LMU Munich, Department of Psychology, Leopoldstraße 13, 80802 Munich, Germany.
LMU Munich, Department of Psychology, Leopoldstraße 13, 80802 Munich, Germany.
J Behav Ther Exp Psychiatry. 2019 Mar;62:22-29. doi: 10.1016/j.jbtep.2018.08.007. Epub 2018 Aug 21.
Imagery rescripting (ImRs) is a promising intervention targeting emotional memory. Previous analogue studies have mainly investigated effects of ImRs during memory encoding and consolidation; experimental research on the effects and mechanisms of change in ImRs targeting consolidated memories is largely missing. The present study aimed to investigate effects of ImRs on consolidated memories using a multiple-day trauma film paradigm.
Eighty-eight participants were randomly assigned to either ImRs, imagery rehearsal (IRE), or no intervention control (NIC). In Session 1, participants watched an aversive film. In Session 2 (24 h after Session 1), the analogue trauma memory was reactivated and the intervention took place. Participants reported intrusive memories of the aversive film for one week and then returned to the laboratory for a follow-up (Session 3).
Compared to IRE, ImRs was experienced as less distressing and elicited less negative emotions. In addition, ImRs accelerated the decline of intrusive memories when compared to NIC. However, ImRs, IRE, and NIC did not differ with respect to the total number of intrusive memories during the week following the intervention.
There was a floor effect of intrusive memories, which may have obscured a potential superiority of the active interventions over NIC.
Adding to the current literature on ImRs as an intervention for emotional memories, the current study underscores that a multiple-day trauma film paradigm can be used to investigate the short-term efficacy and working mechanisms of ImRs, but also points toward useful modifications to the paradigm.
意象重述(ImRs)是一种针对情绪记忆的很有前途的干预措施。以前的模拟研究主要调查了在记忆编码和巩固期间意象重述的效果;针对巩固记忆的意象重述的效果和变化机制的实验研究基本上是缺失的。本研究旨在使用多天创伤电影范式研究意象重述对巩固记忆的影响。
88 名参与者被随机分配到意象重述(ImRs)、意象演练(IRE)或无干预对照组(NIC)。在第 1 次会话中,参与者观看了一部令人不快的电影。在第 2 次会话(第 1 次会话 24 小时后),模拟创伤记忆被重新激活,干预开始。参与者报告了一周内令人不快的电影的侵入性记忆,然后返回实验室进行随访(第 3 次会话)。
与 IRE 相比,ImRs 的体验痛苦程度较低,引发的负面情绪也较少。此外,与 NIC 相比,ImRs 加速了侵入性记忆的下降。然而,ImRs、IRE 和 NIC 在干预后一周内的侵入性记忆总数方面没有差异。
侵入性记忆存在地板效应,这可能掩盖了活跃干预措施相对于 NIC 的潜在优势。
除了关于意象重述作为情绪记忆干预措施的现有文献外,本研究还强调了多天创伤电影范式可用于研究意象重述的短期疗效和作用机制,但也指出了该范式的有用修改方向。