Behaviour Research and Therapy最新文献_第5页

Illness perceptions and compassion are important psychological processes involved in distress in chronic pain: A longitudinal study 疾病感知和同情是慢性疼痛患者痛苦的重要心理过程：一项纵向研究

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-11-14 DOI: 10.1016/j.brat.2025.104922

Helena Widdrington , Mary Gemma Cherry , Katie Herron , Charlotte Krahé

Introduction

To develop effective and acceptable interventions for reducing distress in adults living with chronic pain, understanding the psychological processes presumed to underlie therapeutic approaches is needed. This longitudinal study examined the relative contribution of illness perceptions (grounded in the common-sense model informing cognitive behavioural therapy) and compassion (key to compassion-focused therapy) in predicting anxiety and depression in chronic pain, and explored whether effects were mediated by worry and rumination.

Method

Adults with chronic primary pain, recruited through a tertiary pain management service in the United Kingdom, completed pain interference and severity, illness perceptions, compassion, worry, rumination, anxiety, and depression measures at baseline (N = 159), and three months later (N = 96).

Results

At baseline, lower compassion from others and greater worry were associated with greater anxiety, while more negative illness perceptions, lower compassion (for self and others), greater rumination, and greater pain interference were linked to higher depression scores. Longitudinally, there were no significant direct effects of baseline illness perceptions or compassion on anxiety three months later, and no mediating effects of worry when controlling for pain interference and severity. For depression, more negative illness perceptions at baseline directly predicted greater rumination and depression levels three months later, but no mediating effect of rumination on depression was found.

Discussion

Therapeutic approaches grounded in the common-sense model may be useful in understanding depression in individuals living with chronic pain. Further research is needed to explore processes and mechanisms underpinning anxiety.

为了开发有效和可接受的干预措施来减少患有慢性疼痛的成年人的痛苦，了解心理过程被认为是治疗方法的基础是必要的。这项纵向研究考察了疾病感知（以认知行为疗法的常识模型为基础）和同情（以同情为中心的治疗的关键）在预测慢性疼痛患者的焦虑和抑郁方面的相对贡献，并探讨了这种影响是否由担忧和沉思介导。方法通过英国三级疼痛管理服务招募患有慢性原发性疼痛的成年人，在基线时（N = 159）和三个月后（N = 96）完成疼痛干预和严重程度、疾病感知、同情、担忧、反刍、焦虑和抑郁测量。结果在基线上，来自他人的同情较低和更大的担忧与更大的焦虑相关，而更多的消极疾病感知、更低的同情（对自己和他人）、更大的反思和更大的疼痛干扰与更高的抑郁得分相关。纵向上，基线疾病认知或同情心对三个月后的焦虑没有显著的直接影响，在控制疼痛干扰和严重程度时，也没有焦虑的中介作用。对于抑郁症，基线时更多的消极疾病感知直接预示着三个月后更多的反刍和抑郁水平，但反刍对抑郁症没有中介作用。基于常识性模型的治疗方法可能有助于理解慢性疼痛患者的抑郁症。需要进一步的研究来探索焦虑的过程和机制。

{"title":"Illness perceptions and compassion are important psychological processes involved in distress in chronic pain: A longitudinal study","authors":"Helena Widdrington , Mary Gemma Cherry , Katie Herron , Charlotte Krahé","doi":"10.1016/j.brat.2025.104922","DOIUrl":"10.1016/j.brat.2025.104922","url":null,"abstract":"<div><h3>Introduction</h3><div>To develop effective and acceptable interventions for reducing distress in adults living with chronic pain, understanding the psychological processes presumed to underlie therapeutic approaches is needed. This longitudinal study examined the relative contribution of illness perceptions (grounded in the common-sense model informing cognitive behavioural therapy) and compassion (key to compassion-focused therapy) in predicting anxiety and depression in chronic pain, and explored whether effects were mediated by worry and rumination.</div></div><div><h3>Method</h3><div>Adults with chronic primary pain, recruited through a tertiary pain management service in the United Kingdom, completed pain interference and severity, illness perceptions, compassion, worry, rumination, anxiety, and depression measures at baseline (<em>N</em> = 159), and three months later (<em>N</em> = 96).</div></div><div><h3>Results</h3><div>At baseline, lower compassion from others and greater worry were associated with greater anxiety, while more negative illness perceptions, lower compassion (for self and others), greater rumination, and greater pain interference were linked to higher depression scores. Longitudinally, there were no significant direct effects of baseline illness perceptions or compassion on anxiety three months later, and no mediating effects of worry when controlling for pain interference and severity. For depression, more negative illness perceptions at baseline directly predicted greater rumination and depression levels three months later, but no mediating effect of rumination on depression was found.</div></div><div><h3>Discussion</h3><div>Therapeutic approaches grounded in the common-sense model may be useful in understanding depression in individuals living with chronic pain. Further research is needed to explore processes and mechanisms underpinning anxiety.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"196 ","pages":"Article 104922"},"PeriodicalIF":4.5,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145616776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Imagery rescripting of interpersonal transgressions: Forgiveness, revenge, and commitment in the victim-transgressor relationship 人际犯罪的意象描述：受害者-犯罪者关系中的宽恕、报复和承诺。

