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Auteur Jennifer MEIGS |
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Network analysis of ecological momentary assessment identifies frustration as a central node in irritability / Wan-Ling TSENG in Journal of Child Psychology and Psychiatry, 64-8 (August 2023)
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Titre : Network analysis of ecological momentary assessment identifies frustration as a central node in irritability Type de document : Texte imprimé et/ou numérique Auteurs : Wan-Ling TSENG, Auteur ; Reut NAIM, Auteur ; Amanda CHUE, Auteur ; Shannon SHAUGHNESSY, Auteur ; Jennifer MEIGS, Auteur ; Daniel S. PINE, Auteur ; Ellen LEIBENLUFT, Auteur ; Katharina KIRCANSKI, Auteur ; Melissa A. BROTMAN, Auteur Article en page(s) : p.1212-1221 Langues : Anglais (eng) Mots-clés : Irritability frustration anger mood anxiety ecological momentary assessment network analysis Index. décimale : PER Périodiques Résumé : Background Irritability presents transdiagnostically, commonly occurring with anxiety and other mood symptoms. However, little is known about the temporal and dynamic interplay among irritability-related clinical phenomena. Using a novel network analytic approach with smartphone-based ecological momentary assessment (EMA), we examined how irritability and other anxiety and mood symptoms were connected. Methods Sample included 152 youth ages 8 18 years (M + SD = 12.28 + 2.53; 69.74% male; 65.79% White) across several diagnostic groups enriched for irritability including disruptive mood dysregulation disorder (n = 34), oppositional defiant disorder (n = 9), attention-deficit/hyperactivity disorder (n = 47), anxiety disorder (n = 29), and healthy comparisons (n = 33). Participants completed EMA on irritability-related constructs and other mood and anxiety symptoms three times a day for 7 days. EMA probed symptoms on two timescales: since the last prompt (between-prompt) versus at the time of the prompt (momentary). Irritability was also assessed using parent-, child- and clinician-reports (Affective Reactivity Index; ARI), following EMA. Multilevel vector autoregressive (mlVAR) models estimated a temporal, a contemporaneous within-subject and a between-subject network of symptoms, separately for between-prompt and momentary symptoms. Results For between-prompt symptoms, frustration emerged as the most central node in both within- and between-subject networks and predicted more mood changes at the next timepoint in the temporal network. For momentary symptoms, sadness and anger emerged as the most central node in the within- and between-subject network, respectively. While anger was positively related to sadness within individuals and measurement occasions, anger was more broadly positively related to sadness, mood lability, and worry between/across individuals. Finally, mean levels, not variability, of EMA-indexed irritability were strongly related to ARI scores. Conclusions This study advances current understanding of symptom-level and temporal dynamics of irritability. Results suggest frustration as a potential clinically relevant treatment target. Future experimental work and clinical trials that systematically manipulate irritability-related features (e.g. frustration, unfairness) will elucidate the causal relations among clinical variables. En ligne : https://doi.org/10.1111/jcpp.13794 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508
in Journal of Child Psychology and Psychiatry > 64-8 (August 2023) . - p.1212-1221[article] Network analysis of ecological momentary assessment identifies frustration as a central node in irritability [Texte imprimé et/ou numérique] / Wan-Ling TSENG, Auteur ; Reut NAIM, Auteur ; Amanda CHUE, Auteur ; Shannon SHAUGHNESSY, Auteur ; Jennifer MEIGS, Auteur ; Daniel S. PINE, Auteur ; Ellen LEIBENLUFT, Auteur ; Katharina KIRCANSKI, Auteur ; Melissa A. BROTMAN, Auteur . - p.1212-1221.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 64-8 (August 2023) . - p.1212-1221
Mots-clés : Irritability frustration anger mood anxiety ecological momentary assessment network analysis Index. décimale : PER Périodiques Résumé : Background Irritability presents transdiagnostically, commonly occurring with anxiety and other mood symptoms. However, little is known about the temporal and dynamic interplay among irritability-related clinical phenomena. Using a novel network analytic approach with smartphone-based ecological momentary assessment (EMA), we examined how irritability and other anxiety and mood symptoms were connected. Methods Sample included 152 youth ages 8 18 years (M + SD = 12.28 + 2.53; 69.74% male; 65.79% White) across several diagnostic groups enriched for irritability including disruptive mood dysregulation disorder (n = 34), oppositional defiant disorder (n = 9), attention-deficit/hyperactivity disorder (n = 47), anxiety disorder (n = 29), and healthy comparisons (n = 33). Participants completed EMA on irritability-related constructs and other mood and anxiety symptoms three times a day for 7 days. EMA probed symptoms on two timescales: since the last prompt (between-prompt) versus at the time of the prompt (momentary). Irritability was also assessed using parent-, child- and clinician-reports (Affective Reactivity Index; ARI), following EMA. Multilevel vector autoregressive (mlVAR) models estimated a temporal, a contemporaneous within-subject and a between-subject network of symptoms, separately for between-prompt and momentary symptoms. Results For between-prompt symptoms, frustration emerged as the most central node in both within- and between-subject networks and predicted more mood changes at the next timepoint in the temporal network. For momentary symptoms, sadness and anger emerged as the most central node in the within- and between-subject network, respectively. While anger was positively related to sadness within individuals and measurement occasions, anger was more broadly positively related to sadness, mood lability, and worry between/across individuals. Finally, mean levels, not variability, of EMA-indexed irritability were strongly related to ARI scores. Conclusions This study advances current understanding of symptom-level and temporal dynamics of irritability. Results suggest frustration as a potential clinically relevant treatment target. Future experimental work and clinical trials that systematically manipulate irritability-related features (e.g. frustration, unfairness) will elucidate the causal relations among clinical variables. En ligne : https://doi.org/10.1111/jcpp.13794 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=508