Multimodal analysis of temporal affective variability within treatment for depression.

IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-09-01 Epub Date: 2024-07-25 DOI:10.1037/ccp0000901
Adar Paz, Eshkol Rafaeli, Eran Bar-Kalifa, Eva Gilboa-Schechtman, Sharon Gannot, Shrikanth S Narayanan, Dana Atzil-Slonim
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Abstract

Objective: Affective flexibility, the capacity to respond to life's varying environmental changes in a dynamic and adaptive manner, is considered a central aspect of psychological health in many psychotherapeutic approaches. The present study examined whether affective two-dimensional (i.e., arousal and valence) temporal variability extracted from voice and facial expressions would be associated with positive changes over the course of psychotherapy, at the session, client, and treatment levels.

Method: A total of 22,741 mean vocal arousal and facial expression valence observations were extracted from 137 therapy sessions in a sample of 30 clients treated for major depressive disorder by nine therapists. Before and after each session, the clients self-reported their level of well-being on the outcome rating scale. Session-level affective temporal variability was assessed as the mean square of successive differences between consecutive two-dimensional affective measures.

Results: Session outcome was positively associated with temporal variability at the session level (i.e., within clients, between sessions) and at the client level (i.e., between clients). Importantly, these associations held when controlling for average session- and client-level valence scores. In addition, the expansion of temporal variability throughout treatment was associated with steeper positive session outcome trajectories over the course of treatment.

Conclusions: The continuous assessment of both vocal and facial affective expressions and the ability to extract measures of affective temporal variability from within-session data may enable therapists to better respond and modulate clients' affective flexibility; however, further research is necessary to determine whether there is a causal link between affective temporal variability and psychotherapy outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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对抑郁症治疗过程中的时间情感变化进行多模式分析。
目的:情感灵活性是一种以动态和适应的方式应对生活中不同环境变化的能力,在许多心理治疗方法中被认为是心理健康的一个核心方面。本研究探讨了从声音和面部表情中提取的情感二维(即唤醒和情绪)时间变异性是否与心理治疗过程中,在疗程、客户和治疗层面的积极变化有关:从九位治疗师治疗的 30 位重度抑郁障碍患者的 137 个治疗疗程中,共提取了 22,741 个平均声音唤醒度和面部表情愉悦度观测值。在每次治疗前后,患者都会根据结果评分量表自我报告其幸福程度。疗程水平的情感时间变异性被评估为连续二维情感测量之间连续差异的均方差:疗程结果与疗程水平(即客户内部、疗程之间)和客户水平(即客户之间)的时间变异性呈正相关。重要的是,在控制了会话和客户水平的平均情绪分数后,这些关联仍然存在。此外,在整个治疗过程中,时间变异性的扩大与治疗过程中更陡峭的积极疗程结果轨迹有关:对声音和面部情感表达的连续评估,以及从疗程内数据中提取情感时间变异性测量值的能力,可以使治疗师更好地应对和调节求助者的情感灵活性;然而,要确定情感时间变异性与心理治疗结果之间是否存在因果关系,还需要进一步的研究。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
94
期刊介绍: The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.
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