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-11-14 DOI: 10.1016/j.brat.2025.104916

Mathias Twardawski, Gizem Syuleyman

Imagery Rescripting (ImRs) is a well-established psychotherapeutic intervention for treating aversive memories, such as those related to interpersonal transgressions. However, questions remain regarding the optimal implementation of ImRs, particularly concerning which components are most effective. In this experimental study (N = 271), we examined whether guiding participants to imagine forgiving versus taking revenge on a transgressor would differentially affect key emotional and cognitive outcomes. Additionally, we investigated the moderating role of the initial victim-transgressor commitment. Participants were instructed to imagine being the victims in a fictional interpersonal transgression. The imagined transgressor was a person with whom they had either a weak or strong commitment. Participants then engaged in an audio-guided ImRs session oriented toward either forgiveness or revenge, before indicating their aggressive inclinations, positive and negative affect, justice-related satisfaction, and feelings of empowerment. Results indicated that forgiveness-oriented ImRs led to lower aggressive inclinations and negative affect, as well as higher justice-related satisfaction, compared to revenge-oriented ImRs. No differences emerged between conditions in positive affect and feelings of empowerment. Moreover, the effectiveness of both ImRs approaches was independent of the victim-transgressor commitment. These findings suggest that forgiveness-oriented ImRs may offer a promising approach to reduce the emotional consequences of transgressions, with a reduced risk of increasing aggressive inclinations among victims. This highlights the potential value of incorporating forgiveness into ImRs protocols. However, given the fictional nature of the transgression and the standardized, non-clinical setting, further research is needed to evaluate the clinical applicability of these findings.

意象改写（ImRs）是一种完善的心理治疗干预手段，用于治疗与人际越轨有关的厌恶记忆。然而，关于如何最佳地实施综合免疫系统的问题仍然存在，特别是关于哪些组成部分最有效。在这项实验研究中（N = 271），我们研究了引导参与者想象原谅和报复冒犯者是否会对关键的情感和认知结果产生不同的影响。此外，我们还研究了初始受害者-犯罪者承诺的调节作用。参与者被要求想象自己是一个虚构的人际越轨行为的受害者。想象中的违规者是一个他们或弱或强的承诺的人。然后，参与者参加了一个音频引导的ImRs会议，主要是宽恕或报复，然后表明他们的攻击倾向，积极和消极的影响，与正义相关的满意度，以及赋权的感觉。结果表明，与报复导向的内审行为相比，宽恕导向的内审行为具有更低的攻击性倾向和负面情绪，以及更高的正义相关满意度。在积极影响的条件和授权的感觉之间没有差异。此外，两种ImRs方法的有效性与受害者-犯罪者的承诺无关。这些发现表明，以宽恕为导向的imr可能提供了一种很有希望的方法，可以减少违法行为的情感后果，降低受害者增加攻击倾向的风险。这凸显了将宽恕纳入ImRs协议的潜在价值。然而，考虑到违规行为的虚构性质和标准化的非临床环境，需要进一步的研究来评估这些发现的临床适用性。

