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Does a novel training in mental imagery reduce pathological worry?

Timo Skodzik1, Marijke Hannah Adelt1, Viktoria Anna Nossek1

  • 1University of Muenster, Department of Clinical Psychology and Psychotherapy, Fliednerstraße 21, 48149, Muenster, Germany.

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Summary

Mental imagery training (TMI) and verbal thinking training (TVT) both reduced pathological worry and anxiety. Unexpectedly, no significant differences were found between the two training groups in this study on worry reduction.

Keywords:
Cognitive trainingEmotionGeneralized anxiety disorderMental imageryWorry

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Cognitive Behavioral Therapy

Background:

  • Worry is primarily verbal, hindering emotional processing and perpetuating itself.
  • Mental imagery may enhance emotional processing, potentially reducing worry.

Purpose of the Study:

  • To investigate if training mental imagery skills can reduce pathological worry.
  • To compare the effects of mental imagery training (TMI) versus verbal thinking training (TVT) on worry-related outcomes.

Main Methods:

  • A study involving three groups: TMI, TVT, and a waiting-list control.
  • Participants were individuals with pathological worry.
  • Outcomes including pathological worry activity, impairment, and anxiety were assessed post-training.

Main Results:

  • Both TMI and TVT groups showed significant within-group reductions in worry, impairment, and anxiety.
  • No significant between-group differences were observed for any worry- or affect-related outcomes.
  • Effect sizes (Cohen's d) ranged from .39 to 1.17.

Conclusions:

  • Mental imagery training shows promise for reducing pathological worry.
  • Verbal thinking training also yielded unexpected beneficial effects on worry.
  • Further research is needed to understand the mechanisms and optimize interventions for pathological worry.