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1.
Psychosom Med ; 84(2): 224-230, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34840289

RESUMO

OBJECTIVE: Anger may cause adverse cardiovascular responses, but the effects of anger management on clinical cardiovascular outcomes are insufficiently understood. We sought to assess the influence of anger management through a cognitive behavioral intervention on endothelial function in patients with a recent myocardial infarction (MI). METHODS: Patients with ST-elevation MI and a low anger control score were enrolled during hospitalization in a randomized, parallel, controlled clinical trial. Intervention was anger management with cognitive behavioral techniques implemented by a psychologist in two individual monthly sessions. The primary end point was the between-group difference in the variation of flow-mediated dilation (FMD) in the brachial artery from baseline to the 3-month follow-up. The second end point comprised major cardiovascular events at 24-month follow-up. RESULTS: A total of 43 patients (age = 56 [9] years; 23.3% women) were randomized to the intervention group and 47 patients (age = 58 [10] years; 19.1% women) to the control group. Baseline clinical characteristics were not statistically different between groups. Both groups showed a significant improvement in anger control from baseline to end point; however, the difference in intergroup variation was not statistically significant. The difference in FMD variation from baseline to the 3-month follow-up was significantly higher in the intervention group. The partial η2 was 0.057 (p = .024), indicating a medium effect size. There was no difference between groups regarding major cardiovascular events. CONCLUSIONS: Anger management by cognitive behavioral techniques may improve endothelial function in post-MI patients with low anger control, but it remains unclear via which mechanism these effects occurred. Further studies with larger numbers of patients, assessments of changes in anger, improved comparability of preintervention FMD, and longer follow-up are warranted.Trial Registration:ClinicalTrials.gov identifier: NCT02868216.


Assuntos
Terapia de Controle da Ira , Infarto do Miocárdio , Infarto do Miocárdio com Supradesnível do Segmento ST , Cognição , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/terapia , Resultado do Tratamento
2.
Artigo em Inglês | MEDLINE | ID: mdl-34770096

RESUMO

BACKGROUND: Antisocial behaviours make social interactions difficult among students. Moral emotions, online empathy, and anger management are social and emotional variables related to prosocial and antisocial behaviours and health problems. This research aims to assess the impact of Cooperative Project-Based Learning intervention on these three variables for Primary Education students. Additionally, the relations of these variables with key competencies, such as social and emotional competencies and literacy competence, were studied. METHOD: This research is made up of two studies, descriptive and quasi-experimental, during regular school hours. The descriptive study was carried out with a sample of 516 primary school students and aimed to assess the development of the three variables, taking into account personal and ethnic-cultural factors. The quasi-experimental study, with pre-test and post-test data, had the participation of 145 students to study the incidence of these variables after Cooperative Project-Based Learning intervention in Primary Education. RESULTS: The results show the relation among the cited variables and the positive impact of the intervention on moral emotions and anger management in the experimental group compared to the control group. Experimental group girls presented higher scores in moral emotions than control group girls. CONCLUSION: These results open new research lines in relation to the intervention as a programme to prevent the appearance of antisocial behaviours and health problems at school.


Assuntos
Terapia de Controle da Ira , Empatia , Emoções , Feminino , Humanos , Princípios Morais , Estudantes
3.
J Interpers Violence ; 36(19-20): NP10276-NP10300, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34523367

RESUMO

Difficulty controlling anger is a significant concern among combat veterans with posttraumatic stress disorder (PTSD), yet few controlled studies have examined the efficacy of anger treatments for this population. This study examined the effects of a group cognitive behavioral therapy (CBT) intervention compared with a group present-centered therapy (PCT) control condition in male and female combat veterans with PTSD. Thirty-six combat veterans with PTSD and anger difficulties began group treatment (CBT, n = 19; PCT, n = 17). Separate multilevel models of self-rated anger, PTSD symptoms, and disability were conducted using data from baseline, each of 12 treatment sessions, posttreatment, and 3- and 6-month follow-up time points. Significant decreases in anger and PTSD symptoms were observed over time, but no significant differences between CBT and PCT were observed on these outcomes. A significant interaction of therapy by time favoring the PCT condition was observed on disability scores. Gender differences were observed in dropout rates (i.e., 100% of female participants dropped out of CBT). Findings suggest that both CBT and PCT group therapy may be effective in reducing anger in combat veterans with PTSD. Results also highlight potential gender differences in response to group anger treatment.


