Aggression Observation Scale for Group Psychotherapy

An observational scale to record aggressive behaviors, defenses, and interventions that occur during a psychotherapy group has been developed. Content and process items were included. The content items focus on the spoken material and are on a continuum of increasing group members' awareness of and responsibility for their anger. The process items are directed to underlying psychodynamic issues on a continuum from avoiding anger, to indirect and then expression of anger. Leader interventions (responses) are also included. The development of the scale, the Aggression Observation Scale for Group Psychotherapy (AOSGP), is described including pilot testing and reliability and validity findings.     

Mokken Scale Analysis for Dichotomous Items Using Marginal Models

Scalability coefficients play an important role in Mokken scale analysis. For a set of items, scalability coefficients have been defined for each pair of items, for each individual item, and for the entire scale. Hypothesis testing with respect to these scalability coefficients has not been fully developed. This study introduces marginal modelling as a framework to derive the standard errors for the scaling coefficients and test hypotheses about these coefficients. Several examples demonstrate the possibilities of marginal modelling in Mokken scale analysis. These possibilities include testing whether Mokken’s criteria for a scale are satisfied, testing whether scalability coefficients of different items are equal, and testing whether scalability coefficients are equal across different groups.     

Existential perspectives on death anxiety

Construct validity is the hallmark of Templer's Death Anxiety Scale (1970), which has generated a healthy stream of research of paramount importance in the USA and all over the world. This paper contends that scores on this scale provide valuable scientific knowledge on group norms. To expand the concept of death anxiety it is necessary to supplement empirical with qualitative research. Persons with the same scores may show qualitatively different fears of death, and vice versa. Total reliance on empirical scales may not disclose the depth of bipolar meaning in a "life-death anxiety." Templer's scale is a mixture of fears, phobias, and obsessions with thoughts of illness, cancer, heart disease, and wars. A bipolar "life-death anxiety" continuum requires phenomenology to reach beyond the 15 items to the process of "experiencing." The scale addresses "thoughts" about the death of others even though its items are cast in the first person singular. This provides group norms of a "cognitive-affective" construct, with limited generality cross-culturally. Means do not disclose fully meaningful comparisons between persons or cultures. Death Anxiety as an existential anticipatory mode of "being-in-the-world" is embedded in a personal/genetic/cultural matrix that may vary individually and culturally.     

A critique of the development of the Competitive Aggressiveness and Anger Scale

ObjectivesIn order to really understand aggression in sports, it is important that psychological research on the topic remains well founded, valid and grounded in reality. The Competitive Aggressiveness and Anger Scale (CAAS) [Maxwell, J. P., & Moores, E. (2007). The development of a short scale for measuring aggressiveness and anger in competitive athletes. Psychology of Sport and Exercise, 8, 179–193], which purports to measure aggressiveness and anger in competitive athletes, has recently been developed. The present critique highlights a number of shortcomings in the rationale behind the scale and its development.DesignThis critique will focus on three major problem areas. These are: (1) the definition of aggression in sports adopted by the scale's developers; (2) the “one size fits all” element in the thinking behind the scale's development; (3) the nature of the CAAS Anger and Aggressiveness items.ResultsThe approach taken in the development of CAAS means that the scale, as it is currently formulated, can offer only an incomplete understanding and measurement of anger and aggressiveness in sports. Among other things, the measure ignores a whole range of frequently occurring legal, sanctioned aggressive and violent behaviour in sports. In addition, it ignores sources of motivation beyond anger which underpin other types of aggressive and violent behaviour in sports.     

Mindfulness and other Buddhist-derived interventions in correctional settings: A systematic review

Interest into the rehabilitative utility of Buddhist-derived interventions (BDIs) for incarcerated populations has been growing. The present paper systematically reviews the evidence for BDIs in correctional settings. Five databases were systematically searched. Controlled intervention studies of BDIs that utilized incarcerated samples were included. Jadad scoring was used to evaluate methodological quality. PRISMA (preferred reporting items for systematic reviews and meta-analysis) guidelines were followed. The initial search yielded 85 papers, but only eight studies met the inclusion criteria. The eight eligible studies comprised two mindfulness studies, four vipassana meditation studies, and two studies utilizing other BDIs. Intervention participants demonstrated significant improvements across five key criminogenic variables: (i) negative affect, (ii) substance use (and related attitudes), (iii) anger and hostility, (iv) relaxation capacity, and (v) self-esteem and optimism. There were a number of major quality issues. It is concluded that BDIs may be feasible and effective rehabilitative interventions for incarcerated populations. However, if the potential suitability and efficacy of BDIs for prisoner populations is to be evaluated in earnest, it is essential that methodological rigor is substantially improved. Studies that can overcome the ethical issues relating to randomization in correctional settings and employ robust randomized controlled trial designs are favored.     

