Abstract
Objective: Negative affect (NA) reactivity to daily stressors may confer health risks over and above stress exposure, especially in chronically angry adults. This randomized controlled trial tests the hypothesis that a 12-week cognitive-behavioral therapy (CBT) anger-reduction treatment would decrease NA reactivity to daily stressors assessed via ambulatory diary for those in treatment, but not on a wait-list for treatment. Method: Healthy adults (N = 158, aged 20-45 years, 53.20% women) scoring high on Spielberger's (1988) Trait Anger, a scale from the State-Trait Anger Expression Inventory, were randomly assigned to a CBT treatment or wait-list control group, and completed 24 hr of prerandomization and postintervention ecological momentary assessment (EMA) of NA intensity and stress events every 20 ± 5 min. A longitudinal model using a generalized estimating equation examined whether stressor exposure and NA reactions to momentary stressors changed from pre- to posttreatment in the CBT group. Results: There was a significant 3-way interaction (t28 = 2.29, p = .03) between stressor, treatment group, and EMA day, indicating that NA reactivity decreased for the treatment group 1.60 points more than for the wait-list group (a 379.38% greater change in NA reactivity). NA during stressors was 1.18 points lower (a 28.42% decrease) for the treatment group at EMA Day 2 (p=.04), whereas wait-list NA during stressors nonsignificantly increased. Conclusion: CBT to decrease chronic anger is associated with lower NA reactivity to daily stressors in this sample and could be a promising treatment to mitigate the health impact of stress in this clinical population.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 141-150 |
| Number of pages | 10 |
| Journal | Journal of consulting and clinical psychology |
| Volume | 87 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2019 |
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All Science Journal Classification (ASJC) codes
- Clinical Psychology
- Psychiatry and Mental health
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Anger-reduction treatment reduces negative affect reactivity to daily stressors. / McIntyre, Kathleen M.; Mogle, Jacqueline Ann; Scodes, Jennifer M.; Pavlicova, Martina; Shapiro, Peter A.; Gorenstein, Ethan E.; Tager, Felice A.; Monk, Catherine; Almeida, David; Sloan, Richard P.
In: Journal of consulting and clinical psychology, Vol. 87, No. 2, 01.02.2019, p. 141-150.Research output: Contribution to journal › Article
TY - JOUR
T1 - Anger-reduction treatment reduces negative affect reactivity to daily stressors
AU - McIntyre, Kathleen M.
AU - Mogle, Jacqueline Ann
AU - Scodes, Jennifer M.
AU - Pavlicova, Martina
AU - Shapiro, Peter A.
AU - Gorenstein, Ethan E.
AU - Tager, Felice A.
AU - Monk, Catherine
AU - Almeida, David
AU - Sloan, Richard P.
PY - 2019/2/1
Y1 - 2019/2/1
N2 - Objective: Negative affect (NA) reactivity to daily stressors may confer health risks over and above stress exposure, especially in chronically angry adults. This randomized controlled trial tests the hypothesis that a 12-week cognitive-behavioral therapy (CBT) anger-reduction treatment would decrease NA reactivity to daily stressors assessed via ambulatory diary for those in treatment, but not on a wait-list for treatment. Method: Healthy adults (N = 158, aged 20-45 years, 53.20% women) scoring high on Spielberger's (1988) Trait Anger, a scale from the State-Trait Anger Expression Inventory, were randomly assigned to a CBT treatment or wait-list control group, and completed 24 hr of prerandomization and postintervention ecological momentary assessment (EMA) of NA intensity and stress events every 20 ± 5 min. A longitudinal model using a generalized estimating equation examined whether stressor exposure and NA reactions to momentary stressors changed from pre- to posttreatment in the CBT group. Results: There was a significant 3-way interaction (t28 = 2.29, p = .03) between stressor, treatment group, and EMA day, indicating that NA reactivity decreased for the treatment group 1.60 points more than for the wait-list group (a 379.38% greater change in NA reactivity). NA during stressors was 1.18 points lower (a 28.42% decrease) for the treatment group at EMA Day 2 (p=.04), whereas wait-list NA during stressors nonsignificantly increased. Conclusion: CBT to decrease chronic anger is associated with lower NA reactivity to daily stressors in this sample and could be a promising treatment to mitigate the health impact of stress in this clinical population.
AB - Objective: Negative affect (NA) reactivity to daily stressors may confer health risks over and above stress exposure, especially in chronically angry adults. This randomized controlled trial tests the hypothesis that a 12-week cognitive-behavioral therapy (CBT) anger-reduction treatment would decrease NA reactivity to daily stressors assessed via ambulatory diary for those in treatment, but not on a wait-list for treatment. Method: Healthy adults (N = 158, aged 20-45 years, 53.20% women) scoring high on Spielberger's (1988) Trait Anger, a scale from the State-Trait Anger Expression Inventory, were randomly assigned to a CBT treatment or wait-list control group, and completed 24 hr of prerandomization and postintervention ecological momentary assessment (EMA) of NA intensity and stress events every 20 ± 5 min. A longitudinal model using a generalized estimating equation examined whether stressor exposure and NA reactions to momentary stressors changed from pre- to posttreatment in the CBT group. Results: There was a significant 3-way interaction (t28 = 2.29, p = .03) between stressor, treatment group, and EMA day, indicating that NA reactivity decreased for the treatment group 1.60 points more than for the wait-list group (a 379.38% greater change in NA reactivity). NA during stressors was 1.18 points lower (a 28.42% decrease) for the treatment group at EMA Day 2 (p=.04), whereas wait-list NA during stressors nonsignificantly increased. Conclusion: CBT to decrease chronic anger is associated with lower NA reactivity to daily stressors in this sample and could be a promising treatment to mitigate the health impact of stress in this clinical population.
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UR - http://www.scopus.com/inward/citedby.url?scp=85057569843&partnerID=8YFLogxK
U2 - 10.1037/ccp0000359
DO - 10.1037/ccp0000359
M3 - Article
C2 - 30507214
AN - SCOPUS:85057569843
VL - 87
SP - 141
EP - 150
JO - Journal of Consulting and Clinical Psychology
JF - Journal of Consulting and Clinical Psychology
SN - 0022-006X
IS - 2
ER -