Evidence map›Paper›PMID 41778352›Full record

SynthesisAustralian occupational therapy journal2026

Real-time experience: A systematic review of ecological momentary assessments of everyday functioning in major depressive disorder.

Shani Volovic-Shushan, Naomi Josman, Uri Nitzan, Adi Stern

Erratum issuedAbstract readSystematic Review
In one paragraph

Synthesis in Australian occupational therapy journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Shani Volovic-ShushanDepartment of Occupational Therapy, The Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.ORCID 0009-0001-7367-0713
Naomi JosmanDepartment of Occupational Therapy, The Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.ORCID 0000-0002-0600-0605
Uri NitzanShalvata Mental Health Center, Hod Hasharon, Israel.ORCID 0000-0002-4461-7403
Adi SternDepartment of Occupational Therapy, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.ORCID 0000-0001-5467-632X

Funding

Faculty of Medical & Health Sciences, Tel Aviv UniversityMinistry of Health, State of Israel 3-18424
6 · The paper itself

Abstract

introductionMajor depressive disorder (MDD) is a prevalent, episodic and recurrent condition that adversely affects function across everyday life. Recent studies highlight the importance of everyday function in MDD treatment. Given the dynamic nature of everyday functioning, using comprehensive and real-time data collection, such as ecological momentary assessments (EMA), is necessary. Although mood disorder research widely uses EMA, its clinical use to assess everyday function is limited. Therefore, this article aimed to provide an in-depth review of everyday function domains assessed by EMA in MDD.

methodsA systematic review was conducted in accordance with PRISMA guidelines. We searched PubMed, Cochrane, CINAHL, PsycINFO, Social Work Abstracts, Web of Science and Scopus using search terms related to MDD and EMA, from database inception through October 2025. Analysis focused on identifying functional domains, mapping EMA clinical applications, sampling methods and psychometric properties. CONSUMER AND COMMUNITY INVOLVEMENT: No consumer and community involvement was included in this study.

resultsOf 46,271 records, 39 met the inclusion criteria. Seven domains were identified: rest and sleep, social participation, daily activities, physical activity, media use, leisure and health management. Beyond monitoring activity patterns, our mapping revealed EMA's unique value in capturing behaviour-emotion interactions and contextual influences. This within-person focus uncovers real-time dynamic mechanisms rather than static deficits. Methods were diverse but demonstrated high compliance, confirming EMA's feasibility.

conclusionEMA offers a unique pathway to bridge the gap between clinical research and functional recovery. By providing high-resolution data on real-time everyday functioning, EMA enables the design of precision psychiatry interventions tailored to individual occupational patterns. Implementing these ecological assessments can facilitate a transition from generalized care to human-centred, responsive treatments that directly address daily life barriers.

Indexed as

Activities of Daily LivingEcological Momentary AssessmentMajor Depressive DisorderHumansSocial ParticipationEMAfunctionhuman‐centred researchMDD

Identifiers

PMID41778352
PMCPMC12958099

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.