Kip Ahlke, Schoppe Luisa, Arntz Arnoud, Morina Nexhmedin
Institute of Psychology, University of Münster, Fliednerstraße 21, 48149 Münster, Germany.
Institute of Psychology, University of Münster, Fliednerstraße 21, 48149 Münster, Germany.
J Anxiety Disord. 2023 Oct;99:102772. doi: 10.1016/j.janxdis.2023.102772. Epub 2023 Sep 6.
Imagery rescripting (ImRs) is frequently applied to treat different psychological complaints. We conducted an updated meta-analysis based on randomised controlled trials on the efficacy of ImRs for mental disorders associated with aversive memories. Medline, PsycInfo, and Web of Science were searched up to May 2023. Seventeen trials were included with a total of 908 participants (417 in the ImRs condition), suffering from posttraumatic stress disorder, anxiety disorders, depression, or eating disorders. Random effect models yielded an overall effect of g = 0.68 (95 % CI 0.18 to 1.18; k = 7) compared to passive controls (mostly waitlist). The effect compared to (prolonged) exposure, cognitive restructuring, and EMDR was non-significant (g = -0.01; 95 % CI -0.18 to 0.15; k = 11). Follow-up assessments indicated a long-term treatment effect. Results suggest that ImRs can effectively treat a variety of psychological disorders and produce similar treatment effects as evidence-based interventions. Limitations include the bounded number of included trials for each mental disorder. The meta-analysis was registered on PROSPERO (CRD42020220696) and received no funding.
意象重写（ImRs）经常被用于治疗各种心理问题。我们基于随机对照试验，对ImRs治疗与厌恶记忆相关的精神障碍的疗效进行了一项更新的荟萃分析。检索了截至2023年5月的Medline、PsycInfo和科学网数据库。纳入了17项试验，共有908名参与者（意象重写组417名），他们患有创伤后应激障碍、焦虑症、抑郁症或饮食失调症。与被动对照（主要是等待名单）相比，随机效应模型得出的总体效应量g = 0.68（95%置信区间0.18至1.18；k = 7）。与（延长）暴露、认知重构和眼动脱敏再处理相比，效应不显著（g = -0.01；95%置信区间-0.18至0.15；k = 11）。随访评估显示出长期治疗效果。结果表明，意象重写可以有效治疗多种心理障碍，并产生与循证干预相似的治疗效果。局限性包括每种精神障碍纳入试验的数量有限。该荟萃分析已在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42020220696）登记，且未获得资助。
