Associations between movement synchrony and outcome in patients with social anxiety disorder: Evidence for treatment specific effects
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 whethe...
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| Veröffentlicht in: | Psychotherapy research Jg. 30; H. 5; S. 574 - 590 |
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Routledge
03.07.2020
Taylor & Francis Ltd |
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| Abstract | 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. |
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| AbstractList | : 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.
: The patients (
= 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.
: 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.
: Movement synchrony and therapeutic success are associated. The effect of therapeutic approach and leading/following are relevant for this association. 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. 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.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. |
| Author | Schoenherr, Désirée Stangier, Ulrich Altmann, Uwe Paulick, Jane Deisenhofer, Anne-Katharina Schwartz, Brian Rubel, Julian A. Lutz, Wolfgang Strauss, Bernhard |
| Author_xml | – sequence: 1 givenname: Uwe surname: Altmann fullname: Altmann, Uwe email: uwe.altmann@med.uni-jena.de organization: Institute of Psychosocial Medicine and Psychotherapy, Jena University Hospital – sequence: 2 givenname: Désirée surname: Schoenherr fullname: Schoenherr, Désirée organization: Institute of Psychosocial Medicine and Psychotherapy, Jena University Hospital – sequence: 3 givenname: Jane surname: Paulick fullname: Paulick, Jane organization: Department of Clinical Psychology and Psychotherapy, University Trier – sequence: 4 givenname: Anne-Katharina orcidid: 0000-0001-5521-2535 surname: Deisenhofer fullname: Deisenhofer, Anne-Katharina organization: Department of Clinical Psychology and Psychotherapy, University Trier – sequence: 5 givenname: Brian surname: Schwartz fullname: Schwartz, Brian organization: Department of Clinical Psychology and Psychotherapy, University Trier – sequence: 6 givenname: Julian A. surname: Rubel fullname: Rubel, Julian A. organization: Department of Clinical Psychology and Psychotherapy, University Trier – sequence: 7 givenname: Ulrich surname: Stangier fullname: Stangier, Ulrich organization: Department of Clinical Psychology and Psychotherapy, Johann-Wolfgang-von-Goethe University Frankfurt am Main – sequence: 8 givenname: Wolfgang orcidid: 0000-0002-5141-3847 surname: Lutz fullname: Lutz, Wolfgang organization: Department of Clinical Psychology and Psychotherapy, University Trier – sequence: 9 givenname: Bernhard surname: Strauss fullname: Strauss, Bernhard organization: Institute of Psychosocial Medicine and Psychotherapy, Jena University Hospital |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/31213149$$D View this record in MEDLINE/PubMed |
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| Keywords | movement synchrony nonverbal communication therapeutic process mimicry social anxiety disorder |
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| SubjectTerms | Adult Alliances Anxiety Anxiety disorders Behavior modification Cognition & reasoning Cognitive Behavioral Therapy Cognitive-behavioral factors comunicazione non verbale comunicação não verbal disturbo d'ansia sociale Female Humans Interpersonal problems Male Measures Medical treatment mimetismo mimica mimicry Movement movement synchrony nonverbal communication Patients Phobia, Social - therapy processo terapeutico processo terapêutico Psychiatric Status Rating Scales Psychodynamic therapy Psychotherapy Questionnaires sincronia de movimento sincronia del movimento Social anxiety social anxiety disorder Surveys and Questionnaires Synchrony Therapeutic Alliance Therapeutic alliances therapeutic process Therapists Therapy Time series transtorno de ansiedade social Treatment methods Treatment Outcome 動作同步 模仿 治療歷程 社交焦慮疾患 非口語溝通 |
| Title | Associations between movement synchrony and outcome in patients with social anxiety disorder: Evidence for treatment specific effects |
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