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Introdução: Dentre as inúmeras possibilidades que um indivíduo possui de experienciar e expressar a raiva ou a ira, não é raro que o sentimento fuja do controle e termine em hostilidade e agressões, podendo gerar consequências importantes na vida de uma pessoa e de outros ao seu redor. Diante disso, torna-se fundamental a aplicação de técnicas comprovadamente eficazes, objetivando uma maior qualidade de vida ao indivíduo e às pessoas que com ele convivem. Objetivos: Identificar as principais técnicas no manejo da raiva em adultos. Método: Revisão sistemática de artigos científicos de estudos clínicos. Resultados: Nove estudos clínicos randomizados com utilização de técnicas psicológicas para o manejo da ira foram utilizados na análise. A Terapia Cognitivo-Comportamental mostrou-se predominante nas intervenções analisadas e provou-se eficaz para o controle da ira. Conclusão: Técnicas cognitivo-comportamentais, em especial a psicoeducação e a reestruturação cognitiva, são as ferramentas mais frequentemente usadas para o manejo da raiva em distintos grupos clínicos de pacientes, com resultados positivos na regulação emocional.

Introduction: Among the innumerable possibilities that an individual has to experience and express anger, it is not rare that the feeling gets out of control and ends up in hostility and aggressions, which can lead to important consequences in a person's life and others around. Given this, it is fundamental to apply techniques which are proven effective, aiming at a higher quality of life for the individual and for people who live with them. Objectives: To identify the main techniques for anger management in adults. Method: Systematic review of scientific papers from clinical trials. Results: Nine randomized clinical trials using psychological techniques for anger management were used in the present analysis. Cognitive-Behavioral Therapy was shown to be predominant in the analyzed interventions and proved to be effective in controlling anger. Conclusion: Cognitive Behavioral Therapy, especially psychoeducation and cognitive restructuring, are the most frequently used techniques for anger management in several clinical groups of patients, with positive results in emotional regulation.

Introducción: Entre las innumerables posibilidades que un individuo tiene de experimentar y expresar rabia o ira, no es raro que el sentimiento huya del control y termine en hostilidad y agresiones, pudiendo generar consecuencias graves en la vida de una persona y de otros a su alrededor. Por eso, es fundamental la aplicación de técnicas comprobadamente eficaces, objetivando una mayor calidad de vida al individuo y a las personas que con él conviven. Objetivos: Identificar las principales técnicas para el manejo de la rabia en adultos. Método: Revisión Sistemática de artículos científicos de estudios clínicos. Resultados: Se utilizaron nueve estudios clínicos aleatorizados con utilización de técnicas psicológicas para el manejo de la ira en el análisis. Terapia Cognitivo-Conductual demostró ser predominante en las intervenciones analizadas y eficaz para controlar la ira. Conclusión: La Terapia Cognitivo-Conductual, en especial la psicoeducación y la reestructuración cognitiva, son las técnicas más frecuentemente usadas para el manejo de la rabia en varios grupos clínicos de pacientes, con resultados positivos en regulación emocional.

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OBJECTIVE: Anger may cause adverse cardiovascular responses, but the effects of anger management on clinical cardiovascular outcomes are insufficiently understood. We sought to assess the influence of anger management through a cognitive behavioral intervention on endothelial function in patients with a recent myocardial infarction (MI). METHODS: Patients with ST-elevation MI and a low anger control score were enrolled during hospitalization in a randomized, parallel, controlled clinical trial. Intervention was anger management with cognitive behavioral techniques implemented by a psychologist in two individual monthly sessions. The primary end point was the between-group difference in the variation of flow-mediated dilation (FMD) in the brachial artery from baseline to the 3-month follow-up. The second end point comprised major cardiovascular events at 24-month follow-up. RESULTS: A total of 43 patients (age = 56 [9] years; 23.3% women) were randomized to the intervention group and 47 patients (age = 58 [10] years; 19.1% women) to the control group. Baseline clinical characteristics were not statistically different between groups. Both groups showed a significant improvement in anger control from baseline to end point; however, the difference in intergroup variation was not statistically significant. The difference in FMD variation from baseline to the 3-month follow-up was significantly higher in the intervention group. The partial η2 was 0.057 (p = .024), indicating a medium effect size. There was no difference between groups regarding major cardiovascular events. CONCLUSIONS: Anger management by cognitive behavioral techniques may improve endothelial function in post-MI patients with low anger control, but it remains unclear via which mechanism these effects occurred. Further studies with larger numbers of patients, assessments of changes in anger, improved comparability of preintervention FMD, and longer follow-up are warranted.Trial Registration:ClinicalTrials.gov identifier: NCT02868216.

