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Cognitive-behavioral group therapy for intermittent explosive disorder: description and preliminary analysis
Costa, Ana M; Medeiros, Gustavo C; Redden, Sarah; Grant, Jon E; Tavares, Hermano; Seger, Liliana.
  • Costa, Ana M; Universidade de São Paulo. Instituto de Psiquiatria. Departamento de Psiquiatria. São Paulo. BR
  • Medeiros, Gustavo C; University of Texas. Southwestern Medical Center. Department of Psychiatry. Dallas. US
  • Redden, Sarah; University of Chicago. Department of Psychiatry & Behavioral Neuroscience. Chicago. US
  • Grant, Jon E; University of Chicago. Department of Psychiatry & Behavioral Neuroscience. Chicago. US
  • Tavares, Hermano; Universidade de São Paulo. Instituto de Psiquiatria. Departamento de Psiquiatria. São Paulo. BR
  • Seger, Liliana; Universidade de São Paulo. Instituto de Psiquiatria. Departamento de Psiquiatria. São Paulo. BR
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 40(3): 316-319, July-Sept. 2018. tab, graf
Article in English | LILACS | ID: biblio-1039090
ABSTRACT

Objectives:

To evaluate the efficacy of a group therapy based on cognitive-behavioral techniques customized for intermittent explosive disorder (IED). The current report presents the preliminary results of a clinical trial comparing pre- and post-intervention scores in different anger dimensions.

Methods:

The studied sample consisted of 84 treatment-seeking subjects. The mean (standard deviation) age was 43.0 (11.9) years, and 78% were male. The therapeutic group program consisted of 15 weekly sessions plus three maintenance sessions. The sessions lasted approximately 90 minutes each.

Results:

No differences were found in demographic profile and pre-treatment status between subjects who completed treatment (n=59) and dropouts (n=25). Comparison of State-Trait Anger Expression Scale (STAXI) scores pre- and post-treatment showed statistically significant changes in all anger scales and subscales of the questionnaire.

Conclusion:

This preliminary report is a significant addition to currently scarce clinical data. Our findings provide further evidence that structured cognitive-behavioral group therapy, with a focus on anger management and cognitive coping, may be a promising approach to the treatment of IED.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Psychotherapy, Group / Cognitive Behavioral Therapy / Aggression / Anger Management Therapy / Disruptive, Impulse Control, and Conduct Disorders / Anger Type of study: Controlled clinical trial / Qualitative research Limits: Adult / Female / Humans / Male Language: English Journal: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Journal subject: Psychiatry Year: 2018 Type: Article Affiliation country: Brazil / United States Institution/Affiliation country: Universidade de São Paulo/BR / University of Chicago/US / University of Texas/US

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Full text: Available Index: LILACS (Americas) Main subject: Psychotherapy, Group / Cognitive Behavioral Therapy / Aggression / Anger Management Therapy / Disruptive, Impulse Control, and Conduct Disorders / Anger Type of study: Controlled clinical trial / Qualitative research Limits: Adult / Female / Humans / Male Language: English Journal: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Journal subject: Psychiatry Year: 2018 Type: Article Affiliation country: Brazil / United States Institution/Affiliation country: Universidade de São Paulo/BR / University of Chicago/US / University of Texas/US