Cognitive Behavioral Affective Therapy for Anger
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Any
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: The University of Texas at San Antonio
Disqualifiers: Schizophrenia, Autism, Dementia, others
Approved in 3 jurisdictions
Trial Summary
What is the purpose of this trial?This trial aims to test the effectiveness of Cognitive Behavioral Affective Therapy (CBAT) in helping people who struggle with excessive anger. The therapy teaches techniques to manage anger by recognizing triggers and using calming strategies. The goal is to reduce the negative impact of anger on health and behavior.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. However, you cannot be undergoing any psychological or psychiatric treatment to participate.
What data supports the effectiveness of Cognitive Behavioral Affective Therapy for Anger?
Research shows that cognitive treatments, like Cognitive Behavioral Therapy (CBT), can effectively reduce anger. A study found that people who received online cognitive treatment reported significantly lower anger levels compared to those who did not receive the treatment.
12345Is Cognitive Behavioral Affective Therapy for Anger safe for humans?
Research on cognitive behavioral therapy (CBT) for anger, including studies on veterans and individuals with traumatic brain injury, suggests that it is generally safe for humans. These studies have not reported significant safety concerns, indicating that CBT-based treatments for anger are typically well-tolerated.
14678How is Cognitive Behavioral Affective Therapy (CBAT) for anger different from other treatments?
Cognitive Behavioral Affective Therapy (CBAT) for anger is unique because it combines traditional cognitive-behavioral techniques with a focus on emotional regulation and motivation, addressing both the cognitive and affective aspects of anger. This approach is more comprehensive than standard anger management therapies, which may not fully integrate these components.
345910Eligibility Criteria
This trial is for individuals who struggle with excessive anger, such as those with Intermittent Explosive Disorder or related conditions. It's aimed at people whose anger leads to distress and problems in daily life. Participants should be interested in exploring therapy to manage their emotions.Inclusion Criteria
Speak English
Live in the United States
Have maladaptive anger (as assessed by the STAXI-2)
+3 more
Exclusion Criteria
Is currently undergoing an anger treatment program
Does not live in the United States
Has a current serious psychiatric illness (e.g., schizophrenia, autism, dementia, suicidal ideation)
+3 more
Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1 week
1 visit (virtual)
Treatment
Participants receive Cognitive Behavioral Affective Therapy (CBAT) or Emotional Education (EE) through video sessions over 4 weeks
4 weeks
8 video sessions (virtual)
Interim Period
Participants have a 3-week interim period to reflect and implement learned techniques
3 weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment, including a final follow-up session
1 week
1 follow-up session (virtual)
Participant Groups
The study tests Cognitive Behavioral Affective Therapy (CBAT), a form of 'anger management' therapy designed to reduce anger levels. The effectiveness of CBAT will be measured through various assessments within a community sample.
2Treatment groups
Experimental Treatment
Placebo Group
Group I: Cognitive Behavioral Affective TherapyExperimental Treatment1 Intervention
Group receiving CBAT.
Group II: Emotional EducationPlacebo Group1 Intervention
Group receiving general emotion psychoeducation.
Cognitive Behavioral Affective Therapy is already approved in United States, European Union, Canada for the following indications:
🇺🇸 Approved in United States as CBAT for:
- Intermittent Explosive Disorder
- Anxiety Disorders
- Chronic Pain Management
- Chemical Dependence
🇪🇺 Approved in European Union as CBAT for:
- Intermittent Explosive Disorder
- Anxiety Disorders
- Mood Disorders
🇨🇦 Approved in Canada as CBAT for:
- Intermittent Explosive Disorder
- Anxiety Disorders
- Chronic Pain Management
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
The University of Texas at San AntonioSan Antonio, TX
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Who Is Running the Clinical Trial?
The University of Texas at San AntonioLead Sponsor
References
Anger self-management training for people with traumatic brain injury: a preliminary investigation. [2022]: 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).
Effects of online cognitive treatment for problematic anger: a randomized controlled trial. [2018]Problematic anger, which is common, has been associated with a wide range of negative interpersonal and intrapersonal consequences, including violent behaviour, relationship damage, health problems and low self-esteem. This article reports the results of the first randomized controlled trial of brief online cognitive treatment for anger. The sample included 75 adults who were randomly assigned to cognitive treatment or a waiting list control. The analyses with the 59 participants who completed the post-intervention assessment at four weeks after the beginning of the intervention showed that individuals who received the intervention reported significantly lower anger levels than the control group at post-assessment. The treatment group showed a substantial decrease in anger from pre to post. The results suggest that brief online cognitive treatment can be effective for reducing problematic anger in adults. These findings provide an initial support for the development of internet-based cognitive treatment for problematic anger.
End piece: reflections on the treatment of anger. [2019]Research on the nature of anger and how it differs from other emotions is reviewed. Dimensions that differentiate disturbed from normal anger are also discussed. Based on the research and results of several reviews of anger treatment, an ideal treatment package for the treatment of anger is presented. The components include: (i) addressing motivation; (ii) cultivating the therapeutic alliance; (iii) managing physiological arousal; (iv) fostering cognitive change; (v) implementing behavior change; (vi) providing environmental supports for change; (vii) teaching relapse-prevention skills; and (viii) initiating restitution and reintegration. Also, the articles describing experiential, self psychology, cognitive-behavioral, Buddhist, and systems approaches to anger are compared and contrasted. Each of these treatment approaches is compared with the ideal treatment components.
