Observed behaviors during clinical interviews predict improvement in depression

Bouhuys, Antoinette L.; Beersma, Domien; Hoofdakker, R.H. van den

doi:10.1007/bf00961629

Cited by 12 publications

(2 citation statements)

References 21 publications

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“…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%

“…However, although these risk factors have been identified for certain subpopulations, prediction of suicide by clinicians for particular individuals is a major clinical challenge (Hughes 1995). Bouhuys et al (1986) investigated how patients suffering from depression interact with psychiatrists and whether this behavior might provide clues about who will later improve. Patient behavior was rated with an event recording system, comprising six pre-coded categories: sound, looking, head movement, encouraging behaviors, hand movements, and leg movements.…”

Section: Therapistpatientmentioning

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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