Prinz Jessica, Rafaeli Eshkol, Wasserheß Jana, Lutz Wolfgang
Department of Clinical Psychology and Psychotherapy, University of Trier, 54296 Trier, Germany.
Department of Psychology, Bar-Ilan University, Ramat Gan 5290002, Israel.
Entropy (Basel). 2021 Nov 23;23(12):1556. doi: 10.3390/e23121556.
Imagery rescripting (IR), an effective intervention technique, may achieve its benefits through various change mechanisms. Previous work has indicated that client-therapist physiological synchrony during IR may serve as one such mechanism. The present work explores the possibility that therapist-led vs. client-led synchrony may be differentially tied to clients' emotional experiences in therapy. The analyses were conducted with data taken from an open trial of a brief protocol for treating test anxiety (86 IR sessions from 50 client-therapist dyads). Physiological synchrony in electrodermal activity was indexed using two cross-correlation functions per session: once for client leading and again for therapist leading (in both cases, with lags up to 10 s). The clients' and therapists' in-session emotions were assessed with the Profile of Mood States. Actor-partner interdependence models showed that certain client (but not therapist) in-session emotions, namely higher contentment and lower anxiety and depression, were tied to therapist-led (but not client-led) physiological synchrony. The results suggest that therapist-led synchrony (i.e., clients' arousal tracking therapists' earlier arousal) is tied to more positive and less negative emotional experiences for clients.
意象重写（IR）是一种有效的干预技术，可能通过多种改变机制实现其益处。先前的研究表明，在IR过程中客户与治疗师的生理同步可能是其中一种机制。本研究探讨了治疗师主导与客户主导的同步可能与客户在治疗中的情感体验存在差异关联的可能性。分析使用了来自一项治疗考试焦虑简短方案的开放试验的数据（50对客户 - 治疗师二元组的86次IR疗程）。每次疗程使用两个互相关函数来衡量皮肤电活动中的生理同步：一次是客户主导，另一次是治疗师主导（在两种情况下，滞后时间长达10秒）。使用情绪状态剖面图评估客户和治疗师在疗程中的情绪。行为者 - 伙伴相互依赖模型表明，客户（而非治疗师）在疗程中的某些情绪，即更高的满足感以及更低的焦虑和抑郁，与治疗师主导（而非客户主导）的生理同步相关。结果表明，治疗师主导的同步（即客户的唤醒跟随治疗师更早的唤醒）与客户更积极和更少消极的情感体验相关。
