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To provide both clinicians and researchers with an overview of current applications, this systematic review and meta\u2010analysis aimed to evaluate the possibilities and effects of imagery\u2010based interventions that explicitly target negative images in (sub)clinical social anxiety. Based on a prespecified literature search, we included 21 studies, of which 12 studies included individuals with a clinical diagnosis of SAD. Imagery interventions (<jats:italic>k<\/jats:italic>\u2009=\u200928 intervention groups; only in adults) generally lasted one or two sessions and mostly used imagery rescripting with negative memories. Others used eye movement desensitization and reprocessing and imagery exposure with diverse intrusive images. Noncontrolled effects on social anxiety, imagery distress and imagery vividness were mostly large or medium. Meta\u2010analyses with studies with control groups resulted in significant medium controlled effects on social anxiety (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.50, <jats:italic>k<\/jats:italic>\u2009=\u200910) and imagery distress (<jats:italic>d<\/jats:italic>\u2009=\u2009\u22120.64, <jats:italic>k<\/jats:italic>\u2009=\u20098) and a nonsignificant effect on imagery vividness. Significant controlled effects were most evident in individuals with clinically diagnosed versus subclinical social anxiety. Overall, findings suggest promising effects of sessions targeting negative mental images. Limitations of the included studies and the analyses need to be considered. Future research should examine the addition to current SAD treatments and determine the relevance of specific imagery interventions. Studies involving children and adolescents are warranted.<\/jats:p>","DOI":"10.1002\/cpp.2996","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T07:28:55Z","timestamp":1716276535000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Interventions Targeting Negative Mental Imagery in Social Anxiety: A Systematic Review and Meta\u2010Analysis of Characteristics and Outcomes"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6514-3091","authenticated-orcid":false,"given":"Marjolein\u00a0R.","family":"Thunnissen","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology and Experimental Psychopathology University of Groningen  Groningen The Netherlands"},{"name":"Child Study Center Accare  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3512-3663","authenticated-orcid":false,"given":"Peter\u00a0J.","family":"de Jong","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Experimental Psychopathology University of Groningen  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3083-6891","authenticated-orcid":false,"given":"Marleen\u00a0M.","family":"Rijkeboer","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience Maastricht University  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8521-3109","authenticated-orcid":false,"given":"Marisol\u00a0J.","family":"Voncken","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience Maastricht University  Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7694-1382","authenticated-orcid":false,"given":"Maaike\u00a0H.","family":"Nauta","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology and Experimental Psychopathology University of Groningen  Groningen The Netherlands"},{"name":"Child Study Center Accare  Groningen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"e_1_2_11_1_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_11_1_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1352465819000043"},{"key":"e_1_2_11_1_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044\u20108317.1988.tb00901.x"},{"key":"e_1_2_11_1_5_1","doi-asserted-by":"publisher","DOI":"10.1891\/1933\u20103196.12.4.177"},{"key":"e_1_2_11_1_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/9780470743386"},{"key":"e_1_2_11_1_7_1","volume-title":"Anxiety Disorders Interview Schedule for DSM\u2010IV","author":"Brown T. 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