Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.
Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK; Trauma, Anxiety and Depression Clinic, South London & Maudsley NHS Trust, London, UK.
Clin Psychol Rev. 2024 Nov;113:102470. doi: 10.1016/j.cpr.2024.102470. Epub 2024 Jul 30.
Dysfunctional imagery processes characterise a range of emotional disorders. Valid, reliable, and responsive mental imagery measures may support the clinical assessment of imagery and advance research to develop theory and imagery-based interventions. We sought to review the psychometric properties of mental imagery measures relevant to emotional disorders.
A systematic review registered on the Open Science Framework was conducted using COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidance. Five databases were searched. COSMIN tools were used to assess the quality of study methodologies and psychometric properties of measures.
Twenty-three articles describing twenty-one self-report measures were included. Measures assessed various imagery processes and were organised into four groups based on related emotional disorders. Study methodological quality varied: measure development and reliability studies were generally poor, while internal consistency and hypothesis testing studies were higher quality. Most measurement properties assessed were of indeterminate quality.
Imagery measures were heterogenous and primarily disorder specific. Due to a lack of high-quality psychometric assessment, it is unclear whether most included imagery measures are valid, reliable, or responsive. Measures had limited evidence of content validity suggesting further research could engage clinical populations to ensure their relevance and comprehensiveness.
功能失调的意象过程是一系列情绪障碍的特征。有效的、可靠的和敏感的心理意象测量方法可以支持意象的临床评估，并推进理论和基于意象的干预措施的研究。我们旨在回顾与情绪障碍相关的心理意象测量的心理测量学特性。
使用基于共识的健康测量仪器选择标准（COSMIN）指南，在开放科学框架上进行了系统综述。检索了五个数据库。使用 COSMIN 工具评估研究方法的质量和测量的心理测量学特性。
共有 23 篇文章描述了 21 种自我报告的测量方法，包括在内。这些测量方法评估了各种意象过程，并根据相关的情绪障碍分为四个组。研究方法的质量各不相同：测量方法的开发和可靠性研究通常较差，而内部一致性和假设检验研究的质量较高。大多数评估的测量特性的质量是不确定的。
意象测量方法具有异质性，主要与特定的障碍相关。由于缺乏高质量的心理测量评估，尚不清楚大多数包含的意象测量方法是否有效、可靠或敏感。这些测量方法在内容有效性方面的证据有限，这表明进一步的研究可以让临床人群参与进来，以确保其相关性和全面性。
