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Patients’ perspectives on imagery rescripting for aversive memories in social anxiety disorder

Published online by Cambridge University Press:  17 September 2019

Rieko Takanashi ,
Naoki Yoshinaga Open the ORCID record for Naoki Yoshinaga [Opens in a new window] ,
Keiko Oshiro ,
Satoshi Matsuki ,
Mari Tanaka ,
Hanae Ibuki ,
Fumiyo Oshima ,
Yuko Urao ,
Daisuke Matsuzawa  and
Eiji Shimizu
Rieko Takanashi*
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan Kokorono Kaze Clinic Chiba, Chiba, Japan
Naoki Yoshinaga
Affiliation:
Organization for Promotion of Tenure Track, University of Miyazaki Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan
Keiko Oshiro
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan
Satoshi Matsuki
Affiliation:
Kimura Hospital, Chiba, Japan
Mari Tanaka
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan
Hanae Ibuki
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan
Fumiyo Oshima
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan
Yuko Urao
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan
Daisuke Matsuzawa
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan
Eiji Shimizu
Affiliation:
Research Center for Child Mental Development, Chiba University, Chiba, Japan Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan
*
*Corresponding author. Email: [email protected]
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Abstract

Background:

Imagery rescripting (IR) for early aversive memories in patients with social anxiety disorder (SAD) has shown promising results, but no study has investigated the reactions and perspectives of patients who received IR.

Aims:

This study aimed to gain understanding of patients’ experiences/perspectives on IR as an adjunct to cognitive behavioural therapy (CBT) for SAD.

Method:

Twenty-five individuals with SAD received one or two sessions of IR over 16 CBT sessions. Contents of recurrent images and linked memories were identified during IR. Outcome measures included social anxiety, image and memory distress and vividness, and encapsulated belief. Patients completed a questionnaire about their perspectives of IR after the session. Thematic analysis was used to analyse the qualitative data.

Results:

IR resulted in significant within-session improvement in most outcome measures. Linked memories to negative recurrent images in social situations were categorized into nine groups. Common memories were ‘Being criticized by others’, ‘Being made fun of’, ‘Failing or not doing something well’ and ‘Being left out in a group’. Most patients (82%) experienced IR as impressive, and more than half of patients (59%) found IR effective. Themes of reasons of impressiveness and effectiveness were categorized as ‘Results of IR session’ and ‘Processes of IR session’. The theme ‘Results of IR session’ included six subthemes, and the theme ‘Processes of the IR session’ included five subthemes.

Conclusions:

Regarding patients’ perspectives, although they may experience negative emotions in the process of an IR session, our results suggest that many patients with SAD found IR sessions effective.

Keywords

early aversive memoryimagery rescriptingpatients’ perspectivesocial anxiety disorder
Type
Main
Information
Behavioural and Cognitive Psychotherapy , Volume 48 , Issue 2 , March 2020 , pp. 229 - 242
Copyright
© British Association for Behavioural and Cognitive Psychotherapies 2019 

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