ArticleInternational journal of clinical and health psychology : IJCHP
Clinical benefits and challenges of ecological momentary assessment in individuals who self-injure and seek mental health treatment.
Article in International journal of clinical and health psychology : IJCHP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Refining acceptance and commitment therapy in daily life (ACT-DL) for clinical care: Optimization and mixed-methods evaluation of usability and implementation feasibility.Internet interventions · 2026Article
- Family functioning and NSSI urges among college students: a moderated chain mediation model.BMC psychology · 2026Article
- Article
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Authors and funding
10 authors.
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Abstract
Introduction: Non-suicidal Self-Injury (NSSI) is a prevalent transdiagnostic behavior. The use of Ecological Momentary Assessment (EMA) shows clinical potential, but the potential utility for individuals who self-injure remains unclear. This prospective study evaluates self-reported benefits (e.g., self-insight and self-efficacy) and challenges (e.g., beep disturbances and emotional discomfort) associated with using EMA among treatment-seeking individuals with past-month NSSI. Methods: In this cohort study, 124 treatment-seeking adolescents and adults who self-injure completed a 28-day EMA protocol with six daily assessments of emotions, cognitions, and behaviors (including self-injury). After one month, participants completed an EMA feedback survey. Results: A total of 98 patients completed the feedback survey (Response Rate = 79.03%). Average EMA compliance was 74.87% (SD = 18.78) and decreased linearly across time. Four in five patients (78.57%) reported experiencing at least one benefit. After using EMA, 32.65% reported increased general self-insight, 64.58% reported increased NSSI-specific self-insight, 9.28% reported increased general self-efficacy, and 41.67% reported improved self-efficacy to resist NSSI. Across the sample, 7.29% experienced EMA in treatment as tiring, stressful, at times overwhelming, and not enjoyable. Higher levels of emotional discomfort were significantly associated with lower compliance ( Conclusion: Although the use of EMA in treatment may evoke emotional discomfort in patients, it may help promote NSSI-specific self-insight and self-efficacy outside the therapy room in patients who self-injure.
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