المؤلفون: Kanczok J; Department of Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Christian-Albrechts University, Kiel, Germany. jabin.kanczok@uksh.de., Jauch-Chara K; Department of Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Christian-Albrechts University, Kiel, Germany., Müller FJ; Department of Psychiatry and Psychotherapy, University Hospital Schleswig-Holstein, Christian-Albrechts University, Kiel, Germany.; Department of Genome Regulation, Max Planck Institute for Molecular Genetics, Berlin, Germany.

المصدر: BMC psychiatry [BMC Psychiatry] 2024 Mar 08; Vol. 24 (1), pp. 194. Date of Electronic Publication: 2024 Mar 08.

نوع المنشور: Randomized Controlled Trial; Journal Article

بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968559 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-244X (Electronic) Linking ISSN: 1471244X NLM ISO Abbreviation: BMC Psychiatry Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Depressive Disorder, Major*/therapy, Humans ; Depression/therapy ; Depression/psychology ; Inpatients ; Pilot Projects ; Treatment Outcome

مستخلص: Background: This controlled pilot study investigates the effect of the combined use of cognitive restructuring (CR) and imagery rescripting (IR) compared to treatment as usual among inpatients with moderate and severe depression. Alongside expert ratings and self-report tools, fitness wristbands were used as an assessment tool.
Methods: In addition to the standard inpatient care (SIC) program, 33 inpatients with moderate and severe depression were randomly assigned to an intervention group (two sessions of IR and CR) or an active treatment-as-usual (TAU) control group (two sessions of problem-solving and build-up of positive activity). Depression severity was assessed by the Hamilton Depression Rating Scale-21 (HDRS-21), the Beck Depression Inventory-II (BDI-II), and as a diagnostic adjunct daily step count via the Fitbit Charge 3™. We applied for analyses of HDRS-21 and BDI-II, 2 × 2 repeated-measures analysis of variance (ANOVA), and an asymptotic Wilcoxon test for step count.
Results: The main effect of time on both treatments was η ²  = .402. Based on the data from the HDRS-21, patients in the intervention group achieved significantly greater improvements over time than the TAU group (η ²  = .34). The BDI-II data did not demonstrate a significant interaction effect by group (η ²  = .067). The daily hourly step count for participants of the intervention group was significantly higher (r = .67) than the step count for the control group.
Conclusions: The findings support the utilization of imagery-based interventions for treating depression. They also provide insights into using fitness trackers as psychopathological assessment tools for depressed patients.
Trial Registration: The trial is registered at the German Clinical Trials Register (Deutsches Register Klinischer Studien) under the registration number: DRKS00030809.
(© 2024. The Author(s).)

المؤلفون: Neacsiu AD; Duke University School of Medicine, Durham, NC, USA; Center for Misophonia and Emotional Dysregulation, Durham, NC, USA; Brain Stimulation Research Center, Durham, NC, USA. Electronic address: andrada.neacsiu@duke.edu., Beynel L; National Institute for Mental Health, Bethesta, DC, USA; Duke University School of Medicine, Durham, NC, USA. Electronic address: lysianne.beynel@nih.gov., Gerlus N; Duke University, Durham, NC, USA. Electronic address: nimesha.gerlus@duke.edu., LaBar KS; Duke University, Durham, NC, USA; Duke Institute for Brain Sciences, Durham, NC, USA. Electronic address: klabar@duke.edu., Bukhari-Parlakturk N; Duke University, Durham, NC, USA; Duke University School of Medicine, Durham, NC, USA; Duke Institute for Brain Sciences, Durham, NC, USA. Electronic address: noreen.bukhari@duke.edu., Rosenthal MZ; Duke University, Durham, NC, USA; Duke University School of Medicine, Durham, NC, USA; Center for Misophonia and Emotional Dysregulation, Durham, NC, USA. Electronic address: mark.rosenthal@duke.edu.

