Imagery rescripting of early memories in social anxiety disorder: An experimental study

Nilsson, Jan-Erik; Lundh, Lars‐Gunnar; Viborg, Gardar

doi:10.1016/j.brat.2012.03.004

Cited by 88 publications

(89 citation statements)

References 18 publications

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“…Aside from reductions on the NSPS in the IR and VR groups after treatment compared to the WC group, there were no significant effects of treatment on self-reported symptom or cognitive measures. These null findings stand in contrast to a previous small uncontrolled trial [18] that showed decreases in perceived negative evaluation and social interaction anxiety following individual IR. A subsequent controlled trial [46] also demonstrated that either individual single-session IR or cognitive restructuring yielded reductions in self-reported social anxiety symptoms compared to waitlist.…”

Section: Discussioncontrasting

confidence: 55%

“…Imagery rescripting (IR) is one such approach, where patients are encouraged to mentally transform negative images to form new (neutral or positive) memories [15]. Individually delivered single-session IR protocols [16, 17] reduce SAD-related symptomatology, whether used in isolation [18] or following cognitive restructuring [19]. Integration of imagery-based techniques into cognitive-behavioral treatment protocols is also beneficial for SAD in a group setting [20, 21].…”

Section: Introductionmentioning

confidence: 99%

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Attenuated Psychophysiological Reactivity following Single-Session Group Imagery Rescripting versus Verbal Restructuring in Social Anxiety Disorder: Results from a Randomized Controlled Trial

Bank

Lipp

Erceg‐Hurn

et al. 2018

Psychother Psychosom

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Background: The effectiveness of psychotherapies for social anxiety disorder (SAD) is typically evaluated using self- and clinician-reported symptom change, while biomarkers of treatment response are rarely measured. The current study aimed to compare biomarkers of response following two brief group interventions for SAD. Methods: This randomized controlled trial evaluated the effectiveness of single-session group interventions for SAD (n = 58) – imagery rescripting (IR) and verbal restructuring (VR) versus waitlist control (WC). The IR intervention guided participants to rescript autobiographical memories through visualization whilst the VR intervention focused on thought challenging. Trial outcomes included change in psychophysiological reactivity (heart rate variability (HRV) and electrodermal responding) to social stress, and symptom-based measures (social interaction anxiety, negative self-portrayal, cognitive avoidance, repetitive negative thinking, memory modification, anxious behaviors). Results: Psychophysiological reactivity was selectively attenuated following IR treatment, compared to VR and WC groups. The specific influence of the imagery-based intervention in modulating autonomic reactivity was evident across HRV parameters, including the standard deviation of intervals between heartbeats (IR vs. WC, d = 0.67, p = 0.021; IR vs. VR, d = 0.58, p = 0.041), and high frequency power – an indicator of parasympathetically mediated emotion regulation (IR vs. WC, d = 0.75, p = 0.034; IR vs. VR, d = 0.95, p = 0.006). Few group differences were observed across self-report measures. Conclusion: The current study highlights the specificity of brief imagery-based interventions in influencing psychophysiological reactivity in SAD and establishes the sensitivity of objective markers of treatment response in quantifying change over symptom-based measurements.

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Section: Discussioncontrasting

confidence: 55%

Section: Introductionmentioning

confidence: 99%

Attenuated Psychophysiological Reactivity following Single-Session Group Imagery Rescripting versus Verbal Restructuring in Social Anxiety Disorder: Results from a Randomized Controlled Trial

Bank

Lipp

Erceg‐Hurn

et al. 2018

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…In fact, not all previous ImRS studies have found a reduction in image vividness (e.g. Nilsson, Lundh, & Viborg, 2012). Wild et al (2007) found such a reduction, but it was not maintained at 1-week follow-up.…”

Section: Discussionmentioning

confidence: 78%

Impact of imagery rescripting on adverse self-defining memories and post-recall working selves in a non-clinical sample: a pilot study

Cili

Pettit

Stopa

2016

Cognitive Behaviour Therapy

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“…One CBT trial for SAD found that a protocol including IR was superior to in vivo exposure with applied relaxation (Clark et al, 2006). Subsequent small clinical trials have found that IR in SAD is associated with significant improvements in negative social beliefs, the vividness and distress of negative images and early memories, fear of negative evaluation, and social anxiety symptoms (Frets, Kevenaar, & van der Heiden, 2014;Lee & Kwon, 2013;Nilsson, Lundh, & Viborg, 2012;Wild et al, 2007Wild et al, , 2008. These studies provide proof of concept and suggest that IR may be a powerful technique for treating SAD.…”

Section: Introductionmentioning

confidence: 76%

Imagery-enhanced cognitive behavioural group therapy for social anxiety disorder: A pilot study

McEvoy

Saulsman

2014

Behaviour Research and Therapy

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Cognitive behavioural group therapy (CBGT) for social anxiety disorder (SAD) is efficacious and effective, however a substantial proportion of patients remain in the clinical range so treatment innovations are required. Research suggests that working within the imagery mode may be more emotionally potent than traditional verbal-linguistic strategies.This study piloted an imagery-enhanced CBGT (IE-CBGT) protocol for SAD. It was hypothesised that IE-CBGT would be acceptable to patients, demonstrate large effect sizes, and compare favourably to historical controls who completed CBGT without the imageryenhancements. Patients (N = 19) were consecutive referrals to a community clinic specialising in anxiety and mood disorders. Primary outcomes were self-reported performance and social interaction anxiety. IE-CBGT was highly acceptable to patients with high attendance and completion rates. Effect sizes were large by mid-treatment and very large at post-treatment and follow-up. A high proportion of patients achieved reliable change. Outcomes compared favourably to published group and individual treatments for SAD but larger randomised controlled trials are now required.

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Imagery rescripting of early memories in social anxiety disorder: An experimental study

Cited by 88 publications

References 18 publications

Attenuated Psychophysiological Reactivity following Single-Session Group Imagery Rescripting versus Verbal Restructuring in Social Anxiety Disorder: Results from a Randomized Controlled Trial

Attenuated Psychophysiological Reactivity following Single-Session Group Imagery Rescripting versus Verbal Restructuring in Social Anxiety Disorder: Results from a Randomized Controlled Trial

Impact of imagery rescripting on adverse self-defining memories and post-recall working selves in a non-clinical sample: a pilot study

Imagery-enhanced cognitive behavioural group therapy for social anxiety disorder: A pilot study

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