This randomized controlled trial investigates the neural and psychophysiological mechanisms of Imagery Rescripting (ImRs) in individuals with high fear of failure. Participants (N=81, aged 21-34) were randomized to ImRs or an active control condition. The intervention targeted autobiographical memories of parental criticism across four sessions delivered within two weeks. Neuroimaging (fMRI), skin conductance, and self-report measures were assessed pre- and post-intervention (accordindly, TP1, TP5), with follow-ups at 3 and 6 months (accordingly, TP6, TP7). The primary aim was to examine whether ImRs reduces neural and subjective reactivity to autobiographical criticism memories and whether prediction error or memory reconsolidation disruption underlie therapeutic effects.
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BOLD fMRI activation to autobiographical criticism scenarios
Timeframe: Pre-treatment (TP1) and 2-weeks post-treatment (TP5).
Performance Failure Appraisal Inventory (PFAI)
Timeframe: Screening, pre-treatment (TP1), 2-weeks post-treatment (TP5), 3- & 6-month follow-up (TP6, TP7)
Functional connectivity (fMRI)
Timeframe: Pre-treatment (TP1) and 2-weeks post-treatment (TP5)
Subjective ratings at the end of all sessions
Timeframe: Pre-treatment (TP1), 2-weeks post-treatment (TP5), 3- & 6-month follow-up (TP6, TP7)
Failure-related Schemas (FA-YSQ)
Timeframe: Pre-treatment (TP1), 2-weeks post-treatment (TP5), 3- & 6-month follow-up (TP6, TP7).
Frost Multidimensional Perfectionism Scale (FROST)
Timeframe: Pre-treatment (TP1), 2-weeks post-treatment (TP5), 3- & 6-month follow-up (TP6, TP7).
SCL recordings
Timeframe: Screening, pre-treatment (TP1), 2-weeks post-treatment (TP5), 3- & 6-month follow-up (TP6, TP7)