Johnson Sheri L, Zisser Mackenzie Rae, Sandel Devon B, Swerdlow Benjamin A, Carver Charles S, Sanchez Amy H, Fernandez Ephrem
University of California Berkeley, USA.
University of California Berkeley, USA.
Behav Res Ther. 2020 Nov;134:103708. doi: 10.1016/j.brat.2020.103708. Epub 2020 Aug 15.
Trait-like tendencies to respond impulsively to emotion, labelled emotion-related impulsivity, are robustly related to aggression. We developed and tested an online intervention to address emotion-related impulsivity and aggression. The 6-session intervention focused on behavioral techniques shown to decrease arousal and aggression, supplemented with implementation intentions and smartphone prompts to facilitate skills transfer into daily life. First, we piloted the intervention in-person with 4 people. Then, 235 participants were randomly assigned to take the online intervention immediately or after a wait-list period; those in the waitlist were then invited to take part in the intervention. Participants completed the self-rated Feelings Trigger Action Scale to assess emotion-related impulsivity, the interview-based Modified Overt Aggression Scale and the self-rated Buss Perry Aggression Questionnaire. Participants who took part in the treatment completed daily anger logs. Attrition, as with other online programs, was high; however, treatment completers reported high satisfaction, and outcomes changed more rapidly during treatment than waitlist across all key outcome indices. In analyses including all participants who took part in the treatment (immediate or delayed), we observed moderate-to-large treatment gains, which were maintained as of the 3-month follow-up assessment. This work supports the usefulness of an intervention for addressing emotion-related impulsivity and aggression.
对情绪做出冲动反应的特质样倾向，被称为与情绪相关的冲动性，与攻击性密切相关。我们开发并测试了一种在线干预措施，以解决与情绪相关的冲动性和攻击性问题。这个为期6节的干预措施侧重于已被证明能降低唤醒水平和攻击性的行为技巧，并辅以实施意图和智能手机提示，以促进技能向日常生活的迁移。首先，我们对4人进行了该干预措施的线下试点。然后，235名参与者被随机分配立即参加在线干预或在等待期后参加；那些在等待名单中的人随后被邀请参加干预。参与者完成了自评的情绪触发行动量表，以评估与情绪相关的冲动性，基于访谈的修订版公开攻击量表和自评的布斯-佩里攻击性问卷。参加治疗的参与者记录每日的愤怒情况。与其他在线项目一样，损耗率很高；然而，完成治疗的参与者报告了很高的满意度，并且在治疗期间所有关键结果指标的变化都比等待名单组更快。在包括所有参加治疗（立即或延迟）的参与者的分析中，我们观察到了中度到较大程度的治疗效果，这些效果在3个月的随访评估中得以维持。这项工作支持了一种干预措施对于解决与情绪相关的冲动性和攻击性问题的有效性。
