Anger Self-Management Training for People With Traumatic Brain Injury: A Preliminary Investigation : The Journal of Head Trauma Rehabilitation

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Focus on Clinical Research and Practice, Part 1

Anger Self-Management Training for People With Traumatic Brain Injury

A Preliminary Investigation

Hart, Tessa PhD; Vaccaro, Monica J. MS; Hays, Christina BA; Maiuro, Roland D. PhD

Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP

Author Information
Journal of Head Trauma Rehabilitation 27(2):p 113-122, March/April 2012. | DOI: 10.1097/HTR.0b013e31820e686c



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).


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.


Pre- to posttreatment pilot study.


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).


The treatment model represented by the ASMT appears worthy of further study in persons with TBI who have both problematic anger and cognitive impairment.

© 2012 Lippincott Williams & Wilkins, Inc.

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