Institute of Psychosocial Medicine and Psychotherapy.
Department of Clinical Psychology and Psychotherapy.
Psychotherapy (Chic). 2019 Dec;56(4):503-513. doi: 10.1037/pst0000216. Epub 2019 Mar 14.
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 (e.g., 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 ( = 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) 2019 APA, all rights reserved).
提前终止是心理治疗中的一个问题。除了检查人口统计学和临床变量作为辍学的预测因素外，研究还表明了对偶变量的重要性。非言语同步（例如，运动同步）操作化了患者和治疗师的协调，是预测提前终止的有前途的候选者。这项二次数据分析包括了 267 名患有社交焦虑症的患者的数据，这些患者接受了超过 20 次认知行为治疗或心理动力学治疗。治疗效果通过人际关系问题清单和贝克抑郁量表进行衡量。通过运动能量分析评估第三次治疗会议中个体的运动。运动同步通过窗口交叉滞后相关和峰值选择算法来确定。我们进行了逻辑回归和混合效应 Cox 回归，以研究同步作为提前终止的预测因素。包括提前终止心理治疗的患者的治疗师-患者对偶关系，其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在调节关系方面具有（边缘）显著影响。因此，早期治疗阶段的低运动同步性可能包含提前终止的线索，并反映了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）2019 APA，保留所有权利）。
