Abstract:

Objective The purpose of this study is to comprehensively review the application of image reshaping in patients with mental disorders，and provide theoretical bases for the clinical practice of image reshaping in patients with mental disorders in China. Methods Based on the Evidence Integration Handbook published by the Joanna Briggs Institute in Australia as the methodological guidance framework for this scope review，a systematic search was conducted on relevant studies on the application of image reshaping in patients with mental disorders from 12 domestic and foreign databases. The search period was from the establishment of the databases to January 31，2025，and the researchers summarized and analyzed the included literature. Results 18 articles were ultimately included. The core intervention process of image reshaping includes trauma memory recall，image rewriting，and constructing positive outcomes. The forms of intervention include face-to-face intervention，online intervention，and self-directed intervention. The intervention period is 1~17 weeks，and the intervention frequency is usually 1~2 times a week，with each intervention lasting 11-90 minutes. Image reshaping has significant effects on improving patients’ emotions and psychological states，cognition and beliefs，behavior and function. Conclusion Image reshaping has a standardized intervention process that can effectively improve patients’ emotional，cognitive，and behavioral functions. Future research should explore its optimal intervention plans and further test its applicability in different cultural backgrounds.

Key words: Image Reshaping, Psychological Intervention, Mental Disorders, Scoping Review, Nursing Care

摘要：

目的 对意象重塑在精神障碍患者中的应用进行范围综述，为意象重塑在国内精神障碍患者临床实践中的应用提供参考。方法 以澳大利亚乔安娜布里格斯研究所发布的证据整合手册为该范围综述的方法学指导框架，系统检索12个国内外数据库中有关意象重塑在精神障碍患者中应用的研究，检索时限为建库至2025年1月31日，由研究者对纳入文献进行总结分析。结果 最终纳入18篇文献。意象重塑的核心干预过程包括创伤记忆唤起、意象重写和构建积极结局。干预形式包括面对面干预、在线干预及自主干预。干预周期为1~17周，干预频率多为每周1~2次，每次干预时间为11~90 min。意象重塑可改善精神障碍患者的情绪与心理状态、认知与信念、行为与功能等。结论 意象重塑具有标准化的干预过程，可有效改善患者情绪、认知与行为功能。未来研究应优化干预方案，并进一步检验意象重塑在不同文化背景下的适用性。

关键词: 意象重塑, 心理干预, 精神障碍, 范围综述, 护理