Final published version
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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Daily life affective dynamics as transdiagnostic predictors of mental health symptoms
T2 - An ecological momentary assessment study
AU - Zhu, Xinxin
AU - Yang, Yi
AU - Xiao, Zhuoni
AU - Pooley, Abby
AU - Ozdemir, Ercan
AU - Speyer, Lydia Gabriela
AU - Leung, Menchie
AU - Thurston, Christina
AU - Kwok, Janell
AU - Li, Xuefei
AU - Eisner, Manuel
AU - Ribeaud, Denis
AU - Murray, Aja Louise
PY - 2024/4/15
Y1 - 2024/4/15
N2 - Affective dynamics have been identified as a correlate of a broad span of mental health issues, making them key candidate transdiagnostic factors. However, there remains a lack of knowledge about which aspects of affective dynamics - especially as they manifest in the course of daily life - relate to a general risk for mental health issues versus specific symptoms. We leverage an ecological momentary assessment (EMA) study design with four measures per day over a two-week period to explore how negative affect levels, inertia, lability, and reactivity to provocation and stress in the course of daily life relate to mental health symptoms in young adults (n = 256) in the domains of anxiety, depression, psychosis-like symptoms, behaviour problems, suicidality, and substance use. Dynamic structural equation modelling (DSEM) suggested that negative affect levels in daily life were associated with depression, anxiety, indirect and proactive aggression, psychosis, anxiety, and self-injury; negative affective lability was associated with depression, physical aggression, reactive aggression, suicidal ideation, and ADHD symptoms; negative affective inertia was associated with depression, anxiety, physical aggression, and cannabis use; and emotional reactivity to provocation was related to physical aggression. The cross-sectional design, the limited span of mental health issues included, and the convenience nature and small size of the sample are limitations. Findings suggest that a subset of mental health symptoms have shared negative affective dynamics patterns. Longitudinal research is needed to rigorously examine the directionality of the effects underlying the association between affective dynamics and mental health issues.
AB - Affective dynamics have been identified as a correlate of a broad span of mental health issues, making them key candidate transdiagnostic factors. However, there remains a lack of knowledge about which aspects of affective dynamics - especially as they manifest in the course of daily life - relate to a general risk for mental health issues versus specific symptoms. We leverage an ecological momentary assessment (EMA) study design with four measures per day over a two-week period to explore how negative affect levels, inertia, lability, and reactivity to provocation and stress in the course of daily life relate to mental health symptoms in young adults (n = 256) in the domains of anxiety, depression, psychosis-like symptoms, behaviour problems, suicidality, and substance use. Dynamic structural equation modelling (DSEM) suggested that negative affect levels in daily life were associated with depression, anxiety, indirect and proactive aggression, psychosis, anxiety, and self-injury; negative affective lability was associated with depression, physical aggression, reactive aggression, suicidal ideation, and ADHD symptoms; negative affective inertia was associated with depression, anxiety, physical aggression, and cannabis use; and emotional reactivity to provocation was related to physical aggression. The cross-sectional design, the limited span of mental health issues included, and the convenience nature and small size of the sample are limitations. Findings suggest that a subset of mental health symptoms have shared negative affective dynamics patterns. Longitudinal research is needed to rigorously examine the directionality of the effects underlying the association between affective dynamics and mental health issues.
KW - Ecological momentary assessment
KW - Affective dynamics
KW - Mental health
KW - Transdiagnostic
U2 - 10.1016/j.jad.2024.01.269
DO - 10.1016/j.jad.2024.01.269
M3 - Journal article
C2 - 38320660
VL - 351
SP - 808
EP - 817
JO - Journal of affective disorders
JF - Journal of affective disorders
SN - 0165-0327
ER -