Patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multidimensional outcome.

Patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multidimensional outcome.
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人际问题的早期变化模式及其与非语言同步性和多维结果的关系

DOI:
10.1037/cou0000376
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发表时间:
2020
影响因子:
3.9
通讯作者:
Bar-Kalife
Bar-Kalife
中科院分区:
心理学1区
文献类型:
--
作者:
Schwartz;Paulick;Schoenherr;Deisenhofer;Terhüme;Altmann;Strauss;Rafaeli;Atzil-Slonim;Bar-Kalife

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早期改变是心理治疗研究中一个日益增长的研究领域。在这项研究中,我们首次分析了人际关系问题的早期变化模式及其与非语言同步性和多重结果测量的关系。我们使用增长混合模型来识别不同的潜在类别的人际关系问题的早期变化与212例患者谁接受认知行为治疗,包括人际关系和情绪为重点的元素。此外,录像会话进行了分析,使用运动能量分析,提供的非语言同步的计算值,以预测人际关系问题的早期变化。早期变化模式和症状之间的关系,以及人际关系问题的整体变化也进行了调查。确定了三个潜在亚组:1个缓慢改善的类别(n= 145),1个快速改善的类别(n= 12)和1个早期恶化类别(n= 55)。较低水平的早期非语言同步显着相关的快速改善人际关系的变化模式。此外,这种模式预测治疗结果的症状和人际关系的问题。结果表明,非语言同步与人际关系问题的早期变化模式有关,这也是治疗结果的预测。应用方法的局限性以及在日常护理中可能的应用进行了讨论。
Early change is an increasing area of investigation in psychotherapy research. In this study, we analyzed patterns of early change in interpersonal problems and their relationship to nonverbal synchrony and multiple outcome measures for the first time. We used growth mixture modeling to identify different latent classes of early change in interpersonal problems with 212 patients who underwent cognitive–behavioral treatment including interpersonal and emotion-focused elements. Furthermore, videotaped sessions were analyzed using motion energy analysis, providing values for the calculation of nonverbal synchrony to predict early change in interpersonal problems. The relationship between early change patterns and symptoms as well as overall change in interpersonal problems was also investigated. Three latent subgroups were identified: 1 class with slow improvement (n= 145), 1 class with fast improvement (n= 12), and 1 early deterioration class (n= 55). Lower levels of early nonverbal synchrony were significantly related to fast improvement in interpersonal change patterns. Furthermore, such patterns predicted treatment outcome in symptoms and interpersonal problems. The results suggest that nonverbal synchrony is associated with early change patterns in interpersonal problems, which are also predictive of treatment outcome. Limitations of the applied methods as well as possible applications in routine care are discussed.
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