Emotion dynamics and somatic symptoms in everyday life: Ecological momentary assessment in somatic symptom disorder and healthy controls

Publikationstyp:
Zeitschriftenaufsatz
Metadaten:
Autoren
  • Severin Hennemann
  • Mario Wenzel
  • Omer Van den Bergh
  • Marlene Wessels
  • Michael Witthoeft
Autoren-URL
https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=fis-test-1&SrcAuth=WosAPI&KeyUT=WOS:001033965700001&DestLinkType=FullRecord&DestApp=WOS_CPL
DOI
10.1016/j.jpsychores.2023.111429
eISSN
1879-1360
Externe Identifier
  • Clarivate Analytics Document Solution ID: N0IV4
  • PubMed Identifier: 37406416
ISSN
0022-3999
Zeitschrift
JOURNAL OF PSYCHOSOMATIC RESEARCH
Schlüsselwörter
  • Ecological momentary assessment
  • Emotion dynamics
  • Emotional inertia
  • Emotional instability
  • Negative affectivity
  • Somatic symptom disorder
Artikelnummer
ARTN 111429
Datum der Veröffentlichung
2023
Status
Published
Titel
Emotion dynamics and somatic symptoms in everyday life: Ecological momentary assessment in somatic symptom disorder and healthy controls
Sub types
  • Article
Ausgabe der Zeitschrift
172

Datenquelle: Web of Science (Lite)

Andere Metadatenquellen:
Autoren
  • Severin Hennemann
  • Mario Wenzel
  • Omer Van den Bergh
  • Marlene Wessels
  • Michael Witthöft
DOI
10.1016/j.jpsychores.2023.111429
ISSN
0022-3999
Zeitschrift
Journal of Psychosomatic Research
Sprache
en
Artikelnummer
111429
Paginierung
111429 - 111429
Datum der Veröffentlichung
2023
Status
Published
Herausgeber
Elsevier BV
Herausgeber URL
http://dx.doi.org/10.1016/j.jpsychores.2023.111429
Datum der Datenerfassung
2024
Titel
Emotion dynamics and somatic symptoms in everyday life: Ecological momentary assessment in somatic symptom disorder and healthy controls
Ausgabe der Zeitschrift
172

Datenquelle: Crossref

Abstract
<h4>Objective</h4>Negative affectivity (NA) is associated with the emergence and persistence of physical symptoms with unclear organic pathology. This study investigated the temporal dynamics of NA and somatic symptom burden using ecological momentary assessment (EMA) in adults with somatic symptom disorder (SSD) and healthy control participants (HC).<h4>Methods</h4>Participants underwent a seven-day, smartphone-based EMA, with 6 randomly-stratified time points per day. NA was assessed using a five-item short form of the Positive and Negative Affectivity Scale (PANAS) and somatic symptom burden with two self-constructed items. 22 persons with SSD and 20 HCs were included in multilevel analyses.<h4>Results</h4>Within-person analyses showed a significantly stronger (positive) association of concurrent NA with somatic symptom burden in participants with SSD than in HCs, β = 0.15, SE = 0.04, p = .001. Time-lagged analyses demonstrated that, across groups, NA at a previous time point t-1 significantly predicted somatic symptom burden at the subsequent timepoint t, β = 0.09, SE = 0.03, p = .005, but not in the other direction (somatic symptom burden<sub>t-1</sub>→ NA<sub>t</sub>, β = 0.01, SE = 0.04, p = .79). Between-person analyses showed that both inertia (i.e., persistence of negative affective states), d = 0.74, and instability (i.e., magnitude of moment-to-moment fluctuations), d = 0.76 of NA were significantly higher in participants with SSD than in HCs.<h4>Conclusions</h4>Our findings sustain the idea of (negative) affect-driven modulation in somatic signal processing and suggest that interoceptive and emotional differentiation training can advance the psychotherapeutic treatment of SSD.
Addresses
  • Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, University of Mainz, Germany. Electronic address: s.hennemann@uni-mainz.de.
Autoren
  • Severin Hennemann
  • Mario Wenzel
  • Omer Van den Bergh
  • Marlene Wessels
  • Michael Witthöft
DOI
10.1016/j.jpsychores.2023.111429
eISSN
1879-1360
Externe Identifier
  • PubMed Identifier: 37406416
Open access
false
ISSN
0022-3999
Zeitschrift
Journal of psychosomatic research
Schlüsselwörter
  • Humans
  • Emotions
  • Mental Disorders
  • Adult
  • Apathy
  • Ecological Momentary Assessment
  • Medically Unexplained Symptoms
Sprache
eng
Medium
Print-Electronic
Online publication date
2023
Paginierung
111429
Datum der Veröffentlichung
2023
Status
Published
Datum der Datenerfassung
2023
Titel
Emotion dynamics and somatic symptoms in everyday life: Ecological momentary assessment in somatic symptom disorder and healthy controls.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
172

