Electronic Technology and Advances in Assessment of Outcomes

  • Iris de Wit
  • Lieuwe de HaanEmail author
  • Inez Myin-Germeys


This chapter provides an introduction in experience sampling methods (ESM) and illustrates its valuable contribution to traditional methods assessing quality of life in schizophrenia. Despite its dynamic nature and interactions with daily life, quality of life is usually measured with retrospective self-report questionnaires or interviews in a clinical setting. Disadvantageous to this approach is that the ecological validity of traditional questionnaires is limited and the reliability of retrospective assessment methods can be questioned. Experience sampling methods allow studying patients’ experiences in their daily life. By assessing positive and negative affect in real time, it provides additional valuable knowledge concerning real-life influences and fluctuations in subjective well-being. During a week, on multiple times a day, patients respond to a signal, by filling out questionnaires regarding their mood, thoughts, and context. Electronic technology facilitates the usability of ESM by offering the signals as well as the data collection on the same pocket-size device. ESM outcomes provide valuable insights at both individuals as group level and are therefore a useful addition to traditional assessment methods, for both research and treatment purposes in schizophrenia.


Negative Affect Emotional Experience Satisfaction With Life Scale Experience Sampling Method Daily Life Experience 
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  1. Andrews FM, McKennell AC. Measures of self-reported well-being: their affective, cognitive, and other components. Soc Indic Res. 1980;8(2):127–55.CrossRefGoogle Scholar
  2. Barge-Schaapveld DQ, Nicolson NA. Effects of antidepressant treatment on the quality of daily life: an experience sampling study. J Clin Psychiatry. 2002;63(6):477–85.CrossRefPubMedGoogle Scholar
  3. Bolger N, Davis A, Rafaeli E. Diary methods: capturing life as it is lived. Annu Rev Psychol. 2003;54:579–616. doi: 10.1146/annurev.psych.54.101601.145030.CrossRefPubMedGoogle Scholar
  4. De Haan L, Lavalaye J, Linszen D, et al. Subjective experience and striatal dopamine D(2) receptor occupancy in patients with schizophrenia stabilized by olanzapine or risperidone. Am J Psychiatry. 2000;157:1019–20. doi: 10.1176/appi.ajp.157.6.1019.CrossRefPubMedGoogle Scholar
  5. De Haan L, Van Bruggen M, Lavalaye J, et al. Subjective experience and D 2 receptor occupancy in patients with recent-onset schizophrenia treated with low-dose olanzapine or haloperidol: a randomized, double-blind study. Am J Psychiatry. 2003;160:303–9. doi: 10.1176/appi.ajp.160.2.303.CrossRefPubMedGoogle Scholar
  6. Delespaul PA. Assessing schizophrenia in daily life – the experience sampling method. Maastricht: University press; 1995.Google Scholar
  7. Diener ED, Emmons RA, Larsen RJ, et al. The satisfaction with life scale. J Pers Assess. 1985;49(1):71–5.CrossRefPubMedGoogle Scholar
  8. Hedeker D, Mermelstein RJ, Demirtas H. An application of a mixed-effects location scale model for analysis of Ecological Momentary Assessment (EMA) data. Biometrics. 2008;64:627–34.CrossRefPubMedGoogle Scholar
  9. Heron KE, Smyth JM. Ecological momentary interventions: incorporating mobile technology into psychosocial and health behaviour treatments. Br J Health Psychol. 2010;15:1–39. doi: 10.1348/135910709X466063.CrossRefPubMedGoogle Scholar
  10. Kramer I, Simons CJ, Hartmann JA, et al. A therapeutic application of the experience sampling method in the treatment of depression: a randomized controlled trial. World Psychiatry. 2014;13:68–77. doi: 10.1002/wps.20090.CrossRefPubMedPubMedCentralGoogle Scholar
