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对愤怒与攻击行为的神经、认知及临床研究的系统评价。

A systematic review of neural, cognitive, and clinical studies of anger and aggression.

作者信息

Richard Yuliya, Tazi Nadia, Frydecka Dorota, Hamid Mohamed S, Moustafa Ahmed A

机构信息

Blue Horizon Counseling Services, Sydney, Australia.

Arabian Gulf University, Manama, Bahrain.

出版信息

Curr Psychol. 2022 Jun 8:1-13. doi: 10.1007/s12144-022-03143-6.

DOI:10.1007/s12144-022-03143-6
PMID:35693838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9174026/
Abstract

Anger and aggression have large impact on people's safety and the society at large. In order to provide an intervention to minimise aggressive behaviours, it is important to understand the neural and cognitive aspects of anger and aggression. In this systematic review, we investigate the cognitive and neural aspects of anger-related processes, including anger-related behaviours and anger reduction. Using this information, we then review prior existing methods on the treatment of anger-related disorders as well as anger management, including mindfulness and cognitive behavioural therapy. At the cognitive level, our review that anger is associated with excessive attention to anger-related stimuli and impulsivity. At the neural level, anger is associated with abnormal functioning of the amygdala and ventromedial prefrontal cortex. In conclusions, based on cognitive and neural studies, we here argue that mindfulness based cognitive behavioural therapy may be better at reducing anger and aggression than other behavioural treatments, such as cognitive behavioural therapy or mindfulness alone. We provide key information on future research work and best ways to manage anger and reduce aggression. Importantly, future research should investigate how anger related behaviours is acquired and how stress impacts the development of anger.

摘要

愤怒和攻击行为对人们的安全以及整个社会都有重大影响。为了提供一种干预措施以尽量减少攻击行为,了解愤怒和攻击行为的神经及认知方面非常重要。在本系统综述中,我们研究与愤怒相关过程的认知和神经方面,包括与愤怒相关的行为及愤怒缓解。利用这些信息,我们接着回顾了此前治疗与愤怒相关障碍以及愤怒管理的现有方法,包括正念和认知行为疗法。在认知层面,我们的综述表明愤怒与对愤怒相关刺激的过度关注及冲动性有关。在神经层面,愤怒与杏仁核和腹内侧前额叶皮质的功能异常有关。总之,基于认知和神经研究,我们在此认为基于正念的认知行为疗法在减少愤怒和攻击行为方面可能比其他行为疗法,如单纯的认知行为疗法或正念疗法,效果更好。我们提供了关于未来研究工作以及管理愤怒和减少攻击行为的最佳方法的关键信息。重要的是,未来研究应调查与愤怒相关的行为是如何习得的,以及压力如何影响愤怒的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/12e99853b04f/12144_2022_3143_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/db2206f26ce1/12144_2022_3143_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/829c6789de09/12144_2022_3143_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/12e99853b04f/12144_2022_3143_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/db2206f26ce1/12144_2022_3143_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/829c6789de09/12144_2022_3143_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e328/9174026/12e99853b04f/12144_2022_3143_Fig3_HTML.jpg

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