Client-counselor behavioral and inter-brain synchronization among dismissing and secure clients and its association with alliance quality and outcome.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-11-01 Epub Date: 2023-08-29 DOI:10.1080/10503307.2023.2249587

Xiaoyan Dai, Xueying Li, Na Xia, Juzhe Xi, Ya Zhang

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引用次数: 0

Abstract

Objective This study aimed to explore whether behavioral synchrony (BS) and inter-brain synchrony (IBS) could serve as potential biomarkers for alliance quality or outcomes among clients with different adult attachment styles. Method: We assessed the clients' self-report working alliance and clinical outcomes as well as simultaneously measured BS using motion energy analysis (MEA) and IBS with functional near-infrared spectroscopy (fNIRS) among 37 secure (N = 21) or dismissing (N = 16) clients with their counselors during the first psychological counseling meeting. Results: Dismissing dyads manifested significantly higher late-stage counselor-led and client-led IBS (p = .018) than secure dyads. Adult attachment style served as the moderators in the correlation of both whole-stage client-led BS with bond dimension of alliance (p = .015) as well as in the correlation of both whole-stage no-lag IBS with CORE-10 score changes (p = .022). Moreover, increases in the whole-stage client-led BS were significantly associated with decreases in early-stage, late-stage and whole-stage no-lag IBS (all ps ≤ 0.01). Conclusion: These findings revealed the potentially impeding role of interpersonal synchrony in alliance quality for dismissing clients, at least during the first psychological counseling meetings. They also might partially validate the relationship between different modalities of interpersonal synchrony.

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解雇型和安全型客户与咨询师之间的行为和大脑间同步性及其与联盟质量和结果的关系。

目的本研究旨在探讨行为同步性（BS）和脑间同步性（IBS）是否可以作为不同成人依恋风格客户之间联盟质量或结果的潜在生物标志物。研究方法我们评估了客户自我报告的工作联盟和临床结果，并同时使用运动能量分析法（MEA）和功能性近红外光谱法（fNIRS）测量了37名安全型（21人）或解雇型（16人）客户与咨询师在第一次心理咨询会议期间的行为同步性（BS）和脑间同步性（IBS）。结果显示与安全型二人组相比，解雇型二人组在后期阶段由咨询师主导和由求助者主导的 IBS（p = .018）明显更高。在整个阶段由客户主导的 BS 与联盟关系维度的相关性（p = .015）以及整个阶段无滞后 IBS 与 CORE-10 分数变化的相关性（p = .022）中，成人依恋风格起到了调节作用。此外，整个阶段客户主导 BS 的增加与早期、晚期和整个无滞后 IBS 的减少均有显著相关性（所有 ps 均小于 0.01）。结论这些研究结果揭示了人际同步性在解除求助者联盟质量中的潜在阻碍作用，至少在第一次心理咨询会议期间是如此。这些发现还可能部分验证了不同人际同步模式之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.