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）：愤怒的情绪体验及其相关行为，包括攻击行为，具有显著的社会、个人和医疗成本。所有有效的愤怒和攻击心理治疗的核心都涉及暴露于挑衅性刺激，这表明暴露是治疗的必要条件。然而，几乎没有研究来检验暴露本身是否是减少愤怒和攻击性的充分条件。如果仅仅暴露就能证明减少愤怒和攻击性，这将有助于开发更节省但有效的心理社会治疗方法。拟议的项目包括一项对照试验，对个人管理的10次暴露治疗进行对照，以减少愤怒和攻击行为。大约180名（治疗完成者）通常愤怒且具有攻击性的个体（即那些在特质愤怒测试中得分较高且报告在过去一年中至少有一次冲动攻击发作的个体）将被随机分配到暴露疗法（ET，一种想象和体内暴露于愤怒引起刺激的组合）、认知放松应对技能(CRCS；一个经验支持的心理治疗功能失调的愤怒)，或者一个不治疗的等待名单。据预测，与不治疗相比，ET将导致愤怒和攻击行为在临床上有意义的减少（即，将测试ET的绝对疗效，以确定这种治疗是否有优点），并将与CRCS相当（即，将测试ET与CRCS的相对疗效，以确定ET是否代表了既定社会心理治疗的可行替代方案）。将在治疗前、治疗后和6个月的随访间隔进行多种结果测量，包括自我报告和关键信息提供者报告。