Anger self-management training for people with traumatic brain injury: a preliminary investigation

J Head Trauma Rehabil. 2012 Mar-Apr;27(2):113-22. doi: 10.1097/HTR.0b013e31820e686c.


Objective: : To examine the feasibility and gather preliminary data on the efficacy of a fully manualized, 8-session, psychoeducational treatment for irritability and anger after traumatic brain injury (TBI), called anger self-management training (ASMT).

Participants: : A total of 10 persons with moderate to severe, chronic TBI with significant cognitive impairment and elevated levels of anger and irritability participated in the study; 8 had significant others (SOs) who participated in portions of the treatment and provided pre- and posttreatment measures; 1 SO provided only data.

Main outcome measure: : Two subscales of the State-Trait Anger Expression Scale-Revised and Brief Anger-Aggression Questionnaire.

Design: : Pre- to posttreatment pilot study.

Results: : There was significant improvement on all 3 measures of self-reported anger, with large effect sizes (>1.0), and on 1 of 3 SO-reported scales. Qualitative feedback from participants was positive and dropout rate was low (1 of 11).

Conclusions: : The treatment model represented by the ASMT appears worthy of further study in persons with TBI who have both problematic anger and cognitive impairment.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anger*
  • Brain Injuries / psychology*
  • Brain Injuries / therapy
  • Cognitive Behavioral Therapy
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Self Care*
  • Young Adult