Towards Outcome Measurements: Monitoring Effectiveness of Anger Management and Assertiveness Training in a Group Setting

Walker, Tracy Lynn; Cheseldine, Sally

doi:10.1111/j.1468-3156.1997.tb00027.x

Cited by 15 publications

(11 citation statements)

References 3 publications

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“…In order to evaluate outcomes for clients involved in an anger management and assertiveness training group, Walker & Cheseldine (1997) used a version of the Novaco Provocation Inventory (PI; Novaco 1988) modified for use with people with ID by Black & Novaco (1993). They adapted this PI further for use in a community rather than an institutional setting.…”

Section: Assessment Of Anger and Aggression In People With Intellectumentioning

confidence: 99%

“…Other evaluations of group‐based anger management treatments using cognitive–behavioural approaches for people with mild to severe levels of ID have suggested promising outcomes in spite of methodological weaknesses, including lack of adequate baseline measures, comparison groups and robust outcome measures (Moore et al 1997; Walker & Cheseldine 1997; Rossiter et al 1998).…”

Section: Treatment Of Anger and Aggression For People With Intellectumentioning

confidence: 99%

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A review of the assessment and treatment of anger and aggression in offenders with intellectual disability

Taylor

2002

J intellect Disabil Res

116

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Rates of aggression amongst people with intellectual disability (ID) have been found to be high in studies conducted on several continents across a number of service settings. Aggression is the primary reason for people with ID to be admitted or re-admitted to institutional settings, and it is also the main reason for individuals in this client group to be prescribed behaviour-control drugs. Anger is a significant activator of aggression, but little is known about the emotional aspects of the lives of people with ID. There are many reasons for this, but a lack of reliable and validated assessment measures is chief among them. The present review found that very little work has been conducted to date concerning the development of robust tools for assessing anger and aggression in this population. A narrative review of interventions for reducing aggression and anger in people with ID showed that there is virtually no evidence to support the use of psychotropic medications. Research has shown that behavioural interventions can be effective; however, they are intrusive and have not been tested in naturalistic settings with higher-functioning clients and low-frequency aggression. More recently, cognitive-behavioural interventions have shown promise, but the mechanisms for effective change have yet to be delineated. Priority research questions relating to assessment, treatment and therapeutic skills in working with anger and aggression problems are offered by the present review.

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Section: Assessment Of Anger and Aggression In People With Intellectumentioning

confidence: 99%

Section: Treatment Of Anger and Aggression For People With Intellectumentioning

confidence: 99%

A review of the assessment and treatment of anger and aggression in offenders with intellectual disability

Taylor

2002

J intellect Disabil Res

116

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“…Interestingly, there was an increase in self-reported anger over the treatment period, reinforcing Novaco's view that there is no simple relationship between anger and aggression. Case series reports have continued (Rose, 1996;Moore, Adams, Elsworth, & Lewis, 1997;Black, Cullen, & Novaco, 1997;Walker & Cheseldine, 1997;Lindsay, Overend, Allan, Williams, & Black, 1998;Howells, Rogers, & Wilcock, 2000;Allan, Lindsay, Macleod, & Smith, 2001). All reported reductions in anger and reductions in aggressive incidents.…”

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confidence: 98%

Anger and aggression in people with intellectual disabilities: treatment and follow‐up of consecutive referrals and a waiting list comparison

Lindsay

Allan

Parry

et al. 2004

Clin Psychology and Psychoth

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Based on the work of Novaco, there have been several reports of case illustrations that develop anger management training for people with intellectual disabilities. Case reports have become increasingly sophisticated, with social validation of aggression and follow-ups of up to 10 years. There have also been three recent outcome studies attesting to the effectiveness of anger management treatment methods. The current report uses more recently developed methods and a larger number of subjects than previous reports and presents a controlled study of these methods. Thirty-three participants made up the treatment condition. Fourteen participants constituted a waiting list control condition, which lasted six months. Participants were assessed using a provocation inventory, anger provoking roleplays, self-report diaries and reports of aggressive incidents. All were assessed pre-and postexperimental conditions and for the treatment condition some had three, nine and 15 months follow-up. For some participants there was a 21 and 30 month follow-up. Control participants all went on to complete treatment. There were significant improvements in anger control on all measures. While there were significant within subject improvements on the provocation inventory, the treatment subjects did not show significant improvement over the control subjects at posttreatment. A significantly greater percentage of control subjects committed further aggressive incidents. Taken together, the results show the positive effect of anger management training and the generalization of these effects to a reduction in the number of reported aggressive incidents. The present study is further evidence of the effectiveness of anger management training for people with intellectual disabilities. These improvements are shown not only in assessments designed to measure the effects of treatment but also in more general socially validated records of incidents of aggression.

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“…1986) or assertiveness training (e.g. Walker & Cheseldine 1997). In the present paper, the authors describe their attempts to implement a comprehensive intervention which incorporates additional features.…”

Section: Introductionmentioning

confidence: 99%

Evaluating a cognitive/behavioural approach to teaching anger management skills to adults with learning disabilities

Howells

Rogers

Wilcock³

2000

Brit J Learn Disabil

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The present paper describes an intervention based upon a cognitive/behavioural teaching approach with a group of five adults with learning disabilities. The intervention addresses a number of issues raised by other authors regarding the implementation of such programmes. These issues are described and a plan explaining the main elements of the training course is included. The findings made during implementation are discussed and a number of points raised by the intervention are considered. The present authors conclude with their hope that this work will encourage further research into the use of cognitive behavioural interventions with people with learning disabilities.

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Towards Outcome Measurements: Monitoring Effectiveness of Anger Management and Assertiveness Training in a Group Setting

Cited by 15 publications

References 3 publications

A review of the assessment and treatment of anger and aggression in offenders with intellectual disability

A review of the assessment and treatment of anger and aggression in offenders with intellectual disability

Anger and aggression in people with intellectual disabilities: treatment and follow‐up of consecutive referrals and a waiting list comparison

Evaluating a cognitive/behavioural approach to teaching anger management skills to adults with learning disabilities

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