Association between nonverbal synchrony, alliance, and outcome in psychotherapy: Systematic review and meta-analysis.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2024-11-25 DOI:10.1080/10503307.2024.2423662

Simone Jennissen, Julia Huber, Beate Ditzen, Ulrike Dinger

{"title":"Association between nonverbal synchrony, alliance, and outcome in psychotherapy: Systematic review and meta-analysis.","authors":"Simone Jennissen, Julia Huber, Beate Ditzen, Ulrike Dinger","doi":"10.1080/10503307.2024.2423662","DOIUrl":null,"url":null,"abstract":"Objective: 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.Method: 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.Results: There was no significant overall association between NVS and alliance/outcome (r = .03, p = .644). Across modalities, there was a marginally significant association between higher NVS and smaller interpersonal problems (r = .10, p = .084) and a nonsignificant effect for the association between NVS and alliance (r = .06, p = .316), symptomatic outcome (r = -.06, p = .320), and other outcomes (r = .07, p = .255). There was significant heterogeneity between studies (I2 = 56.47). Moderator analyses revealed that vocal pitch synchrony was negatively associated with alliance/outcome (r = -.20, p = .011), while NVS of peripheral physiological parameters was positively correlated with alliance/outcome (r = .32, p = .006).Conclusion: 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.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-16"},"PeriodicalIF":2.6000,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2024.2423662","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: 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.

Method: 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.

Results: There was no significant overall association between NVS and alliance/outcome (r = .03, p = .644). Across modalities, there was a marginally significant association between higher NVS and smaller interpersonal problems (r = .10, p = .084) and a nonsignificant effect for the association between NVS and alliance (r = .06, p = .316), symptomatic outcome (r = -.06, p = .320), and other outcomes (r = .07, p = .255). There was significant heterogeneity between studies (I² = 56.47). Moderator analyses revealed that vocal pitch synchrony was negatively associated with alliance/outcome (r = -.20, p = .011), while NVS of peripheral physiological parameters was positively correlated with alliance/outcome (r = .32, p = .006).

Conclusion: 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.

查看原文本刊更多论文

心理治疗中的非语言同步性、联盟和结果之间的关系：系统回顾与荟萃分析。

摘要非语言同步（NVS）是治疗关系中的一个核心要素，有关非语言同步的研究大幅增加，并表明非语言同步会影响治疗联盟和治疗结果：方法：纳入有关肢体动作、声调、外周生理指标和荷尔蒙状态的 NVS 研究。对来自 13 项试验的 23 篇文献进行了随机效应多层次荟萃分析：结果：NVS 与联盟/结果之间没有明显的整体联系（r = .03，p = .644）。在各种模式中，较高的 NVS 与较小的人际关系问题之间存在微弱的显著关联（r = .10，p = .084），而 NVS 与联盟（r = .06，p = .316）、症状性结果（r = -.06，p = .320）和其他结果（r = .07，p = .255）之间的关联效果不显著。不同研究之间存在明显的异质性（I2 = 56.47）。调节分析显示，声调同步与联盟/结果呈负相关（r = -.20，p = .011），而外周生理参数的 NVS 与联盟/结果呈正相关（r = .32，p = .006）：结论：研究结果表明，特定模式的 NVS 与结果有特定的关联。结论：研究结果表明，特定模式的 NVS 与结果显示出特定的关联，还需要更多的研究来探讨不同模式的 NVS 是否反映了统一的基本结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.