Studies of anger treatment have often reported on reappraisal and relaxation techniques delivered in person to forensic and psychiatric samples. The present study evaluated an integrative programme of cognitive–behavioural affective therapy (CBAT) delivered remotely to chronic pain sufferers with comorbid anger. Volunteers (N = 54) were randomly assigned to either CBAT or an Emotional Education (EE) group, both receiving hour-long videorecorded sessions twice a week for 4 weeks plus weekly calls by telephone. At 1-month post-treatment, follow-up was conducted. Outcomes were measured using the Anger Parameters Scale (APS) and its five subscales (frequency, duration, intensity, latency and threshold) as well as daily self-monitored anger logs. As hypothesized, pre- to post-treatment decline in APS total scores was significant for CBAT, Hedges' g = 0.65, 95% CI [0.14, 1.16] but nonsignificant and small for EE, g = 0.17, CI [−0.41, 0.75]. At the primary endpoint (post-treatment), APS total scores were significantly lower for CBAT than for EE. Treatment gains were maintained till follow-up. On all five APS subscales, pre-post effect sizes were medium-sized for CBAT and generally small for EE. This picture was mirrored in the self-monitored frequency, duration and intensity of anger. Findings support the efficacy of CBAT over time, its comparative efficacy over EE and its ecological generalizability. Future research could expand sample size, reduce sample imbalance, extend follow-up and strengthen treatment potency with more sessions. The present study renews enthusiasm for teletherapy and is the first to demonstrate CBAT efficacy in treating maladaptive anger in the chronic pain population.

中文翻译：

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通过 CBAT 远程进行愤怒治疗：愤怒的心理测量和自我监控措施的结果

愤怒治疗的研究经常报告对法医和精神病学样本进行亲自重新评估和放松技术。本研究评估了远程向患有愤怒共病的慢性疼痛患者提供的认知行为情感治疗（CBAT）综合方案。志愿者（N  = 54）被随机分配到 CBAT 组或情感教育 (EE) 组，两组均每周接受两次长达一小时的视频录制课程，为期 4 周，并每周接受电话通话。治疗1个月后进行随访。使用愤怒参数量表（APS）及其五个子量表（频率、持续时间、强度、潜伏期和阈值）以及每日自我监控的愤怒日志来测量结果。正如假设的那样，治疗前到治疗后 APS 总分的下降对于 CBAT 而言显着，Hedges' g  = 0.65，95% CI [0.14, 1.16]，但对于 EE 来说不显着且较小，g  = 0.17，CI [−0.41, 0.75 ]。在主要终点（治疗后），CBAT 的 APS 总分显着低于 EE。治疗效果维持至随访。在所有五个 APS 分量表上，CBAT 的前后效应大小均为中等大小，而 EE 的前后效应大小通常较小。这种情况反映在自我监控的愤怒频率、持续时间和强度上。研究结果支持 CBAT 随着时间的推移的功效、其相对于 EE 的功效比较及其生态普遍性。未来的研究可以扩大样本量，减少样本不平衡，延长随访时间并通过更多疗程增强治疗效力。本研究重新燃起了人们对远程治疗的热情，并且是第一个证明 CBAT 在治疗慢性疼痛人群适应不良愤怒方面的功效的研究。