Lauren Stavropoulos, Nancy Briggs, Jessica R. Grisham
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The present study aimed first to examine the relationship between trait worry and properties of future-oriented worry images, and second to examine the efficacy of a self-guided imagery rescripting intervention in improving individuals' response to their worries.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Participants recruited through Amazon Mechanical Turk (<i>N</i> = 365) identified their major worry and wrote the script of a worst-case scenario mental image. Participants were randomized to three conditions: re-writing the same worry image script (exposure), or writing scripts of either one or three positive alternative future-oriented images (rescripting conditions).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In preliminary analyses, trait worry negatively predicted participants' ratings of worry images, including valence and ability to cope, and positively predicted distress, anticipated cost, and belief in their negative meaning. In experimental analyses, linear mixed-effects models revealed anxious response and cognitive appraisal of the threat were significantly lower among participants allocated to rescripting relative to exposure. There was no effect of rescripting type.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>This investigation demonstrated the impact of a future-oriented imagery rescripting task on anxiety and cognitive biases associated with real worries in an unselected sample. 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引用次数: 0
摘要
背景:在广泛性焦虑症(GAD)患者中,恐惧事件的心理意象会过度活跃并具有侵扰性。意象重写包括将积极或中性的意象和纠正信息整合到意象中,以促进情绪处理,减少意象干扰,并重新构建潜在的模式。然而,只有一项已知的研究将该技术应用于担忧的治疗。本研究的目的首先是研究特质担忧与面向未来的担忧意象属性之间的关系,其次是研究自我指导的意象重写干预在改善个体对担忧的反应方面的效果:方法:通过 Amazon Mechanical Turk 招募的参与者(N = 365)确定了他们的主要担忧,并撰写了最坏情况下的心理图像脚本。参与者被随机分为三种情况:重新书写相同的担忧图像脚本(暴露),或书写一个或三个积极的替代性未来导向图像脚本(重写条件):在初步分析中,特质担忧对参与者对担忧图像(包括情绪和应对能力)的评价有负面预测作用,而对困扰、预期成本和对其负面意义的信念有正面预测作用。在实验分析中,线性混合效应模型显示,相对于暴露,接受重述的参与者的焦虑反应和对威胁的认知评价明显较低。重述类型没有影响:这项调查证明了面向未来的意象重述任务对未经选择的样本中与真实担忧相关的焦虑和认知偏差的影响。研究结果可能有助于开发针对严重焦虑症的意象重述干预方法。
Self-guided imagery rescripting for worry images: A preliminary experimental investigation
Background
Mental images of feared events are overactive and intrusive in generalized anxiety disorder (GAD). Imagery rescripting involves integration of positive or neutral imagery and corrective information into images to facilitate emotional processing, reduce imagery intrusions, and re-structure underlying schema. Yet only one known study has applied the technique to treatment of worry. The present study aimed first to examine the relationship between trait worry and properties of future-oriented worry images, and second to examine the efficacy of a self-guided imagery rescripting intervention in improving individuals' response to their worries.
Methods
Participants recruited through Amazon Mechanical Turk (N = 365) identified their major worry and wrote the script of a worst-case scenario mental image. Participants were randomized to three conditions: re-writing the same worry image script (exposure), or writing scripts of either one or three positive alternative future-oriented images (rescripting conditions).
Results
In preliminary analyses, trait worry negatively predicted participants' ratings of worry images, including valence and ability to cope, and positively predicted distress, anticipated cost, and belief in their negative meaning. In experimental analyses, linear mixed-effects models revealed anxious response and cognitive appraisal of the threat were significantly lower among participants allocated to rescripting relative to exposure. There was no effect of rescripting type.
Conclusions
This investigation demonstrated the impact of a future-oriented imagery rescripting task on anxiety and cognitive biases associated with real worries in an unselected sample. Results may contribute to the development of imagery rescripting interventions for GAD.
期刊介绍:
Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.