%0 Journal Article
%T Anger self-management training for chronic moderate to severe traumatic brain injury: results of a randomized controlled trial
%J Journal of head trauma rehabilitation
%D 2017
%A Hart, Tessa
%A Brockway, Jo Ann
%A Maiuro, Roland D.
%A Vaccaro, Monica
%A Fann, Jesse R.
%A Mellick, David
%A Harrison-Felix, Cindy
%A Barber, Jason
%A Temkin, Nancy
%V 32
%N 5
%P 319-331
%X OBJECTIVE: To test efficacy of 8-session, 1:1 treatment, anger self-management training (ASMT), for chronic moderate to severe traumatic brain injury (TBI). SETTING: Three US outpatient treatment facilities. PARTICIPANTS: Ninety people with TBI and elevated self-reported anger; 76 significant others (SOs) provided collateral data. <br><br>DESIGN: Multicenter randomized controlled trial with 2:1 randomization to ASMT or structurally equivalent comparison treatment, personal readjustment and education (PRE). Primary outcome assessment 1 week posttreatment; 8-week follow-up. PRIMARY OUTCOME: Response to treatment defined as 1 or more standard deviation change in self-reported anger. SECONDARY OUTCOMES: SO-rated anger, emotional and behavioral status, satisfaction with life, timing of treatment response, participant and SO-rated global change, and treatment satisfaction. MAIN MEASURES: State-Trait Anger Expression Inventory-Revised Trait Anger (TA) and Anger Expression-Out (AX-O) subscales; Brief Anger-Aggression Questionnaire (BAAQ); Likert-type ratings of treatment satisfaction, global changes in anger and well-being. <br><br>RESULTS: After treatment, ASMT response rate (68%) exceeded that of PRE (47%) on TA but not AX-O or BAAQ; this finding persisted at 8-week follow-up. No significant between-group differences in SO-reported response rates, emotional/behavioral status, or life satisfaction. ASMT participants were more satisfied with treatment and rated global change in anger as significantly better; SO ratings of global change in both anger and well-being were superior for ASMT. <br><br>CONCLUSION: ASMT was efficacious and persistent for some aspects of problematic anger. More research is needed to determine optimal dose and essential ingredients of behavioral treatment for anger after TBI.<p /> <p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 0885-9701
%U http://dx.doi.org/10.1097/HTR.0000000000000316