Datenquelle: Europe PubMed Central

Abstract
OBJECTIVE: Negative affectivity (NA) is associated with the emergence and persistence of physical symptoms with unclear organic pathology. This study investigated the temporal dynamics of NA and somatic symptom burden using ecological momentary assessment (EMA) in adults with somatic symptom disorder (SSD) and healthy control participants (HC). METHODS: Participants underwent a seven-day, smartphone-based EMA, with 6 randomly-stratified time points per day. NA was assessed using a five-item short form of the Positive and Negative Affectivity Scale (PANAS) and somatic symptom burden with two self-constructed items. 22 persons with SSD and 20 HCs were included in multilevel analyses. RESULTS: Within-person analyses showed a significantly stronger (positive) association of concurrent NA with somatic symptom burden in participants with SSD than in HCs, β = 0.15, SE = 0.04, p = .001. Time-lagged analyses demonstrated that, across groups, NA at a previous time point t-1 significantly predicted somatic symptom burden at the subsequent timepoint t, β = 0.09, SE = 0.03, p = .005, but not in the other direction (somatic symptom burdent-1→ NAt, β = 0.01, SE = 0.04, p = .79). Between-person analyses showed that both inertia (i.e., persistence of negative affective states), d = 0.74, and instability (i.e., magnitude of moment-to-moment fluctuations), d = 0.76 of NA were significantly higher in participants with SSD than in HCs. CONCLUSIONS: Our findings sustain the idea of (negative) affect-driven modulation in somatic signal processing and suggest that interoceptive and emotional differentiation training can advance the psychotherapeutic treatment of SSD.
Date of acceptance
2023
Autoren
  • Severin Hennemann
  • Mario Wenzel
  • Omer Van den Bergh
  • Marlene Wessels
  • Michael Witthöft
Autoren-URL
https://www.ncbi.nlm.nih.gov/pubmed/37406416
DOI
10.1016/j.jpsychores.2023.111429
eISSN
1879-1360
Zeitschrift
J Psychosom Res
Schlüsselwörter
  • Ecological momentary assessment
  • Emotion dynamics
  • Emotional inertia
  • Emotional instability
  • Negative affectivity
  • Somatic symptom disorder
  • Adult
  • Humans
  • Medically Unexplained Symptoms
  • Ecological Momentary Assessment
  • Emotions
  • Mental Disorders
  • Apathy
Sprache
eng
Country
England
Paginierung
111429
PII
S0022-3999(23)00286-6
Datum der Veröffentlichung
2023
Status
Published
Datum, an dem der Datensatz öffentlich gemacht wurde
2023
Titel
Emotion dynamics and somatic symptoms in everyday life: Ecological momentary assessment in somatic symptom disorder and healthy controls.
Sub types
  • Journal Article
Ausgabe der Zeitschrift
172

Datenquelle: PubMed

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