Assuntos
Terapia de Controle da Ira , Terapia Cognitivo-Comportamental , Transtornos de Estresse Pós-Traumáticos , Veteranos , Ira , Feminino , Humanos , Masculino , Transtornos de Estresse Pós-Traumáticos/terapia , Resultado do Tratamento
4.
Complement Ther Med ; 61: 102772, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34506918

RESUMO

BACKGROUND: Development of anger management programs and in particular, yoga module for anger management has not been well researched. Being a complex emotion, anger poses serious challenges in developing a comprehensive anger management program. While various theories of anger are dealt in modern psychology, several anger management techniques are set forth in Indian traditional texts. Yoga, which is considered as a holistic and integrated approach is explored in this study to develop and validate a school-based yoga program for anger management in adolescence. MATERIALS AND METHODS: Integrated Approach to Yoga Therapy (IAYT) principles and literary review formed the basis for deriving the concepts of anger management. The methodology includes construction of the yoga module, validation of the module by 22 experts followed by a pilot non-randomised control study (n-50) to assess feasibility and initial effectiveness. Content Validity Ratio (CVR) and paired t-test were employed to analyse the experts' rating and pilot-study data respectively. RESULTS: Emergence of IAYT based yoga program for anger management. Based on CVR ratio, 16 out of 18 yogic techniques qualified for the final module. The pilot study revealed viability of the module and its recognition as an anger management program. Significant reduction of anger scores in yoga group substantiates initial effectiveness of the module. CONCLUSION: The developed and validated yoga module for anger management is recognised as a well-accepted and effective yoga program for anger management in adolescents.


Assuntos
Terapia de Controle da Ira , Meditação , Yoga , Adolescente , Humanos , Projetos Piloto
5.
Asian Nurs Res (Korean Soc Nurs Sci) ; 15(4): 247-254, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34352415

RESUMO

PURPOSE: The purpose of this study was to examine the effects of an anger management program on anger, job stress, psychological well-being, and heart rate variability in clinical nurses. METHODS: A quasi-experimental study was conducted using a nonequivalent control group, pre-post test design with repeated measures. The participants included 43 nurses assigned to the experimental and control groups. Anger, job stress, psychological well-being, and heart rate variability were evaluated before the intervention, immediately after the completion of the intervention, and four weeks after the end of the intervention. Chi-square test, t-test, Fisher's exact test, and GEE (Generalized Estimating Equations) were used to analyze the data. RESULTS: There were significant differences in the level of anger, state anger, job stress, and psychological well-being between the two groups. The rate of change in the total power (TP) and the high-frequency band (HF) of the experimental group increased immediately after the intervention completion, but that of the control group decreased at the same time. CONCLUSION: The above results demonstrate that an anger management program for nurses effectively attenuated anger and job stress, improved psychological well-being, and regulated heart rate variability.


Assuntos
Terapia de Controle da Ira , Enfermeiras e Enfermeiros , Estresse Ocupacional , Ira , Humanos
6.
Artigo em Inglês | MEDLINE | ID: mdl-33809674

RESUMO

Nursing students often experience anger in response to stress and suppress their anger instead of actively controlling it. Therefore, the anger self-control programs that can manage nursing students' anger level and dysfunctional anger expression are needed. The aim of this study is to investigate the effects of an anger self-control program on trait anger, anger expression style, grateful disposition, and depression among nursing students. The study used a quasi-experimental study with a nonequivalent control group and a non-synchronized design. Participants were 29 nursing students who were assigned to intervention and control groups. Compared to the control group, the intervention group showed significantly decreased mean scores for the trait anger, anger-in, and anger-out anger expression styles, and increased mean scores for the anger-control anger expression style and grateful disposition. Anger self-control programs might be usefully applied as extracurricular anger-management programs for nursing students.


Assuntos
Terapia de Controle da Ira , Autocontrole , Estudantes de Enfermagem , Ira , Humanos , Personalidade
7.
Iran J Med Sci ; 46(1): 61-67, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33487793

RESUMO

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.


