Imagery rescripting (IR) is an effective intervention for social anxiety disorder (SAD) that targets memories of distressing formative events linked to negative self-imagery (NSI). IR is thought to update unhelpful schema by addressing the needs of the younger self within the memory. An accumulating body of evidence indicates that by modifying NSI, IR can significantly affect distressing imagery, memory appraisal, and beliefs about the self.

This systematic review aims to critically evaluate and synthesise literature investigating the existing research on the effects IR has on NSI in SAD.

A systematic electronic search of Academic Search Complete, ProQuest, Medline, Scopus and PubMed was performed in February 2021 using pre-defined criteria. Ten studies met the inclusion criteria and were selected for review.

Analysis of the reviewed articles’ findings identified three main themes: Changes to negative self-images, Memories linked to images and Encapsulated beliefs. IR was associated with significant decreases in image distress, image vividness, memory vividness, memory distress, and encapsulated beliefs. Although reductions were found with image frequency, they were non-significant. Interpretation of results is limited by the small number of studies.

IR appears to effectively alter images, memories and beliefs in SAD in as little as a single session. The findings indicate that IR could be utilised as a cost-effective intervention for SAD. However, additional studies and longer-term follow-ups are needed.

意象重写（IR）是社交焦虑障碍（SAD）的有效干预措施，其目标是与负面自我意象（NSI）相关的令人痛苦的形成事件的记忆。 IR被认为可以通过满足记忆中年轻自我的需求来更新无用的图式。越来越多的证据表明，通过改变 NSI，IR 可以显着影响痛苦的意象、记忆评估和自我信念。

本系统综述旨在批判性地评估和综合研究 IR 对 SAD 中 NSI 影响的现有研究的文献。

2021 年 2 月，使用预定义的标准对学术检索完成 (Academic Search Complete)、ProQuest、Medline、Scopus 和 PubMed 进行了系统的电子检索。十项研究符合纳入标准并被选择进行审查。

对所评论文章的调查结果的分析确定了三个主题：负面自我形象的变化、与图像相关的记忆和封装的信念。 IR 与图像痛苦、图像生动性、记忆生动性、记忆痛苦和封装信念的显着降低相关。尽管发现图像频率有所降低，但并不显着。结果的解释受到研究数量较少的限制。

IR 似乎可以在短短一次疗程中有效地改变 SAD 的图像、记忆和信念。研究结果表明，IR 可以作为一种具有成本效益的 SAD 干预措施。然而，还需要更多的研究和更长期的随访。