Cortisol Synchrony in Psychotherapy for Major Depressive Disorder.
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 o...
| Published in: | Clinical Psychology & Psychotherapy Vol. 31; no. 4; pp. 1 - 14 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
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Wiley-Blackwell
Jul2024
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179169011&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179169011 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10633995 BUX jtl: Clinical Psychology & Psychotherapy issn: 10633995 maglogo: Y pubinfo: dt: Jul2024 vid: 31 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 179169011 179169011 179169011 10.1002/cpp.3035 179169011 ppf: 1 ppct: 13 formats: tig: atl: Cortisol Synchrony in Psychotherapy for Major Depressive Disorder. aug: au: Levi, Eyal Peysachov, Galit Admon, Roee Zilcha‐Mano, Sigal affil: Department of Psychology, University of Haifa, Haifa, Israel sug: subj: Depression Therapy Psychotherapy, Psychodynamic Hydrocortisone Analysis Professional-Patient Relations Psychotherapists Funding Source Human Male Female Specimen Handling Self Report Questionnaires Coding Psychophysiology Anxiety Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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