Self‐guided imagery rescripting for worry images: A preliminary experimental investigation.

Bibliographic Details
Title: Self‐guided imagery rescripting for worry images: A preliminary experimental investigation.
Authors: Stavropoulos, Lauren1 (AUTHOR) l.stavropoulos@unsw.edu.au, Briggs, Nancy2 (AUTHOR), Grisham, Jessica R.1 (AUTHOR)
Source: Journal of Clinical Psychology. Jun2024, Vol. 80 Issue 6, p1213-1230. 18p.
Subject Terms: *GENERALIZED anxiety disorder, *WORRY, *MENTAL imagery, *COGNITIVE bias
Abstract: Background: Mental images of feared events are overactive and intrusive in generalized anxiety disorder (GAD). Imagery rescripting involves integration of positive or neutral imagery and corrective information into images to facilitate emotional processing, reduce imagery intrusions, and re‐structure underlying schema. Yet only one known study has applied the technique to treatment of worry. The present study aimed first to examine the relationship between trait worry and properties of future‐oriented worry images, and second to examine the efficacy of a self‐guided imagery rescripting intervention in improving individuals' response to their worries. Methods: Participants recruited through Amazon Mechanical Turk (N = 365) identified their major worry and wrote the script of a worst‐case scenario mental image. Participants were randomized to three conditions: re‐writing the same worry image script (exposure), or writing scripts of either one or three positive alternative future‐oriented images (rescripting conditions). Results: In preliminary analyses, trait worry negatively predicted participants' ratings of worry images, including valence and ability to cope, and positively predicted distress, anticipated cost, and belief in their negative meaning. In experimental analyses, linear mixed‐effects models revealed anxious response and cognitive appraisal of the threat were significantly lower among participants allocated to rescripting relative to exposure. There was no effect of rescripting type. Conclusions: This investigation demonstrated the impact of a future‐oriented imagery rescripting task on anxiety and cognitive biases associated with real worries in an unselected sample. Results may contribute to the development of imagery rescripting interventions for GAD. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Self‐guided imagery rescripting for worry images: A preliminary experimental investigation.
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  Data: <searchLink fieldCode="AR" term="%22Stavropoulos%2C+Lauren%22">Stavropoulos, Lauren</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> l.stavropoulos@unsw.edu.au</i><br /><searchLink fieldCode="AR" term="%22Briggs%2C+Nancy%22">Briggs, Nancy</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Grisham%2C+Jessica R%2E%22">Grisham, Jessica R.</searchLink><relatesTo>1</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Psychology%22">Journal of Clinical Psychology</searchLink>. Jun2024, Vol. 80 Issue 6, p1213-1230. 18p.
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  Data: *<searchLink fieldCode="DE" term="%22GENERALIZED+anxiety+disorder%22">GENERALIZED anxiety disorder</searchLink><br />*<searchLink fieldCode="DE" term="%22WORRY%22">WORRY</searchLink><br />*<searchLink fieldCode="DE" term="%22MENTAL+imagery%22">MENTAL imagery</searchLink><br />*<searchLink fieldCode="DE" term="%22COGNITIVE+bias%22">COGNITIVE bias</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Mental images of feared events are overactive and intrusive in generalized anxiety disorder (GAD). Imagery rescripting involves integration of positive or neutral imagery and corrective information into images to facilitate emotional processing, reduce imagery intrusions, and re‐structure underlying schema. Yet only one known study has applied the technique to treatment of worry. The present study aimed first to examine the relationship between trait worry and properties of future‐oriented worry images, and second to examine the efficacy of a self‐guided imagery rescripting intervention in improving individuals' response to their worries. Methods: Participants recruited through Amazon Mechanical Turk (N = 365) identified their major worry and wrote the script of a worst‐case scenario mental image. Participants were randomized to three conditions: re‐writing the same worry image script (exposure), or writing scripts of either one or three positive alternative future‐oriented images (rescripting conditions). Results: In preliminary analyses, trait worry negatively predicted participants' ratings of worry images, including valence and ability to cope, and positively predicted distress, anticipated cost, and belief in their negative meaning. In experimental analyses, linear mixed‐effects models revealed anxious response and cognitive appraisal of the threat were significantly lower among participants allocated to rescripting relative to exposure. There was no effect of rescripting type. Conclusions: This investigation demonstrated the impact of a future‐oriented imagery rescripting task on anxiety and cognitive biases associated with real worries in an unselected sample. Results may contribute to the development of imagery rescripting interventions for GAD. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Clinical Psychology is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Text: English
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      – SubjectFull: MENTAL imagery
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              M: 06
              Text: Jun2024
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              Y: 2024
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