Filtern
Erscheinungsjahr
- 2022 (80) (entfernen)
Dokumenttyp
Sprache
- Englisch (48)
- Deutsch (21)
- Französisch (11)
Schlagworte
- Politischer Unterricht (12)
- Satellitenfernerkundung (7)
- COVID-19 (6)
- Deutschland (6)
- Pandemie (5)
- China (4)
- Großregion (Körperschaft) (4)
- Soziales Engagement (4)
- Covid-19 (3)
- Degradation (3)
Institut
- Politikwissenschaft (19)
- Fachbereich 4 (9)
- Fachbereich 6 (9)
- Raum- und Umweltwissenschaften (9)
- Fachbereich 1 (5)
- Psychologie (4)
- Informatik (3)
- Wirtschaftswissenschaften (3)
- Fachbereich 2 (2)
- Fachbereich 5 (1)
Objective: Attunement is a novel measure of nonverbal synchrony reflecting the duration of the present moment shared by two interaction partners. This study examined its association with early change in outpatient psychotherapy.
Methods: Automated video analysis based on motion energy analysis (MEA) and cross-correlation of the movement time-series of patient and therapist was conducted to calculate movement synchrony for N = 161 outpatients. Movement-based attunement was defined as the range of connected time lags with significant synchrony. Latent change classes in the HSCL-11 were identified with growth mixture modeling (GMM) and predicted by pre-treatment covariates and attunement using multilevel multinomial regression.
Results: GMM identified four latent classes: high impairment, no change (Class 1); high impairment, early response (Class 2); moderate impairment (Class 3); and low impairment (Class 4). Class 2 showed the strongest attunement, the largest early response, and the best outcome. Stronger attunement was associated with a higher likelihood of membership in Class 2 (b = 0.313, p = .007), Class 3 (b = 0.251, p = .033), and Class 4 (b = 0.275, p = .043) compared to Class 1. For highly impaired patients, the probability of no early change (Class 1) decreased and the probability of early response (Class 2) increased as a function of attunement.
Conclusions: Among patients with high impairment, stronger patient-therapist attunement was associated with early response, which predicted a better treatment outcome. Video-based assessment of attunement might provide new information for therapists not available from self-report questionnaires and support therapists in their clinical decision-making.