Development of a brief online intervention to address aggression in the context of emotion-related impulsivity: Evidence from a wait-list controlled trial
Development of a brief online intervention to address aggression in the context of emotion-related impulsivity: Evidence from a wait-list controlled trial
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DOI：
10.1016/j.brat.2020.103708
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发表时间：
2020-11-01
影响因子：
4.1
通讯作者：
Fernandez, Ephrem
中科院分区：
文献类型：
--
作者：
Johnson, Sheri L.;Zisser, Mackenzie Rae;Fernandez, Ephrem
对情绪做出冲动反应的特质倾向，被称为情绪相关冲动，与攻击性密切相关。我们开发并测试了一种在线干预措施，以解决与情绪相关的冲动和攻击性。6个阶段的干预重点是行为技术，以减少唤醒和侵略性，辅以实施意图和智能手机提示，以促进技能转移到日常生活中。首先，我们对4个人进行了现场干预试验。然后，235名参与者被随机分配立即或在等待期后进行在线干预;然后邀请等待名单中的人参加干预。参与者完成了自我评定的感觉触发行动量表，以评估情绪相关的冲动，基于访谈的修改公开攻击量表和自我评定的巴斯佩里攻击问卷。参与治疗的参与者完成了每日愤怒日志。与其他在线计划一样，Atalism很高;然而，治疗完成者报告了很高的满意度，并且在所有关键结局指标中，治疗期间的结局变化比等待名单更快。在包括所有参与治疗（立即或延迟）的参与者的分析中，我们观察到中等至较大的治疗收益，并在3个月随访评估时保持不变。这项工作支持干预解决情绪相关的冲动和侵略的有用性。
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.