Peeking into the black box: mechanisms of action for anger management treatment.
Identifieur interne : 001056 ( Main/Corpus ); précédent : 001055; suivant : 001057Peeking into the black box: mechanisms of action for anger management treatment.
Auteurs : Margaret-Anne Mackintosh ; Leslie A. Morland ; B Christopher Frueh ; Carolyn J. Greene ; Craig S. RosenSource :
- Journal of anxiety disorders [ 1873-7897 ] ; 2014.
English descriptors
- KwdEn :
- Adaptation, Psychological (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Anger (physiology), Anxiety (etiology), Arousal (physiology), Cognitive Behavioral Therapy (MeSH), Combat Disorders (psychology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Stress Disorders, Post-Traumatic (psychology), Stress Disorders, Post-Traumatic (therapy), Veterans (psychology), Young Adult (MeSH).
- MESH :
- etiology : Anxiety.
- physiology : Anger, Arousal.
- psychology : Combat Disorders, Stress Disorders, Post-Traumatic, Veterans.
- therapy : Stress Disorders, Post-Traumatic.
- Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Cognitive Behavioral Therapy, Humans, Male, Middle Aged, Young Adult.
Abstract
We investigated potential mechanisms of action for anger symptom reductions, specifically, the roles of anger regulation skills and therapeutic alliance on changes in anger symptoms, following group anger management treatment (AMT) among combat veterans with posttraumatic stress disorder (PTSD). Data were drawn from a published randomized controlled trial of AMT conducted with a racially diverse group of 109 veterans with PTSD and anger symptoms residing in Hawaii. Results of latent growth curve models indicated that gains in calming skills predicted significantly larger reductions in anger symptoms at post-treatment, while the development of cognitive coping and behavioral control skills did not predict greater symptom reductions. Therapeutic alliance had indirect effects on all outcomes mostly via arousal calming skills. Results suggest that generalized symptom reduction may be mediated by development of skills in calming physiological arousal. In addition, arousal reduction skills appeared to enhance one's ability to employ other anger regulation skills.
DOI: 10.1016/j.janxdis.2014.07.001
PubMed: 25124505
Links to Exploration step
pubmed:25124505Le document en format XML
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Morland</name><affiliation><nlm:affiliation>National Center for PTSD, - Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, 3375 Koapaka Street, Suite I-560, Honolulu, HI 96819, United States; John Burns School of Medicine, University of Hawaii, 651 Ilalo Street, Honolulu, HI 96813, United States. Electronic address: Leslie.Morland@va.gov.</nlm:affiliation></affiliation></author><author><name sortKey="Frueh, B Christopher" sort="Frueh, B Christopher" uniqKey="Frueh B" first="B Christopher" last="Frueh">B Christopher Frueh</name><affiliation><nlm:affiliation>University of Hawaii at Hilo, 200 W. Kawili Street, Hilo, HI 96720, United States; The Menninger Clinic, 12301 Main Street, Houston, TX 77035, United States. Electronic address: frueh@hawaii.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Greene, Carolyn J" sort="Greene, Carolyn J" uniqKey="Greene C" first="Carolyn J" last="Greene">Carolyn J. Greene</name><affiliation><nlm:affiliation>National Center for PTSD, - Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, 795 Willow Road (334-PTSD), Menlo Park, CA 94025, United States. Electronic address: carolyn.greene3@va.gov.</nlm:affiliation></affiliation></author><author><name sortKey="Rosen, Craig S" sort="Rosen, Craig S" uniqKey="Rosen C" first="Craig S" last="Rosen">Craig S. Rosen</name><affiliation><nlm:affiliation>National Center for PTSD, - Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, 795 Willow Road (334-PTSD), Menlo Park, CA 94025, United States; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, United States. 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Electronic address: margaret.mackintosh@va.gov.</nlm:affiliation></affiliation></author><author><name sortKey="Morland, Leslie A" sort="Morland, Leslie A" uniqKey="Morland L" first="Leslie A" last="Morland">Leslie A. Morland</name><affiliation><nlm:affiliation>National Center for PTSD, - Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, 3375 Koapaka Street, Suite I-560, Honolulu, HI 96819, United States; John Burns School of Medicine, University of Hawaii, 651 Ilalo Street, Honolulu, HI 96813, United States. Electronic address: Leslie.Morland@va.gov.