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Bosch, Rianne; Chakhssi, Farid; Noordzij, Matthijs L.
Psychiatry research, 07/2022, Volume: 313Journal Article
•Forensic psychiatric patients with ASD and/or ID are willing to use biocueing.•Biocueing may help to recognize changes in arousal (both stress and calmness).•The ability to personalize biocueing settings to the patients’ needs is important.•There is a need for embedding biocueing interventions within treatment.•Simple and direct explanations on what biocueing can(not) do must be provided. Autism spectrum disorder (ASD) and intellectual disability (ID) are prevalent in forensic psychiatric samples. People with ASD and/or ID often experience difficulties in emotion processing which can lead to aggressive or self-harming behavior. The use of biocueing (using wearable technology to constantly monitor and provide feedback on bodily changes) shows promise for improving emotion processing and, thus, potentially reducing aggressive behavior in this population. Both qualitative and quantitative methods were used to examine the feasibility and acceptance of Sense-IT, a biocueing application, in a sample of forensic psychiatric patients with ASD and/or ID and their forensic psychiatric nurses. To our knowledge, the current study is the first to examine first-person experiences with biocueing in forensic psychiatric patients with ASD and/or ID. Results show that, in general, participants experienced the biocueing application as positive and are willing to use biocueing. This is an important finding since forensic patients are often unmotivated to engage with therapeutic techniques. An exploration of trends in aggression and self-harm prior to and during the use of biocueing showed no significant changes. Future research should focus on the way biocueing can be implemented in clinical practice.
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