The Influence of Passive and Active Imagery Rescripting on Mastery and Distress

Abstract

Imagery Rescripting (ImRs) is an effective technique in reducing symptoms in various psychological disorders ranging from PTSD to personality disorders. However, research on the underlying mechanisms is scarce. Therefore, the present study investigated the effect of ImRs on aversive memories and its effect on mastery and distress. A sample of 44 participants were allocated to one of four ImRs conditions and ratings on mastery and distress were taken. A time effect was found for ImRs on mastery and distress. Mastery increased from T1 to T2, and the increase remained significant at T3. Similar patterns were found for distress, decreasing from T1 to T2 and remaining significant at T3, supporting the efficacy of ImRs on mastery and distress. Change in mastery did not mediate the relationship between ImRs and change in distress differently for the passive and active condition, suggesting that patients can flexibly choose either passive or active ImRs without impacting the effect of ImRs. Clinical implications, strengths and limitations are further discussed.