Exposure-Based Treatment for Angry and Aggressive Adults

针对愤怒和攻击性成年人的暴露治疗

• 批准号: 7071371
• 负责人: ERIC R DAHLEN
• 金额: $ 21.07万
• 依托单位: UNIVERSITY OF SOUTHERN MISSISSIPPI
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-18 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7071371
• 关键词: aggression; angers; anxiety; autogenic training; behavior test; behavior therapy; behavioral /social science research tag; clinical research; clinical trials; conditioning; coping; depression; human subject; human therapy evaluation; impulsive behavior; longitudinal human study; mental disorder diagnosis; psychological stressor; relaxation; sensitivity training; stimulus /response; stimulus generalization; stress management

DESCRIPTION (provided by applicant): The emotional experience of anger and its behavioral correlates, including aggressive behavior, have significant social, personal, and medical costs. The core of all efficacious psychosocial treatments for anger and aggression involves exposure to provocative stimuli, suggesting that exposure is a necessary condition of treatment. However, almost no research has been conducted to examine whether exposure itself is a sufficient condition for reducing anger and aggression. If exposure alone can be shown to reduce anger and aggression, this would facilitate development of more parsimonious yet effective psychosocial treatments. The proposed project involves a controlled, comparative trial of an individually-administered 10-session exposure-based treatment for the reduction of anger and aggressive behavior. Approximately 180 (treatment completers) generally angry and aggressive individuals (i.e., those who score in the upper quartile on a measure of trait anger and report at least one episode of impulsive aggression in the past year) will be randomly assigned to Exposure Therapy (ET; a combination of imaginal and in vivo exposure to anger arousing stimuli), Cognitive Relaxation Coping Skills (CRCS; an empirically supported psychological treatment for dysfunctional anger), or a no treatment wait list. It is predicted that ET will result in clinically meaningful reductions in anger and aggression relative to no treatment (i.e., the absolute efficacy of ET will be tested to determine whether this treatment has merit) and will be comparable to CRCS (i.e., the relative efficacy of ET to CRCS will be tested to determine if ET represents a viable alterative to an established psychosocial treatment). Multiple outcome measures, including both self-report and key informant report, will be administered at pre-treatment, post-treatment, and 6-month follow-up intervals.

描述（由申请人提供）：愤怒及其行为相关的情感经历，包括侵略性行为，具有巨大的社会，个人和医疗费用。愤怒和侵略的所有有效的社会心理治疗的核心涉及暴露于挑衅性刺激，这表明暴露是治疗的必要条件。但是，几乎没有进行任何研究来检查暴露本身是否是减少愤怒和侵略性的足够条件。如果仅表现出仅暴露才能减少愤怒和侵略性，这将有助于发展更简约而有效的社会心理治疗。拟议的项目涉及对基于10节暴露的单独管理的受控，比较试验，以减少愤怒和侵略性行为。 Approximately 180 (treatment completers) generally angry and aggressive individuals (i.e., those who score in the upper quartile on a measure of trait anger and report at least one episode of impulsive aggression in the past year) will be randomly assigned to Exposure Therapy (ET; a combination of imaginal and in vivo exposure to anger arousing stimuli), Cognitive Relaxation Coping Skills (CRCS; an empirically supported psychological treatment for dysfunctional愤怒），或没有治疗等待清单。据预测，ET相对于没有治疗的ET将导致愤怒和攻击性的临床意义降低（即，将测试ET的绝对功效以确定这种治疗方法是否值得），并且将与CRC相媲美（即，ET对ET对CRC的相对效率将测试CRC的相对效率，以确定与可行的替代性治疗相对于已建立的心理验证的可行性）。包括自我报告和关键线人报告在内的多项结果指标将在治疗，治疗后和6个月的随访间隔内进行管理。