The Effectiveness of Cognitive-behavioral Therapy on Anger in Female Students with Misophonia: A Single-Case Study.

Background: Misophonia is an unpleasant condition, in which the feeling of excessive anger is triggered by specific sounds. The main objective of the present study was to investigate the effectiveness of cognitive-behavioral therapy (CBT) on anger in female students with misophonia. Methods: A study based on a non-concurrent multiple baseline design was conducted in 2018 at the School of Education and Psychology, Shahid Chamran University of Ahvaz, Ahvaz, Iran. Three female students aged 20-22 years were recruited using the multi-stage random sampling method. The study was conducted in three stages, namely baseline, intervention, and follow-up sessions. The Novaco anger questionnaire was used during the baseline sessions, intervention sessions (sessions three, six, and eight), and six weeks follow-up (two, four, and six weeks after the last intervention session). Data were analyzed using visual analysis, reliability change index (RCI), and recovery percentage formula. Results: CBT reduced the feeling of anger after the intervention and follow-up sessions. The recovery percentage at the end of the intervention sessions were 43.82, 42.28, and 9.09 for the first, second, and third participants, respectively. Conclusion: The findings of the present study confirm the effectiveness of CBT in reducing the feeling of anger in female students with misophonia.

Designing an Internet-Based Intervention Tailored to Psychological Factors for CVD Risk Reduction: Role of Stress and Anger.

PURPOSE: To examine the mediating role of occupational stress on the relationship of anger expression to cardiovascular disease (CVD) risk using Framingham risk score equation in Korean adults with metabolic syndrome. METHODS: This cross-sectional study was a secondary analysis of baseline data from a longitudinal study conducted in 91 Korean male workers. Psychological variables were assessed using structured questionnaires. RESULTS: Occupational stress was significantly predictive of CVD risk (ß=.278, p=.008). The inclusion of occupational stress non-significantly decreased the standardized beta by 33.6% for anger expression as a predictor of CVD risk (ß=.152, p=.163). The Sobel test showed a significant mediating effect between occupational stress and CVD risk (p<0.01). CONCLUSION: This mediating role of occupational stress has important clinical implications as interventions designed to manage anger expression to reduce CVD risk in this population.