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      A Narrative Review Examining the Utility of Interpersonal Synchrony for the Caregiver-Care Recipient Relationship in Alzheimer’s Disease and Related Dementias

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          Abstract

          The stressful nature of caring for an older adult with a chronic disease, such as Alzheimer’s disease (AD), can create barriers between the caregiver-care recipient, as they try to navigate their continuously changing social relationship. Interpersonal synchrony (i.e., matching or similarity of movement, emotions, hormones, or brain activity), is an innovative approach that could help to sustain caregiving relationship dynamics by promoting feelings of connection and empathy through shared behavior and experiences. This review investigates the current literature on interpersonal synchrony from an interdisciplinary perspective by examining interpersonal synchrony through psychological, neural, and hormonal measures across the adult lifespan. We then present a case for examining the degree to which interpersonal synchrony can be used to facilitate affiliation and well-being in the caregiver-care recipient relationship. We find that there is significant evidence in healthy adult populations that interpersonal synchrony can support affiliative feelings, prosocial behavior, and well-being. Characterizing the psychological, neural, and hormonal mechanisms of interpersonal synchrony is a first step towards laying the groundwork for the development of tools to support relational closeness and empathy in the caregiving context. Finally, we explore the strengths and limitations of using interpersonal synchrony to support relational well-being, and discuss possible avenues for future research.

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          Most cited references41

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          It's All in the Timing: Interpersonal Synchrony Increases Affiliation

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            Interpersonal synchrony increases prosocial behavior in infants.

            Adults who move together to a shared musical beat synchronously as opposed to asynchronously are subsequently more likely to display prosocial behaviors toward each other. The development of musical behaviors during infancy has been described previously, but the social implications of such behaviors in infancy have been little studied. In Experiment 1, each of 48 14-month-old infants was held by an assistant and gently bounced to music while facing the experimenter, who bounced either in-synchrony or out-of-synchrony with the way the infant was bounced. The infants were then placed in a situation in which they had the opportunity to help the experimenter by handing objects to her that she had ‘accidently’ dropped. We found that 14-month-old infants were more likely to engage in altruistic behavior and help the experimenter after having been bounced to music in synchrony with her, compared to infants who were bounced to music asynchronously with her. The results of Experiment 2, using anti-phase bouncing, suggest that this is due to the contingency of the synchronous movements as opposed to movement symmetry. These findings support the hypothesis that interpersonal motor synchrony might be one key component of musical engagement that encourages social bonds among group members, and suggest that this motor synchrony to music may promote the very early development of altruistic behavior.
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              Nonverbal synchrony in psychotherapy: coordinated body movement reflects relationship quality and outcome.

              The authors quantified nonverbal synchrony--the coordination of patient's and therapist's movement--in a random sample of same-sex psychotherapy dyads. The authors contrasted nonverbal synchrony in these dyads with a control condition and assessed its association with session-level and overall psychotherapy outcome. Using an automated objective video analysis algorithm (Motion Energy Analysis; MEA), the authors calculated nonverbal synchrony in (n = 104) videotaped psychotherapy sessions from 70 Caucasian patients (37 women, 33 men, mean age = 36.5 years, SD = 10.2) treated at an outpatient psychotherapy clinic. The sample was randomly drawn from an archive (N = 301) of routinely videotaped psychotherapies. Patients and their therapists assessed session impact with self-report post-session questionnaires. A battery of pre- and postsymptomatology questionnaires measured therapy effectiveness. The authors found that nonverbal synchrony is higher in genuine interactions contrasted with pseudointeractions (a control condition generated by a specifically designed shuffling procedure). Furthermore, nonverbal synchrony is associated with session-level process as well as therapy outcome: It is increased in sessions rated by patients as manifesting high relationship quality and in patients experiencing high self-efficacy. Higher nonverbal synchrony characterized psychotherapies with higher symptom reduction. The results suggest that nonverbal synchrony embodies the patients' self-reported quality of the relationship and further variables of therapy process. This hitherto overlooked facet of therapeutic relationships might prove useful as an indicator of therapy progress and outcome. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                07 May 2021
                2021
                : 12
                : 595816
                Affiliations
                [1] 1Neuroscience and Behavior Graduate Program, Department of Psychology, University of Nebraska at Omaha , Omaha, NE, United States
                [2] 2Department of Biomechanics, University of Nebraska at Omaha , Omaha, NE, United States
                [3] 3Department of Gerontology, University of Nebraska at Omaha , Omaha, NE, United States
                Author notes

                Edited by: Jeremy Howick, University of Oxford, United Kingdom

                Reviewed by: Riccardo Manca, The University of Sheffield, United Kingdom; Martina Amanzio, University of Turin, Italy

                *Correspondence: Janelle N. Beadle, jbeadle@ 123456unomaha.edu

                This article was submitted to Neuropsychology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2021.595816
                8137821
                34025493
                a687ba4f-c081-43ee-94e0-33f5e0f2531c
                Copyright © 2021 Gifford, Marmelat and Beadle.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 17 August 2020
                : 05 February 2021
                Page count
                Figures: 0, Tables: 1, Equations: 0, References: 44, Pages: 8, Words: 6760
                Funding
                Funded by: National Institute of General Medical Sciences of the National Institutes of Health
                Award ID: P20GM130447
                Award ID: P20GM109090
                Award ID: P20GM130447
                Funded by: University Committee on Research and Creative Activity at the University of Nebraska at Omaha
                Funded by: Program of Excellence funds from the University of Nebraska
                Funded by: BIG Idea Grant from the University of Nebraska at Omaha
                Funded by: the Nebraska Collaboration Initiative
                Funded by: National Institute of General Medical Sciences of the National Institutes of Health
                Categories
                Psychology
                Review

                Clinical Psychology & Psychiatry
                caregiving,alzheimer’s disease,prosocial behavior,well-being,empathy

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