The efficacy of incorporating mental imagery in cognitive restructuring techniques on reducing hostility: A randomized controlled trial

Martijn W van Teffelen*, Marisol J Voncken, Frenk Peeters, Eline D. Mollema, Jill Lobbestael

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND AND OBJECTIVES: Cognitive restructuring (CR) is an effective intervention for hostility. However, the number of patients who fail to benefit suggest that the efficacy of CR can be further improved. The present study investigated whether enhancing CR with mental imagery techniques can increase its efficacy.

METHODS: A high hostility sample (28% male, and 72% female) was randomized over one session of imagery enhanced CR (I-CR) (n = 34), traditional CR (n = 32) or an active control session (AC) (n = 21). Changes in hostile beliefs, aggressive tendencies, state anger and hostility traits were assessed pre- and post-treatment, and at one-week follow-up.

RESULTS: Results showed that both I-CR and CR efficaciously reduced hostile beliefs, aggressive tendencies and anger, to a stronger degree than AC. I-CR was more efficacious and sustainable over time than both CR and AC in reducing hostile beliefs and aggressive tendencies.

LIMITATIONS: This study was conducted using a small, non-treatment seeking sample.

CONCLUSIONS: Findings suggest that implementing imagery techniques in CR for hostile beliefs enhances its' efficacy.

Original languageEnglish
Article number101677
Number of pages9
JournalJournal of Behavior Therapy and Experimental Psychiatry
Volume73
DOIs
Publication statusPublished - Dec 2021

Keywords

  • Mental imagery
  • Cognitive restructuring
  • Hostility
  • Randomized controlled trial
  • POSTTRAUMATIC-STRESS-DISORDER
  • BEHAVIORAL GROUP-THERAPY
  • SOCIAL ANXIETY DISORDER
  • BETTS QUESTIONNAIRE
  • AGGRESSION
  • MEMORIES
  • ANGER
  • VALIDATION
  • ADULTS
  • FORMS

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