Predictors of treatment outcome in cognitive behavioral therapy for intermittent explosive disorder: A preliminary analysis.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-01-01 Epub Date: 2023-10-19 DOI:10.1037/ccp0000858

Nicole K Ciesinski, Martha K Zajac, Michael S McCloskey

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引用次数: 0

Abstract

Objective: The present study examined potential treatment outcome predictors of a multicomponent cognitive behavioral intervention for intermittent explosive disorder (IED).

Method: The sample (n = 64; 22 female) consisted of individuals with a current diagnosis of IED that completed treatment across three study trials. Treatment outcome predictors assessed included demographic variables, psychiatric comorbidity, symptom severity, and treatment motivation/engagement. Treatment outcomes were (a) change in number of past-week aggressive acts from pretreatment to posttreatment and (b) presence of IED diagnosis at posttreatment.

Results: Results indicated those who endorsed lower trait anger were more likely to remit from IED diagnosis at posttreatment. No other variables were found to significantly predict treatment outcome.

Conclusions: These findings support the notion that cognitive behavioral therapy can be effective for a wide range of individuals with IED, with little variation in efficaciousness based on presence of demographic characteristics, comorbid disorders, or treatment motivation/engagement. This seems to be particularly the case for individuals with lower levels of trait anger. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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间歇性爆炸性疾病认知行为疗法治疗结果的预测因素：初步分析。

目的：本研究检查了间歇性爆炸性疾病（IED）多组分认知行为干预的潜在治疗结果预测因素。方法：样本（n=64；22名女性）由目前诊断为IED的个体组成，这些个体在三项研究试验中完成了治疗。评估的治疗结果预测因素包括人口统计学变量、精神共病、症状严重程度和治疗动机/参与度。治疗结果是（a）从治疗前到治疗后过去一周的攻击行为数量的变化，以及（b）治疗后IED诊断的存在。结果：结果表明，那些支持较低特质愤怒的人更有可能在治疗后从IED诊断中解脱出来。没有发现其他变量能显著预测治疗结果。结论：这些发现支持了这样一种观点，即认知行为疗法可以对广泛的IED患者有效，根据人口统计学特征、共病障碍或治疗动机/参与程度，疗效变化很小。这似乎尤其适用于那些特质愤怒程度较低的人。（PsycInfo数据库记录（c）2023 APA，保留所有权利）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.