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Objectives: To evaluate the efficacy of a group therapy based on cognitive-behavioral techniques customized for intermittent explosive disorder (IED). The current report presents the preliminary results of a clinical trial comparing pre- and post-intervention scores in different anger dimensions. Methods: The studied sample consisted of 84 treatment-seeking subjects. The mean (standard deviation) age was 43.0 (11.9) years, and 78% were male. The therapeutic group program consisted of 15 weekly sessions plus three maintenance sessions. The sessions lasted approximately 90 minutes each. Results: No differences were found in demographic profile and pre-treatment status between subjects who completed treatment (n=59) and dropouts (n=25). Comparison of State-Trait Anger Expression Scale (STAXI) scores pre- and post-treatment showed statistically significant changes in all anger scales and subscales of the questionnaire. Conclusion: This preliminary report is a significant addition to currently scarce clinical data. Our findings provide further evidence that structured cognitive-behavioral group therapy, with a focus on anger management and cognitive coping, may be a promising approach to the treatment of IED.

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To date, there have been a plethora of punitive and diversion programs to address domestic violence around the world. However, the evaluative scholarship of such programs overwhelmingly reflects studies in developed countries while barely showcasing the realities of addressing domestic violence in developing countries. This paper features a multi-year (2008-2011) evaluation study that measured the fidelity of the United Nations Partnership for Peace (PfP) domestic violence diversion program in the Eastern Caribbean country of Grenada. Our findings illuminate organic engagement strategies that were built within existing multi-sectoral partnerships that included magistrate court judges, law enforcement officials, and social service agencies. Furthermore, we documented how the locally-devised implementation strategies ensured the program's fidelity within a resource-limited context. This paper contributes to the global evaluative scholarship, highlighting the lessons learned about implementing culturally-adapted and theoretically-driven domestic violence diversion within a developing country.

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OBJECTIVES: To evaluate the efficacy of a group therapy based on cognitive-behavioral techniques customized for intermittent explosive disorder (IED). The current report presents the preliminary results of a clinical trial comparing pre- and post-intervention scores in different anger dimensions. METHODS: The studied sample consisted of 84 treatment-seeking subjects. The mean (standard deviation) age was 43.0 (11.9) years, and 78% were male. The therapeutic group program consisted of 15 weekly sessions plus three maintenance sessions. The sessions lasted approximately 90 minutes each. RESULTS: No differences were found in demographic profile and pre-treatment status between subjects who completed treatment (n=59) and dropouts (n=25). Comparison of State-Trait Anger Expression Scale (STAXI) scores pre- and post-treatment showed statistically significant changes in all anger scales and subscales of the questionnaire. CONCLUSION: This preliminary report is a significant addition to currently scarce clinical data. Our findings provide further evidence that structured cognitive-behavioral group therapy, with a focus on anger management and cognitive coping, may be a promising approach to the treatment of IED.

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BACKGROUND: Anger causes significant problems in offenders and to date few interventions have been described in the Caribbean region. AIM: To evaluate a package of CBT-based Anger Management Training provided to offenders in prison in Trinidad. METHOD: A controlled clinical trial with 85 participants who participated in a 12-week prison-based group anger management programme, of whom 57 (67%: 16 control, 41 intervention) provided pretrial and posttrial outcome data at Times 1 and 2. RESULTS: Intervention and control groups were not directly comparable so outcome was analysed using t-tests. Reductions were noted for state and trait anger and anger expression, with an increase in coping skills for the intervention group. No changes were noted in the control group. The improvements seen on intervention were maintained at 4 month follow-up for a sub-group of participants for whom data were available. Several predictors of outcomes were identified.

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El objetivo de esta investigación fue efectuar una evaluación preliminar de un programa de tratamiento dirigido a parejas jóvenes no casadas que han presentado malos tratos en su relación, el cual contemplaba el mejoramiento de las habilidades de comunicación, empatía y manejo de la ira, entre otros componentes implementados desde el enfoque de terapia y modificación del comportamiento. Se utilizó un diseño pretest-postest de un solo grupo, con la participación de cuatro parejas heterosexuales entre 17 y 22 años de edad (X = 20 años; DX = 1,89 años). Los efectos se evaluaron a través del STAXI II, el ASPA (Cuestionario de Aserción en la Pareja), una escala de actitudes hacia la violencia íntima, un cuestionario de satisfacción con el programa y una lista de chequeo de experiencias de maltrato en la pareja. Los resultados evidenciaron decrementos postratamiento significativos en la frecuencia de malos tratos, en la ira como estado y en las actitudes hacia la violencia, así como una buena satisfacción con el programa. Se proponen ajustes en los contenidos del mismo, de cara a la realización de un ensayo clínico controlado.

The objective of this research was to conduct a preliminary evaluation of a treatment aimed at unmarried young couples who have had abuse in their relationship. The program included improving communication skills, empathy and anger management, among other components, under a behavior therapy perspective. A pretest-posttest one-group design was used, with the participation of four heterosexual couples between 17 and 22 years (X=20 years, DX=1.89 years). The effects were evaluated through the staxi ii, the Assertion Questionnaire in the Couple, a scale of attitudes toward intimate violence, a program satisfaction questionnaire, and a checklist of experiences of partner abuse. The results showed significant post-treatment decreases on the frequency of abuse, attitudes toward intimate violence, and anger as a state, and a good satisfaction with the program. Adjustments in the contents of the program for the achievement of a controlled clinical trial are proposed.

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