Talking bodies: Nonverbal behavior in the assessment of depression severity

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Citações na Scopus
21
Tipo de produção
article
Data de publicação
2013
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ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE BV
Citação
JOURNAL OF AFFECTIVE DISORDERS, v.150, n.3, p.1114-1119, 2013
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Unidades Organizacionais
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Resumo
Background: Evaluations of clinical depression are traditionally based on verbal information. Nonverbal expressive behavior, however, being associated with a person's reflexive responses, may reveal negative emotional or social processes that are not under complete control of the patients. However, investigations of nonverbal behavior in the evaluation of depressed patients are still scarce. This study examines the nonverbal behaviors of a group of Brazilian patients, associating their nonverbal behavior with severity of depression. Methods: Forty depressed patients were evaluated at baseline (TO) and after a two-week transcranial direct current stimulation treatment (T1), according to rating scales and through a 21-category Ethogram for assessment of the frequency of nonverbal behaviors displayed during an interview. Results: Behaviors that were related to negative feelings and social disinterest decreased with corresponding clinical improvement and were associated with increased severity of symptoms at TO and greater negative affect and dissatisfaction at T1. Pro-social behaviors were associated with milder symptoms at TO and increased after treatment Facial, head and hand expressive movements stood out as important indicators because of their associations with severity of depression. Limitations: Duration of behaviors was not assessed and there was not a healthy control group with which to compare the findings. Conclusions: These results support the usefulness of nonverbal behavior as an evaluation technique in the assessment of clinical depression.
Palavras-chave
Nonverbal behavior, Depression, Ethogram, Severity
Referências
  1. Adams RB, 2003, SCIENCE, V300, P1536, DOI 10.1126/science.1082244
  2. Al-Issa I., 1995, HDB CULTURE MENTAL I, P3
  3. Andersen P. A., 1999, NONVERBAL COMMUNICAT
  4. Andersen P. A., 2006, SAGE HDB NONVERBAL C, P259
  5. APA, 2000, DIAGN STAT MAN MENT
  6. Bargh JA, 2008, PERSPECT PSYCHOL SCI, V3, P73, DOI 10.1111/j.1745-6916.2008.00064.x
  7. Beattie G, 2002, BRIT J PSYCHOL, V93, P179, DOI 10.1348/000712602162526
  8. BECK AT, 1961, ARCH GEN PSYCHIAT, V4, P561
  9. Boggio PS, 2008, INT J NEUROPSYCHOPH, V11, P249, DOI 10.1017/S1461145707007833
  10. Bouhuys A., 2003, NONVERBAL BEHAV CLIN, P233
  11. BOUHUYS AL, 1991, J AFFECT DISORDERS, V23, P63, DOI 10.1016/0165-0327(91)90093-8
  12. BOUHUYS AL, 1991, J AFFECT DISORDERS, V21, P79, DOI 10.1016/0165-0327(91)90053-U
  13. Burgoon J. K., 1996, NONVERBAL COMMUNICAT
  14. Coyne JC, 1999, INTERACTIONAL NATURE OF DEPRESSION, P365, DOI 10.1037/10311-014
  15. Dijksterhuis A, 2001, ADV EXP SOC PSYCHOL, V33, P1, DOI 10.1016/S0065-2601(01)80003-4
  16. Eibl-Eibesfeldt I, 1989, HUMAN ETHOLOGY
  17. EKMAN P, 1993, AM PSYCHOL, V48, P384, DOI 10.1037//0003-066X.48.4.384
  18. EKMAN P, 1969, PSYCHIATR, V32, P88
  19. Ekman P., 1997, WHAT FACE REVEALS BA, P398