{"title":"Imagery rescripting of interpersonal transgressions: Forgiveness, revenge, and commitment in the victim-transgressor relationship","authors":"Mathias Twardawski, Gizem Syuleyman","doi":"10.1016/j.brat.2025.104916","DOIUrl":"10.1016/j.brat.2025.104916","url":null,"abstract":"<div><div>Imagery Rescripting (ImRs) is a well-established psychotherapeutic intervention for treating aversive memories, such as those related to interpersonal transgressions. However, questions remain regarding the optimal implementation of ImRs, particularly concerning which components are most effective. In this experimental study (<em>N</em> = 271), we examined whether guiding participants to imagine forgiving versus taking revenge on a transgressor would differentially affect key emotional and cognitive outcomes. Additionally, we investigated the moderating role of the initial victim-transgressor commitment. Participants were instructed to imagine being the victims in a fictional interpersonal transgression. The imagined transgressor was a person with whom they had either a weak or strong commitment. Participants then engaged in an audio-guided ImRs session oriented toward either forgiveness or revenge, before indicating their aggressive inclinations, positive and negative affect, justice-related satisfaction, and feelings of empowerment. Results indicated that forgiveness-oriented ImRs led to lower aggressive inclinations and negative affect, as well as higher justice-related satisfaction, compared to revenge-oriented ImRs. No differences emerged between conditions in positive affect and feelings of empowerment. Moreover, the effectiveness of both ImRs approaches was independent of the victim-transgressor commitment. These findings suggest that forgiveness-oriented ImRs may offer a promising approach to reduce the emotional consequences of transgressions, with a reduced risk of increasing aggressive inclinations among victims. This highlights the potential value of incorporating forgiveness into ImRs protocols. However, given the fictional nature of the transgression and the standardized, non-clinical setting, further research is needed to evaluate the clinical applicability of these findings.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"195 ","pages":"Article 104916"},"PeriodicalIF":4.5,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Imagery rescripting for social anxiety disorder via internet videoconferencing: An open trial 通过网络视频会议对社交焦虑障碍进行图像处方：一项公开试验。

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-11-12 DOI: 10.1016/j.brat.2025.104914

Halaina R. Winter , Alice R. Norton , Bethany M. Wootton

Imagery rescripting (ImR) has demonstrated efficacy in reducing symptoms of social anxiety disorder (SAD). However, there are many logistical and psychological barriers that prevent individuals with SAD from accessing treatment. The efficacy of remote treatment methodologies, such as internet videoconferencing, has recently been demonstrated across a range of mental disorders. However, the efficacy of videoconferencing-delivered ImR (vImR) has not yet been examined. The present study aims to examine the efficacy and acceptability of vImR for SAD in a multiple baseline trial utilising the waitlist control group from a larger randomised controlled trial (RCT). 35 participants (M_age = 37.86; SD = 12.90) received no intervention for 8-weeks, then received an 8-session manualised vImR treatment protocol. Within-group analyses indicated negligible effect sizes from baseline to pre-treatment (SIAS-6: d = 0.22; 95 % CI: 0.25 – 0.69; SPS-6: d = −0.03; 95 % CI: 0.49 – 0.44). Large effect sizes were found from pre-treatment to post-treatment (SIAS-6: d = 0.81; 95 % CI: 0.32–1.29; SPS-6: d = 0.80; 95 % CI: 0.30–1.27) and pre-treatment to 3-month follow-up (SIAS-6: d = 0.85; 95 % CI: 0.36–1.33; SPS-6: d = 0.90; 95 % CI: 0.40–1.38). At post-treatment, 66 % of participants no longer met criteria for SAD (74 % at 3-month follow-up). Benchmarking analyses indicated similar treatment effect sizes to in-person ImR for SAD. Participants rated the program as highly acceptable. The results indicate that the mechanisms of ImR appear to be transferable to vImR and therefore this may be a viable remote treatment option for individuals with SAD who do not respond to first-line treatments.

意象处方（ImR）在减轻社交焦虑障碍（SAD）症状方面已被证明有效。然而，有许多后勤和心理障碍阻碍了SAD患者获得治疗。网络视频会议等远程治疗方法的有效性最近已在一系列精神疾病中得到证实。然而，视频会议提供的ImR （vImR）的有效性尚未得到检验。本研究旨在检验vImR治疗SAD的有效性和可接受性，该试验采用多基线试验，利用来自更大的随机对照试验（RCT）的等待名单对照组。35名参与者（Mage = 37.86; SD = 12.90）在8周内不接受干预，然后接受8个疗程的手动vImR治疗方案。组内分析表明，从基线到预处理的效应大小可以忽略不计（SIAS-6: d = 0.22; 95% CI: 0.25 - 0.69; SPS-6: d = -0.03; 95% CI: 0.49 - 0.44）。从治疗前到治疗后（SIAS-6: d = 0.81; 95% CI: 0.32-1.29; SPS-6: d = 0.80; 95% CI: 0.30-1.27）和治疗前到3个月的随访（SIAS-6: d = 0.85; 95% CI: 0.36-1.33; SPS-6: d = 0.90; 95% CI: 0.40-1.38）均发现了较大的效应量。在治疗后，66%的参与者不再符合SAD的标准（3个月随访时为74%）。基准分析表明，SAD的治疗效果与现场ImR相似。参与者对这个项目的评价是高度可接受的。结果表明，ImR的机制似乎可以转移到vImR，因此对于对一线治疗无效的SAD患者来说，这可能是一个可行的远程治疗选择。

