Vor dem Hintergrund eines fachlichen und gesellschaftlichen Interesses an psychologischen Forschungsthemen wurde der Einsatz von Topic Modeling zu deren automatisierten und validen Identifikation erprobt und mit einem traditionellen Ansatz verglichen, der auf Klassifikationskategorien von Fachdatenbanken beruht. Kern der Arbeit sind drei Studien mit unterschiedlichen Anwendungsszenarien: (1) Die Ermittlung psychologischer Brennpunktthemen, (2) das Verhältnis zwischen gesellschaftlichen Herausforderungen und Themen der psychologischen Fachliteratur sowie (3) die Forschungsinteressen von Psychologinnen und Psychologen. In jeder dieser Studien wurden sukzessive neue methodische Schwerpunkte gesetzt. Die Erkenntnisse daraus flossen in die Entwicklung einer nutzerfreundlichen App zur Exploration und Analyse von psychologischen Forschungsthemen ein. Im Vergleich mit dem klassifikationsbasierten Ansatz erwies sich Topic Modeling als Methode der Wahl zur automatisierten und differenzierten Identifikation psychologischer Forschungsthemen. Zur externen Validierung der Themeninhalte stellte sich ein Klassifikationssystem für psychologische Fachliteratur jedoch als geeignet heraus. Einschränkungen, Implikationen für weitere Forschung sowie Folgerungen für die Weiterentwicklung digitaler Produkte von forschungsbasierten Infrastruktureinrichtungen in der Psychologie werden diskutiert. Abschließend wird eine Entscheidungsheuristik zur Auswahl geeigneter Topic-Modeling-Varianten im Kontext von Forschungsthemen vorgelegt.
Imagery-based techniques have received increasing interest in psychotherapy research. Whereas their effectiveness has been shown for various psychological disorders, their underlying mechanisms remain unclear. Current research predominantly investigates intrapersonal processes, while interpersonal processes have received no attention to date. The aim of the current dissertation was to fill this lacuna. The three interrelated studies comprising this dissertation were the first to examine the effectiveness of imagery-based techniques in the treatment of test anxiety, relate physiological arousal to emotional processing, and investigate the association between physiological synchrony and multiple process measures.
Study I investigated the feasibility of a newly developed protocol, which integrates imagery-based and cognitive-behavioral components, to treat test anxiety in a sample of 31 students. The results indicated the protocol as acceptable, feasible, and effective in the treatment of test anxiety. Additionally, the imagery-based component was positively associated with therapeutic bond, session evaluation, and emotional experience.
Study II shifted the focus from the effectiveness of imagery-based techniques to client-therapist physiological synchrony as a putative mechanism of change in the same sample. The results suggested that physiological synchrony was greater than chance during both imagery-based and cognitive-behavioral components. Variability of physiological synchrony on the session-level during the imagery-based components and variability on both levels (session and dyad) during the cognitive-behavioral components were demonstrated. Furthermore, physiological synchrony of the imagery-based segments was positively assocatied with therapeutic bond. No association was found for the cognitive-behavioral components.
Study III examined both intrapersonal (i.e., clients’ electrodermal activity) and interpersonal (i.e., client-therapist electrodermal activity synchrony) processes and their associations with emotional processing in a sample of 49 client-therapist-dyads. The results suggested that higher client physiological arousal and a moderate level of physiological synchrony were associated with deeper emotional processing.
Taken together, the results highlight the effectiveness of imagery-based techniques in the treatment of test anxiety. Furthermore, the results of Studies II and III support the idea of physiological synchrony as a mechanism of change in imagery with and without rescripting. The current dissertation takes an important step towards optimizing process research within psychotherapy and contributes to a better understanding of the potency and mechanisms of change of imagery-based techniques. We hope that these studies’ implications will support everyday clinical practice.
Background
Identifying pain-related response patterns and understanding functional mechanisms of symptom formation and recovery are important for improving treatment.
Objectives
We aimed to replicate pain-related avoidance-endurance response patterns associated with the Fear-Avoidance Model, and its extension, the Avoidance-Endurance Model, and examined their differences in secondary measures of stress, action control (i.e., dispositional action vs. state orientation), coping, and health.
Methods
Latent profile analysis (LPA) was conducted on self-report data from 536 patients with chronic non-specific low back pain at the beginning of an inpatient rehabilitation program. Measures of stress (i.e., pain, life stress) and action control were analyzed as covariates regarding their influence on the formation of different pain response profiles. Measures of coping and health were examined as dependent variables.
Results
Partially in line with our assumptions, we found three pain response profiles of distress-avoidance, eustress-endurance, and low-endurance responses that are depending on the level of perceived stress and action control. Distress-avoidance responders emerged as the most burdened, dysfunctional patient group concerning measures of stress, action control, maladaptive coping, and health. Eustress-endurance responders showed one of the highest levels of action versus state orientation, as well as the highest levels of adaptive coping and physical activity. Low-endurance responders reported lower levels of stress as well as equal levels of action versus state orientation, maladaptive coping, and health compared to eustress-endurance responders; however, equally low levels of adaptive coping and physical activity compared to distress-avoidance responders.
Conclusions
Apart from the partially supported assumptions of the Fear-Avoidance and Avoidance-Endurance Model, perceived stress and dispositional action versus state orientation may play a crucial role in the formation of pain-related avoidance-endurance response patterns that vary in degree of adaptiveness. Results suggest tailoring interventions based on behavioral and functional analysis of pain responses in order to more effectively improve patients quality of life.