Assuntos
Terapia de Controle da Ira/normas , Ira , Terapia Cognitivo-Comportamental/normas , Som/efeitos adversos , Terapia de Controle da Ira/métodos , Terapia de Controle da Ira/estatística & dados numéricos , Terapia Cognitivo-Comportamental/métodos , Terapia Cognitivo-Comportamental/estatística & dados numéricos , Feminino , Humanos , Irã (Geográfico) , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
8.
Perspect Psychiatr Care ; 57(4): 1616-1627, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33506521

RESUMO

PURPOSE: This study aimed at determining the effect of acceptance and commitment therapy (ACT) orientated anger management training on levels of anger rumination and impulsivity in people receiving forensic mental healthcare. DESIGN AND METHODS: This was a randomized controlled study. The research data were collected between July 2018 and February 2019. The personal information form, Anger Rumination Scale, and Barratt Impulsiveness Scale were used for data collection. FINDINGS: Total scores on the Barratt Impulsiveness and Anger Rumination Scales were significantly lower in the experimental group than in the control group (p < 0.001). PRACTICE IMPLICATIONS: This study adds to existing evidence on the provision of anger management training, offering an evidence-based solution along with necessary knowledge and skills for use by forensic psychiatric nurses.


Assuntos
Terapia de Aceitação e Compromisso , Terapia de Controle da Ira , Enfermagem Psiquiátrica , Ira , Humanos , Comportamento Impulsivo
9.
Intensive Crit Care Nurs ; 62: 102915, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-32828644

RESUMO

BACKGROUND: It is known that intensive care nurses experience stressful events more frequently than nurses working in other units. Experiencing stressful events frequently may reduce the psychological resilience of intensive care nurses and cause them to express their tension and negative emotions as anger. However, nurses' failure to manage their anger may also lead to medical errors and adversely affect the quality of healthcare services. PURPOSE: This study aims to investigate the effects of an anger management psychoeducation programme on psychological resilience and affect of intensive care nurses. METHODS: Using a self-controlled design, this study was conducted with nurses working in a tertiary intensive care unit of a private hospital in Turkey. The participants were randomly and equally distributed to the study group (n = 16) and the control group (n = 16). The participants in the study group attended an eight-week anger management psychoeducation programme, while those in the control group did not. The Psychological Resilience Scale for Adults (RSA) and Positive and Negative Affect Scale (PANAS) were applied to both groups as pre-test and post-test. In addition, one month after the post-test, RSA and PANAS were administered again to determine the stability of the impact of the psychoeducation program on the participants. RESULTS: No significant change over time was observed in the scores of the control group from the overall scale (all intra-group comparison p-values > 0.05), while a significant change over time was observed in the scores of the study group from the overall scale (all intra-group comparison p-values < 0.001). Although it was observed that both groups' positive affect scores changed over time (both intra-group comparison p-values < 0.05), the paired comparison revealed that the scores of the control group were similar. On the other hand, it was observed that the study group's positive effect scores increased significantly after the psychoeducation programme but remained similar in the follow-up period. Furthermore, only the study group's negative affect scores decreased over time, this decrease continued in the follow-up period. CONCLUSIONS: The study concludes that the anger management psychoeducation programme affected the psychological resilience and emotional state of intensive care nurses.


Assuntos
Terapia de Controle da Ira , Enfermeiras e Enfermeiros , Resiliência Psicológica , Adulto , Ira , Cuidados Críticos , Enfermagem de Cuidados Críticos , Humanos , Turquia
11.
Behav Res Ther ; 134: 103708, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32896743

RESUMO

Trait-like tendencies to respond impulsively to emotion, labelled emotion-related impulsivity, are robustly related to aggression. We developed and tested an online intervention to address emotion-related impulsivity and aggression. The 6-session intervention focused on behavioral techniques shown to decrease arousal and aggression, supplemented with implementation intentions and smartphone prompts to facilitate skills transfer into daily life. First, we piloted the intervention in-person with 4 people. Then, 235 participants were randomly assigned to take the online intervention immediately or after a wait-list period; those in the waitlist were then invited to take part in the intervention. Participants completed the self-rated Feelings Trigger Action Scale to assess emotion-related impulsivity, the interview-based Modified Overt Aggression Scale and the self-rated Buss Perry Aggression Questionnaire. Participants who took part in the treatment completed daily anger logs. Attrition, as with other online programs, was high; however, treatment completers reported high satisfaction, and outcomes changed more rapidly during treatment than waitlist across all key outcome indices. In analyses including all participants who took part in the treatment (immediate or delayed), we observed moderate-to-large treatment gains, which were maintained as of the 3-month follow-up assessment. This work supports the usefulness of an intervention for addressing emotion-related impulsivity and aggression.