المصدر: Journal of affective disorders [J Affect Disord] 2024 Apr 01; Vol. 350, pp. 274-285. Date of Electronic Publication: 2024 Jan 14.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Elsevier/North-Holland Biomedical Press Country of Publication: Netherlands NLM ID: 7906073 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-2517 (Electronic) Linking ISSN: 01650327 NLM ISO Abbreviation: J Affect Disord Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Emotions*/physiology, Adult ; Humans ; Hearing Disorders ; Prefrontal Cortex/physiology

مستخلص: Misophonia is a disorder of decreased tolerance to certain aversive, repetitive common sounds, or to stimuli associated with these sounds. Two matched groups of adults (29 participants with misophonia and 30 clinical controls with high emotion dysregulation) received inhibitory neurostimulation (1 Hz) over a personalized medial prefrontal cortex (mPFC) target functionally connected to the left insula; excitatory neurostimulation (10 Hz) over a personalized dorsolateral PFC (dlPFC) target; and sham stimulation over either target. Stimulations were applied while participants were either listening or cognitively downregulating emotions associated with personalized aversive, misophonic, or neutral sounds. Subjective units of distress (SUDS) and psychophysiological measurements (e.g., skin conductance response [SCR] and level [SCL]) were collected. Compared to controls, participants with misophonia reported higher distress (∆ SUDS  = 1.91-1.93, ps < 0.001) when listening to and when downregulating misophonic distress. Both types of neurostimulation reduced distress significantly more than sham, with excitatory rTMS providing the most benefit (Cohen's d SUDS  = 0.53; d SCL  = 0.14). Excitatory rTMS also enhanced the regulation of emotions associated with misophonic sounds in both groups when measured by SUDS (d control  = 1.28; d Misophonia  = 0.94), and in the misophonia group alone when measured with SCL (d = 0.20). Both types of neurostimulation were well tolerated. Engaging in cognitive restructuring enhanced with high-frequency neurostimulation led to the lowest misophonic distress, highlighting the best path forward for misophonia interventions.
Competing Interests: Declaration of competing interest The authors reported no biomedical financial interests or potential conflicts of interest.
(Copyright © 2024 Elsevier B.V. All rights reserved.)

SCR Disease Name: misophonia

المؤلفون: Ezawa ID; Department of Psychology, University of Southern California., Hollon SD; Department of Psychology, Vanderbilt University.

المصدر: Psychotherapy (Chicago, Ill.) [Psychotherapy (Chic)] 2023 Sep; Vol. 60 (3), pp. 396-406. Date of Electronic Publication: 2023 Mar 13.

نوع المنشور: Meta-Analysis; Journal Article; Research Support, N.I.H., Extramural

بيانات الدورية: Publisher: Educational Publishing Foundation of the American Psychological Association Country of Publication: United States NLM ID: 2984829R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1939-1536 (Electronic) Linking ISSN: 00333204 NLM ISO Abbreviation: Psychotherapy (Chic) Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Mental Disorders*/therapy, Humans ; Psychotherapy/methods ; Treatment Outcome

مستخلص: Cognitive restructuring (CR) is one method that is hypothesized to play a role in the process of change across many psychotherapies and for a variety of clinical presentations. In this article, we define and illustrate CR. We then present a meta-analysis of four studies (including a total of 353 clients) examining the effect of CR measured within session on psychotherapy outcomes. The overall CR-outcome association was r = .35 (95% CI [.24, .44]; equivalent of d = 0.85). While more research on CR and immediate psychotherapy outcomes is needed, there is accumulating encouraging evidence regarding the therapeutic effect of CR. We conclude by advancing implications for clinical training and therapeutic practices. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

المؤلفون: Zehtner RI; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany. raphaela.zehtner@psychol.uni-giessen.de.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany. raphaela.zehtner@psychol.uni-giessen.de., Neudert MK; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany., Schäfer A; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany.; Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen, Marburg, Giessen, Germany., Fricke S; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany., Seinsche RJ; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany., Stark R; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany., Hermann A; Department of Psychotherapy and Systems Neuroscience, Justus Liebig University Giessen, Otto-Behaghel-Str. 10H, Giessen, 35394, Germany.; Bender Institute of Neuroimaging, Justus Liebig University Giessen, Gießen, Germany.; Center for Mind, Brain and Behavior (CMBB), University of Marburg and Justus Liebig University Giessen, Marburg, Giessen, Germany.

