Dampening versus amplification: Intrapersonal and interpersonal vocal affect dynamics during psychotherapy for depression.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-07-22 DOI:10.1080/10503307.2025.2534973

Adar Paz, Eshkol Rafaeli, Eran Bar-Kalifa, Eva Gilboa-Schectman, Sharon Gannot, Shrikanth Narayanan, Dana Atzil-Slonim

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引用次数: 0

Abstract

Objective: Major depressive disorder (MDD) is associated with ineffective affect regulation. Vocal data can shed light on communication and expression during psychotherapy and provide high-resolution data for the study of affective arousal dynamics. Computerized vocal analyses were used to examine the extent to which intrapersonal and interpersonal vocal-arousal dynamics were linked to session outcomes and whether a session's dampening as compared to an amplification arousal trajectory would moderate this association.

Method: Data from 30 clients treated for MDD by nine therapists were analyzed. A total of 9,324 vocal arousal data points were extracted from the working phases of 137 therapy sessions. The clients reported their well-being levels before and after each session on the Outcome Rating Scale.

Results: Vocal-analysis revealed both intrapersonal regulation (towards one's baseline) and interpersonal regulation (towards the partner's arousal level). Only clients' interpersonal regulation towards their therapist's arousal level was linked to better session outcomes. Notably, this positive link occurred more in sessions where the client's overall arousal decreased (dampening); no such link was observed when arousal increased (amplification).

Conclusions: These results suggest that interpersonal (i.e., therapist-client) affect regulation may contribute to therapeutic change in sessions characterized by overall dampening in patients diagnosed with MDD.

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抑制与放大：抑郁症心理治疗期间的个人和人际声音影响动态。

目的：重度抑郁障碍（MDD）与情绪调节无效相关。声音数据可以揭示心理治疗过程中的交流和表达，并为情感唤醒动力学的研究提供高分辨率数据。计算机化的声音分析被用来检查个人和人际的声音唤醒动态与会话结果的联系程度，以及与放大唤醒轨迹相比，会话的减弱是否会缓和这种联系。方法：对9位治疗师治疗的30例重度抑郁症患者的资料进行分析。从137个治疗阶段的工作阶段中提取了总共9324个声音唤醒数据点。客户在每次治疗前后报告他们的幸福感水平。结果：声音分析揭示了个人内部调节（对自己基线的调节）和人际调节（对伴侣觉醒水平的调节）。只有来访者对治疗师觉醒水平的人际调节与更好的治疗结果有关。值得注意的是，这种积极的联系在客户的整体觉醒下降（抑制）的会话中发生得更多；当觉醒增加（放大）时，没有观察到这种联系。结论：这些结果表明，人际关系（即治疗师-来访者）影响调节可能有助于MDD患者以总体抑制为特征的治疗变化。

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.