Login Register Cart 0
Generic placeholder image

Current Psychiatry Research and Reviews

Editor-in-Chief

ISSN (Print): 2666-0822
ISSN (Online): 2666-0830

Back
Journal Home About Journal Editorial Board Current Issue Volumes/Issues
Subscribe
Clinical Trial

Effect of Anger Management Education on Aggression in Bipolar Disorder Hospitalized Patients: A Pilot Study

Author(s): Hossein Rezai , Efat Sadeghian*, Farshid Shamsaei and Mohammad Ebrahim Ghafari

Volume 18, Issue 1, 2022

Published on: 01 February, 2022

Page: [70 - 78] Pages: 9

DOI: 10.2174/2666082218666211220160326

Price: $65

Abstract

Background: Aggression is one of the symptoms of bipolar disorder. This expression can be associated with negative personal and social effects.

Objective: This study aimed to determine the effect of anger management education on aggression in bipolar disorder.

Methods: This semi-experimental study with a repeated measures design was conducted in Hamadan, Iran, 2018. Fifty-two bipolar type-1 disorder patients were randomly selected from the Psychiatric Ward of Farshian Hospital through the convenience sampling method. The anger management education intervention included four sessions. Also, the State-Trait Anger Expression Inventory-2 (STAXI-2) was completed by the subjects before, immediately, and two weeks after the educational intervention. Data analysis was performed in SPSS16, using Mauchly’s sphericity test and the least significant difference.

Results: The mean aggression score was 61.38±11.59 before the intervention, which reduced to 27.18±8.61 and 18.86±6.45 immediately and two weeks after the intervention, respectively. The repeated measures test showed that the decreasing trend of scores was statistically significant (P<0.001). Moreover, pairwise comparison of study stages demonstrated a significant difference between the first and second stages (P<0.001) and the second and third stages (P<0.001).

Conclusion: Anger management education reduced the level of aggression in bipolar type-1 disorder. Therefore, it can be incorporated into nursing care programs.

Keywords: Anger management therapy, education, aggression, bipolar disorder, STAXI, mental disorder.

