Cortisol Synchrony in Psychotherapy for Major Depressive Disorder

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Main Authors: Eyal Levi, Galit Peysachov, Roee Admon, Sigal Zilcha‐Mano
Format: Artículo Open Access
Published: Wiley 2024
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author Eyal Levi
Galit Peysachov
Roee Admon
Sigal Zilcha‐Mano
author_facet Eyal Levi
Galit Peysachov
Roee Admon
Sigal Zilcha‐Mano
Eyal Levi
Galit Peysachov
Roee Admon
Sigal Zilcha‐Mano
collection Wiley Open Access
contents Cortisol Synchrony in Psychotherapy for Major Depressive Disorder Eyal Levi Galit Peysachov Roee Admon Sigal Zilcha‐Mano Clinical Psychology & Psychotherapy ABSTRACTIntroductionAccumulating 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.MethodsFifty 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.ResultsThree 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.ConclusionsResults provide novel evidence regarding variability in patient–therapist cortisol patterns and its putative associations with treatment progress. 10.1002/cpp.3035 http://onlinelibrary.wiley.com/termsAndConditions#vor
doi_str_mv 10.1002/cpp.3035
format Artículo Open Access
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institution Wiley Open Access
license_str_mv http://onlinelibrary.wiley.com/termsAndConditions#vor
publishDate 2024
publisher Wiley
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spellingShingle Cortisol Synchrony in Psychotherapy for Major Depressive Disorder
Eyal Levi
Galit Peysachov
Roee Admon
Sigal Zilcha‐Mano
Clinical Psychology & Psychotherapy
Cortisol Synchrony in Psychotherapy for Major Depressive Disorder Eyal Levi Galit Peysachov Roee Admon Sigal Zilcha‐Mano Clinical Psychology & Psychotherapy ABSTRACTIntroductionAccumulating 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.MethodsFifty 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.ResultsThree 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.ConclusionsResults provide novel evidence regarding variability in patient–therapist cortisol patterns and its putative associations with treatment progress. 10.1002/cpp.3035 http://onlinelibrary.wiley.com/termsAndConditions#vor
title Cortisol Synchrony in Psychotherapy for Major Depressive Disorder
topic Clinical Psychology & Psychotherapy
url https://onlinelibrary.wiley.com/doi/10.1002/cpp.3035