Effectiveness of Imagery Rescripting and Reprocessing Therapy on Suicidal Ideation in Individuals with Suicide Attempt History

Rahnama, Shirin; Tarkhan, Morteza; Khalatbari, Javad

doi:10.1016/j.sbspro.2013.06.706

Cited by 4 publications

(7 citation statements)

References 9 publications

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“…Regarding selection bias, three IRT studies [26,27,41] showed high risk of bias in allocation concealment and none of the prazosin studies showed this bias. Four IRT [26e28,39] studies and two prazosin studies [12,38] showed a risk in the randomization sequence generation (i.e., randomization not adequately explained).…”

Section: Risk Of Bias In Individual Studiesmentioning

confidence: 99%

“…Nightmare frequency was operationalized as the number of nights with nightmares per week. If this information was not provided, the number of nightmares per week [9,11,13,26] or a more general measure for nightmares [27] was coded and extracted. Two reviewers (DY and CS) independently coded and extracted data from all included studies to maximize data accuracy.…”

Section: Data Extractionmentioning

confidence: 99%

“…All 15 studies required the presence of trauma-related nightmares, with some studies including only patients with PTSD [8,11,12,17,18,30,38,39] and other studies including patients with self-reported trauma-related nightmares [9,13,26e28,40,41]. Fourteen studies explicitly mentioned the use of clinical interviews to assess PTSD (CAPS/SCID/MINI), one study used a screening questionnaire to assess PTSD [27].…”

Section: Description Of Studiesmentioning

confidence: 99%

“…Prazosin treatment duration ranged from seven weeks [12] to 26 wk [17]. Regarding the IRT studies, four employed standard IRT [13,18,26,39], three [28,40,41] employed ERRT, and one [27] employed imagery rescripting and reprocessing therapy. In three studies IRT was delivered in a group format, and in the remaining five studies IRT was delivered individually.…”

Section: Description Of Studiesmentioning

confidence: 99%

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Comparative efficacy of imagery rehearsal therapy and prazosin in the treatment of trauma-related nightmares in adults: A meta-analysis of randomized controlled trials

Yücel

Emmerik

Souama

et al. 2020

Sleep Medicine Reviews

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Pharmacological treatment with prazosin and psychological treatment with imagery rehearsal therapy (IRT) are the two main treatments of posttraumatic nightmares. The American Academy of Sleep Medicine task force recently listed IRT as the recommended treatment for trauma-related nightmares and changed the recommendation of prazosin to 'may be used'. This new recommendation was based on a single prazosin trial and not on a meta-analytic review of all available trials. The current meta-analysis aims to fill this gap in the literature. Eight studies on IRT and seven studies on prazosin (N ¼ 1.078) were analyzed based on the random effects model. Relative to control groups, prazosin had a moderate to large effect on nightmare frequency (g ¼ 0.61), posttraumatic stress symptoms (g ¼ 0.81), and sleep quality (g ¼ 0.85). IRT showed small to moderate effects on nightmare frequency (g ¼ 0.51), posttraumatic symptoms (g ¼ 0.31), and sleep quality (g ¼ 0.51). No significant differences in effect were observed between prazosin and IRT on any of these outcomes (all p's > 0.10). It is concluded that downgrading the recommendation of prazosin may be a premature decision and that the aggregated results in this metaanalysis clearly show efficacy of both treatments.

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Section: Risk Of Bias In Individual Studiesmentioning

confidence: 99%

Section: Data Extractionmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Comparative efficacy of imagery rehearsal therapy and prazosin in the treatment of trauma-related nightmares in adults: A meta-analysis of randomized controlled trials

Yücel

Emmerik

Souama

et al. 2020

Sleep Medicine Reviews

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“…In addition, addressing the content of mental imagery in therapy can reduce psychological distress ( Holmes et al, 2007a ) and reduce suicidal ideation in suicide attempters ( Rahnama et al, 2013 ). For example, the Broad Minded Affective Coping (BMAC) task ( Tarrier, 2010 ), a key component of Cognitive Behavioral Therapy for Suicide Prevention (CBSP) ( Tarrier et al, 2013 ), uses mental imagery to reconstruct positive memories, thereby increasing access to their associated positive emotions.…”

Section: Precipitating a Crisismentioning

confidence: 99%

The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness

et al. 2021

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ObjectivesThis paper aims to identify potential areas for refinement in existing theoretical models of suicide, and introduce a new integrative theoretical framework for understanding suicide, that could inform such refinements.MethodsLiterature on existing theoretical models of suicide and how they contribute to understanding psychological processes involved in suicide was evaluated in a narrative review. This involved identifying psychological processes associated with suicide. Current understanding of these processes is discussed, and suggestions for integration of the existing literature are offered.ResultsExisting approaches to understanding suicide have advanced the current knowledge of suicide in various ways. They have guided valuable research in the following areas: motivations for suicide and the psychological distress which influences suicide attempts; ambivalence about suicide; suicidal individuals’ focus of attention; and ways in which individuals who contemplate suicide differ from individuals who attempt suicide. We outline a new theoretical framework as a means to integrating all of these concepts into the three principles of control, conflict, and awareness. Within this framework, suicide is regarded as occurring due to a long standing conflict between an individual’s personal goals, culminating in an episode of acute loss of control. The new framework posits that the individual then strives to regain control through the means of suicide because of a narrowed awareness of consequences of their actions on other valued goals. This psychological mechanism of limited awareness is posited to be the common pathway by which individuals make a suicide attempt, regardless of which risk factors are present.ConclusionThis article introduces a theoretical framework that generates several hypotheses for future research, and focuses on psychological processes occurring during immediate crisis. One of the key hypotheses resulting from our predictions on how individuals progress from contemplating to attempting suicide will be tested in an ongoing program of research: Individuals who attempt suicide have a significantly reduced awareness of consequences of suicide, which would negatively impact on their important life goals, values, principles, or ideals, compared to individuals who contemplate suicide. Therapy guided by the new framework may be more flexible, immediate, and client-focused than other therapies for suicidal individuals.

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We cannot change the past, but we can change its meaning. A randomized controlled trial on the effects of self-help imagery rescripting on depression

Moritz

Ahlf-Schumacher

Hottenrott

et al. 2018

Behaviour Research and Therapy

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Effectiveness of Imagery Rescripting and Reprocessing Therapy on Suicidal Ideation in Individuals with Suicide Attempt History

Cited by 4 publications

References 9 publications

Comparative efficacy of imagery rehearsal therapy and prazosin in the treatment of trauma-related nightmares in adults: A meta-analysis of randomized controlled trials

Comparative efficacy of imagery rehearsal therapy and prazosin in the treatment of trauma-related nightmares in adults: A meta-analysis of randomized controlled trials

The Psychological Pathway to Suicide Attempts: A Strategy of Control Without Awareness

We cannot change the past, but we can change its meaning. A randomized controlled trial on the effects of self-help imagery rescripting on depression

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