Nonverbal synchrony predicts premature termination of psychotherapy for social anxiety disorder.
Nonverbal synchrony predicts premature termination of psychotherapy for social anxiety disorder.
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非语言同步预示社交焦虑症心理治疗的提前终止
DOI：
10.1037/pst0000216
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发表时间：
2019
期刊：
影响因子：
2.5
通讯作者：
Altmann
中科院分区：
文献类型：
--
作者：
Schönherr;Paulick;Strauss;Deisenhofer;Schwartz;Stangier;Altmann
过早终止是心理治疗中的一个问题。除了检查人口和临床变量作为辍学预测因素之外，研究还表明了二元变量的重要性。非语言同步（例如，运动同步）可操作患者和治疗师的协调，并且是预测提前终止的有希望的候选者。该二次数据分析包括接受超过 20 次认知行为疗法或心理动力学疗法治疗的社交焦虑症患者 (N = 267) 的数据。治疗结果通过人际关系问题量表和贝克抑郁量表来衡量。通过运动能量分析评估第三阶段的个人运动。运动同步性是通过窗口交叉滞后相关和峰值选取算法来识别的。我们进行了逻辑回归和混合效应 Cox 回归来研究同步性作为提前终止的预测因素。治疗师-患者二元组（包括提前终止心理治疗的患者）在治疗开始时的运动同步性明显低于完成治疗的患者。性别匹配和治疗方法对缓和这种关系有（轻微）显着的作用。因此，早期治疗过程中的低运动同步性可能包含提前终止的线索，并反映出患者和治疗师之间的不匹配或治疗联盟中的问题。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）
Premature termination is a problem in psychotherapy. In addition to the examination of demographic and clinical variables as predictors of dropout, research indicates the importance of dyadic variables. Nonverbal synchrony (eg, movement synchrony) operationalizes the coordination of patient and therapist and is a promising candidate for predicting premature termination. This secondary data analysis included data on patients with social anxiety disorder (N= 267) that were treated with> 20 sessions of cognitive-behavioral therapy or psychodynamic therapy. Therapy outcome was measured by the Inventory of Interpersonal Problems and the Beck Depression Inventory. Individual movements in the third session were assessed by motion energy analysis. Movement synchrony was identified with a windowed cross-lagged correlation and peak-picking algorithm. We performed logistic regressions and mixed effects Cox regressions to investigate synchrony as a predictor of premature termination. Therapist–patient dyads that included a patient who terminated psychotherapy prematurely had significantly lower movement synchrony at the beginning of therapy than patients who completed therapy. Gender-matching and therapeutic approach had a (marginally) significant effect in moderating the relationship. Therefore, low movement synchrony in early therapy sessions may contain clues to premature termination and reflect a mismatch between the patient and therapist or problems in the therapeutic alliance.(PsycInfo Database Record (c) 2023 APA, all rights reserved)
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影响因子：
7
作者：
S. Boker;Minquan Xu;Jennifer L. Rotondo;Kadijah King
通讯作者：
S. Boker;Minquan Xu;Jennifer L. Rotondo;Kadijah King
影响因子：
10.3
作者：
Mennin, DS;Fresco, DM;Liebowitz, MR
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影响因子：
2.5
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Jeuniaux, Patrick
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影响因子：
10.3
作者：
M. Voncken;S. Bögels
通讯作者：
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影响因子：
3
作者：
Marsh, Kerry L.;Richardson, Michael J.;Schmidt, R. C.
通讯作者：
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