Effects of Imagery Rescripting Versus Rumination on Emotion Regulation in an Online Pilot Study
Abstract
1. Introduction
Aims of the Study
2. Materials and Methods
2.1. Study Design
2.2. Participants
2.3. Materials
2.3.1. Mood Assessment
2.3.2. Absorption
2.3.3. Autobiographical Recall
2.3.4. Imagery Rescripting
2.3.5. Rumination Task
2.3.6. Control Group
2.3.7. Control Questions
2.4. Procedure
2.5. Statistical Analysis
3. Results
3.1. Effect of Aversive Autobiographical Recall on Positive and Negative Affect
3.2. Effect of Imagery Rescripting on Positive and Negative Affect
3.3. Relationship Between Absorption and Mood Change
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| CONT | Control group |
| IR | Imagery Rescripting |
| NA | Negative Affect |
| PA | Positive Affect |
| PANAS | Positive and Negative Affect Schedule |
| PTSD | Posttraumatic Stress Disorder |
| RUM | Rumination |
| TAS | Tellegen Absorption Scale |
References
- Arntz, A. (2012). Imagery rescripting as a therapeutic technique: Review of clinical trials, basic studies, and research agenda. Journal of Experimental Psychopathology, 3(2), 189–208. [Google Scholar] [CrossRef]
- Arntz, A., & Weertman, A. (1999). Treatment of childhood memories: Theory and practice. Behaviour Research and Therapy, 37(8), 715–740. [Google Scholar] [CrossRef]
- Beck, A. T. (2008). The evolution of the cognitive model of depression and its neurobiological correlates. American Journal of Psychiatry, 165(8), 969–977. [Google Scholar] [CrossRef]
- Çili, S., Pettit, S., & Stopa, S. (2016). Impact of imagery rescripting on adverse self-defining memories and post-recall working selves in a non-clinical sample: A pilot study. Cognitive Behaviour Therapy, 46(1), 75–89. [Google Scholar] [CrossRef]
- Drujan, M., Fallgatter, A. J., Batra, A., & Fuhr, K. (2023). Imagining a safe place: Emotion regulation with detachment intervention. Imagination, Cognition and Personality, 43(1), 42–57. [Google Scholar] [CrossRef]
- Dugué, R., Renner, F., Austermann, M., Tuschen-Caffier, B., & Jacob, G. A. (2019). Imagery rescripting in individuals with binge-eating behavior: An experimental proof-of-concept study. International Journal of Eating Disorders, 52(2), 183–188. [Google Scholar] [CrossRef] [PubMed]
- Edwards, D. (2007). Restructuring implicational meaning through memory-based imagery: Some historical notes. Journal of Behavior Therapy and Experimental Psychiatry, 38(4), 306–316. [Google Scholar] [CrossRef] [PubMed]
- Faul, F., Erdfelder, E., Lang, A.-G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175–191. [Google Scholar] [CrossRef]
- Harkness, K. L., Jacobson, J. A., Duong, D., & Sabbagh, M. A. (2010). Mental state decoding in past major depression: Effect of sad versus happy mood induction. Cognition and Emotion, 24(3), 497–513. [Google Scholar] [CrossRef]
- Holmes, E. A., Arntz, A., & Smucker, M. R. (2007). Imagery rescripting in cognitive behaviour therapy: Images, treatment techniques and outcomes. Journal of Behavior Therapy and Experimental Psychiatry, 38(4), 297–305. [Google Scholar] [CrossRef] [PubMed]
- Holmes, E. A., Blackwell, S. E., Burnett Heyes, S., Renner, F., & Raes, F. (2016). Mental imagery in depression: Phenomenology, potential mechanisms, and treatment implications. Annual Review of Clinical Psychology, 12, 249–280. [Google Scholar] [CrossRef]
