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Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?

Movement synchrony describes the coordination of body movements. In psychotherapy, higher movement synchrony between therapist and patient has been associated with higher levels of empathy, therapeutic alliance, better therapy outcome, and fewer drop-outs. The current study investigated movement syn...

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Autores principales: Zimmermann, Ronan, Fürer, Lukas, Kleinbub, Johann R., Ramseyer, Fabian T., Hütten, Rahel, Steppan, Martin, Schmeck, Klaus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8277930/
https://www.ncbi.nlm.nih.gov/pubmed/34276484
http://dx.doi.org/10.3389/fpsyg.2021.660516
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author Zimmermann, Ronan
Fürer, Lukas
Kleinbub, Johann R.
Ramseyer, Fabian T.
Hütten, Rahel
Steppan, Martin
Schmeck, Klaus
author_facet Zimmermann, Ronan
Fürer, Lukas
Kleinbub, Johann R.
Ramseyer, Fabian T.
Hütten, Rahel
Steppan, Martin
Schmeck, Klaus
author_sort Zimmermann, Ronan
collection PubMed
description Movement synchrony describes the coordination of body movements. In psychotherapy, higher movement synchrony between therapist and patient has been associated with higher levels of empathy, therapeutic alliance, better therapy outcome, and fewer drop-outs. The current study investigated movement synchrony during the psychotherapeutic treatment of female adolescents with borderline personality disorder. It was hypothesized that there are higher levels of movement synchrony in the analyzed therapy sessions compared to pseudo-interactions. Further, we tested whether higher levels of movement synchrony correlate with stronger patients’ symptom reduction and whether higher movement synchrony predicts higher post-session ratings. A total of 356 sessions from 16 completed psychotherapies of adolescent patients with BPD were analyzed. Movement synchrony was assessed with motion energy analysis and an index of synchrony was calculated by lagged cross-correlation analysis. As hypothesized, the findings support higher levels of movement synchrony in therapy sessions compared to pseudo-interactions (Cohen’s d = 0.85). Additionally, a correlation of movement synchrony with better therapy outcome was found (standardized beta = −0.43 indicating stronger personality functioning impairment reduction). The post-session ratings were negatively associated with higher levels of movement synchrony (standardized beta = −0.1). The relevance of movement synchrony and potential implications for clinical practice are discussed.
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spelling pubmed-82779302021-07-15 Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience? Zimmermann, Ronan Fürer, Lukas Kleinbub, Johann R. Ramseyer, Fabian T. Hütten, Rahel Steppan, Martin Schmeck, Klaus Front Psychol Psychology Movement synchrony describes the coordination of body movements. In psychotherapy, higher movement synchrony between therapist and patient has been associated with higher levels of empathy, therapeutic alliance, better therapy outcome, and fewer drop-outs. The current study investigated movement synchrony during the psychotherapeutic treatment of female adolescents with borderline personality disorder. It was hypothesized that there are higher levels of movement synchrony in the analyzed therapy sessions compared to pseudo-interactions. Further, we tested whether higher levels of movement synchrony correlate with stronger patients’ symptom reduction and whether higher movement synchrony predicts higher post-session ratings. A total of 356 sessions from 16 completed psychotherapies of adolescent patients with BPD were analyzed. Movement synchrony was assessed with motion energy analysis and an index of synchrony was calculated by lagged cross-correlation analysis. As hypothesized, the findings support higher levels of movement synchrony in therapy sessions compared to pseudo-interactions (Cohen’s d = 0.85). Additionally, a correlation of movement synchrony with better therapy outcome was found (standardized beta = −0.43 indicating stronger personality functioning impairment reduction). The post-session ratings were negatively associated with higher levels of movement synchrony (standardized beta = −0.1). The relevance of movement synchrony and potential implications for clinical practice are discussed. Frontiers Media S.A. 2021-06-30 /pmc/articles/PMC8277930/ /pubmed/34276484 http://dx.doi.org/10.3389/fpsyg.2021.660516 Text en Copyright © 2021 Zimmermann, Fürer, Kleinbub, Ramseyer, Hütten, Steppan and Schmeck. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Zimmermann, Ronan
Fürer, Lukas
Kleinbub, Johann R.
Ramseyer, Fabian T.
Hütten, Rahel
Steppan, Martin
Schmeck, Klaus
Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
title Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
title_full Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
title_fullStr Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
title_full_unstemmed Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
title_short Movement Synchrony in the Psychotherapy of Adolescents With Borderline Personality Pathology – A Dyadic Trait Marker for Resilience?
title_sort movement synchrony in the psychotherapy of adolescents with borderline personality pathology – a dyadic trait marker for resilience?
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8277930/
https://www.ncbi.nlm.nih.gov/pubmed/34276484
http://dx.doi.org/10.3389/fpsyg.2021.660516
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