Anger-reduction treatment reduces negative affect reactivity to daily stressors

Kathleen M. McIntyre, Jacqueline Ann Mogle, Jennifer M. Scodes, Martina Pavlicova, Peter A. Shapiro, Ethan E. Gorenstein, Felice A. Tager, Catherine Monk, David Almeida, Richard P. Sloan

Research output: Contribution to journalArticle

2 Citations (Scopus)

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 languageEnglish (US)
Pages (from-to)141-150
Number of pages10
JournalJournal of consulting and clinical psychology
Volume87
Issue number2
DOIs
StatePublished - Feb 1 2019

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Anger
Cognitive Therapy
Therapeutics
Health
Randomized Controlled Trials
Equipment and Supplies
Control Groups

All Science Journal Classification (ASJC) codes

  • Clinical Psychology
  • Psychiatry and Mental health

Cite this

McIntyre, K. M., Mogle, J. A., Scodes, J. M., Pavlicova, M., Shapiro, P. A., Gorenstein, E. E., ... Sloan, R. P. (2019). Anger-reduction treatment reduces negative affect reactivity to daily stressors. Journal of consulting and clinical psychology, 87(2), 141-150. https://doi.org/10.1037/ccp0000359
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. / Anger-reduction treatment reduces negative affect reactivity to daily stressors. In: Journal of consulting and clinical psychology. 2019 ; Vol. 87, No. 2. pp. 141-150.
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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.",
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McIntyre, KM, Mogle, JA, Scodes, JM, Pavlicova, M, Shapiro, PA, Gorenstein, EE, Tager, FA, Monk, C, Almeida, D & Sloan, RP 2019, 'Anger-reduction treatment reduces negative affect reactivity to daily stressors', Journal of consulting and clinical psychology, vol. 87, no. 2, pp. 141-150. https://doi.org/10.1037/ccp0000359

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 journalArticle

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

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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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