- Holmes, E. A., & Mathews, A. (2005). Mental imagery and emotion: A special relationship? Emotion, 5(4), 489–497. [Google Scholar] [CrossRef] [PubMed]
- Holmes, E. A., & Mathews, A. (2010). Mental imagery in emotion and emotional disorders. Clinical Psychology Review, 30(3), 349–362. [Google Scholar] [CrossRef] [PubMed]
- Holmes, E. A., Mathews, A., Dalgleish, T., & Mackintosh, B. (2006). Positive interpretation training: Effects of mental imagery versus verbal training on positive mood. Behavior Therapy, 37(3), 237–247. [Google Scholar] [CrossRef]
- Huffziger, S., & Kuehner, C. (2009). Rumination, distraction, and mindful self-focus in depressed patients. Behaviour Research and Therapy, 47(3), 224–230. [Google Scholar] [CrossRef]
- Jacob, G. A., Arendt, J., Kolley, L., Scheel, C. N., Bader, K., Lieb, K., Arntz, A., & Tüscher, O. (2011). Comparison of different strategies to decrease negative affect and increase positive affect in women with borderline personality disorder. Behaviour Research and Therapy, 49(1), 68–73. [Google Scholar] [CrossRef] [PubMed]
- Joormann, J., & Gotlib, I. H. (2010). Emotion regulation in depression: Relation to cognitive inhibition. Cognition and Emotion, 24(2), 281–298. [Google Scholar] [CrossRef]
- Joormann, J., & Stanton, C. H. (2016). Examining emotion regulation in depression: A review and future directions. Behaviour Research and Therapy, 86, 35–49. [Google Scholar] [CrossRef]
- Krohne, H. W., Egloff, B., Kohlmann, C. W., & Tausch, A. (1996). Untersuchungen mit einer deutschen Version der “Positive and Negative Affect Schedule” (PANAS). Diagnostica, 42, 139–156. [Google Scholar] [CrossRef]
- Kuehner, C., Huffziger, S., & Liebsch, K. (2009). Rumination, distraction and mindful self-focus: Effects on mood, dysfunctional attitudes and cortisol stress response. Psychological Medicine, 39(2), 219–228. [Google Scholar] [CrossRef]
- Lee, S. W., & Kwon, J. H. (2013). The efficacy of imagery rescripting (IR) for social phobia: A randomized controlled trial. Journal of Behavior Therapy and Experimental Psychiatry, 44(4), 351–360. [Google Scholar] [CrossRef]
- Leiner, D. J. (2019). SoSci survey (version 3.1.06) [Computer software]. Available online: https://www.soscisurvey.de (accessed on 9 March 2020).
- Lynn, S. J., Shindler, K., & Meyer, E. (2003). Hypnotic suggestibility, psychopathology, and treatment outcome. Sleep and Hypnosis, 5, 17–25. [Google Scholar]
- Morina, N., Lancee, J., & Arntz, A. (2017). Imagery rescripting as a clinical intervention for aversive memories: A meta-analysis. Journal of Behavior Therapy and Experimental Psychiatry, 55, 6–15. [Google Scholar] [CrossRef]
- Moritz, S., Ahlf-Schumacher, J., Hottenrott, B., Peter, U., Franck, S., Schnell, T., Peter, H., Schneider, B. C., & Jelinek, L. (2018a). We cannot change the past, but we can change its meaning. A randomized controlled trial on the effects of self-help imagery rescripting on depression. Behaviour Research and Therapy, 104, 74–83. [Google Scholar] [CrossRef] [PubMed]
- Moritz, S., Hottenrott, B., & Brown, F. (2018b). Wie ein Phoenix aus der Asche. Techniken, um sich von negativen Erinnerungen und Vorstellungen zu lösen. Available online: https://clinical-neuropsychology.de/imagery-rescripting-deutsch/?file=files/nextcloud-files/Imagery_Rescripting/Wie_ein_Phoenix_aus_der_Asche.pdf (accessed on 10 March 2022).
