{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T12:36:43Z","timestamp":1793018203126,"version":"4.5.0"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006080","name":"Society for the Advancement of Scandinavian Study","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006080","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Psychology and Psychoth"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This study evaluated the feasibility and preliminary effects of in\u2010person Imagery Rescripting for Pathological Affective Dependence (ImRs\u2010PAD), a trauma\u2010focused and mechanism\u2010based intervention for survivors of intimate partner violence (IPV). ImRs\u2010PAD targets trauma\u2010related relational dynamics\u2014specifically Pathological Affective Dependence (PAD)\u2014together with the related relational processes that may contribute to difficulties disengaging from abusive relationships. PAD is conceptualized as a relational constraint rooted in trauma, rather than individual pathology or responsibility. This study employed an exploratory single\u2010arm repeated\u2010measures proof\u2010of\u2010concept design conducted in Italy. Eighteen adult women survivors of IPV received a 13\u2010session ImRs\u2010PAD intervention, delivered within anti\u2010violence services by supervised psychotherapy trainees. Primary outcomes included state and trait levels of PAD, relational commitment and intention to return to the abusive relationship, which were conceived as different, although potentially overlapping self\u2010report indicators of relational entrapment. Secondary outcomes assessed complex trauma symptoms, psychological well\u2010being and resilience. Participants were assessed at baseline\/pre\u2010treatment, mid\u2010treatment, post\u2010treatment and 1\u2010month follow\u2010up. Significant reductions were observed in PAD, relational commitment and intention to return over the course of the intervention. Improvements were also noted in trauma\u2010related symptoms, psychological well\u2010being and resilience from baseline to post\u2010treatment. At 1\u2010month follow\u2010up, changes in the primary relational outcomes and resilience were largely maintained, whereas trauma\u2010related symptoms showed slight attenuation but remained significantly improved relative to baseline. ImRs\u2010PAD appears to be a feasible and promising intervention in real\u2010world anti\u2010violence centre settings, specifically targeting unmet relational needs implicated in IPV\u2010related entrapment. Changes in the primary relational outcomes were more consistently maintained at follow\u2010up than improvements in trauma\u2010related symptoms after treatment termination, suggesting the potential importance of integrating such interventions within broader systems of psychosocial support.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration:<\/jats:bold>\n                    ClinicalTrials.gov identifier: NCT06670326\n                  <\/jats:p>","DOI":"10.1002\/cpp.70339","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T06:47:02Z","timestamp":1790318822000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Imagery Rescripting for Pathological Affective Dependence in Intimate Partner Violence (ImRs\u2010PAD): An In\u2010Person Proof\u2010of\u2010Concept Study"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7049-6580","authenticated-orcid":false,"given":"Erica","family":"Pugliese","sequence":"first","affiliation":[{"name":"Department of Clinical Psychology University of Amsterdam  Amsterdam the Netherlands"},{"name":"Associazione di Psicologia Cognitiva (APC) and Scuola di Psicoterapia Cognitiva (SPC)  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1050-3133","authenticated-orcid":false,"given":"Allison","family":"Uvelli","sequence":"additional","affiliation":[{"name":"Department of Medical Science, Surgery and Neurosciences University of Siena  Siena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Grazia Foschino","family":"Barbaro","sequence":"additional","affiliation":[{"name":"Associazione Italiana di Psicoterapia Cognitiva (AIPC)  Bari Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6417-6509","authenticated-orcid":false,"given":"Carolina","family":"Papa","sequence":"additional","affiliation":[{"name":"Associazione di Psicologia Cognitiva (APC) and Scuola di Psicoterapia Cognitiva (SPC)  Rome Italy"},{"name":"Department of Psychology Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3487-2320","authenticated-orcid":false,"given":"Federica","family":"Visco\u2010Comandini","sequence":"additional","affiliation":[{"name":"Associazione di Psicologia Cognitiva (APC) and Scuola di Psicoterapia Cognitiva (SPC)  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Mancini","sequence":"additional","affiliation":[{"name":"Associazione di Psicologia Cognitiva (APC) and Scuola di Psicoterapia Cognitiva (SPC)  Rome Italy"},{"name":"Department of Human Sciences Guglielmo Marconi University  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3373-5631","authenticated-orcid":false,"given":"Arnold A. P.","family":"van Emmerik","sequence":"additional","affiliation":[{"name":"Department of Clinical Psychology University of Amsterdam  Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"key":"e_1_2_12_2_1","first-page":"203","volume-title":"Working With Emotion in Cognitive\u2010Behavioral Therapy: Techniques for Clinical Practice","author":"Arntz A.","year":"2014"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119101161"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10896\u2010007\u20109096\u20109"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1891\/1946\u20106560.3.2.231"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2025.1536169"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12956"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2025.2454191"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.158"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008198.2021.2003616"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893\u20103200.18.2.331"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/1477\u20107525\u20104\u201088"},{"key":"e_1_2_12_13_1","first-page":"1","article-title":"Bystanders' Intentions to Help in Intimate Partner Violence and Sexual Assault Situations: A Cross\u2010Cultural Study","volume":"10","author":"Guidi E.","year":"2024","journal-title":"Community Psychology in Global Perspective"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013017.pub2"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/00207152231171159"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/02654075241234074"},{"key":"e_1_2_12_17_1","unstructured":"ISTAT.2025. \u201cLa violenza contro le donne dentro e fuori la famiglia.\u201dhttps:\/\/www.istat.it\/."},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(25)02598-X"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/08974454.2020.1835792"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2023.102772"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/20008066.2024.2339702"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380231169481"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2016.11.003"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2016.06.004"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(22)00008-6"},{"key":"e_1_2_12_26_1","volume-title":"Nella mente dei dipendenti affettivi: Assessment e trattamento","author":"Pugliese E.","year":"2024"},{"key":"e_1_2_12_27_1","volume-title":"Gevangen in een gewelddadige relatie: Diagnose en behandeling van pathologische affectieve afhankelijkheid","author":"Pugliese E.","year":"2026"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.3390\/su15021624"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.70140"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.32872\/cpe.22027"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci14090856"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychsport.2017.10.011"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2022.101769"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2024.104492"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781394182275.ch2"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.859877"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106811.1998.tb00177.x"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2020.550833"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705500802222972"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15310"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380221137686"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2021.769584"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1741\u20103737.2000.00640.x"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380251372151"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010024\u201003097\u2010w"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/15248380231217045"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.01166"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.36131\/cnfioritieditore20260306"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejtd.2025.100609"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1259917"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0959259810000420"},{"key":"e_1_2_12_52_1","unstructured":"World Health Organization.2021. \u201cViolence Against Women Prevalence Estimates 2018: Global Regional and National Prevalence Estimates for Intimate Partner Violence Against Women and Global and Regional Prevalence Estimates for Non\u2010Partner Sexual Violence Against Women.\u201dhttps:\/\/www.who.int\/publications\/i\/item\/9789240022256."}],"container-title":["Clinical Psychology &amp; Psychotherapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.70339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/cpp.70339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/cpp.70339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T12:16:41Z","timestamp":1793017001000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/cpp.70339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":51,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/cpp.70339"],"URL":"https:\/\/doi.org\/10.1002\/cpp.70339","archive":["Portico"],"relation":{},"ISSN":["1063-3995","1099-0879"],"issn-type":[{"value":"1063-3995","type":"print"},{"value":"1099-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-04-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70339"}}