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Nonverbal Synchrony Predicts Premature Termination of Psychotherapy for Social Anxiety Disorder

机译：非言语同步预测社交焦虑症的早泄心理治疗

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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 (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.
机译：过早终止是心理治疗中的问题。除了作为辍学预测因子的人口统计和临床变量的检查外，研究表明了二元变量的重要性。非语言同步（例如，运动同步）运营患者和治疗师的协调，并且是预测早期终止的有希望的候选者。该二级数据分析包括对社交焦虑症（n = 267）的患者的数据，该患者被患有> 20次的认知行为治疗或心理动力治疗治疗。治疗结果是通过人际关系问题和贝克抑郁库存的清单来衡量。通过运动能量分析评估第三次会议中的个人运动。使用窗口交叉滞后相关和峰值拣选算法来识别运动同步。我们对逻辑回归和混合效应Cox回归进行了调查同步作为早期终止的预测因素。治疗师 - 患者包括终止心理治疗的患者的患者在治疗开始时终止患者比完成治疗的患者显着降低运动同步。性别匹配和治疗方法具有（略微）的效果，适度适度。因此，早期治疗会话中的低运动同步可能含有过早终止的线索，并反映患者和治疗师之间的不匹配或治疗联盟中的问题。

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