School of Psychology, Curtin University, GPO Box U1987, Perth, Western Australia, 6845, Australia.
Centre for Clinical Interventions, Perth, Australia.
Curr Psychiatry Rep. 2020 Feb 19;22(4):17. doi: 10.1007/s11920-020-1139-4.
This review describes imagery rescripting (ImRs) and its clinical application to anxiety disorders and obsessive-compulsive disorder (OCD). Variations in ImRs delivery, clinical evidence, and theories of potential mechanisms of change are also reviewed. Finally, we propose a future research agenda.
There is some evidence that ImRs affects memory processes and schemas. ImRs is associated with reductions in cognitive-affective, physiological and behavioural symptoms of social anxiety disorder and reductions in OCD-related distress and OCD symptoms. ImRs for other anxiety disorders has not been evaluated. While ImRs appears to be an effective intervention for social anxiety disorder and OCD, more research is needed to (a) systematically compare ImRs to established interventions, (b) evaluate ImRs for other anxiety disorders, (c) test theorized mechanisms of change, and (d) evaluate the impact of moderating factors and treatment variations on therapeutic outcomes.
目的综述： 本文综述了意象重铸（ImRs）及其在焦虑障碍和强迫症（OCD）中的临床应用。本文还综述了 ImRs 传递方式的变化、临床证据以及潜在作用机制的理论。最后，我们提出了未来的研究议程。
最新发现： 有一些证据表明，ImRs 影响记忆过程和图式。ImRs 与社交焦虑障碍的认知-情感、生理和行为症状减轻以及 OCD 相关痛苦和 OCD 症状减轻有关。ImRs 对其他焦虑障碍尚未进行评估。虽然 ImRs 似乎是社交焦虑障碍和 OCD 的有效干预措施，但仍需要更多的研究来：(a) 系统地将 ImRs 与既定干预措施进行比较，(b) 评估 ImRs 对其他焦虑障碍的效果，(c) 测试理论上的作用机制，以及 (d) 评估调节因素和治疗变化对治疗结果的影响。