المصدر: Cognitive, affective & behavioral neuroscience [Cogn Affect Behav Neurosci] 2023 Aug; Vol. 23 (4), pp. 1113-1128. Date of Electronic Publication: 2023 May 25.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: Springer Country of Publication: United States NLM ID: 101083946 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-135X (Electronic) Linking ISSN: 15307026 NLM ISO Abbreviation: Cogn Affect Behav Neurosci Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Emotions* , Evoked Potentials* , Habits*, Adolescent ; Adult ; Female ; Humans ; Male ; Middle Aged ; Young Adult ; Data Analysis ; Emotional Regulation/physiology ; Photic Stimulation

مستخلص: Reinterpretation and distancing, two cognitive reappraisal tactics, are known to effectively reduce negative feelings and event-related potentials (ERPs), such as the P300 and the late positive potential (LPP), in the short-term. Less is known about differential and lasting effects on ERPs as well as their association with habitual reappraisal. Fifty-seven participants were instructed to passively view or reappraise (reinterpretation, distancing) pictures that were repeatedly presented with the same instruction (active regulation phase). Thirty minutes later, these pictures were shown again without instruction for the assessment of lasting effects (re-exposure phase). ERPs were recorded and participants rated the intensity of negative feelings following picture presentation. Reappraisal led to an attenuation of the LPP, and both tactics decreased negative feelings during active regulation, whereby reinterpretation had a stronger impact on the subjective level. Passive re-exposure resulted in reduced negative feelings for previously reappraised pictures but had no lasting effects on ERPs. Higher habitual reappraisal was associated with higher P300 and early LPP amplitudes for emotional reactivity during the active regulation phase. During the re-exposure phase, higher habitual reappraisal was not related to ERPs. The current findings emphasize the effectiveness of both tactics in the short-term and lasting effects on the subjective experience of negative feelings. Enhanced emotional reactivity on the electrocortical level in individuals with a more frequent habitual use of reappraisal might indicate a higher preparedness to regulate.
(© 2023. The Author(s).)

المؤلفون: Murphy ST; The Ohio State University, Columbus, OH, USA., Vittorio LN; The Ohio State University, Columbus, OH, USA., Strunk DR; The Ohio State University, Columbus, OH, USA.

المصدر: Psychotherapy research : journal of the Society for Psychotherapy Research [Psychother Res] 2023 Jul; Vol. 33 (6), pp. 696-703. Date of Electronic Publication: 2022 Dec 06.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Routledge Country of Publication: England NLM ID: 9110958 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1468-4381 (Electronic) Linking ISSN: 10503307 NLM ISO Abbreviation: Psychother Res Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Cognitive Behavioral Therapy*/methods, Humans ; Optimism ; Psychotherapy ; Emotions

مستخلص: Objective: Despite its considerable potential, psychotherapy research has made limited use of small-scale experimental study designs to test intervention components. This study employs such a design to test the immediate effects on emotional experience of two approaches to changing negative thoughts, cognitive restructuring and fostering positive thinking. Cognitive restructuring draws on the strategies core to cognitive behavioral therapies. Fostering positive thinking has also received attention, though less so as a psychological intervention.
Method: We tested the benefits of these strategies over a brief interval by randomizing 230 participants to complete a worksheet introducing one of the two strategies. Participants reported their skills prior to exposure to these worksheets and affect was assessed immediately prior to and following use of worksheets.
Results: Participants' negative affect reduced following both strategies. Conditions did not differ significantly in affect change. Analysis of potential moderators showed that, among those with higher levels of cognitive behavioral therapy skills, the positive thinking condition produced greater gains in positive affect than the cognitive restructuring condition.
Conclusions: These results indicate that both forms of brief interventions promote reductions in negative affect. Positive thinking interventions, which are not focused on the accuracy of one's thinking, appear to be particularly effective in promoting positive affect.

المؤلفون: Hammett JF; Arizona State University, Phoenix, USA., Chen W; Arizona State University, Phoenix, USA., Stappenbeck CA; Georgia State University, Atlanta, USA., Davis KC; Arizona State University, Phoenix, USA.

المصدر: Journal of interpersonal violence [J Interpers Violence] 2023 May; Vol. 38 (9-10), pp. 7037-7046. Date of Electronic Publication: 2022 Dec 06.

