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Gepubliceerd in: Cognitive Therapy and Research 6/2021

20-04-2021 | Original Article

Rescripting Social Trauma: A Pilot Study Investigating Imagery Rescripting as an Adjunct to Cognitive Behaviour Therapy for Social Anxiety Disorder

Auteurs: Alice R. Norton, Maree J. Abbott, Katie A. Dobinson, Karen L. Pepper, Adam J. Guastella

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 6/2021

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Abstract

Background

The current pilot study aimed to investigate the benefit of imagery rescripting (IR) as an adjunct to Group Cognitive Behavioural Therapy (GCBT) for SAD, given recent research suggesting that IR is beneficial in the treatment of social anxiety disorder (SAD).

Methods

Fifteen participants with SAD completed eight sessions of GCBT and two additional individual sessions of IR to address negative meanings embedded in memories of traumatic social experiences.

Results

As expected, participants reported significant reductions in fear of negative evaluation and identification of negative core beliefs as valid/accurate over the course of the two session IR intervention. Moreover, IR yielded significant improvements in negative affect and maladaptive appraisals associated with self-imagery and aversive memories, as well as depressive symptoms. However, unexpectedly, IR did not yield significant additive reductions in social anxiety symptoms over and above GCBT.

Discussion

Results indicate that IR appears to be a beneficial adjunct to GCBT, and lack of improvement in social anxiety symptoms across IR sessions may be due to methodological limitations. Outcomes suggest that IR may also benefit patients with comorbid depression, given high rates of comorbid unipolar depression for people with SAD, presenting an exciting area for further investigation.

Conclusions

Taken together, findings suggest that IR may be a valuable adjunct to GCBT for SAD, especially among patients with comorbid unipolar depression. However, further research including a follow up period is indicated.
Voetnoten
1
Two participants were only administered the SAD section of the ADIS-5 rather than the complete interview.
 
Literatuur
go back to reference American Psychiatric Association Arlington, VA, US, D.-5 T. F. (Ed.). (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Diagnostic and Statistical Manual of Mental Disorders: DSM-5TM. American Psychiatric Association Arlington, VA, US, D.-5 T. F. (Ed.). (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Diagnostic and Statistical Manual of Mental Disorders: DSM-5TM.
go back to reference Arntz, A. (2014). Imagery Rescripting for Posttraumatic Stress Disorder. In Working with Emotion in Cognitive-Behavioral Therapy (pp. 203–215). Arntz, A. (2014). Imagery Rescripting for Posttraumatic Stress Disorder. In Working with Emotion in Cognitive-Behavioral Therapy (pp. 203–215).
go back to reference Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In Social phobia: Diagnosis, assessment, and treatment. (pp. 69–93). Guilford Press. Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In Social phobia: Diagnosis, assessment, and treatment. (pp. 69–93). Guilford Press.
go back to reference Dearing, R. L., & Tangney, J. P. (Eds.). (2011). Shame in the therapy hour. . Washington, DC: American Psychological Association. Dearing, R. L., & Tangney, J. P. (Eds.). (2011). Shame in the therapy hour. . Washington, DC: American Psychological Association.
go back to reference Gilbert, P. (2000). The relationship of shame, social anxiety and depression: the role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7(3), 174–189. CrossRef Gilbert, P. (2000). The relationship of shame, social anxiety and depression: the role of the evaluation of social rank. Clinical Psychology & Psychotherapy, 7(3), 174–189. CrossRef
go back to reference Hackmann, A., Suraway, C., & Clark, D. M. (1998). Seeing yourself through others eyes : A study of spontaneous images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3–12. CrossRef Hackmann, A., Suraway, C., & Clark, D. M. (1998). Seeing yourself through others eyes : A study of spontaneous images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3–12. CrossRef
go back to reference Landoll, R. R. (2005). the Teenage and Early Adult Years. 75–91. Landoll, R. R. (2005). the Teenage and Early Adult Years. 75–91.
go back to reference Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375. CrossRef Leary, M. R. (1983). A brief version of the Fear of Negative Evaluation Scale. Personality and Social Psychology Bulletin, 9, 371–375. CrossRef
go back to reference Starr, L. R., Davila, J., La Greca, A., & Landoll, R. R. (2005). Social Anxiety and Depression: The Teenage and Early Adult Years. In C. A. Alfano & D. C. Beidel (Eds.), Social Anxiety in Adolescents and Young Adults: Translating Developmental Science Into Practice (pp. 75–91). Starr, L. R., Davila, J., La Greca, A., & Landoll, R. R. (2005). Social Anxiety and Depression: The Teenage and Early Adult Years. In C. A. Alfano & D. C. Beidel (Eds.), Social Anxiety in Adolescents and Young Adults: Translating Developmental Science Into Practice (pp. 75–91).
go back to reference Stein, D. J., Lim, C. C. W., Roest, A. M., de Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Benjet, C., Bromet, E. J., Bruffaerts, R., de Girolamo, G., Florescu, S., Gureje, O., Haro, J. M., Harris, M. G., He, Y., Hinkov, H., Horiguchi, I., Hu, C., & Williams, D. R. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine, 15(1), 1–21. https://​doi.​org/​10.​1186/​s12916-017-0889-2. CrossRef Stein, D. J., Lim, C. C. W., Roest, A. M., de Jonge, P., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Benjet, C., Bromet, E. J., Bruffaerts, R., de Girolamo, G., Florescu, S., Gureje, O., Haro, J. M., Harris, M. G., He, Y., Hinkov, H., Horiguchi, I., Hu, C., & Williams, D. R. (2017). The cross-national epidemiology of social anxiety disorder: Data from the World Mental Health Survey Initiative. BMC Medicine, 15(1), 1–21. https://​doi.​org/​10.​1186/​s12916-017-0889-2. CrossRef
Metagegevens
Titel
Rescripting Social Trauma: A Pilot Study Investigating Imagery Rescripting as an Adjunct to Cognitive Behaviour Therapy for Social Anxiety Disorder
Auteurs
Alice R. Norton
Maree J. Abbott
Katie A. Dobinson
Karen L. Pepper
Adam J. Guastella
Publicatiedatum
20-04-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 6/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10221-9

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