{"title":"Imagery rescripting for social anxiety disorder via internet videoconferencing: An open trial","authors":"Halaina R. Winter , Alice R. Norton , Bethany M. Wootton","doi":"10.1016/j.brat.2025.104914","DOIUrl":"10.1016/j.brat.2025.104914","url":null,"abstract":"<div><div>Imagery rescripting (ImR) has demonstrated efficacy in reducing symptoms of social anxiety disorder (SAD). However, there are many logistical and psychological barriers that prevent individuals with SAD from accessing treatment. The efficacy of remote treatment methodologies, such as internet videoconferencing, has recently been demonstrated across a range of mental disorders. However, the efficacy of videoconferencing-delivered ImR (vImR) has not yet been examined. The present study aims to examine the efficacy and acceptability of vImR for SAD in a multiple baseline trial utilising the waitlist control group from a larger randomised controlled trial (RCT). 35 participants (<em>M</em><sub>age</sub> = 37.86; <em>SD</em> = 12.90) received no intervention for 8-weeks, then received an 8-session manualised vImR treatment protocol. Within-group analyses indicated negligible effect sizes from baseline to pre-treatment (SIAS-6: <em>d</em> = 0.22; 95 % CI: 0.25 – 0.69; SPS-6: <em>d</em> = −0.03; 95 % CI: 0.49 – 0.44). Large effect sizes were found from pre-treatment to post-treatment (SIAS-6: <em>d</em> = 0.81; 95 % CI: 0.32–1.29; SPS-6: <em>d</em> = 0.80; 95 % CI: 0.30–1.27) and pre-treatment to 3-month follow-up (SIAS-6: <em>d</em> = 0.85; 95 % CI: 0.36–1.33; SPS-6: <em>d</em> = 0.90; 95 % CI: 0.40–1.38). At post-treatment, 66 % of participants no longer met criteria for SAD (74 % at 3-month follow-up). Benchmarking analyses indicated similar treatment effect sizes to in-person ImR for SAD. Participants rated the program as highly acceptable. The results indicate that the mechanisms of ImR appear to be transferable to vImR and therefore this may be a viable remote treatment option for individuals with SAD who do not respond to first-line treatments.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"195 ","pages":"Article 104914"},"PeriodicalIF":4.5,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Positive emotion up-regulation in the wake of a cognitively demanding task: An event-related potential study 认知要求任务后的积极情绪上调：一项事件相关电位研究。

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-11-12 DOI: 10.1016/j.brat.2025.104920

Tara Driskill , Brandon K. Watanabe , Annmarie MacNamara

Although positive emotion up-regulation via reappraisal increases electrocortical and subjective response to pictures, little is known about how situational factors may moderate its success. For instance, emotion regulation must at times be performed shortly after a cognitively demanding event. Here, we set out to determine whether positive emotion up-regulation would be compromised if performed after a difficult math task (hard math; n = 39) versus after an easy math task (easy math; n = 39). After randomly assigning participants to groups, we assessed reappraisal's effectiveness using the late positive potential (LPP) as a measure of picture salience and picture ratings. Results showed that positive emotion up-regulation via reappraisal was unaffected by math difficulty. Nonetheless, participants who had just completed a hard math task showed smaller LPPs overall, compared to those who had completed the easy math task. In contrast to prior work, across both math groups, reappraisal was only effective for neutral and not positive pictures. Therefore, recent prior cognitive demand does not appear to compromise reappraisal of neutral pictures, yet it remains possible that any recent demanding task (i.e., either high or low load) may compromise up-regulation for stimuli that are closer to ceiling – i.e., positive stimuli. Results are discussed in the context of a situation-specific approach to emotion regulation and the utility of positive emotion up-regulation in everyday life. Findings also suggest possible a mechanism underlying blunted response to stimuli, as has been observed in some forms of internalizing psychopathology.

