OBJECTIVE: : 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). PARTICIPANTS: : A total of 10 persons with moderate to severe, chronic TBI with significant cognitive impairment and elevated levels of anger and irritability participated in the study; 8 had significant others (SOs) who participated in portions of the treatment and provided pre- and posttreatment measures; 1 SO provided only data. MAIN OUTCOME MEASURE: : Two subscales of the State-Trait Anger Expression Scale-Revised and Brief Anger-Aggression Questionnaire. DESIGN: : Pre- to posttreatment pilot study. RESULTS: : There was significant improvement on all 3 measures of self-reported anger, with large effect sizes (>1.0), and on 1 of 3 SO-reported scales. Qualitative feedback from participants was positive and dropout rate was low (1 of 11). CONCLUSIONS: : The treatment model represented by the ASMT appears worthy of further study in persons with TBI who have both problematic anger and cognitive impairment.
OBJECTIVE: : 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). PARTICIPANTS: : A total of 10 persons with moderate to severe, chronic TBI with significant cognitive impairment and elevated levels of anger and irritability participated in the study; 8 had significant others (SOs) who participated in portions of the treatment and provided pre- and posttreatment measures; 1 SO provided only data. MAIN OUTCOME MEASURE: : Two subscales of the State-Trait Anger Expression Scale-Revised and Brief Anger-Aggression Questionnaire. DESIGN: : Pre- to posttreatment pilot study. RESULTS: : There was significant improvement on all 3 measures of self-reported anger, with large effect sizes (>1.0), and on 1 of 3 SO-reported scales. Qualitative feedback from participants was positive and dropout rate was low (1 of 11). CONCLUSIONS: : The treatment model represented by the ASMT appears worthy of further study in persons with TBI who have both problematic anger and cognitive impairment.
Authors: Tessa Hart; Jo Ann Brockway; Roland D Maiuro; Monica Vaccaro; Jesse R Fann; David Mellick; Cindy Harrison-Felix; Jason Barber; Nancy Temkin Journal: J Head Trauma Rehabil Date: 2017 Sep/Oct Impact factor: 2.710
Authors: Tessa Hart; Jo Ann Brockway; Jesse R Fann; Roland D Maiuro; Monica J Vaccaro Journal: Contemp Clin Trials Date: 2014-12-18 Impact factor: 2.226
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Authors: Tessa Hart; Thomas A Novack; Nancy Temkin; Jason Barber; Sureyya S Dikmen; Ramon Diaz-Arrastia; Joseph Ricker; Dale C Hesdorffer; Jack Jallo; Nancy H Hsu; Ross Zafonte Journal: J Head Trauma Rehabil Date: 2016 Nov/Dec Impact factor: 2.710