Peeking into the black box: Mechanisms of action for anger management treatment

Margaret Anne Mackintosh, Leslie A. Morland, B. Christopher Frueh, Carolyn J. Greene, Craig S. Rosen

Research output: Contribution to journalArticle

15 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)687-695
Number of pages9
JournalJournal of Anxiety Disorders
Volume28
Issue number7
DOIs
StatePublished - Oct 2014
Externally publishedYes

Keywords

  • Anger
  • Anger control
  • Cognitive behavior therapy
  • Military veterans
  • Posttraumatic stress disorder

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Peeking into the black box: Mechanisms of action for anger management treatment'. Together they form a unique fingerprint.

Cite this