Jennissen Simone, Huber Julia, Ditzen Beate, Dinger Ulrike
Department of Psychosomatic Medicine and Psychotherapy, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Institute of Medical Psychology, Center for Psychosocial Medicine, Heidelberg University, Heidelberg, Germany.
Psychother Res. 2025 Sep;35(7):1213-1228. doi: 10.1080/10503307.2024.2423662. Epub 2024 Nov 25.
Research on nonverbal synchrony (NVS) as a core element in the therapeutic relationship has substantially increased and suggests that NVS influences therapeutic alliance and outcomes.
Studies on NVS regarding body movements, vocal pitch, peripheral physiological measures, and hormonal states were included. A random-effects multilevel meta-analysis was performed on 23 publications from 13 trials.
There was no significant overall association between NVS and alliance/outcome ( = .03, = .644). Across modalities, there was a marginally significant association between higher NVS and smaller interpersonal problems ( = .10, = .084) and a nonsignificant effect for the association between NVS and alliance ( = .06, = .316), symptomatic outcome ( = -.06, = .320), and other outcomes ( = .07, = .255). There was significant heterogeneity between studies ( = 56.47). Moderator analyses revealed that vocal pitch synchrony was negatively associated with alliance/outcome ( = -.20, = .011), while NVS of peripheral physiological parameters was positively correlated with alliance/outcome ( = .32, = .006).
Findings suggest that specific modalities of NVS show specific associations with outcomes. More research is needed to investigate whether NVS across modalities reflects a unified underlying construct.
将非言语同步性（NVS）作为治疗关系中的核心要素进行的研究显著增加，且表明非言语同步性会影响治疗联盟及治疗效果。
纳入有关身体动作、音高、外周生理指标和激素状态的非言语同步性研究。对来自13项试验的23篇出版物进行随机效应多级荟萃分析。
非言语同步性与联盟/治疗效果之间无显著总体关联（β = 0.03，P = 0.644）。在各种方式中，较高的非言语同步性与较少的人际问题之间存在微弱显著关联（β = 0.10，P = 0.084），而非言语同步性与联盟之间的关联（β = 0.06，P = 0.316）、症状性治疗效果（β = -0.06，P = 0.320）及其他治疗效果（β = 0.07，P = 0.255）均无显著效应。研究之间存在显著异质性（I² = 56.47）。调节分析显示，音高同步性与联盟/治疗效果呈负相关（β = -0.20，P = 0.011），而外周生理参数的非言语同步性与联盟/治疗效果呈正相关（β = 0.32，P = 0.006）。
研究结果表明，非言语同步性的特定方式与治疗效果存在特定关联。需要更多研究来调查跨方式的非言语同步性是否反映一个统一的潜在结构。