21st Century Cognitive Behavioural Therapy for Anger: A Systematic Review of Research Design, Methodology and Outcome. [2021]Past reviews of cognitive behavioural therapy (CBT) for anger have focused on outcome in specific subpopulations, with few questions posed about research design and methodology. Since the turn of the century, there has been a surge of methodologically varied studies awaiting systematic review.
Research review on anger in psychotherapy. [2019]This article selectively reviews clinically relevant research on the theory and treatment of anger. Anger is first defined, within the context of emotion theory, as the cognitive, behavioral, physiological, experiential, and social manifestations of a central nervous system process. The theories and techniques used to treat anger from several theoretical perspectives are then evaluated, making conceptual links to a basic affective model. We then review research on the treatment of anger in clinical populations (aggressive adults and children, clients with post-traumatic stress disorder, and clients with cardiovascular disease). We conclude with a discussion of anger suppression and inhibition.
A randomized pilot study of anger treatment for Iraq and Afghanistan veterans. [2022]Anger and aggression are serious problems for a significant proportion of veterans who have served in combat. While prior research has suggested that cognitive behavioral treatments may be effective for anger problems, there are few controlled studies of anger treatment in veterans and no studies of anger treatment focusing exclusively on veterans from the Iraq and Afghanistan wars. This randomized pilot study compared an adapted cognitive behavioral intervention (CBI) to a supportive intervention (SI) control condition for the treatment of anger problems in veterans returning from deployment in Iraq or Afghanistan.
Effectiveness of anger treatments for specific anger problems: a meta-analytic review. [2022]This meta-analytic review analyzed the effects of anger treatment on various aspects of anger with 65% of studies not previously reviewed. To improve on past reviews, this review included only noninstitutionalized adults with demonstrable anger as determined by standardized measures. The studies were compiled from a computer search of published and unpublished anger treatment studies conducted between January 1980 and August 2002. The search resulted in 23 studies containing one or more treatment groups and a control group, with effect sizes derived for each anger problem within each treatment category. The meta-analysis resulted in medium to large effect sizes across therapies. Further analyses of effect sizes within treatment groups by the kind of anger reported support the implementation of cognitive therapies for driving anger, anger suppression, and trait anger. In contrast, relaxation is recommended in cases of state anger. Other implications for treatment and future research directions are discussed, including a special need for research with treatment-seeking individuals and clinical populations.
Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial. [2022]Problems with anger and aggression affect many veterans who have deployed to a warzone, resulting in serious impairment in multiple aspects of functioning. Controlled studies are needed to improve treatment options for these veterans. This randomized controlled trial compared an individually delivered cognitive behavioral therapy adapted from Novaco's Anger Control Therapy to a manualized supportive therapy to control for common therapeutic factors.
Efficacy of Acceptance and Commitment Therapy Compared to Cognitive Behavioral Therapy on Anger and Interpersonal Relationships of Male Students. [2021]Objective: The aim of the present study was to determine the efficacy of acceptance and commitment therapy (ACT) compared to cognitive-behavioral therapy (CBT) on anger and interpersonal relationships among male students. Method : In the present study, several universities were selected from the public universities in Tehran province, based on random cluster sampling. Then, 400 students from selected universities were selected randomly and Aggression Questionnaire (AGQ) was administered on them. After collecting information, among the participants who gained scores higher than the average, 30 were selected based on the lottery and randomly (sorting their names in alphabetical order and randomly selecting them) and then were placed randomly in ACT (n = 15) and CBT (n = 15) groups. Also, the Fundamental Interpersonal Relation Orientation- Behavior (FIRO-B) and Aggression Questionnaire (AGQ) was performed on both groups before and after intervention. Results: The results indicated that at the end of treatment, there was a significant decrease in the degree of anger among the participants and a significant improvement in all subscales of interpersonal relationships. Also, a significant difference was found between the 2 groups of ACT and CBT in terms of anger changes. Considering that the anger changes in the ACT group were higher, it can be concluded that the ACT group had more changes than the CBT group, but there was no significant difference between the 2 groups of ACT and CBT in terms of FIRO-B subscales. Conclusion: In some cases, such as anger, ACT has a better effect than CBT, and in others, such as interpersonal problems, it is as effective as CBT.
Readiness for anger management: clinical and theoretical issues. [2019]Anger management methods are a common and successful feature of contemporary cognitive behavioral therapy. Meta-analyses and narrative reviews of the outcome of anger management have been broadly supportive of the view that it is an effective approach. We argue in this paper that an important impediment to the future success of anger management is the failure to fully address the issue of treatment readiness. We discuss distinctive features of anger that make readiness a more important issue than it is for other problem emotions and affects. Relevant theoretical models of readiness are discussed and we review the components of a lack of readiness, including difficulties in establishing a therapeutic alliance. Progress in this area requires greater attention to the measurement and analysis of readiness, to its inclusion as an independent variable in outcome studies and to its clinical modification when readiness is low.