Preliminary validation of a Chinese version of the State-Trait Anger Expression Inventory-2

The increased globalization of psychology and related fields necessitates the availability of psychometric instruments in a number of languages, countries and cultures. Unfortunately, research on anger and aggression in Chinese populations has suffered from a lack of valid and reliable measurement instruments. Therefore, the State-Trait Anger Expression Inventory-2 (STAXI-2) was translated into Chinese (Chinese STAXI-2). Two samples of Hong Kong Chinese ( N  = 489 and N  = 775) completed the Chinese STAXI-2. Participants in the second sample also completed measures of anger rumination and aggression. Confirmatory factor analysis (CFA) of responses from the first sample resulted in the loss of nine items from the 57 original items due to misspecification. A second CFA, using responses from the second sample, supported the construct validity of the modified scale. Moderate correlations were observed with measures of aggression and anger rumination, and significant differences were found between males and females on three anger expression subscales (Anger Expression-In, Anger Control-Out, and Anger Control-In). The preliminary evidence suggests that the abbreviated inventory may be a useful measure of state and trait anger, and anger expression in some Chinese populations.     

Dimensions of driver anger, aggressive and highway code violations and their mediation by safety orientation in UK drivers

Aggressive behaviour on the roads is reported to be on the increase. This study administered Driving Anger Scale (Deffenbacher et al. (1994). Development of a driving anger scale. Psychological Reports, 74, 83–91.), the Driver Behaviour Questionnaire, and the Driving Skill Inventory to a sample of 270 British drivers. Factor analysis of the Driving Anger Scale items yielded three factors measuring anger generated by the reckless driving, direct hostility and impeded progress by others—contrary to the six subscales found with the original US sample. Younger drivers and low mileage drivers were more likely to exhibit all three types of driving anger, but no differences between male and female drivers were found. In addition, a driver’s safety orientation predicted (negatively) anger evoked by impeded progress and direct hostility whereas self-assessed perceptual-motor skills were positively related to anger generated by impeded progress. Both Highway Code and aggressive violations were significantly related to the anger factors, and, using the procedure by Baron and Kenny (Baron & Kenny (1986). The moderator–mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.), the prediction of violating behaviour (Driver Behaviour Questionnaire) by reported anger was shown to be mediated by the self-assessed safety skill scale but not the perceptual-motor skill scale (Driver Skill Inventory), and moderated by neither. Implications for driver education countermeasures are noted.     

Assessing the impact of group treatment for aggressive inpatients

The purpose of this research was to determine if psychodynamic group psychotherapy decreases the occurrence of physical assault by male group members. The design of the study was a randomized clinical trial. Patients assigned to the control group received the customary clinical care. Patients assigned to the Group Therapy attended a psychodynamic psychotherapy group to help them cope with their aggressive impulses. Both quantitative and qualitative measures were used. Group members showed decreased expression of anger at followup, increased effort to control anger at followup, and decline in aggressive behavior. Control subjects demonstrated no change in level of angry feelings, increased expression of anger at follow-up, decrease in effort to control anger at follow-up, and no change in aggressive behavior. A model for conducting a psychodynamic psychotherapy group for assaultive men was developed which describes process and content aspects as well as leader interventions by group phase.     

Item banks for measuring emotional distress from the Patient-Reported Outcomes Measurement Information System (PROMIS®): depression, anxiety, and anger

The authors report on the development and calibration of item banks for depression, anxiety, and anger as part of the Patient-Reported Outcomes Measurement Information System (PROMIS?). Comprehensive literature searches yielded an initial bank of 1,404 items from 305 instruments. After qualitative item analysis (including focus groups and cognitive interviewing), 168 items (56 for each construct) were written in a first person, past tense format with a 7-day time frame and five response options reflecting frequency. The calibration sample included nearly 15,000 respondents. Final banks of 28, 29, and 29 items were calibrated for depression, anxiety, and anger, respectively, using item response theory. Test information curves showed that the PROMIS item banks provided more information than conventional measures in a range of severity from approximately -1 to +3 standard deviations (with higher scores indicating greater distress). Short forms consisting of seven to eight items provided information comparable to legacy measures containing more items.     