نوع المنشور: Randomized Controlled Trial; Journal Article; Research Support, N.I.H., Extramural

بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 8700910 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6518 (Electronic) Linking ISSN: 08862605 NLM ISO Abbreviation: J Interpers Violence Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Intimate Partner Violence*/prevention & control , Intimate Partner Violence*/psychology, Male ; Humans ; Aggression/psychology ; Emotions ; Sexual Partners/psychology

مستخلص: Despite the fact that intimate partner aggression (IPA) is a widespread public health problem, empirically supported interventions for IPA are limited. Furthermore, existing interventions tend to be resource-intensive and may not adequately address the risk factors that serve to maintain IPA, resulting in challenges to intervention dissemination and implementation. Based on theoretical and empirical findings linking emotional clarity and IPA, this study represents a secondary data analysis to evaluate the preliminary efficacy of a brief web-based cognitive restructuring (CR) intervention to reduce psychological and physical IPA perpetration intentions by increasing emotional clarity skills. In all, 137 men were randomized into a CR intervention versus control condition and subsequently completed an aggression analog scenario. Results of structural equation modeling analyses showed a significant indirect effect of the intervention on psychological IPA intentions via increased emotional clarity. Specifically, men in the CR intervention condition evidenced greater emotional clarity as compared to men in the control condition, which, in turn, was related to lower intentions to perpetrate psychological IPA. The indirect effect from the CR intervention to physical IPA intentions via emotional clarity was not statistically significant. These findings provide promising initial support for the usefulness of the current CR intervention in reducing psychological IPA. Next steps in this line of research include expansion to a randomized controlled trial that tests intervention effects on real-world IPA perpetration across more diverse samples. Importantly, our findings highlight that CR skills can be delivered via a brief web-based intervention, which decreases potential barriers to dissemination and implementation.

المؤلفون: Voncken MJ; Faculty of Psychology and Neuroscience, Department of Clinical Psychological Sciences, Maastricht University, the Netherlands. Electronic address: m.voncken@maastrichtuniversity.nl., Janssen I; Faculty of Psychology and Neuroscience, Department of Clinical Psychological Sciences, Maastricht University, the Netherlands., Keijsers GPJ; Faculty of Psychology and Neuroscience, Department of Clinical Psychological Sciences, Maastricht University, the Netherlands; Behavioural Science Institute, Radboud University, Nijmegen, the Netherlands., Dibbets P; Faculty of Psychology and Neuroscience, Department of Clinical Psychological Sciences, Maastricht University, the Netherlands.

المصدر: Journal of behavior therapy and experimental psychiatry [J Behav Ther Exp Psychiatry] 2023 Mar; Vol. 78, pp. 101800. Date of Electronic Publication: 2022 Nov 23.

نوع المنشور: Journal Article; Randomized Controlled Trial

بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0245075 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-7943 (Electronic) Linking ISSN: 00057916 NLM ISO Abbreviation: J Behav Ther Exp Psychiatry Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Imagery, Psychotherapy*/methods, Humans ; Affect ; Memory Disorders ; Pilot Projects ; Polyesters

مستخلص: Background and Objectives: Imagery rescripting (ImRs) is a promising therapeutic technique used in treatment for a variety of psychiatric disorders. During an ImRs session, an aversive disorder-related memory, is activated in imagination and rescripted to a more positive outcome. It has been shown to successfully weaken the negative cognitive meaning, so-called encapsulated beliefs of the targeted aversive memory. In many studies, ImRs is preceded by a cognitive restructuring (CR) technique focused on the encapsulated belief of the target memory. It is not clear whether adding such a CR technique is necessary or that ImRs as standalone technique can achieve comparable effects.
Methods: Students with mild psychological distress (N = 53) were randomized over one session of cognitive restructuring plus imagery rescripting (CR + ImRs), a therapist attention placebo plus imagery rescripting (PLA + ImRs) and a double therapist attention placebo (PLA + PLA). Believability of the idiosyncratic encapsulated belief (primary outcome) and quality (vividness, distress and emotional connotation: secondary outcome) of the target memory were assessed at pre, post and at 1-week follow-up.
Results: Results indicate that both, CR + ImRs and PLA + ImRs, reduced the believability of the encapsulated beliefs in greater extent than PLA + PLA. No differences appeared between the two ImRs conditions. For the secondary outcomes no differences between the three conditions were found.
Limitations: This study should be seen as a pilot study, moreover a non-clinical sample was used.
Conclusion: Findings suggest that a CR technique preceding ImRs is redundant. However, this study needs replication in a larger sample.
Competing Interests: Declaration of competing interest All authors state to have no conflict of interest.
(Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)

المؤلفون: Chen W; Arizona State University, Phoenix, USA., Hammett JF; Arizona State University, Phoenix, USA., Davis KC; Arizona State University, Phoenix, USA.

