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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Published in:Psychotherapy research Vol. 30; no. 5; pp. 574 - 590
Main Authors: Altmann, Uwe, Schoenherr, Désirée, Paulick, Jane, Deisenhofer, Anne-Katharina, Schwartz, Brian, Rubel, Julian A., Stangier, Ulrich, Lutz, Wolfgang, Strauss, Bernhard
Format: Journal Article
Language:English
Published: England Routledge 03.07.2020
Taylor & Francis Ltd
Subjects:
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
movement synchrony
nonverbal communication
therapeutic process
mimicry
social anxiety disorder
ISSN:1050-3307, 1468-4381, 1468-4381
Online Access:Get full text
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Summary: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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ISSN:1050-3307
1468-4381
1468-4381
DOI:10.1080/10503307.2019.1630779