Effects of anger management and goal setting group interventions on state-trait anger and self-efficacy beliefs among high risk adolescents

In this study we evaluated the effects of two psychoeducational groups (anger management and goal setting) on state and trait anger, anger expression, and on self-efficacy beliefs of high risk adolescents enrolled in an alternative high school. Participants (n = 57) were pre- and post-tested using the State Trait Anger Expression Inventory (STAXI) with subscales for (a) state anger, (b) trait anger, and (c) anger expression, and on a measure of self-efficacy related to (a) anger management, (b) goal setting, and (c) group behavior and interpersonal communication. We hypothesized that each treatment would favorably impact the self-efficacy items related to it, that participants in both treatment groups would show gains in self-efficacy for general group behavior and communication skills, and that the anger management treatment would decrease state anger and anger expression. Results of a series of Repeated Measures ANOVAS revealed no group effects or group by time interaction effects. Analysis of Cohen's d effect sizes for the treatment groups in comparison with the control condition indicated only small treatment effects for the goal setting group on the STAXI, and small, negative treatment effects for the anger management group on the STAXI and on state anger. Thus, results failed to support the hypotheses with the current data set. Limitations of this study and implications for future research and group practice within schools are discussed. The authors thank Ellen Hawley McWhirter, Greg Sandstrom, and the administration, faculty, and students of the participating “alternative high school” for their help and support.     

Measuring the negative mood component of stress experiences: description and psychometric properties of a short adjective check-list of stress responses

Negative Mood (NM) is a 19-items adjective check-list developed to assess negative mood and stress responses. The items of the scale reflect dimensions such as depressed mood, anxiety, anger and time urgency. The data were collected from four different samples, two random population samples and two smaller selective samples. The psychometric properties of the NM showed high internal consistency (Cronbach's Alpha). When analysed with principal components analysis, three factors emerged, anxiety/depression, time pressure, and anger. The factors emerged in all four samples, within samples and between gender. The NM factors were tested for convergent and discriminative validity by correlating them with other more established measures of different aspects of negative mood. The results showed high convergent and discriminative validity for two of the NM factors, i.e., anxiety/depression, and anger, whereas the results for the third factor, time pressure, were more ambiguous. This scale has proven to be useful in capturing some vital dimensions of negative affect across different kinds of populations.     

Effects of anger management and goal setting group interventions on state-trait anger and self-efficacy beliefs among high risk adolescents

In this study we evaluated the effects of two psychoeducational groups (anger management and goal setting) on state and trait anger, anger expression, and on self-efficacy beliefs of high risk adolescents enrolled in an alternative high school. Participants (n = 57) were pre- and post-tested using the State Trait Anger Expression Inventory (STAXI) with subscales for (a) state anger, (b) trait anger, and (c) anger expression, and on a measure of self-efficacy related to (a) anger management, (b) goal setting, and (c) group behavior and interpersonal communication. We hypothesized that each treatment would favorably impact the self-efficacy items related to it, that participants in both treatment groups would show gains in self-efficacy for general group behavior and communication skills, and that the anger management treatment would decrease state anger and anger expression. Results of a series of Repeated Measures ANOVAS revealed no group effects or group by time interaction effects. Analysis of Cohen's d effect sizes for the treatment groups in comparison with the control condition indicated only small treatment effects for the goal setting group on the STAXI, and small, negative treatment effects for the anger management group on the STAXI and on state anger. Thus, results failed to support the hypotheses with the current data set. Limitations of this study and implications for future research and group practice within schools are discussed. The authors thank Ellen Hawley McWhirter, Greg Sandstrom, and the administration, faculty, and students of the participating “alternative high school” for their help and support.     

Use of cognitive question testing methodologies in participant action research: implementing the Three-Step Test-Interview Method in Indian county

This study describes the use of cognitive question testing methods to pretest a Web-based questionnaire designed to gather information from American Indian and Alaska Native (AI/AN) youth between the ages of 18 and 25. The questionnaire included items related to risk and resiliency factors as well as potentially sensitive topics of victimization and delinquency. Question testing was completed with a sample of 15 youth living in three different regions of the United States. The Three Step Test Interview Method was modified to collect information related to interface usability, cognitive response, and cultural interpretation of survey items. Data collected from the question testing process resulted in questionnaire changes that included query wording, the inclusion and exclusion of survey items based on cultural input, the reordering and rendering of survey items, and improvements in interface usability. Implications for survey research with the AI/AN youth population are discussed.     

The angry cognitions scale: a new inventory for assessing cognitions in anger

Although cognitive–behavioral therapy is the preferred anger management treatment, research on the cognitive processes associated with anger is relatively sparse. One reason for this has been a lack of adequate measures of the cognitive processes associated with anger. The current study addresses this limitation by developing a theoretically derived instrument to measure the cognitive processes thought to be associated with maladaptive anger. Pilot work identified a set of 72 items written to reflect 5 domains that cut across cognitive theories of anger: overgeneralizing, inflammatory labeling, demandingness, catastrophic evaluation, and misattributing causation. Items were administered to 362 participants and statistical analyses yielded the 54-item Angry Cognitions Scale (ACS). Evidence supporting the construct validity of the ACS was demonstrated through relationships with the experience and expression/control of anger, hostile thoughts, anger consequences, depression and anxiety, and other measures of positive and negative cognitions.     