Assuntos
Agressão/psicologia , Terapia de Controle da Ira/métodos , Emoções , Comportamento Impulsivo , Intervenção Baseada em Internet , Psicoterapia Breve/métodos , Violência/prevenção & controle , Adulto , Estudos de Viabilidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Projetos Piloto , Violência/psicologia , Listas de Espera , Adulto Jovem
13.
Lancet Psychiatry ; 7(5): 420-430, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32353277

RESUMO

BACKGROUND: Multisystemic therapy is a manualised treatment programme for young people aged 11-17 years who exhibit antisocial behaviour. To our knowledge, the Systemic Therapy for At Risk Teens (START) trial is the first large-scale randomised controlled trial of multisystemic therapy in the UK. Previous findings reported to 18 months after baseline (START-I study) did not indicate superiority of multisystemic therapy compared with management as usual. Here, we report outcomes of the trial to 60 months (START-II study). METHODS: In this pragmatic, randomised, controlled, superiority trial, young people (aged 11-17 years) with moderate-to-severe antisocial behaviour were recruited from social services, youth offending teams, schools, child and adolescent mental health services, and voluntary services across England, UK. Participants were eligible if they had at least three severity criteria indicating past difficulties across several settings and one of five general inclusion criteria for antisocial behaviour. Eligible families were randomly assigned (1:1), using stochastic minimisation and stratifying for treatment centre, sex, age at enrolment, and age at onset of antisocial behaviour, to management as usual or 3-5 months of multisystemic therapy followed by management as usual. Research assistants and investigators were masked to treatment allocation; the participants could not be masked. For this extension study, the primary outcome was the proportion of participants with offences with convictions in each group at 60 months after randomisation. This study is registered with ISRCTN, ISRCTN77132214, and is closed to accrual. FINDINGS: Between Feb 4, 2010, and Sept 1, 2012, 1076 young people and families were assessed for eligibility and 684 were randomly assigned to management as usual (n=342) or multisystemic therapy (n=342). By 60 months' of follow-up, 188 (55%) of 342 people in the multisystemic therapy group had at least one offence with a criminal conviction, compared with 180 (53%) of 341 in the management-as-usual group (odds ratio 1·13, 95% CI 0·82-1·56; p=0·44). INTERPRETATION: The results of the 5-year follow-up show no evidence of longer-term superiority for multisystemic therapy compared with management as usual. FUNDING: National Institute for Health Research Health Services and Delivery Research programme.


Assuntos
Comportamento do Adolescente , Comunicação , Transtorno da Conduta/reabilitação , Crime/estatística & dados numéricos , Terapia Familiar/métodos , Delinquência Juvenil/reabilitação , Poder Familiar , Apoio Social , Adaptação Psicológica , Adolescente , Terapia de Controle da Ira , Transtorno da Personalidade Antissocial , Criança , Inglaterra , Feminino , Visita Domiciliar , Humanos , Masculino , Relações Pais-Filho , Rede Social , Resultado do Tratamento
14.
Artigo em Inglês | MEDLINE | ID: mdl-32295131

RESUMO

This study aimed to develop an emotion management program for late adolescent males, and investigate the effect of the program. This study is an experimental study using a pretest-posttest control group design. It was conducted from 14 May to 21 December, 2018 at a male high school in Korea. It analyzed 52 participants (26 in the experimental group and 26 in the control group.) Regarding subjective happiness, there was a significant difference between groups (t = 3.409, p = 0.001). In anger control ability and gratitude, there was no significant difference between groups (t = 0.332, p = 0.740/ z = 0.528, p = 0.599). This program for emotion management, which is based on the broaden-and-build theory, can improve subjective happiness, anger control ability, and gratitude, by reinforcing appreciation skills and anger awareness and self-expression in male high school students.


