The efficacy of Imagery Rescripting (IR) for social phobia: A randomized controlled trial
- Seung Won Lee,
, - Jung-Hye Kwon,
, ,
- Department of Psychology, Korea University, 5, Anam-Dong, Sungbuk-Gu, Seoul 136-701 , South Korea
- http://dx.doi.org.access.korea.ac.kr:8010/10.1016/j.jbtep.2013.03.001, How to Cite or Link Using DOI
Abstract
Background and Objectives
There is a need for brief effective treatment of soical phobia and Imagery Rescripting (IR) is a potential candidate. The purpose of this study was to examine the efficacy of IR preceded by cognitive restructuring as a stand-alone brief treatment using a randomized controlled design.
Methods
Twenty-three individuals with social phobia were randomly assigned to an IR group or to a control group. Participants in the IR group were provided with one session of imagery interviewing and two sessions of cognitive restructuring and imagery rescripting. Those in the control group had one session of clinical interviewing and two sessions of supportive therapy. Outcome measures including the Korean versions of the Social Avoidance and Distress Scale (K-SADS) were administered before and after treatment, and at three-month follow-up. The short version of the Questionnaire upon Mental Imagery and the Traumatic Experience Scale were also administered before treatment.
Results
Participants in the IR group improved significantly on K-SADS and other outcome measures, compared to the control group. The beneficial effects of IR were maintained at three-month follow-up. It was also found that mental imagery ability and the severity of the traumatic experience did not moderate the outcome of IR.
Limitations
Further studies are needed to replicate the findings of our study using a large sample.
Conclusions
The efficacy of IR as a stand-alone brief treatment was demonstrated for social phobia. The findings indicate that IR could be utilized as a cost-effective intervention for social phobia.
고려대 이승원 선생님과 권정혜 교수님이 쓴 논문이다. Wild 등(2008)이 했던 연구랑 차이는 일주일에 한 번씩 총 3주간 3회기에 걸쳐서 치료 프로그램이 진행되었다는 것이다. 첫 주는 한 시간 동안 인터뷰하고 나머지 두 주는 각각 2시간씩 Wild 등이 했던 방식대로 imagery rescripting했다. 결과가 잘 나온 게, 치료 후에 사회불안 증상 척도들에서 유의한 감소가 있었던 게 3달 뒤에도 유지됐다. Behavior Therapy 같은 더 좋은 저널에 실리지 않은 게 의아할 정도다. 3년 안에 해외 학술지에 논문 실어 보자는 '원대한 꿈'을 갖고 있는데 이 논문이 자극이 된다.
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