  11. Kimhy D, Delespaul P, Corcoran C, et al. Computerized experience sampling method (ESMc): assessing feasibility and validity among individuals with schizophrenia. J Psychiatr Res. 2006;40:221–30. doi: 10.1016/j.jpsychires.2005.09.007.CrossRefPubMedGoogle Scholar
  12. Kimhy D, Myin-Germeys I, Palmier-Claus J, Swendsen J. Mobile assessment guide for research in schizophrenia and severe mental disorders. Schizophr Bull. 2012;38:386–95. doi: 10.1093/schbul/sbr186.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Lataster J, Van Os J, De Haan L, et al. Emotional experience and estimates of D2 receptor occupancy in psychotic patients treated with haloperidol, risperidone, or olanzapine: an experience sampling study. J Clin Psychiatry. 2011;72:1397–404. doi: 10.4088/JCP.09m05466yel.CrossRefPubMedGoogle Scholar
  14. Lepage M, Sergerie K, Pelletier M, et al. Episodic memory bias and the symptoms of schizophrenia. Can J Psychiatry. 2007;52(11):702–9.PubMedGoogle Scholar
  15. Mizrahi R, Rusjan P, Agid O, et al. Adverse subjective experience with antipsychotics and its relationship to striatal and extrastriatal D2 receptors: a PET study in schizophrenia. Am J Psychiatry. 2007;164:630–7. doi: 10.1176/appi.ajp.164.4.630.CrossRefPubMedGoogle Scholar
  16. Myin-Germeys I, Birchwood M, Kwapil T. From environment to therapy in psychosis: a real-world momentary assessment approach. Schizophr Bull. 2011;37:244–7. doi: 10.1093/schbul/sbq164.CrossRefPubMedPubMedCentralGoogle Scholar
  17. Myin-Germeys I, Oorschot M, Collip D, et al. Experience sampling research in psychopathology: opening the black box of daily life. Psychol Med. 2009;39:1533–47. doi: 10.1017/S0033291708004947.CrossRefPubMedGoogle Scholar
  18. Myin-Germeys I, Delespaul PA, Van Os J, et al. Experience sampling onderzoek bij psychose Een overzicht. 2003;45:131–140.Google Scholar
  19. Myin-Germeys I, Delespaul PA, De Vries MW. Schizophrenia patients are more emotionally active than is assumed based on their behavior. Schizophr Bull. 2000;26:847–54.CrossRefPubMedGoogle Scholar
  20. Oorschot M, Lataster T, Thewissen V, et al. Emotional experience in negative symptoms of schizophrenia-no evidence for a generalized hedonic deficit. Schizophr Bull. 2013;39:217–25. doi: 10.1093/schbul/sbr137.CrossRefPubMedGoogle Scholar
  21. Prescott S, Csikszentmihalyi M. Environmental effects on cognitive and affective states: the experiential time sampling approach. Soc Behav Personal Int J. 1981;9:23–32. doi: 10.2224/sbp.1981.9.1.23.CrossRefGoogle Scholar
  22. Schwartz JE, Stone AA. Strategies for analyzing ecological momentary assessment data. Health Psychol. 1998;17:6–16.CrossRefPubMedGoogle Scholar
  23. Stone AA, Schwartz JE, Neale JM, et al. A comparison of coping assessed by ecological momentary assessment and retrospective recall. J Pers Soc Psychol. 1998;74(1670–1680):1670. doi: 10.1037/0022-3514.74.6.CrossRefPubMedGoogle Scholar
  24. Stone AA, Shiffman S, Schwartz JE, et al. Patient compliance with paper and electronic diaries. Control Clin Trials. 2003;24:182–99. doi: 10.1016/S0197-2456(02)00320-3.CrossRefPubMedGoogle Scholar
  25. WHOQoL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med. 1998;28:551–8.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Iris de Wit
    • 1
    • 2
  • Lieuwe de Haan
    • 1
    • 3
    Email author
  • Inez Myin-Germeys
    • 4
    • 5
  1. 1.Early PsychosisAMC PsychiatryAmsterdamThe Netherlands
  2. 2.Department Early PsychosisAMC, Academic Psychiatric CentreAmsterdamThe Netherlands
  3. 3.Psychotic DisordersAMC Academic Psychiatric CentreAmsterdamThe Netherlands
  4. 4.Department of Psychiatry and Psychology, School of Mental Health and NeuroscienceMaastricht UniversityMaastrichtThe Netherlands
  5. 5.Department of NeuroscienceCentre for Contextual PsychiatryKU LeuvenBelgium

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