ArticleBMC research notes2019
Use of ecological momentary assessment to detect variability in mood, sleep and stress in bipolar disorder.
Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Monitoring Daily Sleep, Mood, and Affect Using Digital Technologies and Wearables: A Systematic Review.Sensors (Basel, Switzerland) · 2024Pooled it
- Adjunctive dietary intervention for bipolar disorder: a randomized, controlled, parallel-group, modified double-blinded trial of a high n-3 plus low n-6 diet.Bipolar disorders · 2022Trial
- Ecological assessment of transdiagnostic clinical symptoms in serious mental illness with daily smartphone surveys.Translational psychiatry · 2026Article
- Microstructural Integrity of Hippocampal-Posterior Cortical White Matter Is Associated With Phenomenological Properties of Trauma-Related Intrusive Memories.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026Article
- Enhancing Predictive Accuracy of Mood Symptoms Using Wearable Devices and Machine Learning in Bipolar Disorder.JMIR medical informatics · 2026Article
- Understanding the Current State of Play of Early Intervention for Bipolar Disorder: Qualitative Analysis of Consultations With International Stakeholders.Bipolar disorders · 2026Article
- Demographic and Clinical Characteristics Influencing Ecological Momentary Assessment Compliance in Individuals With Bipolar Disorder: Observational Study.JMIR formative research · 2026Observational
- Digital tools for assessing bipolar disorder: A scoping review of the current landscape.Neuroscience applied · 2026Article
- Additive impulsivity and emotion dysregulation in adolescents with comorbid bipolar and substance use disorder: a cross-sectional factorial study.Frontiers in psychiatry · 2026Article
- Self-assessment and rest-activity rhythm monitoring for effective bipolar disorder management: a longitudinal actigraphy study.International journal of bipolar disorders · 2025Article
- Ecological Assessment of Transdiagnostic Clinical Symptoms in Serious Mental Illness with Daily Smartphone Surveys.medRxiv : the preprint server for health sciences · 2025Article
- Specific symptom change associated with ecological momentary assessments of intrusive trauma memories.NPP - digital psychiatry and neuroscience · 2024Article
- Assessment of Stress and Well-Being of Japanese Employees Using Wearable Devices for Sleep Monitoring Combined With Ecological Momentary Assessment: Pilot Observational Study.JMIR formative research · 2024Article
- A systematic review of engagement reporting in remote measurement studies for health symptom tracking.NPJ digital medicine · 2022Review
- How Stable, Really? Traditional and Nonlinear Dynamics Approaches to Studying Temporal Fluctuations in Personality and Affect.International journal of environmental research and public health · 2022Article
- Temporal relationships of ecological momentary mood and actigraphy-based sleep measures in bipolar disorder.Journal of psychiatric research · 2022Article
- iHealth: The ethics of artificial intelligence and big data in mental healthcare.Internet interventions · 2022Article
- A Mixed-Methods Analysis of Mobile ACT Responses From Two Cohorts.Frontiers in digital health · 2022Article
- Mobile App-Based Self-Report Questionnaires for the Assessment and Monitoring of Bipolar Disorder: Systematic Review.JMIR formative research · 2021Review
- Digital solutions for shaping mood and behavior among individuals with mood disorders.Current opinion in systems biology · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveOur aim was to study within-person variability in mood, cognition, energy, and impulsivity measured in an Ecological Momentary Assessment paradigm in bipolar disorder by using modern statistical techniques. Exploratory analyses tested the relationship between bipolar disorder symptoms and hours of sleep, and levels of pain, social and task-based stress. We report an analysis of data from a two-arm, parallel group study (bipolar disorder group N = 10 and healthy control group N = 10, with 70% completion rate of 14-day surveys). Surveys of bipolar disorder symptoms, social stressors and sleep hours were completed on a smartphone at unexpected times in an Ecological Momentary Assessment paradigm twice a day. Multi-level models adjusted for potential subject heterogeneity were adopted to test the difference between the bipolar disorder and health control groups.
resultsWithin-person variability of mood, energy, speed of thoughts, impulsivity, pain and perception of skill of tasks was significantly higher in the bipolar disorder group compared to health controls. Elevated bipolar disorder symptom domains in the evening were associated with reduced sleep time that night. Stressors were associated with worsening of bipolar disorder symptoms. Detection of symptoms when an individual is experiencing difficulty allows personalized, focused interventions.
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Registered trials
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