  20. Fiquer J. T., 2008, 29 INT C PSYCH BERL, V34, P757
  21. First M. B., 1997, USERS GUIDE STRUCTUR
  22. FOSSI L, 1984, J NERV MENT DIS, V172, P332, DOI 10.1097/00005053-198406000-00004
  23. Freedland KE, 2002, PSYCHOSOM MED, V64, P897, DOI 10.1097/01.PSY.0000028826.64279.29
  24. Geerts E, 2000, J AFFECT DISORDERS, V59, P193, DOI 10.1016/S0165-0327(99)00139-1
  25. GEERTS E, 1995, PSYCHIAT RES, V57, P223, DOI 10.1016/0165-1781(95)02623-5
  26. Geerts E, 1996, J AFFECT DISORDERS, V40, P15, DOI 10.1016/0165-0327(96)00037-7
  27. Geerts E, 2009, AUST NZ J PSYCHIAT, V43, P1007, DOI 10.3109/00048670903270498
  28. Geerts E, 2009, PSYCHIAT RES, V165, P120, DOI 10.1016/j.psychres.2007.11.005
  29. Gollan JK, 2008, PSYCHIAT RES, V159, P18, DOI 10.1016/j.psychres.2007.06.011
  30. Gregersen T, 2009, MOD LANG J, V93, P195, DOI 10.1111/j.1540-4781.2009.00856.x
  31. HAMILTON M, 1967, BRIT J SOC CLIN PSYC, V6, P278
  32. Hietanen JK, 2008, NEUROPSYCHOLOGIA, V46, P2423, DOI 10.1016/j.neuropsychologia.2008.02.029
  33. Hunt M, 2003, J PERS ASSESS, V80, P26, DOI 10.1207/S15327752JPA8001_10
  34. LeDoux JE, 1996, EMOTIONAL BRAIN
  35. Leppanen JM, 2004, PSYCHIAT RES, V128, P123, DOI 10.1016/j.psychres.2004.05.020
  36. Lewinsohn P. M., 1974, INNOVATIVE TREATMENT, P63
  37. Marsella A. J., 2003, ONLINE READINGS PSYC
  38. Martin DM, 2013, J AFFECT DISORDERS, V144, P274, DOI 10.1016/j.jad.2012.10.012
  39. MONTGOMERY SA, 1979, BRIT J PSYCHIAT, V134, P382, DOI 10.1192/bjp.134.4.382
  40. MULROW CD, 1995, ANN INTERN MED, V122, P913
  41. Myers DG, 2000, AM PSYCHOL, V55, P56, DOI 10.1037/0003-066X.55.1.56
  42. NISBETT RE, 1977, PSYCHOL REV, V84, P231, DOI 10.1037/0033-295X.84.3.231
  43. Nitsche MA, 2009, EXP NEUROL, V219, P14, DOI 10.1016/j.expneurol.2009.03.038
  44. ORVASCHEL H, 1982, J AFFECT DISORDERS, V4, P49, DOI 10.1016/0165-0327(82)90019-2
  45. Otta E., 1994, SORRISO SEUS SIGNIFI
  46. PEDERSEN J, 1988, ACTA PSYCHIAT SCAND, V78, P320, DOI 10.1111/j.1600-0447.1988.tb06343.x
  47. Perez J., 2003, NONVERBAL BEHAV CLIN, P17
  48. Perry AE, 2009, SOC PSYCH PSYCH EPID, V44, P853, DOI 10.1007/s00127-009-0007-7
  49. Philippot P., 2003, NONVERBAL BEHAV CLIN, P3
  50. Pine KJ, 2010, J NONVERBAL BEHAV, V34, P169, DOI 10.1007/s10919-010-0089-7
  51. POLSKY RH, 1980, J BEHAV ASSESS, V2, P207, DOI 10.1007/BF01321439
  52. RANELLI CJ, 1981, AM J PSYCHIAT, V138, P30
  53. RUBINOW DR, 1992, BIOL PSYCHIAT, V31, P947, DOI 10.1016/0006-3223(92)90120-O
  54. Rush AJ, 2006, INT J METH PSYCH RES, V9, P45, DOI 10.1002/MPR.79
  55. Schelde JTM, 1998, J NERV MENT DIS, V186, P141, DOI 10.1097/00005053-199803000-00002
  56. Segrin C, 2000, CLIN PSYCHOL REV, V20, P379, DOI 10.1016/S0272-7358(98)00104-4
  57. Seignourel PJ, 2008, DRUG ALCOHOL DEPEN, V93, P271, DOI 10.1016/j.drugalcdep.2007.10.016
  58. Sigmon ST, 2005, SEX ROLES, V53, P401, DOI 10.1007/s11199-005-6762-3
  59. Surguladze SA, 2004, NEUROPSYCHOLOGY, V18, P212, DOI 10.1037/0894-4105.18.2.212
  60. Timmons K. A., 2008, HDB DEPRESSION, P322
  61. Troisi A, 1999, NEUROSCI BIOBEHAV R, V23, P905, DOI 10.1016/S0149-7634(99)00024-X
  62. TROISI A, 1990, ACTA PSYCHIAT SCAND, V81, P560, DOI 10.1111/j.1600-0447.1990.tb05499.x
  63. Uhlmann E. L., 2012, ORGAN RES METHODS, V15, P554
  64. Wilson T., 2002, STRANGERS OURSELVES
  65. Yang Z, 2011, PLOS ONE, V6, DOI 10.1371/journal.pone.0021881
  66. ZUNG WWK, 1965, ARCH GEN PSYCHIAT, V12, P63