</nlm:affiliation></affiliation></author><author><name sortKey="Frueh, B Christopher" sort="Frueh, B Christopher" uniqKey="Frueh B" first="B Christopher" last="Frueh">B Christopher Frueh</name><affiliation><nlm:affiliation>University of Hawaii at Hilo, 200 W. Kawili Street, Hilo, HI 96720, United States; The Menninger Clinic, 12301 Main Street, Houston, TX 77035, United States. Electronic address: frueh@hawaii.edu.</nlm:affiliation></affiliation></author><author><name sortKey="Greene, Carolyn J" sort="Greene, Carolyn J" uniqKey="Greene C" first="Carolyn J" last="Greene">Carolyn J. Greene</name><affiliation><nlm:affiliation>National Center for PTSD, - Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, 795 Willow Road (334-PTSD), Menlo Park, CA 94025, United States. Electronic address: carolyn.greene3@va.gov.</nlm:affiliation></affiliation></author><author><name sortKey="Rosen, Craig S" sort="Rosen, Craig S" uniqKey="Rosen C" first="Craig S" last="Rosen">Craig S. Rosen</name><affiliation><nlm:affiliation>National Center for PTSD, - Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, 795 Willow Road (334-PTSD), Menlo Park, CA 94025, United States; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, United States. Electronic address: craig.rosen@va.gov.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Journal of anxiety disorders</title><idno type="eISSN">1873-7897</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adaptation, Psychological (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Anger (physiology)</term><term>Anxiety (etiology)</term><term>Arousal (physiology)</term><term>Cognitive Behavioral Therapy (MeSH)</term><term>Combat Disorders (psychology)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Stress Disorders, Post-Traumatic (psychology)</term><term>Stress Disorders, Post-Traumatic (therapy)</term><term>Veterans (psychology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Anxiety</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Anger</term><term>Arousal</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Combat Disorders</term><term>Stress Disorders, Post-Traumatic</term><term>Veterans</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Stress Disorders, Post-Traumatic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adaptation, Psychological</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cognitive Behavioral Therapy</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Young Adult</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We investigated potential mechanisms of action for anger symptom reductions, specifically, the roles of anger regulation skills and therapeutic alliance on changes in anger symptoms, following group anger management treatment (AMT) among combat veterans with posttraumatic stress disorder (PTSD). Data were drawn from a published randomized controlled trial of AMT conducted with a racially diverse group of 109 veterans with PTSD and anger symptoms residing in Hawaii. Results of latent growth curve models indicated that gains in calming skills predicted significantly larger reductions in anger symptoms at post-treatment, while the development of cognitive coping and behavioral control skills did not predict greater symptom reductions. Therapeutic alliance had indirect effects on all outcomes mostly via arousal calming skills. Results suggest that generalized symptom reduction may be mediated by development of skills in calming physiological arousal. In addition, arousal reduction skills appeared to enhance one's ability to employ other anger regulation skills. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">25124505</PMID><DateCompleted><Year>2014</Year><Month>11</Month><Day>14</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-7897</ISSN><JournalIssue CitedMedium="Internet"><Volume>28</Volume><Issue>7</Issue><PubDate><Year>2014</Year><Month>Oct</Month></PubDate></JournalIssue><Title>Journal of anxiety disorders</Title><ISOAbbreviation>J Anxiety Disord</ISOAbbreviation></Journal><ArticleTitle>Peeking into the black box: mechanisms of action for anger management treatment.