The impact of trauma-focused psychotherapies on anger: A systematic review and meta-analysis.

Journal: Psychological trauma : theory, research, practice and policy

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Affiliated Institutions:  Durham Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT), Durham VA Health Care System. Department of Psychology, Florida State University. VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center. Durham VA Health Care System. National Center for PTSD, Women's Health Science Division. Veterans Affairs San Diego Healthcare System. Boston VA Healthcare System. National Center for PTSD, Dissemination and Training Division, VA Palo Alto Healthcare System. Duke University Medical Center Library & Archives, Duke University School of Medicine.

Abstract summary 

Anger is one of the most prevalent concerns among individuals with posttraumatic stress disorder (PTSD) and is often a residual symptom following PTSD treatment. The purpose of this systematic review and meta-analysis was to determine how effective trauma-focused PTSD psychotherapies are in reducing anger.The study was reported according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This study conducted a systematic review of studies that reported the effect of trauma-focused treatments on anger outcomes. Additionally, a meta-analysis was conducted with a subset of studies that used randomized controlled trials (RCTs) methodologies to compare trauma-focused PTSD treatments to nontrauma-focused and control conditions.The systematic review included 16 studies with a total of 1,846 participants. In 11 of the studies, there was a significant decrease in an anger dimension following treatment. Eight studies with 417 total participants met inclusion criteria for the meta-analysis. The meta-analysis yielded a pooled effect size of PTSD treatment on anger of Hedges's = 0.33.Overall, trauma-focused treatments for PTSD significantly improve anger, but the magnitude of change is small-to-medium. Additional research is needed to determine how best to maximize anger outcomes following trauma-focused treatment or determine if and when targeted anger treatment is needed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Authors & Co-authors:  Wells Patel Halverson LoSavio Morland Wachsman Ponzini Kelton Mackintosh Powell Kaplan Dillon

Study Outcome 

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Statistics
Citations : 
Authors :  12
Identifiers
Doi : 10.1037/tra0001697
SSN : 1942-969X
Study Population
Male,Female
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Publication Country
United States