riese |
| author_facet | Renske Kroeze Date C. van der Veen Michelle N. Servaas Jojanneke A. Bastiaansen Richard C. Oude Voshaar Denny Borsboom Henricus G. Ruhe Robert A. Schoevers Harriëtte Riese |
| author_sort | Renske Kroeze |
| collection | DOAJ |
| description | Background and Objectives. In the proposed symptom network approach to psychopathology, psychiatric disorders are assumed to result from the (causal) interplay between symptoms. By implementing this approach we explored whether individual feedback on symptom dynamics complements current categorical classification and treatment. The aim of this proof-of-principle case-study was to explore the feasibility, acceptability and usability of this transdiagnostic approach.
Methods. A female patient, aged 67, suffering from treatment resistant anxious and depressive symptoms was treated in our tertiary outpatient clinic for old age psychiatry. She participated in ecological momentary assessments (EMA), which in-volved intensive repeated measurements of mood and context-related items during two weeks. Visualizations of the interplay between the items were provided by network graphs and were discussed with the patient.
Results. Network graphs were discussed with the patient. For example, it was hypothesized and discussed with the patient that feeling relaxed increased physical activity, causing physical discomfort in the following hours. Physical discomfort caused stress as its symptoms resembled her feared somatic anxiety symptoms. This increased the patient’s insight that stress, expressed as somatic symptoms, played a central role in her panic disorder. This started a dialogue on how to cope with stress caused by somatic (anxiety) symptoms and provided a rationale for the patient to start an interoceptive exposure intervention she had repeatedly refused before.
Limitations. The observed symptom dynamics may not be generalizable to any other random two weeks.
Conclusions. Personalized diagnosis of psychopathology incorporating complex symptom dynamics is feasible and a promising addition to current categorical diagnostic systems and could guide intervention selection. This merits further exploration. |
| first_indexed | 2024-12-11T10:21:27Z |
| format | Article |
| id | doaj.art-7c39022a0b7246bf926704a1046054fa |
| institution | Directory Open Access Journal |
| issn | 2002-0244 2003-0177 |
| language | English |
| last_indexed | 2024-12-11T10:21:27Z |
| publishDate | 2017-11-01 |
| publisher | Lund University Library |
| record_format | Article |
| series | Journal for Person-Oriented Research |
| spelling | doaj.art-7c39022a0b7246bf926704a1046054fa2022-12-22T01:11:24ZengLund University LibraryJournal for Person-Oriented Research2002-02442003-01772017-11-013110.17505/jpor.2017.01Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle StudyRenske Kroeze0Date C. van der Veen1Michelle N. Servaas2Jojanneke A. Bastiaansen3Richard C. Oude Voshaar4Denny Borsboom5Henricus G. Ruhe6Robert A. Schoevers7Harriëtte Riese8University of Amsterdam and University of GroningenUniversity of GroningenUniversity of GroningenUniversity of GroningenUniversity of GroningenUniversity of AmsterdamUniversity of GroningenUniversity of GroningenUniversity of GroningenBackground and Objectives. In the proposed symptom network approach to psychopathology, psychiatric disorders are assumed to result from the (causal) interplay between symptoms. By implementing this approach we explored whether individual feedback on symptom dynamics complements current categorical classification and treatment. The aim of this proof-of-principle case-study was to explore the feasibility, acceptability and usability of this transdiagnostic approach. Methods. A female patient, aged 67, suffering from treatment resistant anxious and depressive symptoms was treated in our tertiary outpatient clinic for old age psychiatry. She participated in ecological momentary assessments (EMA), which in-volved intensive repeated measurements of mood and context-related items during two weeks. Visualizations of the interplay between the items were provided by network graphs and were discussed with the patient. Results. Network graphs were discussed with the patient. For example, it was hypothesized and discussed with the patient that feeling relaxed increased physical activity, causing physical discomfort in the following hours. Physical discomfort caused stress as its symptoms resembled her feared somatic anxiety symptoms. This increased the patient’s insight that stress, expressed as somatic symptoms, played a central role in her panic disorder. This started a dialogue on how to cope with stress caused by somatic (anxiety) symptoms and provided a rationale for the patient to start an interoceptive exposure intervention she had repeatedly refused before. Limitations. The observed symptom dynamics may not be generalizable to any other random two weeks. Conclusions. Personalized diagnosis of psychopathology incorporating complex symptom dynamics is feasible and a promising addition to current categorical diagnostic systems and could guide intervention selection. This merits further exploration.https://journals.lub.lu.se/jpor/article/view/20383Anxious DepressionEcological Momentary AssessmentElderlyNetwork AnalysisPersonalized MedicinePsychopathology |
| spellingShingle | Renske Kroeze Date C. van der Veen Michelle N. Servaas Jojanneke A. Bastiaansen Richard C. Oude Voshaar Denny Borsboom Henricus G. Ruhe Robert A. Schoevers Harriëtte Riese Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study Journal for Person-Oriented Research Anxious Depression Ecological Momentary Assessment Elderly Network Analysis Personalized Medicine Psychopathology |
| title | Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study |
| title_full | Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study |
| title_fullStr | Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study |
| title_full_unstemmed | Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study |
| title_short | Personalized Feedback on Symptom Dynamics of Psychopathology: A Proof-of-Principle Study |
| title_sort | personalized feedback on symptom dynamics of psychopathology a proof of principle study |
| topic | Anxious Depression Ecological Momentary Assessment Elderly Network Analysis Personalized Medicine Psychopathology |
| url | https://journals.lub.lu.se/jpor/article/view/20383 |
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