Do interactional capacities based on observed behaviour interfere with improvement in severely depressed patients?

Bouhuys, Antoinette L.; Albersnagel, Frans A.

doi:10.1016/0165-0327(92)90073-f

Cited by 20 publications

(9 citation statements)

References 25 publications

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“…It was found that patients who displayed less relational behavior, i.e., behaved independently of the actions of the psychiatrist, did not improve. On the other hand, patients who displayed more restlessness and arousal in the initial interview were the ones that improved more, a finding replicated by Bouhuys and Albersnagel (1992). A di‰culty in coding behavior as relational or nonrelational, however, is that di¤erent behaviors can serve di¤erent functions depending on the interactional context.…”

Section: Therapistpatientsupporting

confidence: 60%

“…Six studies (Bouhuys et al 1986(Bouhuys et al , 1991Jones and Pansa 1979;Archinard et al 2000;Bouhuys and Albersnagel 1992; were concerned with the role of communicative behavior in the presentation and, subsequently, improvement of mental illness. All but one (i.e., ) investigated nonverbal communication.…”

Section: Studies Of How Psychiatric Symptoms Are Manifested In Patienmentioning

confidence: 99%

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Professional-patient communication in the treatment of mental illness: A review

Hassan¹,

McCabe²,

Priebe³

2007

Communication Medicine

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The quality of the professional-patient relationship in the treatment of mental illness predicts patient outcome. Hence, we conducted a review of recorded professional-patient communication to identify existing research, methods, and findings. Sixteen studies focused on (i) how psychiatric symptoms are manifested in patient communication; (ii) the role of therapist communication in patient improvement; (iii) the influence of sociodemographic characteristics on doctorpatient communication; and (iv) how patients and professionals jointly construct therapeutic interactions. The findings were disparate and included (a) patient nonverbal communication is impaired in depression and schizophrenia; (b) the use of specific therapeutic skills led to improvement in depression; high expressed emotion (criticism and emotional over-involvement) in treating schizophrenia was a state rather than trait characteristic of therapists; (c) patient gender, income, and education influenced communication about depression, anxiety, and medication; and (d) psychiatrists' varying institutional agendas, which sometimes competed with patients' agendas, strongly shaped their consultations. Few studies investigated two-way professional-patient communication, with most focusing on either patient or therapist communication in isolation from the other. Finally, methodological advances in linking communication processes with treatment outcomes in large-scale observational studies and trials are a challenge for research on medical communication.

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Section: Therapistpatientsupporting

confidence: 60%

Section: Studies Of How Psychiatric Symptoms Are Manifested In Patienmentioning

confidence: 99%

Professional-patient communication in the treatment of mental illness: A review

Hassan¹,

McCabe²,

Priebe³

2007

Communication Medicine

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“…Um número significativo de estudos também tem mostrado que o comportamento não-verbal de pacientes está associado com o prognóstico da depressão (ex. Bouhuys, 2003;Bouhuys & Albersnagel, 1992;Bouhuys & Hoofdakker, 1993;Geerts et al, 1995;Geerts & Bouhuys, 1998;Geerts, Bouhuys & Hoofdakker, 1996;Geerts, Kouwert, Bouhuys, Meesters, & Jansen, 2000;Troisi et al, 1989), embora os achados não sejam inequívocos (Fossi, Faravelli & Paoli, 1984;Geerts;Van Os & Gerlsma, 2009 (Troisi, 1999;veja também Bouhuys, 2003).…”

Section: 62) Indicadores Não-verbais Para Diagnóstico Avaliação Dunclassified

“…Em uma série de estudos, o grupo de pesquisa de Netty Bouhuys, na Holanda, encontrou que durante entrevistas clínicas tanto o comportamento não-verbal de pacientes relacionado ao esforço para comunicar-se e receber suporte (Esforço Comunicativo; EC) como o comportamento de entrevistadores de incentivar e apoiar (Encorajamento; EN) associam-se com pior prognóstico da depressão (Bouhuys & Albersnagel, 1992;Bouhuys & Hoofdakker, 1993;Geerts et al, 1995). Estes resultados contra-intuitivos foram interpretados a partir do modelo interpessoal da depressão de Coyne (1976), segundo o qual a busca excessiva por suporte social, apesar de gerar inicialmente respostas de apoio, resulta em vivências futuras de rejeição, piorando ou mantendo o quadro clínico do paciente.…”

Section: 62) Indicadores Não-verbais Para Diagnóstico Avaliação Dunclassified

“…11), sugere que a busca por suporte na depressão não induz, necessariamente, à rejeição social e a um consequente agravamento da doença. Esta observação é contrária ao que seria esperado a partir da proposta de Coyne (1976Coyne ( , 1999 de que o tipo de busca por amparo social na depressão elicia rejeição interpessoal e piora da doença, assim como é oposta aos achados de Bouhuys e colaboradores (Bouhuys & Albersnagel, 1992;Bouhuys & Hoofdakker, 1993;Geerts et al, 1995) de que maiores níveis de EC e EN de pacientes deprimidos e de seus entrevistadores prediz pior prognóstico da depressão.…”

Section: 2) Avaliação Comportamental Baseada Nos Fatores De Envolvunclassified

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Comunicação não-verbal e depressão: uso de indicadores não-verbais para avaliação de gravidade, melhora clínica e prognóstico

Fiquer¹

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How Observed Personality Traits in (Mildly) Depressed Adolescents Relate to Nonverbal Responses of Peers

Schreur,

Beek,

Hutteman

2024

Child Psychiatry Hum Dev

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Depression in adolescence is related to negative social responses. Previous studies indicate that negative responses precede, co-occur and follow depressive episodes, indicating that more stable characteristics of depressed(to-be) adolescents may trigger such responses. This study examines whether personality traits, as observed in behavior, mediate or moderate responses of peers towards (mildly) depressed adolescents. Nonverbal responses of peers were observed during two short semi-structured interactions, one with a (mildly) depressed partner and one with a nondepressed partner, matched for age and gender. Personality traits of partners were observed. Results show that peers responded more negatively towards (mildly) depressed partners. Personality traits moderated the link between depression and peer responses. In general, but particularly for (mildly) depressed girls, neuroticism strengthened the link between depression and negative peer responses, while expressivity diminished the link between depression and negative peer responses. For boys, small and counterintuitive moderation effects were found which merit further research.

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Do interactional capacities based on observed behaviour interfere with improvement in severely depressed patients?

Cited by 20 publications

References 25 publications

Professional-patient communication in the treatment of mental illness: A review

Professional-patient communication in the treatment of mental illness: A review

Comunicação não-verbal e depressão: uso de indicadores não-verbais para avaliação de gravidade, melhora clínica e prognóstico

How Observed Personality Traits in (Mildly) Depressed Adolescents Relate to Nonverbal Responses of Peers

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