The spit-face scenario: Inducing Contamination-Based Disgust and Anxiety and Investigating the Effects of Imagery Rescripting in an Online Experiment.

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Title: The spit-face scenario: Inducing Contamination-Based Disgust and Anxiety and Investigating the Effects of Imagery Rescripting in an Online Experiment.
Authors: Kühne, Franziska (AUTHOR), Hobrecker, Lea Kathrin (AUTHOR), Fink-Lamotte, Jakob (AUTHOR), Meissner, Claudia (AUTHOR), Zirngibl, Alina (AUTHOR), Weck, Florian (AUTHOR)
Source: Cognitive Therapy & Research. Dec2025, Vol. 49 Issue 6, p1312-1321. 10p.
Subjects: Obsessive-compulsive disorder, Anxiety, Mental imagery, Sensory perception, Visualization, Randomized controlled trials, Aversion
Abstract: Background: In the treatment of obsessive–compulsive disorder (OCD), imagery rescripting (ImRs) is considered promising. However, there is a paucity of randomized-controlled trials (RCTs) with active control groups in this context. Methods: We developed an audio imagery, which we refer to as the spit-face scenario, to induce disgust without any sexual content. In an online RCT, we then investigated disgust (SDQ-13, visual analogue scale (VAS)) and anxiety (STAI-SKD, VAS) in participants reporting at least mild OC symptoms after one of three manipulations, ImRs (n = 34), imagery focus (n = 25) or distraction (n = 34). Results: The spit-face scenario significantly induced disgust, e.g., comparable with watching a disgusting film, and over 70% of the participants were able to vividly visualize and follow the scenario effectively. Although ImRs and distraction reduced disgust, it did not decline following imagery focus (e.g., SDQ-13, F-HF = 86.600 (1.756), p <.001, f = 0.98). Whereas disgust performed similarly in the SDQ-13 and the VAS, there were slightly different patterns in the anxiety measures. Conclusions: Although the results might suggest an effect of a one-session online ImRs audio manipulation, the question remained if ImRs had a differential effect beyond distraction. The results thus underline the need to conduct further research on the active elements of ImRs. [ABSTRACT FROM AUTHOR]
Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: The spit-face scenario: Inducing Contamination-Based Disgust and Anxiety and Investigating the Effects of Imagery Rescripting in an Online Experiment.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22K&#252;hne%2C+Franziska%22&quot;&gt;K&#252;hne, Franziska&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hobrecker%2C+Lea+Kathrin%22&quot;&gt;Hobrecker, Lea Kathrin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fink-Lamotte%2C+Jakob%22&quot;&gt;Fink-Lamotte, Jakob&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Meissner%2C+Claudia%22&quot;&gt;Meissner, Claudia&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Zirngibl%2C+Alina%22&quot;&gt;Zirngibl, Alina&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Weck%2C+Florian%22&quot;&gt;Weck, Florian&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Cognitive+Therapy+%26+Research%22&quot;&gt;Cognitive Therapy &amp; Research&lt;/searchLink&gt;. Dec2025, Vol. 49 Issue 6, p1312-1321. 10p.
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  Data: Background: In the treatment of obsessive–compulsive disorder (OCD), imagery rescripting (ImRs) is considered promising. However, there is a paucity of randomized-controlled trials (RCTs) with active control groups in this context. Methods: We developed an audio imagery, which we refer to as the spit-face scenario, to induce disgust without any sexual content. In an online RCT, we then investigated disgust (SDQ-13, visual analogue scale (VAS)) and anxiety (STAI-SKD, VAS) in participants reporting at least mild OC symptoms after one of three manipulations, ImRs (n = 34), imagery focus (n = 25) or distraction (n = 34). Results: The spit-face scenario significantly induced disgust, e.g., comparable with watching a disgusting film, and over 70% of the participants were able to vividly visualize and follow the scenario effectively. Although ImRs and distraction reduced disgust, it did not decline following imagery focus (e.g., SDQ-13, F-HF = 86.600 (1.756), p &lt;.001, f = 0.98). Whereas disgust performed similarly in the SDQ-13 and the VAS, there were slightly different patterns in the anxiety measures. Conclusions: Although the results might suggest an effect of a one-session online ImRs audio manipulation, the question remained if ImRs had a differential effect beyond distraction. The results thus underline the need to conduct further research on the active elements of ImRs. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Cognitive Therapy &amp; Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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              Text: Dec2025
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