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"Anger management."
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Using a Mobile Application in the Treatment of Dysregulated Anger Among Veterans
2017
Anger is a symptom of post-traumatic stress disorder (PTSD) associated with a range of clinical and functional impairments, and may be especially prevalent among veterans with PTSD. Effective anger management therapies exist but may be undermined by poor engagement or lack of treatment availability. Finding ways to engage veterans in anger management therapy or to improve access can be helpful in improving clinical outcomes. This randomized controlled trial compared anger management treatment (AMT) with AMT augmented by a mobile application (app) system, Remote Exercises for Learning Anger and Excitation Management (RELAX).
Participants were 58 veterans enrolled in 12 sessions of either AMT alone or AMT with the RELAX system (AMT + RELAX). The RELAX system includes the RELAX app, a wearable heart rate monitor, a remote server, and a web-based therapist interface. RELAX allows the user to practice skills, monitor symptoms, and record physiological data. The server collects data on app use. A web-based interface allows the therapist to access data on between-session practice, and skills use. Measures administered at baseline, post-treatment, and 3-and 6-month follow-up include state and trait anger, dimensions of anger, PTSD, depression, interpersonal functioning, and satisfaction. We used multilevel modeling to account for the nesting of time points within participants and participants within treatment groups. Predictors were Treatment Condition (AMT + RELAX and AMT), Linear Time (baseline, post-treatment, 3-and 6-month follow-up), and Quadratic Time and Treatment Condition × Linear Time interaction. All analyses were conducted using SPSS 21 (Armonk, New York). Approval was obtained from the institutional review board.
Across groups, the treatment dropout rate was 13.8%; of those who remained in treatment, 90% received an adequate dose of treatment (10 or more sessions). There were no significant differences between groups on attendance or treatment completion. Participants in both treatments demonstrated statistically significant and clinically meaningful reductions in anger severity and significant post-treatment reductions in PTSD. Veterans did not report significant changes in depression or interpersonal functioning. Veterans in the AMT + RELAX group reported spending significantly less time on homework assignments, and they rated the AMT + RELAX app as helpful and easy to use, with these ratings improving over time.
Findings suggest that AMT + RELAX was beneficial in reducing anger symptoms and promoting efficient use of the between-session practice; however, AMT + RELAX did not outperform AMT. This study is an important contribution as it is one of the first randomized controlled trials to study the efficacy of a technology-enhanced, evidence-based psychotherapy for anger management. Findings are limited because of small sample size and modifications to the technology during the trial. However, the results highlight the possible benefits of mobile app-supported treatment, including increasing the accessibility of treatment, lowering therapist workload, reducing costs of treatment, reducing practice time, and enabling new activities and types of treatments. This study presents preliminary evidence that mobile apps can be a valuable addition to treatment for patients with anger difficulties. Future research should evaluate how much therapist involvement is needed to support anger management.
Journal Article
Anger management for dummies
\"Learn to: defuse your anger before it strikes, express your feelings calmly, identify anger triggers, release healthy anger effectively\"--Cover.
Anger management in substance abuse based on cognitive behavioral therapy: an interventional study
by
Baneshi, Mehdi
,
Moghimi Sarani, Ebrahim
,
Zarshenas, Ladan
in
Adaptation, Psychological
,
addiction and impulse control
,
Adult
2017
Background
Anger and aggression have been developing notably in societies, especially among patients depending on substance abuse. Therefore, this study aimed to investigate the effect of anger management based on group education among patients depending on substances according to Patrick Reilly’s cognitive behavioral approach.
Methods
In a quasi- experimental study, all patients who met the inclusion criteria were evaluated regarding their aggression level. The participants were assigned to 12 educational sessions based on group therapy and Patrick-Reilly’s anger management by focusing on using a combination of cognitive intervention, relaxation, and communication skills. The data were analyzed using the SPSS statistical software, version 16.
Results
The findings showed a significant difference between the two groups regarding aggression level after the intervention (
p
= 0.001). No significant relationship was observed between aggression level and demographic variables (
p
> 0.05).
Conclusion
The intervention of this study can be used for establishing self-management and decreasing anger among patients depending on substances. They can also be used as a therapeutic program in addition to pharmacotherapy.
Trial registration
IRCT2016102030398N1
.
Journal Article
Angry kids, angry parents : understanding and working with anger in your family
by
Hagen, Anne Hilde Vassbø, author
,
Dolhanty, Joanne, author
in
Anger in children.
,
Parent and child.
,
Interpersonal relations.
2023
\"Everything you need to know about your child's anger and how to manage it\"-- Provided by publisher.
A Pilot Controlled Trial of Relaxation Training Combined with a Video Game Reinforcing Emotional Regulation to Improve Anger Management in Children and Adolescents
by
Hirshfeld-Becker, Dina R.