Assuntos
Ira , Emoções , Felicidade , Adolescente , Terapia de Controle da Ira , Humanos , Masculino , República da Coreia , Estudantes
15.
J Child Adolesc Psychiatr Nurs ; 33(2): 85-94, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32207217

RESUMO

PROBLEM: Anger is usually defined as psychometric, rather than a theoretical model and generally, anger treatments have been developed for handling incompatible anger. Roy Adaptation Model-based intervention not only focuses on problematic behaviors but also on healthy behaviors and to evaluate the individual with a holistic perspective. The research aim was the examination of the effect of the Roy adaptation theory-based, cognitive-behavioral approach program on adolescent's anger management. METHODS: In this study, the pretest-posttest control group experimental design, interview, and observation techniques were used. Carried out in a vocational training center, with 60 participants (experimental group 30 and control group 30), who meet the research criteria. The semi-structured interview forms, the state-trait anger expression inventory, multidimensional anger scale, and brief symptom inventory were used for data collection. Results have been evaluated to the 95% confidence interval and p < .05 significance level. In data analysis; descriptive statistics, Pearson's χ2 test, Mann-Whitney U test, and Wilcoxon Sign tests were used. FINDINGS: There was a significant difference in anger management levels of the experimental group after the adaptation theory-based therapeutic approach program. CONCLUSION: Study results showed that the adaptation-base therapeutic approach is effective in adolescent's anger management. This program will contribute to theoretical and practical studies and field experts.


Assuntos
Terapia de Controle da Ira/métodos , Terapia Cognitivo-Comportamental/métodos , Adaptação Psicológica , Adolescente , Ira , Feminino , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde
16.
Perspect Psychiatr Care ; 56(3): 605-613, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31984531

RESUMO

PURPOSE: This study investigated the effect of anger management skills training on the anger status of people with HIV. DESIGN AND METHODS: This interventional study was conducted on 60 people with HIV. The intervention group was trained on anger management skills. Data were collected using Spielberger's State-Trait Anger Expression Inventory-II. FINDINGS: The intervention group's training on anger management skills showed a significant reduction in mean scores of the state-trait anger, and anger expression as well as a significant increase in mean scores of anger control-out and anger control-in. PRACTICE IMPLICATIONS: Expert counselors, psychologists, community health, and psychiatric nurses are recommended to train anger management skills to people with HIV.


Assuntos
Terapia de Controle da Ira , Ira , Infecções por HIV/psicologia , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Inventário de Personalidade
17.
J Int Neuropsychol Soc ; 26(1): 119-129, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31983369

RESUMO

OBJECTIVES: Treatment enactment, a final stage of treatment implementation, refers to patients' application of skills and concepts from treatment sessions into everyday life situations. We examined treatment enactment in a two-arm, multicenter trial comparing two psychoeducational treatments for persons with chronic moderate to severe traumatic brain injury and problematic anger. METHODS: Seventy-one of 90 participants from the parent trial underwent a telephone enactment interview at least 2 months (median 97 days, range 64-586 days) after cessation of treatment. Enactment, quantified as average frequency of use across seven core treatment components, was compared across treatment arms: anger self-management training (ASMT) and personal readjustment and education (PRE), a structurally equivalent control. Components were also rated for helpfulness when used. Predictors of, and barriers to, enactment were explored. RESULTS: More than 80% of participants reported remembering all seven treatment components when queried using a recognition format. Enactment was equivalent across treatments. Most used/most helpful components concerned normalizing anger and general anger management strategies (ASMT), and normalizing traumatic brain injury-related changes while providing hope for improvement (PRE). Higher baseline executive function and IQ were predictive of better enactment, as well as better episodic memory (trend). Poor memory was cited by many participants as a barrier to enactment, as was the reaction of other people to attempted use of strategies. CONCLUSIONS: Treatment enactment is a neglected component of implementation in neuropsychological clinical trials, but is important both to measure and to help participants achieve sustained carryover of core treatment ingredients and learned material to everyday life.


Assuntos
Terapia de Controle da Ira , Ira , Lesões Encefálicas Traumáticas/reabilitação , Avaliação de Resultados em Cuidados de Saúde , Adolescente , Adulto , Ira/fisiologia , Terapia de Controle da Ira/métodos , Lesões Encefálicas Traumáticas/fisiopatologia , Doença Crônica , Função Executiva/fisiologia , Feminino , Seguimentos , Humanos , Inteligência/fisiologia , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde/métodos , Educação de Pacientes como Assunto/métodos , Índice de Gravidade de Doença , Adulto Jovem
18.
Law Hum Behav ; 44(1): 88-96, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31724408

