Crowe, Eimear, Daly, Michael, Delaney, Liam, Carroll, Susan and Malone, Kevin M. (2019) The intra-day dynamics of affect, self-esteem, tiredness, and suicidality in Major Depression. Psychiatry Research, 279. pp. 98-108. ISSN 0165-1781
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Abstract
Despite growing interest in the temporal dynamics of Major Depressive Disorder (MDD), we know little about the intra-day fluctuations of key symptom constructs. In a study of momentary experience, the Experience Sampling Method captured the within-day dynamics of negative affect, positive affect, self-esteem, passive suicidality, and tiredness across clinical MDD (N= 31) and healthy control groups (N= 33). Ten symptom measures were taken per day over 6 days (N= 2231 observations). Daily dynamics were modeled via intra-day time-trends, variability, and instability in symptoms. MDD participants showed significantly increased variability and instability in negative affect, positive affect, self-esteem, and suicidality. Significantly different time-trends were found in positive affect (increased diurnal variation and an inverted U-shaped pattern in MDD, compared to a positive linear trend in controls) and tiredness (decreased diurnal variation in MDD). In the MDD group only, passive suicidality displayed a negative linear trend and self-esteem displayed a quadratic inverted U trend. MDD and control participants thus showed distinct dynamic profiles in all symptoms measured. As well as the overall severity of symptoms, intra-day dynamics appear to define the experience of MDD symptoms.
Item Type: | Article |
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Additional Information: | Cite as: Eimear Crowe, Michael Daly, Liam Delaney, Susan Carroll, Kevin M. Malone, The intra-day dynamics of affect, self-esteem, tiredness, and suicidality in Major Depression, Psychiatry Research, Volume 279, 2019, Pages 98-108, ISSN 0165-1781, https://doi.org/10.1016/j.psychres.2018.02.032. |
Keywords: | Circadian rhythms; Daily symptom dynamics; Depression; Emotional instability; variability; Experience Sampling Method; ESM; Ecological Momentary Assessment; EMA; |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 13619 |
Identification Number: | 10.1016/j.psychres.2018.02.032 |
Depositing User: | Michael Daly |
Date Deposited: | 23 Nov 2020 15:48 |
Journal or Publication Title: | Psychiatry Research |
Publisher: | Elsevier |
Refereed: | Yes |
Related URLs: | |
URI: | https://mu.eprints-hosting.org/id/eprint/13619 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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