虽然通过重新评价的积极情绪上调增加了皮层电反应和对图片的主观反应，但关于情境因素如何调节其成功却知之甚少。例如，情绪调节有时必须在认知要求较高的事件发生后不久进行。在这里，我们着手确定在完成困难的数学任务（难数学，n = 39）和简单的数学任务（容易数学，n = 39）后进行的积极情绪上调是否会受到损害。在将参与者随机分配到小组后，我们使用晚期正电位（LPP）作为图像显著性和图像评级的测量来评估重评价的有效性。结果表明，通过重评价的正向情绪上调不受数学难度的影响。尽管如此，与完成简单数学任务的参与者相比，刚刚完成困难数学任务的参与者总体上表现出较小的lpp。与之前的研究相反，在两个数学组中，重新评价只对中性图片有效，对积极图片无效。因此，最近的先验认知需求似乎不会损害对中性图片的重新评估，然而，任何最近的要求任务（即，高负荷或低负荷）都可能损害对接近上限的刺激的上调-即积极刺激。研究结果在情境特定的情绪调节方法和积极情绪上调在日常生活中的效用的背景下进行了讨论。研究结果还表明，对刺激的迟钝反应可能存在一种机制，正如在某些形式的内化精神病理学中所观察到的那样。

{"title":"Positive emotion up-regulation in the wake of a cognitively demanding task: An event-related potential study","authors":"Tara Driskill , Brandon K. Watanabe , Annmarie MacNamara","doi":"10.1016/j.brat.2025.104920","DOIUrl":"10.1016/j.brat.2025.104920","url":null,"abstract":"<div><div>Although positive emotion up-regulation via reappraisal increases electrocortical and subjective response to pictures, little is known about how situational factors may moderate its success. For instance, emotion regulation must at times be performed shortly after a cognitively demanding event. Here, we set out to determine whether positive emotion up-regulation would be compromised if performed after a difficult math task (hard math; <em>n</em> = 39) versus after an easy math task (easy math; <em>n</em> = 39). After randomly assigning participants to groups, we assessed reappraisal's effectiveness using the late positive potential (LPP) as a measure of picture salience and picture ratings. Results showed that positive emotion up-regulation via reappraisal was unaffected by math difficulty. Nonetheless, participants who had just completed a hard math task showed smaller LPPs overall, compared to those who had completed the easy math task. In contrast to prior work, across both math groups, reappraisal was only effective for neutral and not positive pictures. Therefore, recent prior cognitive demand does not appear to compromise reappraisal of neutral pictures, yet it remains possible that any recent demanding task (i.e., either high or low load) may compromise up-regulation for stimuli that are closer to ceiling – i.e., positive stimuli. Results are discussed in the context of a situation-specific approach to emotion regulation and the utility of positive emotion up-regulation in everyday life. Findings also suggest possible a mechanism underlying blunted response to stimuli, as has been observed in some forms of internalizing psychopathology.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"195 ","pages":"Article 104920"},"PeriodicalIF":4.5,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Brief imagery rescripting is equivalent to imaginal exposure in improving response to worry images among high worry individuals 在提高高焦虑个体对焦虑图像的反应方面，简短的图像重写与图像暴露相当

IF 4.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy

Pub Date : 2025-11-12 DOI: 10.1016/j.brat.2025.104915

Lauren Stavropoulos , Isaac Sabel , David D.J. Cooper , Jill M. Newby , Jessica G. Grisham

Background

Generalized anxiety disorder is characterised by aversive mental images of feared outcomes. This study investigated whether a single session of imagery rescripting would produce greater reductions in anxious response, threat appraisals, and intrusive images regarding a feared event than imaginal exposure among individuals high in trait worry.

Methods

Undergraduate participants (N = 89) high in trait worry attended a 45-min video-call session with a psychologist in which they identified a worry image, rated their anxiety, worry, threat appraisals, and imagery-related distress, and were randomised to 15-min therapist-guided imagery rescripting or imaginal exposure. Imagery rescripting involved rewriting the worry image to achieve a positive outcome. Participants were asked to listen to a recording of the exercise on three days and provided outcome ratings after 1 week.