« Previous Next »
Graphical Abstract

[1]
Ösby U, Brandt L, Correia N, Ekbom A, Sparén P. Excess mortality in bipolar and unipolar disorder in Sweden. Arch Gen Psychiatry 2001; 58(9): 844-50.
[http://dx.doi.org/10.1001/archpsyc.58.9.844] [PMID: 11545667]
[2]
Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock’s synopsis of psychiatry: Behavioral Sciences/Clinical Psychiatry. Philadelphia, PA: Lippincott Williams & Wilkins 2016.
[3]
Goodwin FK, Jamison KR. Manic-Depressive Illness: Bipolar Disorders and Recurrent Depression. Oxford: University Press 2007.
[4]
Fernandez E, Johnson SL. Anger in psychological disorders: Prevalence, presentation, etiology and prognostic implications. Clin Psychol Rev 2016; 46: 124-35.
[http://dx.doi.org/10.1016/j.cpr.2016.04.012] [PMID: 27188635]
[5]
Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub 2013. Available from: https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596
[http://dx.doi.org/10.1176/appi.books.9780890425596]
[6]
Ballester J, Goldstein B, Goldstein TR, et al. Prospective longitudinal course of aggression among adults with bipolar disorder. Bipolar Disord 2014; 16(3): 262-9.
[http://dx.doi.org/10.1111/bdi.12168] [PMID: 24372913]
[7]
Látalová K. Bipolar disorder and aggression. Int J Clin Pract 2009; 63(6): 889-99.
[http://dx.doi.org/10.1111/j.1742-1241.2009.02001.x] [PMID: 19490199]
[8]
Ballester J, Goldstein T, Goldstein B, et al. Is bipolar disorder specifically associated with aggression? Bipolar Disord 2012; 14(3): 283-90.
[http://dx.doi.org/10.1111/j.1399-5618.2012.01006.x] [PMID: 22548901]
[9]
Barrett EL, Mills KL, Teesson M. Mental health correlates of anger in the general population: Findings from the 2007 National Survey of Mental Health and Wellbeing. Aust N Z J Psychiatry 2013; 47(5): 470-6.
[http://dx.doi.org/10.1177/0004867413476752] [PMID: 23399860]
[10]
Fazel S, Lichtenstein P, Frisell T, Grann M, Goodwin G, Långström N. Bipolar disorder and violent crime: Time at risk reanalysis. Arch Gen Psychiatry 2010; 67(12): 1325-6.
[http://dx.doi.org/10.1001/archgenpsychiatry.2010.171] [PMID: 21135334]
[11]
Fazel S, Lichtenstein P, Grann M, Goodwin GM, Långström N. Bipolar disorder and violent crime: New evidence from population-based longitudinal studies and systematic review. Arch Gen Psychiatry 2010; 67(9): 931-8.
[http://dx.doi.org/10.1001/archgenpsychiatry.2010.97] [PMID: 20819987]
[12]
Veague HB, Hooley JM. Enhanced sensitivity and response bias for male anger in women with borderline personality disorder. Psychiatry Res 2014; 215(3): 687-93.
[http://dx.doi.org/10.1016/j.psychres.2013.12.045] [PMID: 24485062]
[13]
Whisman MA, Schonbrun YC. Social consequences of borderline personality disorder symptoms in a population-based survey: Marital distress, marital violence, and marital disruption. J Pers Disord 2009; 23(4): 410-5.
[http://dx.doi.org/10.1521/pedi.2009.23.4.410] [PMID: 19663660]
[14]
Wnuk S, McMain S, Links PS, Habinski L, Murray J, Guimond T. Factors related to dropout from treatment in two outpatient treatments for borderline personality disorder. J Pers Disord 2013; 27(6): 716-26.
[http://dx.doi.org/10.1521/pedi_2013_27_106] [PMID: 23718760]
[15]
Managing bipolar disorder from urgent situations to maintenance therapy. Prim Care Companion J Clin Psychiatry 2007; 9(5): 367-80.
[http://dx.doi.org/10.4088/PCC.v09n0506] [PMID: 17998956]
[16]
Khoshnevisan M, Seyedfatemi N, Mardani Hamooleh M, Ranjbar M, Haghani H. The effect of anger management educational program on aggression in the individuals with the bipolar disorder: A quasi-experimental study. Iran J Nurs 2020; 33(123): 62-72.
[17]
Rizvi S, Steffel L, Carson-Wong A. Dialectical behavior therapy for maladaptive anger. In: Fernandez E, Ed. Treatments of anger in specific populations: Theory, application and outcome. Oxford, UK: Oxford University Press 2013; pp. 138-57.
[18]
Bhave SY, Saini S. Anger Aanagement. New Delhi, India: SAGE Publications India Pvt. Ltd 2009.
[19]
Novaco RW, Taylor JL. Reduction of assaultive behavior following anger treatment of forensic hospital patients with intellectual disabilities. Behav Res Ther 2015; 65: 52-9.
[http://dx.doi.org/10.1016/j.brat.2014.12.001] [PMID: 25569340]
[20]
Willner P, Rose J, Jahoda A, et al. Group-based cognitive-behavioural anger management for people with mild to moderate intellectual disabilities: Cluster randomised controlled trial. Br J Psychiatry 2013.
[http://dx.doi.org/10.1192/bjp.bp.112.124529]
[21]
Ahangar KS, Dolatshahei B, Badeie MM. Efficacy of anger management training on anger severity symptoms of premenstrual syndrome. Procedia Soc Behav Sci (Basel) 2011; 30: 1942-4.
