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The goal of this study is to examine the effectiveness two forms of psychotherapy (also known as "talk therapy" ) for individuals with anger and aggression problems. Anger and aggression are everywhere - on the road, in the schools, at little league games, at home, and at work. In this study we are testing usefulness of anger management techniques in reducing symptoms of Intermittent Explosive Disorder (IED) and impulsive, aggressive behavior.
Qualified participants will be randomly assigned to 12 1-hour sessions of either cognitive-behavioral therapy or supportive psychotherapy.
Participation in this study will require 13 visits over approximately 4 months with a 3 follow-up session. Therapy is provided at no cost and each study participant will receive a comprehensive psychological assessment. Two types of talk therapy are being offered in this study. One form of therapy focuses on thought and behaviors associated with anger and aggression. This type of therapy is known as cognitive behavioral therapy. The other type of therapy focuses on the individuals' feeling about their anger /aggression and the situations that lead to this anger. This is known as supportive therapy. The form of therapy you are given will be randomly determined (like by flipping of a coin).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 2 | Active Comparator | Supportive Psychotherapy |
|
| 1 | Active Comparator | Cognitive Behavioral Therapy (Cognitive Restructuring, Relaxation, and Coping Skills Training: CRCST) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive Behavioral Therapy | Behavioral | Twelve weekly therapy sessions, approximately one hour each in duration |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Overt Aggression Scale - Modified (OASM) Score | Items are scored on a 5-point scale. Higher scores indicate higher levels of aggression. | Up to 12 months |
| Change in State-Trait Anger Expression Inventory - Trait Anger Scale [STAXI-2] | Items are scored on a 4-point scale. Higher scores indicate high levels of anger. | Up to 12 months |
| Change in Hostile Automatic Thoughts (HAT) Scale | Each item is answered on a 5-point Likert scale ranging from 0=not at all to 5=all the time. Higher scores indicate higher frequency of hostile thoughts experienced. | Up to 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Self-Report of Aggression and Social Behavior Measure (SRASBM) Score | Items are scored on a 7-point scale to indicate how truthfully the statement describes personal experiences during the past year, ranging from 0=not at all true to 7=very true. Higher scores indicate high levels of aggression | Up to 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael McCloskey, PhD | University of Chicago | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Chicago | Chicago | Illinois | 60637 | United States |
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| ID | Term |
|---|---|
| D007174 | Disruptive, Impulse Control, and Conduct Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| D000088686 | Cognitive Restructuring |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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| Supportive Psychotherapy | Behavioral | Twelve weekly therapy sessions, approximately one hour each in duration |
|
| Change in Social Information Processing-Attribution and Emotional Response Questionnaire (SIP-AEQ) Score |
Items are scored on a 0-3 Likert scale (0 = not at all likely to 3 = extremely likely). Higher scores indicate higher levels of hostility. |
| Up to 12 months |