Andrew T Gloster1, Andrea H Meyer2, Jens Klotsche3, Jeanette Villanueva4, Victoria J Block4, Charles Benoy5, Marcia T B Rinner4, Marc Walter5, Undine E Lang5, Maria Karekla6. 1. University of Basel, Department of Psychology, Division of Clinical Psychology & Intervention Science, Missionsstrasse 62A, CH-4055, Basel, Switzerland. andrew.gloster@unibas.ch. 2. University of Basel, Department of Psychology, Division of Clinical Psychology & Epidemiology, Basel, Switzerland. 3. German Rheumatism Research Center Berlin, Epidemiology unit and Charité Universitaetsmedizin Berlin, Institute for Social Medicine, Epidemiology and Health Economics, Berlin, Germany. 4. University of Basel, Department of Psychology, Division of Clinical Psychology & Intervention Science, Missionsstrasse 62A, CH-4055, Basel, Switzerland. 5. University Psychiatric Clinics (UPK), University of Basel, Basel, Switzerland. 6. University of Cyprus, Department of Psychology, Nicosia, Cyprus.
Abstract
BACKGROUND: Movement is a basic component of health. Little is known about the spatiotemporal movement of patients with mental disorders. The aim of this study was to determine how spatiotemporal movement of patients related to their symptoms and wellbeing. METHOD: A total of 106 patients (inpatients (n = 69) and outpatients (n = 37)) treated for a wide range of mental disorders (transdiagnostic sample) carried a GPS-enabled smartphone for one week at the beginning of treatment. Algorithms were applied to establish spatiotemporal clusters and subsequently related to known characteristics of these groups (i.e., at the hospital, at home). Symptomatology, Wellbeing, and Psychological flexibility were also assessed. RESULTS: Spatiotemporal patterns of inpatients and outpatients showed differences consistent with predictions (e.g., outpatients showed higher active areas). These patterns were largely unassociated with symptoms (except for agoraphobic symptoms). Greater movement and variety of movement were more predictive of wellbeing, however, in both inpatients and outpatients. CONCLUSION: Measuring spatiotemporal patterns is feasible, predictive of wellbeing, and may be a marker of patient functioning. Ethical issues of collecting GPS data are discussed.
BACKGROUND: Movement is a basic component of health. Little is known about the spatiotemporal movement of patients with mental disorders. The aim of this study was to determine how spatiotemporal movement of patients related to their symptoms and wellbeing. METHOD: A total of 106 patients (inpatients (n = 69) and outpatients (n = 37)) treated for a wide range of mental disorders (transdiagnostic sample) carried a GPS-enabled smartphone for one week at the beginning of treatment. Algorithms were applied to establish spatiotemporal clusters and subsequently related to known characteristics of these groups (i.e., at the hospital, at home). Symptomatology, Wellbeing, and Psychological flexibility were also assessed. RESULTS: Spatiotemporal patterns of inpatients and outpatients showed differences consistent with predictions (e.g., outpatients showed higher active areas). These patterns were largely unassociated with symptoms (except for agoraphobic symptoms). Greater movement and variety of movement were more predictive of wellbeing, however, in both inpatients and outpatients. CONCLUSION: Measuring spatiotemporal patterns is feasible, predictive of wellbeing, and may be a marker of patient functioning. Ethical issues of collecting GPS data are discussed.
Entities:
Keywords:
Global positioning system (GPS); Spatiotemporal movement; Transdiagnostic; Wellbeing
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