Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial

doi:10.1002/da.23230

Randomized Controlled Trial

. 2022 Apr;39(4):274-285.

doi: 10.1002/da.23230. Epub 2021 Dec 8.

Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial

M Tracie Shea^{1

2}, Robert L Stout³, Madhavi K Reddy⁴, Elizabeth Sevin¹, Candice Presseau^{5

6}, Jennifer Lambert^{1

2}, Amy Cameron^{1

2}

Affiliations

¹ VA Providence Healthcare System, Providence, Rhode Island, USA.
² Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
³ Pacific Institute for Research and Evaluation, Pawtucket, Rhode Island, USA.
⁴ Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
⁵ VA Connecticut Health Care System, West Haven, Connecticut, USA.
⁶ Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

PMID: 34878695
DOI: 10.1002/da.23230

Randomized Controlled Trial

Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial

M Tracie Shea et al. Depress Anxiety. 2022 Apr.

. 2022 Apr;39(4):274-285.

doi: 10.1002/da.23230. Epub 2021 Dec 8.

Authors

M Tracie Shea^{1

2}, Robert L Stout³, Madhavi K Reddy⁴, Elizabeth Sevin¹, Candice Presseau^{5

6}, Jennifer Lambert^{1

2}, Amy Cameron^{1

2}

Affiliations

¹ VA Providence Healthcare System, Providence, Rhode Island, USA.
² Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
³ Pacific Institute for Research and Evaluation, Pawtucket, Rhode Island, USA.
⁴ Walter Reed Army Institute of Research, Silver Spring, Maryland, USA.
⁵ VA Connecticut Health Care System, West Haven, Connecticut, USA.
⁶ Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.

PMID: 34878695
DOI: 10.1002/da.23230

Abstract

Background: Problems with anger and aggression affect many veterans who have deployed to a warzone, resulting in serious impairment in multiple aspects of functioning. Controlled studies are needed to improve treatment options for these veterans. This randomized controlled trial compared an individually delivered cognitive behavioral therapy adapted from Novaco's Anger Control Therapy to a manualized supportive therapy to control for common therapeutic factors.

Methods: Ninety-two post-911 veterans deployed during Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), or Operation New Dawn (OND) with moderate to severe anger problems were randomized to receive the cognitive behavioral intervention (CBI) or the supportive intervention (SI). Anger, aggression, multiple areas of functioning and quality of life were assessed at multiple time points inclu\ding 3- and 6-month follow-up.

Results: Hierarchical linear modeling (HLM) analyses showed significant treatment effects favoring CBI for anger severity, social and interpersonal functioning, and quality of life. The presence of a PTSD diagnosis did not affect outcomes.

Conclusions: CBI is an effective treatment for OEF/OIF/OND veterans with anger problems following deployment, regardless of PTSD diagnosis.

Keywords: aggression; anger; trauma; treatment; veterans.

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5I01RX001146/U.S. Department of Veterans Affairs

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Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial

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Treatment of anger problems in previously deployed post-911 veterans: A randomized controlled trial

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