Cortisol Synchrony in Psychotherapy for Major Depressive Disorder

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2024-08-09 DOI:10.1002/cpp.3035

Eyal Levi, Galit Peysachov, Roee Admon, Sigal Zilcha-Mano

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Abstract

Introduction

Accumulating research emphasizes the role of interpersonal coordination in arousal levels, which may manifest as cortisol synchrony, in interpersonal interactions. While the role of cortisol has been investigated in psychotherapy, cortisol synchrony and its characteristics and effect on treatment progress remain a relatively unexplored area. This study aims to explore the existence of distinct patterns of cortisol coordination throughout psychotherapy and test the associations of different coordination patterns with patients' pre-treatment characteristics and treatment progress measures.

Methods

Fifty patient–therapist dyads participated in 16 weeks of psychodynamic treatment for major depressive disorder. Salivary cortisol samples were collected before and after each session at four time points. Self-report questionnaires and treatment session video-coding were used to characterize and differentiate between patterns of cortisol coordination.

Results

Three patterns of cortisol coordination were identified: synchronized, unsynchronized and stable-therapist. These patterns differed in patient characteristics and treatment progress measures in that patients exhibiting a synchronized pattern tended to be more anxious and dominant in their relationships and were more prone to withdrawal ruptures.

Conclusions

Results provide novel evidence regarding variability in patient–therapist cortisol patterns and its putative associations with treatment progress.

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皮质醇在重度抑郁症心理治疗中的同步性。

简介不断积累的研究强调了人际交往中唤醒水平的人际协调作用，这可能表现为人际交往中皮质醇的同步性。虽然皮质醇在心理治疗中的作用已被研究，但皮质醇同步性及其特点和对治疗进展的影响仍是一个相对未被探索的领域。本研究旨在探索皮质醇在整个心理治疗过程中的不同协调模式，并测试不同协调模式与患者治疗前特征和治疗进展测量的关联：方法：50 名患者-治疗师二人组参加了为期 16 周的重度抑郁障碍心理动力学治疗。在每次治疗前后的四个时间点收集唾液皮质醇样本。自我报告问卷和治疗过程视频编码用于描述和区分皮质醇协调模式：结果：确定了皮质醇协调的三种模式：同步、不同步和稳定-治疗师模式。这些模式在患者特征和治疗进展测量方面存在差异，表现出同步模式的患者往往更焦虑，在人际关系中占主导地位，更容易出现戒断破裂：研究结果为患者-治疗师皮质醇模式的可变性及其与治疗进展之间的关系提供了新的证据。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.