,
DiSalvo, Maura
,
Abel, Madelaine R.
in
Adolescent
,
Adolescents
,
Aggression
2024
Untreated anger and aggression in youth confer heightened risk for subsequent psychosocial problems. However, engaging youth in treatment for anger can be difficult given barriers to accessing care and high rates of attrition. This study examined whether learning relaxation skills and practicing them using a videogame, whose operation was contingent upon keeping heart rate close to baseline levels, could help children learn to manage anger and aggression. Youth ages 7–17 with elevated levels of anger (
N
= 39) were randomized to receive the active video game condition or a control game that displayed heart rate but did not stop the game if heart rate became elevated. Youth underwent baseline screening, 6 treatment sessions, and follow-up assessments at 2-weeks and 3-months. Compared to the control condition, children in the active condition demonstrated significantly greater improvements in clinician-rated aggression severity (
d
= 1.48) and youth-rated emotion dysregulation (
d
= 3.46) at 2-weeks post-treatment. The active group maintained these improvements at 3-month follow-up, but no longer significantly differed from the control group. Intervention effects were nonsignificant for parent-reported emotion dysregulation and aggression. In addition, the intervention group youth, but not control group, experienced increased time with heart rate below baseline over the course of the 6 sessions. Findings suggest a promising brief intervention for reducing aggression and emotion dysregulation in children while they are waiting for longer-term outpatient therapy. Clinical Trial Registration Number: NCT03270813.
Journal Article
Anger management workbook for kids : 50 fun activities to help children stay calm and make better choices when they are mad
Everyone gets angry, but teaching kids how to respond to anger is what really matters. From drawing a picture of what anger looks like to building a vocabulary for communicating feelings, the activities in this workbook give kids ages 6-12 the skills to understand and talk about anger habits and triggers. With this foundation, kids will learn positive and proactive strategies to deal with anger through gratitude, friendliness, and self-kindness.
CBT in a Caribbean Context: A Controlled Trial of Anger Management in Trinidadian Prisons
2017
Background: Anger causes significant problems in offenders and to date few interventions have been described in the Caribbean region. Aim: To evaluate a package of CBT-based Anger Management Training provided to offenders in prison in Trinidad. Method: A controlled clinical trial with 85 participants who participated in a 12-week prison-based group anger management programme, of whom 57 (67%: 16 control, 41 intervention) provided pretrial and posttrial outcome data at Times 1 and 2. Results: Intervention and control groups were not directly comparable so outcome was analysed using t-tests. Reductions were noted for state and trait anger and anger expression, with an increase in coping skills for the intervention group. No changes were noted in the control group. The improvements seen on intervention were maintained at 4 month follow-up for a sub-group of participants for whom data were available. Several predictors of outcomes were identified.
Journal Article
Quiet the rage : how learning to manage conflict will change your life (and the world)
In a world with more than 7 billion people, 196 countries, 7,000 spoken languages, and close to 30 religions, the probability of one group or one person intentionally or unintentionally offending another group or another person is absolutely certain. Many people limit themselves in life based on their inability to get along with others, and too often we allow ourselves to be ruled by our emotions. When we're emotionally reactive, we're not our best selves, nor do we produce the smartest outcomes. Emotional reactions create winners and losers. And winning directly at the expense of another is actually losing in disguise, due to the resentment it inspires in the loser. Often, people get stuck in a pattern of reacting emotionally, long past the time when the combativeness that once served them no longer does; long past the time when the pattern has become destructive without them being aware of it. For everyone who wants to change that part of themselves--everyone who wants more peaceful interactions and more successful outcomes, but doesn't know how to achieve that--Quiet the Rage is the answer.
Effect of Cognitive-Behavioral Therapy–Based Anger Management Training on Anger and Aggression Levels of Individuals Convicted of Violent Crimes
2024
Purpose:
To determine the effect of cognitive-behavioral therapy (CBT)–based anger management training on anger and aggression levels of individuals convicted of violent crimes.
Method:
This study was a randomized controlled trial conducted in a prison. Seventy-two individuals who met inclusion criteria were included in the study sample. The experimental group received 10 sessions of CBT–based anger management therapy over a 5-week period.
Results:
After CBT–based anger management training, mean total score and mean subdimension scores of the Trait Anger and Anger Expression Style Scale of the experimental group decreased significantly compared to the control group. Similarly, Buss-Perry Aggression Questionnaire total mean score and mean sub-dimension scores of the experimental group significantly decreased compared to the control group.
Conclusion:
Results demonstrate that CBT–based anger management training effectively reduces anger and aggression levels among individuals convicted of violent crimes. In this regard, it is recommended that forensic psychiatric–mental health nurses, physicians, and psychologists working in correctional institutions apply CBT–based anger management training. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx–xx.]
Journal Article