Jennissen Simone, Sandmeir Anna, Schoenherr Desiree, Altmann Uwe, Nikendei Christoph, Schauenburg Henning, Friederich Hans-Christoph, Dinger Ulrike
Institute for Medical Psychology, Heidelberg University, Heidelberg, Germany.
Department of Psychosomatic Medicine and Psychotherapy, LVR Hospital Düsseldorf, Medical Faculty, Heinrich-Heine University, Düsseldorf, Germany.
Front Psychiatry. 2024 Sep 17;15:1459082. doi: 10.3389/fpsyt.2024.1459082. eCollection 2024.
Depression negatively affects interpersonal functioning and influences nonverbal behavior. Interpersonal theories of depression suggest that depressed individuals engage in behaviors that initially provoke others' support and reassurance, but eventually lead to rejection that may also be expressed nonverbally.
This study investigated movement synchrony as a nonverbal indicator of support and rejection and its association with depression severity in a sample of depressed and healthy individuals. Semi-standardized diagnostic interview segments with = 114 dyads were video recorded. Body movement was analyzed using Motion Energy Analysis, synchrony intervals were identified by computing windowed cross-lagged correlation and a peak-picking-algorithm. Depression severity was assessed via both self-rating (BDI-II) and clinician rating (HAMD).
Both self-rated and clinician-rated depression severity were negatively correlated with patient-led, but not clinician-led movement synchrony measures. The more depressed patients were, the less they initiated movement synchrony with their clinicians. These correlations remained significant after controlling for gender, age, gross body movement, and psychopharmacological medication.
Findings suggest that depression may negatively affect patients' active initiative in interaction situations. Automatized methods as used in this study can add valuable information in the diagnosis of depression and the assessment of associated social impairments.
抑郁症会对人际功能产生负面影响并影响非语言行为。抑郁症的人际理论表明，抑郁个体的行为最初会引发他人的支持与安慰，但最终会导致被拒绝，这种拒绝也可能通过非语言方式表达。
本研究在抑郁个体和健康个体样本中，将动作同步性作为支持和拒绝的非语言指标进行调查，并研究其与抑郁严重程度的关联。对114个二元组的半标准化诊断访谈片段进行了视频录制。使用运动能量分析对身体动作进行分析，通过计算加窗交叉滞后相关性和峰值提取算法来确定同步间隔。通过自评（BDI-II）和临床医生评定（HAMD）来评估抑郁严重程度。
自评和临床医生评定的抑郁严重程度均与患者主导而非临床医生主导的动作同步性测量呈负相关。患者抑郁程度越高，与临床医生发起动作同步的频率就越低。在控制了性别、年龄、总体身体动作和精神药物治疗后，这些相关性仍然显著。
研究结果表明，抑郁症可能会对患者在互动情境中的主动积极性产生负面影响。本研究中使用的自动化方法可为抑郁症诊断及相关社会功能损害评估提供有价值的信息。