المصدر: Journal of interpersonal violence [J Interpers Violence] 2024 Feb; Vol. 39 (3-4), pp. 910-920. Date of Electronic Publication: 2023 Aug 31.

نوع المنشور: Journal Article; Randomized Controlled Trial

بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 8700910 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6518 (Electronic) Linking ISSN: 08862605 NLM ISO Abbreviation: J Interpers Violence Subsets: MEDLINE

مواضيع طبية MeSH: Alcoholic Intoxication*/prevention & control , Alcoholic Intoxication*/psychology , Emotional Regulation*, Humans ; Male ; Alcohol Drinking/prevention & control ; Alcohol Drinking/psychology ; Coercion ; Cognitive Restructuring ; Ethanol ; Intention ; Sexual Behavior ; Young Adult

مستخلص: Sexual coercion (SC), the use of nonphysical tactics to obtain sexual contact with a nonconsenting partner, is a prevalent form of sexual misconduct that is associated with several physical and psychological health concerns. Therefore, effective preventative interventions to reduce SC prevalence are needed. Alcohol consumption and difficulties in emotion regulation (ER) are two risk factors that contribute to SC. Cognitive restructuring (CR) has the potential to reduce SC intentions by improving ER through actively challenging one's thoughts to modify emotions. This study represents a secondary data analysis to examine the effectiveness of a brief, web-based CR intervention in reducing SC intentions. To test whether the intervention would remain beneficial in the presence of alcohol, we tested effects among intoxicated versus sober participants. Young, male, heavy episodic drinkers with a history of sexual aggression ( N  = 137) were randomized into a CR intervention versus control condition as well as alcohol consumption versus no alcohol condition. Then, participants completed a sexual aggression analog scenario. General linear regression analyses showed that intoxicated men reported stronger SC intentions than sober men. Additionally, relative to controls, men in the CR condition who had better preexisting ER cognitive reappraisal skills had significantly lower SC intentions. Our findings provide preliminary support for CR as an effective strategy to reduce SC intentions among sexually aggressive, heavy episodic drinking men with better cognitive reappraisal skills. If findings are replicated, this brief, web-based CR intervention could overcome potential challenges in dissemination and be easily applied in clinical settings.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interests with respect to the authorship and/or publication of this article.

المؤلفون: Stein J; Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.; Department for Transcultural and Traumatic Stress Studies, Center ÜBERLEBEN, Berlin, Germany., El-Haj-Mohamad R; Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.; Department for Transcultural and Traumatic Stress Studies, Center ÜBERLEBEN, Berlin, Germany., Stammel N; Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany., Vöhringer M; Department for Transcultural and Traumatic Stress Studies, Center ÜBERLEBEN, Berlin, Germany., Wagner B; Clinical Psychology and Psychotherapy, Medical School Berlin, Berlin, Germany., Nesterko Y; Department for Transcultural and Traumatic Stress Studies, Center ÜBERLEBEN, Berlin, Germany.; Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany., Böttche M; Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany., Knaevelsrud C; Clinical Psychological Intervention, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany.

المصدر: European journal of psychotraumatology [Eur J Psychotraumatol] 2024; Vol. 15 (1), pp. 2324631. Date of Electronic Publication: 2024 Mar 21.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 101559025 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2000-8066 (Electronic) Linking ISSN: 20008066 NLM ISO Abbreviation: Eur J Psychotraumatol Subsets: MEDLINE

مواضيع طبية MeSH: Stress Disorders, Post-Traumatic*/psychology, Humans ; Cognitive Restructuring