- Paulik, G., Maloney, G., Arntz, A., Bachrach, N., Koppeschaar, A., & McEvoy, P. (2021). Delivering imagery rescripting via telehealth: Clinical concerns, benefits, and recommendations. Current Psychiatry Reports, 23(5), 1–10. [Google Scholar] [CrossRef] [PubMed]
- Pekala, R. J., Wenger, C. F., & Levine, R. L. (1985). Individual differences in phenomenological experience: States of consciousness as a function of absorption. Journal of Personality and Social Psychology, 48(1), 125–132. [Google Scholar] [CrossRef]
- Pennesi, J. L., & Wade, T. D. (2018). Imagery rescripting and cognitive dissonance: A randomized controlled trial of two brief online interventions for women at risk of developing an eating disorder. International Journal of Eating Disorders, 51(5), 439–448. [Google Scholar] [CrossRef]
- Pictet, A., Coughtrey, A. E., Mathews, A., & Holmes, E. A. (2011). Fishing for happiness: The effects of generating positive imagery on mood and behavior. Behaviour Research and Therapy, 49(12), 885–891. [Google Scholar] [CrossRef]
- Quelhas, A. C., Power, M. J., Juhos, C., & Senos, J. (2008). Counterfactual thinking and functional differences in depression. Clinical Psychology and Psychotherapy, 15(5), 352–365. [Google Scholar] [CrossRef]
- R Core Team. (2018). R: A language and environment for statistical computing [Computer software manual]. Available online: https://www.R-project.org/ (accessed on 11 March 2022).
- Renner, F., Schwarz, P., Peters, M. L., & Huibers, M. J. (2014). Effects of a best-possible-self mental imagery exercise on mood and dysfunctional attitudes. Psychiatry Research, 215(1), 105–110. [Google Scholar] [CrossRef]
- Ritz, T., & Dahme, B. (1995). Die Absorption-Skala: Konzeptuelle Aspekte, psychometrische Kennwerte und Dimensionalität einer deutschsprachigen Adaptation. [The Absorption Scale: Basic concept, psychometric properties, and dimensions of a German adaptation]. Diagnostica, 41(1), 53–61. [Google Scholar]
- Roche, S. M., & McConkey, K. M. (1990). Absorption: Nature, assessment, and correlates. Journal of Personality and Social Psychology, 59(1), 91–101. [Google Scholar] [CrossRef]
- Slofstra, C., Nauta, M. H., Holmes, E. A., & Bockting, C. L. (2016). Imagery rescripting: The impact of conceptual and perceptual changes on aversive autobiographical memories. PLoS ONE, 11(8), e0160235. [Google Scholar] [CrossRef] [PubMed]
- Smucker, M. R., Dancu, C., Foa, E. B., & Niederee, J. L. (1995). Imagery rescripting: A new treatment for survivors of childhood sexual abuse suffering from posttraumatic stress. Journal of Cognitive Psychotherapy, 9, 3–17. [Google Scholar] [CrossRef]
- Strohm, M., Siegesleitner, M., Kunze, A. E., Ehring, T., & Wittekind, C. E. (2019). Imagery rescripting of aversive autobiographical memories: Effects on memory distress, emotions, and feelings of mastery. Cognitive Therapy and Research, 43, 1005–1017. [Google Scholar] [CrossRef]
- Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83(3), 268. [Google Scholar] [CrossRef]
- Terhune, D. B., Cardeña, E., & Lindgren, M. (2011). Dissociative tendencies and individual differences in high hypnotic suggestibility. Cognitive Neuropsychiatry, 16(2), 113–135. [Google Scholar] [CrossRef]
- Terhune, D. B., & Jamieson, G. A. (2021). Hallucinations and the meaning and structure of absorption. Proceedings of the National Academy of Sciences of the United States of America, 118(32), e2108467118. [Google Scholar] [CrossRef]
