This randomized trial compared the effects of imagery rescripting against in vivo exposure administered separately during a single session with 27 socially anxious individuals. Previous research shows that imagery rescripting is a promising treatment technique for various disorders including social anxiety, although imagery rescripting and exposure for social anxiety have not yet been compared. Social anxiety self-report measures (LSAS-SR and BFNE-II); the distress, vividness, and frequency of fear images (i.e., Imagery condition); and the levels of anxiety, avoidance, and the strength of convictions of a feared social situation (i.e., exposure condition) were rated at baseline, before treatment, and after a 2- and 4-week follow up period. Both treatment groups improved significantly on all measures pre- to post treatment and the effects largely remained at the 4-week follow-up. No significant differences between the treatment groups were found on the anxiety measures. The results suggest that either a single session of imagery rescripting or of exposure are effective in reducing social anxiety, and that both treatment techniques, even when administered in a single session, reduces social anxiety.

中文翻译：

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社交焦虑中的意象重写和暴露：比较治疗技术的随机试验

这项随机试验比较了图像重写对 27 名社交焦虑个体在单次治疗期间分别进行的体内暴露的影响。先前的研究表明，图像重写是治疗包括社交焦虑在内的各种疾病的一种很有前途的技术，尽管尚未将图像重写和社交焦虑的暴露进行比较。社交焦虑自我报告测量（LSAS-SR 和 BFNE-II）；恐惧意象的痛苦、生动程度和频率（即意象状况）；在基线、治疗前和 2 周和 4 周的随访期后，对焦虑、回避和对恐惧社交情况（即暴露条件）的信念强度进行了评级。两个治疗组在治疗前后的所有措施上都有显着改善，并且效果在 4 周的随访中基本保持不变。治疗组之间在焦虑测量方面没有发现显着差异。结果表明，无论是单次的意象复述或暴露，都可以有效减少社交焦虑，而且这两种治疗技术，即使在单次治疗中进行，也能减少社交焦虑。