Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect

The importance of the role of affect in psychotherapy for major depressive disorder (MDD) is well established, but the common use of self-reported measures may limit our understanding of its underlying mechanisms. A promising predictor of patient affect is the stress hormone cortisol. To date, no st...

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Autores principales:	Eyal Levi, Susanne Fischer, Hadar Fisher, Roee Admon, Sigal Zilcha-Mano
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	affect cortisol psychotherapy social support stress therapist Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/d5cb62b95ded4429a9048fed29358b94
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spelling	oai:doaj.org-article:d5cb62b95ded4429a9048fed29358b942021-11-25T16:58:16ZPatient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect10.3390/brainsci111114832076-3425https://doaj.org/article/d5cb62b95ded4429a9048fed29358b942021-11-01T00:00:00Zhttps://www.mdpi.com/2076-3425/11/11/1483https://doaj.org/toc/2076-3425The importance of the role of affect in psychotherapy for major depressive disorder (MDD) is well established, but the common use of self-reported measures may limit our understanding of its underlying mechanisms. A promising predictor of patient affect is the stress hormone cortisol. To date, no studies have studied in-session changes in cortisol in psychotherapy for MDD. We investigated whether an increase in patient cortisol over the course of a session correlated with higher negative and lower positive affect. Given previous findings on healthy individuals on the contagious nature of stress, an additional aim was to examine whether these relationships are moderated by therapist cortisol. To this end, 40 dyads (including 6 therapists) provided saliva samples before and after four pre-specified sessions (616 samples). After each session, the patients provided retrospective reports of in-session affect. We found no association between patient cortisol and affect. However, increases in patient cortisol predicted negative affect when the therapists exhibited decreases in cortisol, and increases in patient cortisol predicted positive affect when the therapists showed increases. Our study provides initial evidence for the importance of the social context in the cortisol–affect relationship in MDD.Eyal LeviSusanne FischerHadar FisherRoee AdmonSigal Zilcha-ManoMDPI AGarticleaffectcortisolpsychotherapysocial supportstresstherapistNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain Sciences, Vol 11, Iss 1483, p 1483 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	affect cortisol psychotherapy social support stress therapist Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	affect cortisol psychotherapy social support stress therapist Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Eyal Levi Susanne Fischer Hadar Fisher Roee Admon Sigal Zilcha-Mano Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect
description	The importance of the role of affect in psychotherapy for major depressive disorder (MDD) is well established, but the common use of self-reported measures may limit our understanding of its underlying mechanisms. A promising predictor of patient affect is the stress hormone cortisol. To date, no studies have studied in-session changes in cortisol in psychotherapy for MDD. We investigated whether an increase in patient cortisol over the course of a session correlated with higher negative and lower positive affect. Given previous findings on healthy individuals on the contagious nature of stress, an additional aim was to examine whether these relationships are moderated by therapist cortisol. To this end, 40 dyads (including 6 therapists) provided saliva samples before and after four pre-specified sessions (616 samples). After each session, the patients provided retrospective reports of in-session affect. We found no association between patient cortisol and affect. However, increases in patient cortisol predicted negative affect when the therapists exhibited decreases in cortisol, and increases in patient cortisol predicted positive affect when the therapists showed increases. Our study provides initial evidence for the importance of the social context in the cortisol–affect relationship in MDD.
format	article
author	Eyal Levi Susanne Fischer Hadar Fisher Roee Admon Sigal Zilcha-Mano
author_facet	Eyal Levi Susanne Fischer Hadar Fisher Roee Admon Sigal Zilcha-Mano
author_sort	Eyal Levi
title	Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect
title_short	Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect
title_full	Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect
title_fullStr	Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect
title_full_unstemmed	Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect
title_sort	patient and therapist in-session cortisol as predictor of post-session patient reported affect
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/d5cb62b95ded4429a9048fed29358b94
work_keys_str_mv	AT eyallevi patientandtherapistinsessioncortisolaspredictorofpostsessionpatientreportedaffect AT susannefischer patientandtherapistinsessioncortisolaspredictorofpostsessionpatientreportedaffect AT hadarfisher patientandtherapistinsessioncortisolaspredictorofpostsessionpatientreportedaffect AT roeeadmon patientandtherapistinsessioncortisolaspredictorofpostsessionpatientreportedaffect AT sigalzilchamano patientandtherapistinsessioncortisolaspredictorofpostsessionpatientreportedaffect
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Patient and Therapist In-Session Cortisol as Predictor of Post-Session Patient Reported Affect

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