RESUMO

OBJECTIVE: This study examined whether race/ethnicity and gender predicted sentencing to anger management therapy as a probation condition. HYPOTHESES: We predicted judges would be more likely to assign African Americans and Hispanics, and males to anger management than Caucasians and women, respectively. We hypothesized demographic variables would predict assignment to anger management beyond legal and nondefendant extralegal variables. METHOD: Data for this study are administrative and originate from an adult probation department in southern Texas. The sample (N = 4,001; 72.3% male) was 53.4% Caucasian, 28.6% African American, 16.7% Hispanic, 0.9% other, and 0.4% unknown and included individuals who had committed violent (14.2%) and nonviolent (85.8%) offenses. RESULTS: Data analyses consisted of binary logistic regression, with anger management placement as the dependent variable, and offense, judge, county, race/ethnicity, and gender as the independent variables. The final model emerged as statistically significant, χ²(16) = 552.76, p < .001, Nagelkerke's R² = .32. Specifically, the odds of receiving anger management were 1.71 times higher for African Americans than Caucasians, and 1.68 times higher for men than women. Exploratory analyses examining a Race/Ethnicity × Gender interaction revealed the odds of receiving anger management was significantly lower for Caucasian women than all other racial/ethnic by gender groups. CONCLUSION: Results suggest being part of a racial/ethnic minority group or male may disproportionately increase the odds of being required to comply with extra time and fiscal requirements associated with anger management as compared to one's racial/ethnic and gender counterparts who have committed similar crimes. (PsycINFO Database Record (c) 2020 APA, all rights reserved).


Assuntos
Terapia de Controle da Ira , Criminosos/estatística & dados numéricos , Adulto , Idoso , Feminino , Identidade de Gênero , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Raciais , Adulto Jovem
19.
Bull Menninger Clin ; 83(3): 235-258, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31502872

RESUMO

Young children with autism spectrum disorder (ASD) struggle with emotion regulation (ER), which is developmentally preceded by lability/negative affect (L/N), and their parents face unique challenges to parenting and providing assistance. The Stress and Anger Management Program (STAMP) is a cognitive-behavioral treatment designed to address ER deficits in young children with ASD through child skill-building and parent training. The current study evaluated child L/N, ER, and parental confidence outcomes in 4- to 7-year-old children with ASD (N = 23; 19 boys) and their parents randomly assigned to a treatment (n = 12) or a waitlist control group (n = 11). Child L/N decreased, regulation was not significantly changed, and parental confidence regarding the child's ability to manage anger and anxiety increased from pre- to posttreatment in the treatment group, but not in the waitlist group. Implications for future interventions that address ER in children with ASD and their parents are discussed.


Assuntos
Terapia de Controle da Ira/métodos , Transtorno do Espectro Autista/terapia , Terapia Cognitivo-Comportamental/métodos , Regulação Emocional , Avaliação de Resultados em Cuidados de Saúde , Estresse Psicológico/terapia , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pais
20.
Law Hum Behav ; 43(4): 319-328, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31204832

RESUMO

The objective was to evaluate the relative efficacy of dialectical behavior therapy modified for stalking offenders (DBT-S) versus a cognitive-behavioral anger management intervention for the treatment of stalking offenders. We expected DBT to result in significantly lower rates of renewed stalking behavior and significantly greater improvements in impulsivity, aggression, anger, and empathy. We randomly assigned individuals charged with stalking-related offences (N = 109) to one of two study interventions: DBT-S and anger management. Recidivism (renewed stalking, violence, and other offences) was monitored for 1 year following the baseline assessment, and participants completed a battery of self-report questionnaires before and after treatment and at a 1-year follow-up assessment. We found relatively low rates of reoffence when compared to past studies of untreated stalking offenders in the U.S., but type of treatment had no impact on the likelihood of reoffence, nor did completion of the treatment program. Likewise, there was no between-groups difference in rates of treatment completion, or on changes in self-report measures. Intensive treatment focused on reducing problematic behaviors in stalking offenders may be effective regardless of treatment modality, but the mechanism by which treatment impacts criminal behavior is not yet clear. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Terapia de Controle da Ira , Terapia do Comportamento Dialético , Reincidência/estatística & dados numéricos , Perseguição/terapia , Adolescente , Adulto , Idoso , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , New York/epidemiologia , Transtornos da Personalidade/terapia , Autorrelato , Inquéritos e Questionários , Adulto Jovem
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