Reliability and Validity of Ecological Momentary Assessment Response Time-Based Measures of Emotional Clarity: Secondary Data Analysis

• Published in: JMIR mental health 2024-07, Vol.11, p.e58352
• Main Authors: Hernandez, Raymond, Hoogendoorn, Claire, Gonzalez, Jeffrey S, Pyatak, Elizabeth A, Crespo-Ramos, Gladys, Schneider, Stefan
• Format: Article
• Language: English
• Subjects: Adult; Aggregates; Data Analysis; Diabetes; Diabetes Mellitus, Type 1 - psychology; Ecological Momentary Assessment; Emotional regulation; Emotional Regulation - physiology; Emotions; Female; Humans; Male; Middle Aged; Personal Satisfaction; Reaction Time - physiology; Reproducibility of Results; Secondary Data Analysis; Social desirability; Surveys and Questionnaires; Validity
• ISSN: 2368-7959; 2368-7959
• DOI: 10.2196/58352

Emotional clarity has often been assessed with self-report measures, but efforts have also been made to measure it passively, which has advantages such as avoiding potential inaccuracy in responses stemming from social desirability bias or poor insight into emotional clarity. Response times (RTs) to emotion items administered in ecological momentary assessments (EMAs) may be an indirect indicator of emotional clarity. Another proposed indicator is the drift rate parameter, which assumes that, aside from how fast a person responds to emotion items, the measurement of emotional clarity also requires the consideration of how careful participants were in providing responses. This paper aims to examine the reliability and validity of RTs and drift rate parameters from EMA emotion items as indicators of individual differences in emotional clarity. Secondary data analysis was conducted on data from 196 adults with type 1 diabetes who completed a 2-week EMA study involving the completion of 5 to 6 surveys daily. If lower RTs and higher drift rates (from EMA emotion items) were indicators of emotional clarity, we hypothesized that greater levels (ie, higher clarity) should be associated with greater life satisfaction; lower levels of neuroticism, depression, anxiety, and diabetes distress; and fewer difficulties with emotion regulation. Because prior literature suggested emotional clarity could be valence specific, EMA items for negative affect (NA) and positive affect were examined separately. Reliability of the proposed indicators of emotional clarity was acceptable with a small number of EMA prompts (ie, 4 to 7 prompts in total or 1 to 2 days of EMA surveys). Consistent with expectations, the average drift rate of NA items across multiple EMAs had expected associations with other measures, such as correlations of r=-0.27 (P