Associations of patient-rated emotional bond and vocally encoded emotional arousal among clinicians and acutely suicidal military personnel

Craig J. Bryan, Brian R. Baucom, Alex O. Crenshaw, Zac Imel, David C. Atkins, Tracy A. Clemans, Bruce Leeson, T. Scott Burch, Jim Mintz, M. David Rudd

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: To determine if synchrony in emotional arousal and affective regulation between patients and clinicians reflect emotional bonding during emergency behavioral health appointments. Method: Audio recordings of suicide risk assessment interviews and crisis intervention planning with 54 suicidal active duty soldiers presenting to an emergency department or behavioral health clinic were analyzed. Emotional arousal was assessed using mean fundamental frequency. Patient-rated emotional bond was assessed with the Working Alliance Inventory, Short Form (Hatcher & Gillaspy, 2014). Actor-partner interdependence modeling was used to identify moment-to-moment patterns of covariance among clinician and patient emotional arousal. Results: Greater synchrony in clinician and patient emotional arousal was positively associated with higher emotional bond ratings during the crisis intervention but not the risk assessment interview. During the risk assessment interview, higher emotional bond was associated with a dysregulating effect of the clinician on the patient's emotional arousal (i.e., larger fluctuations in the patient's emotional arousal). The reverse pattern was seen during the intervention: Higher emotional bond was associated with a regulating effect of the clinician on the patient's emotional arousal (i.e., smaller fluctuations in the patient's emotional arousal). Emotional bond during the intervention was also positively associated with a regulating effect of the patient on the clinician's emotional arousal. Conclusion: Emotional bonding during emergency clinical encounters is associated with patient-clinician synchrony in emotional states. During crisis interventions, emotional bonding is also associated with mutual down-regulation of emotional arousal among patients and clinicians.

Original languageEnglish (US)
Pages (from-to)372-383
Number of pages12
JournalJournal of Consulting and Clinical Psychology
Volume86
Issue number4
DOIs
StatePublished - Apr 1 2018

Fingerprint

Military Personnel
Arousal
Crisis Intervention
Interviews
Emergencies
Object Attachment
Health
Suicide
Hospital Emergency Service
Appointments and Schedules
Down-Regulation
Equipment and Supplies

Keywords

  • Military
  • Psychotherapy
  • Suicide
  • Synchrony
  • Therapeutic alliance

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

Associations of patient-rated emotional bond and vocally encoded emotional arousal among clinicians and acutely suicidal military personnel. / Bryan, Craig J.; Baucom, Brian R.; Crenshaw, Alex O.; Imel, Zac; Atkins, David C.; Clemans, Tracy A.; Leeson, Bruce; Scott Burch, T.; Mintz, Jim; David Rudd, M.

In: Journal of Consulting and Clinical Psychology, Vol. 86, No. 4, 01.04.2018, p. 372-383.

Research output: Contribution to journalArticle

Bryan, CJ, Baucom, BR, Crenshaw, AO, Imel, Z, Atkins, DC, Clemans, TA, Leeson, B, Scott Burch, T, Mintz, J & David Rudd, M 2018, 'Associations of patient-rated emotional bond and vocally encoded emotional arousal among clinicians and acutely suicidal military personnel', Journal of Consulting and Clinical Psychology, vol. 86, no. 4, pp. 372-383. https://doi.org/10.1037/ccp0000295
Bryan, Craig J. ; Baucom, Brian R. ; Crenshaw, Alex O. ; Imel, Zac ; Atkins, David C. ; Clemans, Tracy A. ; Leeson, Bruce ; Scott Burch, T. ; Mintz, Jim ; David Rudd, M. / Associations of patient-rated emotional bond and vocally encoded emotional arousal among clinicians and acutely suicidal military personnel. In: Journal of Consulting and Clinical Psychology. 2018 ; Vol. 86, No. 4. pp. 372-383.
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