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J Consult Clin Psychol. 1997 Feb;65(1):184-9.

Cognitive-behavioral treatment for severe anger in posttraumatic stress disorder.

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  • 1Stress Disorders Laboratory, Department of Veterans Affairs, Honolulu, Hawaii 96813, USA.


With a randomized group design, a 12-session anger treatment was evaluated with severely angry Vietnam War veterans suffering combat-related posttraumatic stress disorder (PTSD). Eight participants in anger treatment and 7 in a routine clinical care control condition completed multiple measures of anger control, anger reaction, and anger disposition, as well as measures of anxiety, depression, and PTSD at pre- and posttreatment. Controlling for pretreatment scores, significant effects were found on anger reaction and anger control measures but not on anger disposition or physiological measures. Eighteen-months follow-up (for both completers and dropouts) supported the posttreatment anger control findings. The challenges of treatment research with this refractory population are discussed.

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