Journal
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
Volume 76, Issue 5, Pages 876-886Publisher
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/0022-006X.76.5.876
Keywords
intermittent explosive disorder; cognitive-behavioral therapy; randomized clinical trial; aggression
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No randomized clinical trials have evaluated the efficacy of psychotherapy for intermittent explosive disorder (IED). In the present study, the authors tested the efficacy of 12-week group and individual cognitive-behavioral therapies (adapted from J.L. Deffienbacher & M. McKay, 2000) by comparing them with a wait-list control in a randomized clinical trial among adults with IED (N = 45). Aggression, anger, and associated symptoms were assessed at baseline, midthreatment, posttreatment, and 3-month follow-up. Group and individual cognitive-behavioral therapy tended not to differ, with each reducing aggression, anger, hostile thinking, and depressive symptoms, while improving anger control relative to wait-list participants. Posttreatment effect sizes were large. These effects were maintained at 3-month follow-up. Findings provide initial support for the use of multicomponent cognitive-behavioral therapy in the treatment of IED.
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