Manage Emotions to Reduce Aggression for Aggression

Recruiting · 18 - 65 · All Sexes · Tampa, FL

This study is evaluating whether a treatment which focuses on emotion regulation may help reduce impulsive aggression in veterans with posttraumatic stress disorder.

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About the trial for Aggression

Eligible Conditions
Emotion Regulation · Stress Disorders, Traumatic · Aggression · Stress Disorders, Post-Traumatic

Treatment Groups

This trial involves 2 different treatments. Manage Emotions To Reduce Aggression is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Main TreatmentA portion of participants receive this new treatment to see if it outperforms the control.
Manage Emotions to Reduce Aggression
Control TreatmentAnother portion of participants receive the standard treatment to act as a baseline.
Present Centered Psychotherapy


This trial is for patients born any sex between 18 and 65 years old. There are 6 eligibility criteria to participate in this trial as listed below.

Inclusion & Exclusion Checklist
Mark “yes” if the following statements are true for you:
Each Veteran must allow an independent rater (live-in partner, family member, or roommate above 18 years of age) to verify the number of aggressive acts, using the Overt Aggression Scale. show original
Engaged in physical or verbally hostile behavior towards other people on at least three occasions in the last month. show original
Veterans who have served in combat zones since 9/11, both male and female, are at an increased risk for developing post-traumatic stress disorder (PTSD). show original
The participants in the study agree not to change their medication during the duration of the study. show original
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Odds of Eligibility
Be sure to apply to 2-3 other trials, as you have a low likelihood of qualifying for this one.Apply To This Trial
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Approximate Timelines

Please note that timelines for treatment and screening will vary by patient
Screening: ~3 weeks
Treatment: varies
Reporting: Treatment group differences in EBP initiation at 6 months posttreatment.
This trial has approximate timelines as follows: 3 weeks for initial screening, variable treatment timelines, and reporting: Treatment group differences in EBP initiation at 6 months posttreatment..
View detailed reporting requirements
Trial Expert
Connect with the researchersHop on a 15 minute call & ask questions about:
- What options you have available- The pros & cons of this trial
- Whether you're likely to qualify- What the enrollment process looks like

Measurement Requirements

This trial is evaluating whether Manage Emotions to Reduce Aggression will improve 1 primary outcome, 1 secondary outcome, and 1 other outcome in patients with Aggression. Measurement will happen over the course of Treatment group differences in change from Session 1 to posttreatment assessment (duration of 11 weeks)..

Change in Overt Aggression Scale (OAS)
Overt Aggression Scale is a 17-item self-report measure that assesses frequency of verbal and physical aggression against self, other, and objects and while driving over the past week. Veterans' self-reported aggressive acts will be summed to create an OAA total score. Minimum score = 0; there is no maximum score as Veterans can report as many episodes of aggression as they engage in.
Change in Difficulties in Emotion Regulation Scale (DERS)
Difficulties in Emotion Regulation Scale (16) is a 36-item self-report measure with 6 different emotion-dysregulation factors: nonacceptance of emotional responses, difficulties engaging in goal directed behaviors, impulse-control difficulties, lack of emotional awareness, limited access to emotion regulation strategies, and lack of emotional clarity. Scoring is based on how well the item describes the individual in the past month, from 1 (almost never) to 5 (almost always). Minimum score = 36; Maximum score = 180. Higher scores represent more emotion dysregulation.
Evidence Based Psychotherapy (EBP) Initiation
Initiation is defined as attending at least 1 Prolonged Exposure, Cognitive Processing Therapy, or Eye Movement Desensitization and Reprocessing session. EBP for PTSD initiation is assessed at 6 months posttreatment via chart review. Scores can either be 0 = Did not begin EBP or 1 = began EBP.

Patient Q & A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes aggression?

Data from a recent study has demonstrated that aggression and its consequences can be substantially reduced when family physicians are aware of their potential role in initiating, perpetrating, and stopping aggression.

Anonymous Patient Answer

How many people get aggression a year in the United States?

Around 11.5 million US adults are diagnosed with some form of aggression a year. People aged 17 years and above, and females are the most dangerous groups.

Anonymous Patient Answer

Can aggression be cured?

Aggression cannot be cured using the cognitive behavioral approach. The aggressive person needs help in self-control to help with adjustment by the caregiver. It is not as simple to treat aggressive behavior as to treat depression.

Anonymous Patient Answer

What is aggression?

Aggression is a complex and multi-faceted concept that is not defined by one simple definition. Aggressive behavior can therefore be described in a number of different ways among different subpopulations. In a clinical context, however, its relevance is highlighted by the increased mortality associated with aggression across a range of disciplines and settings.\n

Anonymous Patient Answer

What are common treatments for aggression?

The majority of medications and lifestyle treatments are not intended to reduce aggressiveness. Aggression is more likely to be a symptom exacerbated by environmental factors, such as work overload and high stress levels. Therefore, the common treatment of aggression should focus on controlling environmental factors to decrease anxiety and stress, such as stress management classes, social support, and proper sleep and sleep hygiene.

Anonymous Patient Answer

What are the signs of aggression?

The present study shows that signs/symptoms of aggression are not rare in the adult population. They can be found most frequently during the first year of life with age, schooling level, income, and substance abuse. The current study illustrates the importance of considering these indicators when dealing with aggression among a mixed sample of adults who suffer from chronic diseases.

Anonymous Patient Answer

How serious can aggression be?

Seriousness is in the eye of the beholder. In our study, there were few discrepancies between clinical assessments of the seriousness of aggression/non-aggression, and self-assessments. Most participants perceived serious aggression and non-aggression to be more serious than they actually were. A larger sample may more accurately portray these perceptions. A high correlation exists between clinical and self-assessments of seriousness of aggression/non-aggression, and most participants reported their actual serious aggressive or nonaggressive behavior.

Anonymous Patient Answer

Is manage emotions to reduce aggression typically used in combination with any other treatments?

Managing emotions leads to improvements in aggression and reduces anxiety at a short term. However, results in this study may be partially due to the fact we included patients who fulfilled DSM-IV criteria for any personality disorder.

Anonymous Patient Answer

Is manage emotions to reduce aggression safe for people?

The majority of respondents agreed that managing negative emotions reduces aggressive impulses in people. In general, the advice for managing emotions is not appropriate and it is recommended that strategies for modifying emotion processes should not be applied in contexts involving the risk of aggressive behaviour.

Anonymous Patient Answer

How does manage emotions to reduce aggression work?

Results from a recent paper does not support that manage emotions to reduce aggression is effective in reducing aggression. Furthermore, the effectiveness was not high, and this trial shows that it is difficult to create a generalizable effect of manage emotions to suppress aggression.

Anonymous Patient Answer

What is the average age someone gets aggression?

In a recent study, findings highlights the average age people receive aggression and underscores the importance of the child, parents and community as factors in child aggression. The study also highlights the need for education on aggression and prevention to help decrease the prevalence of child aggression in the community.

Anonymous Patient Answer

What is the primary cause of aggression?

Much more needs to be learned about why some people do not use aggression effectively in their life, and how to improve their own anger management.

Anonymous Patient Answer
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