Abstract：
OBJECTIVE: Intrusive mental imagery is associated with anxiety in bipolar disorder (BD) and presents a novel treatment target. Imagery-based treatments show promise in targeting anxiety and improving mood instability. This qualitative study explored experiences of receiving up to 12 sessions of a brief structured psychological intervention: Image-Based Emotion Regulation (IBER), which targets maladaptive mental imagery in the context of BD with an aim to modify the emotional impact of these images.
METHODS: A qualitative study embedded within the Image Based Emotion Regulation (IBER) feasibility randomised controlled trial.
METHODS: Semi-structured interviews were conducted with 12 participants in the treatment arm of the trial who received IBER + treatment as usual. Data were analysed using thematic analysis.
RESULTS: Despite some initial scepticism about imagery-focused treatment, all participants expressed broadly positive accounts of treatment experiences. High levels of engagement with imagery modification techniques, beneficial use of techniques post treatment and improvements in anxiety management and agency were described by some. Three sub-groups were identified: those who reported a powerful transformative impact of treatment; those who embedded some new techniques into their daily lives, and those who felt they had techniques to use when needed. No participants reported overall negative experiences of the IBER treatment.
CONCLUSIONS: Findings from this study highlight the value for treatment recipients of modifying the underlying meanings associated with maladaptive imagery, and the personalised skills development to manage anxiety within bipolar disorders. Findings can inform treatment refinements and further trial-based evaluations.
METHODS: A qualitative study embedded within the Image Based Emotion Regulation (IBER) feasibility randomised controlled trial.
METHODS: Semi-structured interviews were conducted with 12 participants in the treatment arm of the trial who received IBER + treatment as usual. Data were analysed using thematic analysis.
RESULTS: Despite some initial scepticism about imagery-focused treatment, all participants expressed broadly positive accounts of treatment experiences. High levels of engagement with imagery modification techniques, beneficial use of techniques post treatment and improvements in anxiety management and agency were described by some. Three sub-groups were identified: those who reported a powerful transformative impact of treatment; those who embedded some new techniques into their daily lives, and those who felt they had techniques to use when needed. No participants reported overall negative experiences of the IBER treatment.
CONCLUSIONS: Findings from this study highlight the value for treatment recipients of modifying the underlying meanings associated with maladaptive imagery, and the personalised skills development to manage anxiety within bipolar disorders. Findings can inform treatment refinements and further trial-based evaluations.
摘要：
目的：侵入性心理意象与双相情感障碍（BD）的焦虑有关，并提出了一个新的治疗目标。基于图像的治疗在针对焦虑和改善情绪不稳定方面显示出希望。这项定性研究探索了接受多达12次简短的结构化心理干预的经验：基于图像的情绪调节（IBER），在BD的背景下，其目标是适应不良的心理意象，目的是修改这些图像的情感影响。
方法：嵌入基于图像的情绪调节（IBER）可行性随机对照试验的定性研究。
方法：对试验治疗组的12名参与者进行了半结构化访谈，这些参与者照常接受IBER+治疗。采用专题分析法对数据进行分析。
结果：尽管最初对图像集中治疗持怀疑态度，所有参与者对治疗经验表达了广泛的积极评价.高度参与图像修改技术，一些人描述了治疗后技术的有益使用以及焦虑管理和机构的改善。确定了三个小组：那些报告了治疗产生强大变革影响的人；那些将一些新技术嵌入日常生活的人，以及那些觉得自己有技术可以在需要时使用的人。没有参与者报告IBER治疗的总体负面经历。
结论：这项研究的结果强调了治疗接受者修改与适应不良意象相关的潜在含义的价值，和个性化的技能发展，以管理躁郁症中的焦虑。研究结果可以为治疗改进和进一步的基于试验的评估提供信息。
方法：嵌入基于图像的情绪调节（IBER）可行性随机对照试验的定性研究。
方法：对试验治疗组的12名参与者进行了半结构化访谈，这些参与者照常接受IBER+治疗。采用专题分析法对数据进行分析。
结果：尽管最初对图像集中治疗持怀疑态度，所有参与者对治疗经验表达了广泛的积极评价.高度参与图像修改技术，一些人描述了治疗后技术的有益使用以及焦虑管理和机构的改善。确定了三个小组：那些报告了治疗产生强大变革影响的人；那些将一些新技术嵌入日常生活的人，以及那些觉得自己有技术可以在需要时使用的人。没有参与者报告IBER治疗的总体负面经历。
结论：这项研究的结果强调了治疗接受者修改与适应不良意象相关的潜在含义的价值，和个性化的技能发展，以管理躁郁症中的焦虑。研究结果可以为治疗改进和进一步的基于试验的评估提供信息。
