Anger Self-Management Training for Chronic Moderate to Severe Traumatic Brain Injury: Results of a Randomized Controlled Trial.
Anger Self-Management Training for Chronic Moderate to Severe Traumatic Brain Injury: Results of a Randomized Controlled Trial.
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慢性中度至重度创伤性脑损伤的愤怒自我管理训练：随机对照试验的结果。
DOI：
10.1097/htr.0000000000000316
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Temkin,Nancy
中科院分区：
文献类型：
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作者：
Hart,Tessa;Brockway,JoAnn;Maiuro,RolandD;Vaccaro,Monica;Fann,JesseR;Mellick,David;Harrison-Felix,Cindy;Barber,Jason;Temkin,Nancy
目的：测试8节，1：1治疗，愤怒自我管理训练（ASMT），慢性中度至重度创伤性脑损伤（TBI）。设置：三个美国门诊治疗设施。参与者：90人与TBI和升高的自我报告的愤怒; 76个显着的其他人（SO）提供了附带data.Design：多中心随机对照试验，2：1随机ASMT或结构上等效的比较治疗，个人调整和教育（PRE）。治疗后1周进行主要结果评估; 8周随访。主要结果：治疗反应定义为自我报告愤怒的1个或多个标准差变化。次要结果：SO评分的愤怒，情绪和行为状态，生活满意度，治疗反应的时间，参与者和SO评分的总体变化，和治疗满意度。主要测量：状态-特质愤怒表达量表-修订的特质愤怒（TA）和愤怒表达-外（AX-O）子量表;简明愤怒-攻击问卷（BAAQ）;治疗满意度，愤怒和well-being. Results的全球变化的Likert型评级：治疗后，ASMT响应率（68%）超过了PRE（47%）TA，但不是AX-O或BAAQ;这一发现持续在8周的随访。SO报告的应答率、情绪/行为状态或生活满意度无显著组间差异。ASMT参与者更满意的治疗和评价的全球变化的愤怒显着更好; SO评分的全球变化的愤怒和幸福感优于ASMT.Conclusion：ASMT是有效的，持久的某些方面的问题愤怒。需要更多的研究来确定TBI后愤怒行为治疗的最佳剂量和基本成分。
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.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.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.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.