Anger and postcombat mental health: Validation of a brief anger measure with U.S. Soldiers postdeployed from Iraq and Afghanistan

The involvement of anger in the psychological adjustment of current war veterans, particularly in conjunction with combat-related posttraumatic stress disorder (PTSD), warrants greater research focus than it has received. The present study concerns a brief anger measure, Dimensions of Anger Reactions (DAR), intended for use in large sample studies and as a screening tool. The concurrent validity, discriminant validity, and incremental validity of the instrument were examined in conjunction with behavioral health data for 3,528 treatment-seeking soldiers who had been in combat in Iraq and Afghanistan. Criterion indices included multiple self-rated measures of psychological distress (including PTSD, depression, and anxiety), functional difficulties (relationships, daily activities, work problems, and substance use), and violence risk. Concurrent validity was established by strong correlations with single anger items on 4 other scales, and discriminant validity was found against anxiety and depression measures. Pertinent to the construct of anger, the DAR was significantly associated with psychosocial functional difficulties and with several indices of harm to self and to others. Hierarchical regression performed on a self/others harm index found incremental validity for the DAR, controlling for age, education, military component, officer rank, combat exposure, PTSD, and depression. The ability to efficiently assess anger in at-risk military populations can provide an indicator of many undesirable behavioral health outcomes. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Driving violations,aggression and perceived consensus

A questionnaire survey of 171 English drivers investigated the relationships between trait aggressiveness, self-reported driving violations, and perceptions of the commission of driving violations by others, using the extended violation scale of the Manchester Driver behaviour Questionnaire (DBQ). Drivers who were relatively high on trait aggressiveness reported committing more traffic violations than those who had lower scores. Both aggressive and non aggressive drivers believed that others committed the driving offences more often than they did themselves, although those with a higher score for trait aggressiveness had a greater tendency to do so. The commission of both aggressive and Highway Code violations was predicted by trait anger. Those high on anger and hostility were also more likely to have been involved in a road traffic accident. The implications for road safety interventions are discussed.     

Intensifying attachment-related sadness and decreasing anger intensity among individuals suffering from unresolved anger: The role of relational reframe followed by empty-chair interventions

This study examined whether two therapy interventions – relational reframe followed by empty chair – were associated with increases in sadness intensity and decreases in anger intensity among a sample of 61 undergraduate students suffering from unresolved anger toward an attachment figure (e.g. parent, sibling, and past-romantic partner). Participants underwent a single analog therapy session comprised of three interventions delivered in sequence: empathic focus on their anger; relational reframe; and empty-chair enactment. Participants retrospectively reported on the intensity of their attachment-related anger and sadness during the session using an interpersonal process recall procedure. Results showed that over the course of the relational reframe and empty-chair intervention sequence, sadness intensity increased and anger intensity decreased. Theoretical and practical implications are discussed.     

“Normally I’d get really agitated,but I just laughed!”: what do participants reflect upon in a transactional analysis/mindfulness based anger management programme?

ABSTRACT

Most anger management group programmes utilise Cognitive Behaviour Therapy (CBT) and Mindfulness Based Treatments (MBTs) in their interventions. This study uses Transactional Analysis (TA) and mindfulness to help promote behavioural change. We explored participants' phenomenological change throughout a 10-week anger management programme. The research examines participants' weekly “check-ins” as they reflected on their angry behaviours, their interpersonal relationships and the development of mindfulness techniques as a way to regulate their angry emotions. The research suggests participants engage in a group learning process of sharing their angry behaviours, reflecting upon the taught content of the programme before acting to change their behaviour, utilising the group for encouragement and support.     

Mindfulness and the treatment of anger problems

Clinical interventions based on training in mindfulness skills are an increasingly common part of psychological practice. Mindfulness training can lead to reductions in a variety of problematic conditions including pain, stress, anxiety, depressive relapse, psychosis, and disordered eating but to date there have been few attempts to investigate the effectiveness of this approach with problematic anger. In this paper, the literature in relation to the theory and treatment of problematic anger is reviewed, with the aim of determining whether a rationale exists for the use of mindfulness with angry individuals. It is concluded that anger as an emotion seems particularly appropriate for the application of mindfulness-based interventions, and the potential mechanisms for its proposed effects in alleviating the cognitive, affective and behavioral manifestations of anger are discussed.