Associations between movement synchrony and outcome in patients with social anxiety disorder: Evidence for treatment specific effects

被引：84

作者：

Altmann, Uwe ^{[1
]}

Schoenherr, Desiree ^{[1
]}

Paulick, Jane ^{[2
]}

Deisenhofer, Anne-Katharina ^{[2
]}

Schwartz, Brian ^{[2
]}

Rubel, Julian A. ^{[2
]}

Stangier, Ulrich ^{[3
]}

Lutz, Wolfgang ^{[2
]}

Strauss, Bernhard ^{[1
]}

机构：

[1] Jena Univ Hosp, Inst Psychosocial Med & Psychotherapy, Jena, Germany

[2] Univ Trier, Dept Clin Psychol & Psychotherapy, Trier, Germany

[3] Johann Wolfgang von Goethe Univ Frankfurt Main, Dept Clin Psychol & Psychotherapy, Frankfurt, Germany

来源：

PSYCHOTHERAPY RESEARCH | 2020年 / 30卷 / 05期

关键词：

social anxiety disorder; therapeutic process; movement synchrony; mimicry; nonverbal communication; COGNITIVE-BEHAVIORAL THERAPY; NONVERBAL SYNCHRONY; INTERPERSONAL SYNCHRONY; PSYCHOTHERAPY; MIMICRY; DEPRESSION; IMPACT; RISK;

D O I：

10.1080/10503307.2019.1630779

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: Studies with heterogeneous samples in naturalistic treatment settings suggest that movement synchrony (MS) between therapists and patients correlates with therapeutic success. In this study, we examined a homogeneous sample of patients with social anxiety disorder and investigated whether MS in sessions 3 and 8 would be associated with therapy outcome and therapeutic alliance, and whether these associations depend on the therapeutic approach. Methods: The patients (N = 267) were treated with either manual-guided cognitive behavior therapy (CBT), manual-guided psychodynamic therapy (PDT), or naturalistic CBT. The Helping Alliance Questionnaire (HAQ), the Inventory of Interpersonal Problems (IIP) and the Beck-Depression-Inventory (BDI) were used as measures. Body motions were coded with motion energy analysis. MS was quantified using time series analysis methods. Results: MS was observed more frequently in both CBT conditions than in PDT. In both CBT groups, more synchrony was predictive of lower IIP scores at the end of therapy. If the patient lead synchrony more often than the therapist, higher IIP and BDI scores were observed at the end of treatment. PDT showed the largest effect size for the synchrony-alliance-association. Conclusion: Movement synchrony and therapeutic success are associated. The effect of therapeutic approach and leading/following are relevant for this association.

引用

页码：574 / 590

页数：17