مستخلص: Background: Maladaptive trauma appraisal plays an important role in the development and maintenance of posttraumatic stress disorder (PTSD). While studies have demonstrated the effectiveness of exposure and cognitive treatments for PTSD symptomatology, the effect of such treatments on specific trauma appraisals is still not well understood. Objective: The study investigated the effect of an exposure and a cognitive restructuring internet-based treatment on specific trauma appraisals in Arabic-speaking participants with PTSD. Method: 334 participants received either an exposure ( n  = 167) or a cognitive restructuring ( n  = 167) internet-based treatment. PTSD symptom severity (PCL-5) and specific trauma appraisals (TAQ) were assessed at pre- and post-treatment. Changes in specific trauma appraisals within and between the two treatments were analyzed using multi-group change modelling. Associations between changes in PTSD symptom severity and changes in trauma appraisals were evaluated using Pearson product-moment correlation. For both treatments, participants with versus without reliable improvement were compared regarding changes in specific trauma appraisals using Welch tests. Analyses were performed on 100 multiple imputed datasets. Results: Both treatments yielded significant changes in shame, self-blame, fear, anger, and alienation (all p s < .001). Changes in betrayal were only significant in the cognitive restructuring treatment ( p < .001). There was no evidence of differences between treatments for any specific trauma appraisal. Changes in PTSD symptom severity were significantly associated with changes in trauma appraisals (all p s < .001). In both treatments, participants who experienced reliable improvement in PTSD symptom severity showed significantly larger pre- to post-treatment changes in specific trauma appraisals compared to those without reliable improvement. Again, differences in betrayal were only significant in the cognitive restructuring treatment. Conclusions: The findings indicate that both treatments are effective in reducing trauma appraisals in Arabic-speaking people with PTSD. Changes in trauma appraisal seem to be associated with changes in PTSD symptomatology. Trial registration: German Clinical Trials Register identifier: DRKS00010245.

المؤلفون: Ma OYT; Department of Clinical Psychology, Alice Ho Miu Ling Nethersole Hospital, 11 Chuen on Road, Tai Po, Hong Kong; Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong. Electronic address: olivia.ma@connect.hku.hk., Lo BCY; Department of Psychology, The University of Hong Kong, Pokfulam Road, Hong Kong; Department of Applied Psychology, Lingnan University, Tuen Mun, Hong Kong.

المصدر: Journal of behavior therapy and experimental psychiatry [J Behav Ther Exp Psychiatry] 2022 Jun; Vol. 75, pp. 101721. Date of Electronic Publication: 2021 Dec 20.

نوع المنشور: Journal Article; Randomized Controlled Trial

بيانات الدورية: Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0245075 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-7943 (Electronic) Linking ISSN: 00057916 NLM ISO Abbreviation: J Behav Ther Exp Psychiatry Subsets: MEDLINE

مواضيع طبية MeSH: Cognitive Restructuring* , Depression*/psychology , Depression*/therapy, Anxiety ; Humans ; Imagery, Psychotherapy/methods ; Treatment Outcome

مستخلص: Background and Objectives: To investigate whether working with intrusive images and the use of imagery processes would be beneficial to treating depression, an imagery-based intervention (imagery rescripting, IR) was compared with a more commonly used verbal-based technique (cognitive restructuring, CR). The study aimed not only to test the efficacy of IR as a brief modular treatment for depression, but to explore whether such experiential use of imagery would alleviate the abstract-evaluative, verbal processes of rumination and worry.
Methods: Forty-one participants diagnosed with clinical depression and who also reported intrusive images underwent one assessment session of imagery properties before they were randomly assigned to an IR group or to an active control group of CR. They then received three weekly sessions of treatment, and outcomes were measured before and after treatment, as well as at two-month follow-up.
Results: The results showed that IR was equally if not more effective than CR in alleviating depression. Significant differential reductions in rumination, worry and experiential avoidance between treatments added support to the technique's experiential nature, and possibly, a defusing out of an abstract-evaluative mode of processing.
Limitations: Only self-report measures were used, with a small number of treatment sessions by one clinician.
Conclusions: The findings support the therapeutic potential of imagery modalities in the treatment of depression, which compared to cognitive restructuring, appear to bring about more significant emotional change with time (clinical trial registered at the Joint CUHK-NTEC CREC Ref. No. 2015.458).
(Copyright © 2021. Published by Elsevier Ltd.)