- Watkins, E. D. (2004). Adaptive and maladaptive ruminative self-focus during emotional processing. Behaviour Research and Therapy, 42(9), 1037–1052. [Google Scholar] [CrossRef]
- Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063. [Google Scholar] [CrossRef]
- Watson, H., Rapee, R., & Todorov, N. (2016). Imagery rescripting of revenge, avoidance, and forgiveness for past bullying experiences in young adults. Cognitive Behaviour Therapy, 45(1), 73–89. [Google Scholar] [CrossRef]
- Werthmann, J., Renner, F., Roefs, A., Huibers, M. J., Plumanns, L., Krott, N., & Jansen, A. (2014). Looking at food in sad mood: Do attention biases lead emotional eaters into overeating after a negative mood induction? Eating Behaviors, 15(2), 230–236. [Google Scholar] [CrossRef] [PubMed]
- Wheatley, J., & Hackmann, A. (2011). Using imagery rescripting to treat major depression: Theory and practice. Cognitive and Behavioral Practice, 18(4), 444–453. [Google Scholar] [CrossRef]
- Wright, J., & Mischel, W. (1982). Influence of affect on cognitive social learning person variables. Journal of Personality and Social Psychology, 43(5), 901–914. [Google Scholar] [CrossRef]
- Zens, C., & Seebauer, L. (2019). Imagination in der Schematherapie. Verhaltenstherapie and Verhaltensmedizin, 40(1), 41–58. [Google Scholar]

| IR (n = 27) | RUM (n = 23) | CONT (n = 20) | Total (n = 70) | |
|---|---|---|---|---|
| n (%) | n (%) | n (%) | n (%) | |
| Female | 21 (77.8%) | 20 (87.0%) | 17 (85.0%) | 58 (82.9%) |
| Male | 6 (22.2%) | 2 (8.7%) | 3 (15.0%) | 11 (15.7%) |
| Diverse | 0 (0.0%) | 1 (4.3%) | 0 (0.0%) | 1 (1.4%) |
| M (SD) | M (SD) | M (SD) | M (SD) | |
| Age | 26.30 (7.35) | 30.09 (10.43) | 27.40 (7.43) | 27.86 (8.54) |
| TAS | 60.93 (19.15) | 54.83 (25.04) | 63.55 (23.79) | 59.67 (22.51) |
| PANAS-PA | 29.93 (6.03) | 27.43 (8.36) | 28.15 (7.78) | 28.60 (7.34) |
| PANAS-NA | 13.96 (3.38) | 15.83 (5.14) | 14.15 (4.45) | 14.63 (4.35) |
| IR (n = 27) | RUM (n = 23) | CONT (n = 20) | Total (n = 70) | ||
|---|---|---|---|---|---|
| PA | t1 | 20.48 (6.19) | 18.48 (4.88) | 20.30 (7.64) | 19.77 (6.24) |
| t2 | 26.41 (8.29) | 19.30 (7.07) | 23.65 (7.63) | 23.29 (8.19) | |
| change | 5.93 (7.41) | 0.83 (5.76) | 3.35 (7.08) | 3.51 (7.05) | |
| NA | t1 | 21.56 (8.12) | 18.78 (6.84) | 23.65 (9.21) | 21.24 (8.17) |
| t2 | 15.93 (4.77) | 16.04 (4.93) | 17.65 (6.02) | 16.46 (5.19) | |
| change | −5.63 (7.30) | −2.74 (4.67) | −6.00 (7.38) | −4.79 (6.64) | |
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Drujan, M.; Gashi, K.; Fallgatter, A.J.; Batra, A.; Fuhr, K. Effects of Imagery Rescripting Versus Rumination on Emotion Regulation in an Online Pilot Study. Behav. Sci. 2026, 16, 59. https://doi.org/10.3390/bs16010059
Drujan M, Gashi K, Fallgatter AJ, Batra A, Fuhr K. Effects of Imagery Rescripting Versus Rumination on Emotion Regulation in an Online Pilot Study. Behavioral Sciences. 2026; 16(1):59. https://doi.org/10.3390/bs16010059
Chicago/Turabian StyleDrujan, Marta, Kaltrina Gashi, Andreas J. Fallgatter, Anil Batra, and Kristina Fuhr. 2026. "Effects of Imagery Rescripting Versus Rumination on Emotion Regulation in an Online Pilot Study" Behavioral Sciences 16, no. 1: 59. https://doi.org/10.3390/bs16010059
APA StyleDrujan, M., Gashi, K., Fallgatter, A. J., Batra, A., & Fuhr, K. (2026). Effects of Imagery Rescripting Versus Rumination on Emotion Regulation in an Online Pilot Study. Behavioral Sciences, 16(1), 59. https://doi.org/10.3390/bs16010059

