Kognio, Centre for CBT, Lund, Sweden.
Behav Res Ther. 2012 Jun;50(6):387-92. doi: 10.1016/j.brat.2012.03.004. Epub 2012 Mar 21.
Evidence suggests that negative self imagery plays an important role in social anxiety disorder (SAD) as a maintaining factor, and that early memories of traumatic experiences are linked to recurrent catastrophic images. Previous research has showed that cognitive restructuring combined with imagery rescripting of these memories may affect recurrent images resulting in less imagery distress and less anxiety in social situations. The present study replicated these effects using (a) a modified treatment with imagery rescripting without cognitive restructuring, and (b) an experimental between-groups design.
Patients with SAD (N = 14) were randomised either to imagery rescripting of early memories, or to a reading task.
Follow-up after 1 week showed that the intervention led to significant improvements in memory and image distress, and reduced fears of negative evaluation and social interaction.
The results indicate that imagery rescripting is effective even without cognitive restructuring and question the importance of the latter. However, the small sample limits the strength of the conclusions.
Imagery rescripting of early distressful memories may be a powerful intervention in the treatment of SAD.
有证据表明，消极的自我意象在社交焦虑障碍（SAD）中作为维持因素起着重要作用，并且对创伤性经历的早期记忆与反复出现的灾难性意象有关。先前的研究表明，认知重构结合对这些记忆的意象重写可能会影响反复出现的意象，从而减少意象困扰和社交情境中的焦虑。本研究使用（a）没有认知重构的意象重写的改良治疗和（b）实验组间设计复制了这些效果。
将 SAD 患者（N=14）随机分配到早期记忆的意象重写或阅读任务中。
一周后的随访显示，干预措施导致记忆和图像困扰显著改善，并且减少了对负面评价和社交互动的恐惧。
结果表明，即使没有认知重构，意象重写也是有效的，这对后者的重要性提出了质疑。然而，小样本限制了结论的强度。
对早期痛苦记忆的意象重写可能是治疗 SAD 的一种有力干预措施。
