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Predictors of affect following discharge from partial hospitalization: a two-week ecological momentary assessment study

Published online by Cambridge University Press:  03 February 2020

Marie Forgeard Open the ORCID record for Marie Forgeard [Opens in a new window] ,
Courtney Beard ,
Danielle Shayani ,
Alexandra L. Silverman ,
Eli Tsukayama  and
Thröstur Björgvinsson
Marie Forgeard*
Affiliation:
McLean Hospital, 115 Mill Street, Belmont, MA, 02468, USA Harvard Medical School, Boston, MA, 02115, USA William James College, Newton, MA, 02459, USA
Courtney Beard
Affiliation:
McLean Hospital, 115 Mill Street, Belmont, MA, 02468, USA Harvard Medical School, Boston, MA, 02115, USA
Danielle Shayani
Affiliation:
McLean Hospital, 115 Mill Street, Belmont, MA, 02468, USA
Alexandra L. Silverman
Affiliation:
McLean Hospital, 115 Mill Street, Belmont, MA, 02468, USA University of Virginia, Charlottesville, VA, 22904, USA
Eli Tsukayama
Affiliation:
University of Hawaii West Oahu, Kapolei, HI, 96707, USA
Thröstur Björgvinsson
Affiliation:
McLean Hospital, 115 Mill Street, Belmont, MA, 02468, USA Harvard Medical School, Boston, MA, 02115, USA
*
Author for correspondence: Marie Forgeard, E-mail: mforgeard@mclean.harvard.edu
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Abstract

Background

Little is known about the everyday experiences of individuals transitioning from acute to outpatient psychiatric care, an important period of risk for mood symptom relapse. This study used ecological momentary assessment (EMA) to examine whether specific daily experiences were related to momentary affective states following discharge from a partial hospitalization program (PHP).

Methods

A sample of 114 adults (Mage = 36 years old, 52% female, 83% White) completed four brief EMA surveys every day for 2 weeks assessing intensity/type of stressful events and social contact, as well as positive/negative affect (PA/NA). Half of participants reported therapeutic skills use.

Results

Stress severity ratings prospectively predicted increased NA. NA predicted spending less time with close relationships. However, interacting with close relationships predicted increased positive affect (PA). Finally, PA predicted spending time with more people. The use of two skills (behavioral activation and interpersonal effectiveness) was concurrently, but not prospectively, associated with improved affect.

Conclusions

Examining daily experiences of individuals discharging from partial hospitalization provides important information about factors that may influence affective states during the transition from acute to outpatient care. Findings from this study can be used to help prepare patients for discharge and develop interventions for the post-acute period.

Keywords

Affectecological momentary assessmentpartial hospitalization
Type
Original Article
Information
Psychological Medicine , Volume 51 , Issue 7 , May 2021 , pp. 1157 - 1165
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Copyright
Copyright © Cambridge University Press 2020

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