[22]
Karimi H, Hemmati SA, Haghighi M, Ahmadpanah M, Mohammad BH. Comparing the effectiveness of group anger management and communication skills training on aggression of marijuana addicted prisoners. J Res Behav Sci 2013; 11(2): 129-38.
[23]
Naz S, Khalily MT. Indigenous adoption of Novaco’s model of anger management among individuals with psychiatric problems in Pakistan. J Relig Health 2016; 55(2): 439-47.
[http://dx.doi.org/10.1007/s10943-015-0012-y] [PMID: 25667104]
[24]
Yun K, Yoo Y-S. Effects of the anger management program for nurses. Asian Nurs Res 2021; 15(4): 247-54.
[http://dx.doi.org/10.1016/j.anr.2021.07.004]
[25]
Bahrami E, Mazaheri MA, Hasanzadeh A. Effect of anger management education on mental health and aggression of prisoner women. J Educ Health Promot 2016; 5: 5.
[http://dx.doi.org/10.4103/2277-9531.184563] [PMID: 27512697]
[26]
Reilly PM, Shopshire MS. Anger Management for Substance Use Disorder and Mental Health Clients: A Cognitive-Behavioral Therapy Manual. Morrisville, North Carolina, USA: Lulu Press 2019.
[27]
Spielberger CD. State-Trait anger expression inventory. Wiley Online Library 1999.
[28]
Asghari MM, Moghaddasin MID. The reliability and cruterion validity of a persian version of the state- trait anger expression inventory-2 (STAXI-2) in a clinical sample. Clinical Psychol Personal 2011; 2(5): 75-94.
[29]
Khodayarifard M, Spielberger CD, Gholamali Lavasani M, Akbari Zardkhaneh S. Psychometric properties of Farsi version of the Spielberger’s state-trait anger expression inventory-2 (FSTAXI-2). Procedia Soc Behav Sci 2013; 82: 325-9.
[http://dx.doi.org/10.1016/j.sbspro.2013.06.269]
[30]
Valizadeh S, Davaji RBO, Nikamal M. The effectiveness of anger management skills training on reduction of aggression in adolescents. Procedia Soc Behav Sci 2010; 5: 1195-9.
[http://dx.doi.org/10.1016/j.sbspro.2010.07.260]
[31]
Feindler EL, Weisner S. Youth anger management treatments for school violence prevention. In: Jimerson SR, Furlong M, Eds. Handbook of School Violence and School Safety: From Research to practice. NJ, USA: Lawrence Erlbaum Associates Publishers 2006; pp. 353-63.
[32]
Walitzer KS, Deffenbacher JL, Shyhalla K. Alcohol-adapted anger management treatment: A randomized controlled trial of an innovative therapy for alcohol dependence. J Subst Abuse Treat 2015; 59: 83-93.
[http://dx.doi.org/10.1016/j.jsat.2015.08.003] [PMID: 26387049]
[33]
Mohammadiarya A, Sarabi SD, Shirazi M, Lachinani F, Roustaei A, Abbasi Z, et al. The effect of training self-awareness and anger management on aggression level in Iranian middle school students. Procedia Soc Behav Sci 2012; 46: 987-91.
[http://dx.doi.org/10.1016/j.sbspro.2012.05.235]
[34]
Lök N, Bademli K, Canbaz M. The effects of anger management education on adolescents’ manner of displaying anger and self-esteem: A randomized controlled trial. Arch Psychiatr Nurs 2018; 32(1): 75-81.
[http://dx.doi.org/10.1016/j.apnu.2017.10.010] [PMID: 29413078]
[35]
Shahbazi M, Ghanbari F, Jafarinasab A, Vaziri SM, Foji S, Goudarzian M. The effectiveness of anger management’s training on difficulty of adolescent’s emotion. Rev Sci Fondam Appl 2017; 9(1S): 879-88.
[http://dx.doi.org/10.4314/jfas.v9i1s.739]
[36]
Mohammadi A, Kahnamouei SB, Allahvirdiyan K, Habibzadeh S. The effect of anger management training on aggression and social adjustment of male students aged 12-15 of shabestar schools in 2008. Procedia Soc Behav Sci 2010; 5: 1690-3.
[http://dx.doi.org/10.1016/j.sbspro.2010.07.347]
[37]
Zarshenas L, Baneshi M, Sharif F, Moghimi Sarani E. Anger management in substance abuse based on cognitive behavioral therapy: An interventional study. BMC Psychiatry 2017; 17(1): 375.
[http://dx.doi.org/10.1186/s12888-017-1511-z] [PMID: 29169338]
[38]
Tosun U. Anger management of students for a peaceful school environment: The group studies. Procedia Soc Behav Sci 2014; 159: 686-90.
[http://dx.doi.org/10.1016/j.sbspro.2014.12.469]
[39]
Murad A, Fritsch A, Lecomte F, Stojanovic J, Haegele M. Gestion de la colère chez les adultes porteurs de troubles du spectre autistiqueAnger management in adult people with autism spectrum disorders. Ann Med Psychol 2012; 170(7), 494-6.
[http://dx.doi.org/10.1016/j.amp.2012.06.014]
[40]
Reilly PM, Shopshire MS. Anger management for substance abuse and mental health clients: A cognitive behavioral therapy manual. J Drug Addict Educ Erad 2014; 10(1/2): 199.

Rights & Permissions Print Cite
Article Metrics
12
1
© 2024 Bentham Science Publishers | Privacy Policy