Research Reports - Anger self-management training for people with traumatic brain injury

Hart, Tessa PhD; Vaccaro, Monica J. MS; Hays, Christina BA; Maiuro, Roland D. PhD

Journal of Head Trauma Rehabilitation:
March/April 2012 - Volume 27 - Issue 2 - p 113–122

Objective: To examine the feasibility and gather preliminary data on the efficacy of a fully manualized, 8-session, psychoeducational treatment for irritability and anger after traumatic brain injury (TBI), called anger self-management training (ASMT).

Participants: A total of 10 persons with moderate to severe, chronic TBI with significant cognitive impairment and elevated levels of anger and irritability participated in the study; 8 had significant others (SOs) who participated in portions of the treatment and provided pre- and posttreatment measures; 1 SO provided only data.

Main Outcome Measure: Two subscales of the State-Trait Anger Expression Scale–Revised and Brief Anger-Aggression Questionnaire.

Design: Pre- to posttreatment pilot study.

Results: There was significant improvement on all 3 measures of self-reported anger, with large effect sizes (>1.0), and on 1 of 3 SO-reported scales. Qualitative feedback from participants was positive and dropout rate was low (1 of 11).

Conclusions: The treatment model represented by the ASMT appears worthy of further study in persons with TBI who have both problematic anger and cognitive impairment.

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