</ArticleTitle><Pagination><MedlinePgn>687-95</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.janxdis.2014.07.001</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0887-6185(14)00092-9</ELocationID><Abstract><AbstractText>We investigated potential mechanisms of action for anger symptom reductions, specifically, the roles of anger regulation skills and therapeutic alliance on changes in anger symptoms, following group anger management treatment (AMT) among combat veterans with posttraumatic stress disorder (PTSD). Data were drawn from a published randomized controlled trial of AMT conducted with a racially diverse group of 109 veterans with PTSD and anger symptoms residing in Hawaii. Results of latent growth curve models indicated that gains in calming skills predicted significantly larger reductions in anger symptoms at post-treatment, while the development of cognitive coping and behavioral control skills did not predict greater symptom reductions. Therapeutic alliance had indirect effects on all outcomes mostly via arousal calming skills. Results suggest that generalized symptom reduction may be mediated by development of skills in calming physiological arousal. In addition, arousal reduction skills appeared to enhance one's ability to employ other anger regulation skills. </AbstractText><CopyrightInformation>Published by Elsevier Ltd.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mackintosh</LastName><ForeName>Margaret-Anne</ForeName><Initials>MA</Initials><AffiliationInfo><Affiliation>National Center for PTSD, - Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, 3375 Koapaka Street, Suite I-560, Honolulu, HI 96819, United States. Electronic address: margaret.mackintosh@va.gov.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Morland</LastName><ForeName>Leslie A</ForeName><Initials>LA</Initials><AffiliationInfo><Affiliation>National Center for PTSD, - Pacific Islands Division, Department of Veterans Affairs Pacific Islands Healthcare System, 3375 Koapaka Street, Suite I-560, Honolulu, HI 96819, United States; John Burns School of Medicine, University of Hawaii, 651 Ilalo Street, Honolulu, HI 96813, United States. Electronic address: Leslie.Morland@va.gov.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frueh</LastName><ForeName>B Christopher</ForeName><Initials>BC</Initials><AffiliationInfo><Affiliation>University of Hawaii at Hilo, 200 W. Kawili Street, Hilo, HI 96720, United States; The Menninger Clinic, 12301 Main Street, Houston, TX 77035, United States. Electronic address: frueh@hawaii.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Greene</LastName><ForeName>Carolyn J</ForeName><Initials>CJ</Initials><AffiliationInfo><Affiliation>National Center for PTSD, - Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, 795 Willow Road (334-PTSD), Menlo Park, CA 94025, United States. Electronic address: carolyn.greene3@va.gov.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosen</LastName><ForeName>Craig S</ForeName><Initials>CS</Initials><AffiliationInfo><Affiliation>National Center for PTSD, - Dissemination & Training Division, Department of Veterans Affairs Palo Alto Healthcare System, 795 Willow Road (334-PTSD), Menlo Park, CA 94025, United States; Department of Psychiatry & Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, Palo Alto, CA 94305, United States. Electronic address: craig.rosen@va.gov.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>07</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>J Anxiety Disord</MedlineTA><NlmUniqueID>8710131</NlmUniqueID><ISSNLinking>0887-6185</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000223" MajorTopicYN="N">Adaptation, Psychological</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000786" MajorTopicYN="N">Anger</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001007" MajorTopicYN="N">Anxiety</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001143" MajorTopicYN="N">Arousal</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015928" MajorTopicYN="N">Cognitive Behavioral Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003130" MajorTopicYN="N">Combat Disorders</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013313" MajorTopicYN="N">Stress Disorders, Post-Traumatic</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014728" MajorTopicYN="N">Veterans</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anger</Keyword><Keyword MajorTopicYN="N">Anger control</Keyword><Keyword MajorTopicYN="N">Cognitive behavior therapy</Keyword><Keyword MajorTopicYN="N">Military veterans</Keyword><Keyword MajorTopicYN="N">Posttraumatic stress disorder</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>03</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2014</Year><Month>06</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>07</Month><Day>02</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>8</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>11</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25124505</ArticleId><ArticleId IdType="pii">S0887-6185(14)00092-9</ArticleId><ArticleId IdType="doi">10.1016/j.janxdis.2014.07.001</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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