Evidence map›Paper›PMID 33192658›Full record

ArticleFrontiers in psychiatry2020

Imagery Rescripting on Guilt-Inducing Memories in OCD: A Single Case Series Study.

Katia Tenore, Barbara Basile, Teresa Cosentino, Brunetto De Sanctis, Stefania Fadda, Giuseppe Femia, Andrea Gragnani, Olga I Luppino, Valerio Pellegrini, Claudia Perdighe and 3 more

Abstract read
In one paragraph

Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Katia TenoreAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Barbara BasileAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Teresa CosentinoAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Brunetto De SanctisAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Stefania FaddaAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Giuseppe FemiaAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Andrea GragnaniAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Olga I LuppinoAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Valerio PellegriniAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Claudia PerdigheAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Giuseppe RomanoAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Angelo M SalianiAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.
Francesco ManciniAssociazione Scuola di Psicoterapia Cognitiva (APC-SPC), Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesCriticism is thought to play an important role in obsessive-compulsive disorder (OCD), and obsessive behaviors have been considered as childhood strategies to avoid criticism. Often, patients with OCD report memories characterized by guilt-inducing reproaches. Starting from these assumptions, the aim of this study is to test whether intervening in memories of guilt-inducing reproaches can reduce current OCD symptoms. The emotional valence of painful memories may be modified through imagery rescripting (ImRs), an experiential technique that has shown promising results.

methodsAfter monitoring a baseline of symptoms, 18 OCD patients underwent three sessions of ImRs, followed by monitoring for up to 3 months. Indexes of OCD, depression, anxiety, disgust, and fear of guilt were collected.

resultsPatients reported a significant decrease in OCD symptoms. The mean value on the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) changed from 25.94 to 14.11. At the 3-month follow-up, 14 of the 18 participants (77.7%) achieved an improvement of ≥35% on the Y-BOCS. Thirteen patients reported a reliable improvement, with ten reporting a clinically significant change (reliable change index = 9.94). Four reached the asymptomatic criterion. Clinically significant changes were not detected for depression and anxiety.

conclusionsOur findings suggest that after ImRs intervention focusing on patients' early experiences of guilt-inducing reproaches there were clinically significant changes in OCD symptomatology. The data support the role of ImRs in reducing OCD symptoms and the previous cognitive models of OCD, highlighting the role of guilt-related early life experiences in vulnerability to OCD.

Indexed as

criticismguiltimagery rescriptingmemoriesobsessive-compulsive disorder

Identifiers

PMID33192658
PMCPMC7554624

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.