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Cognitive-Behavioral Approach and Anger

The Effect of Cognitive-Behavioral Approach Based Psychoeducation Program on Trait Anger and Anger Expression Styles of Nursing Students

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06716684
Enrollment
121
Registered
2024-12-04
Start date
2021-12-08
Completion date
2022-04-22
Last updated
2024-12-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Anger, Nursing Students, Psychoeducation

Keywords

Nursing Students, Psychoeducation, Cognitive Behavioral Approach, Anger, Anger Expression Style

Brief summary

A randomized controlled study was conducted to investigate the effects of a cognitive-behavioral approach-based psychoeducation program on nursing students' trait anger and anger expression styles.

Detailed description

Anger, which is an emotion experienced by all people, is a natural and normal reaction that can occur depending on the interaction of the person with his/her environment. However, frequent anger can damage physical and mental health and can lead to violence and aggression. Anger is interpreted according to the way it is expressed and a person can express anger in different ways (anger-in, anger-out, anger-control). While anger-in and anger-out are negative behavioral reactions, anger control is an appropriate response. One of the groups that often experiences anger is nursing students. Students studying in the department of nursing are considered as the health workforce of tomorrow and both study in stressful environments and work in stressful environments. Anger is an emotion experienced as a reaction to stress among nursing students. The inability of students who do not have anger management skills to control their anger may negatively affect their approach to patients, relatives and teammates. Since negative expression of anger can have a negative impact on interpersonal relationships with others, it may hinder the development of working alliances between nursing students and patients. Students studying in the department of nursing graduate without adequate training on how to express their anger correctly. Anger coping programs for nursing students should primarily include the assessment of anger expression styles and provide techniques for expressing anger appropriately and coping with anger. This study aimed to investigate the effect of a psychoeducation program based on the cognitive-behavioral approach on nursing students' trait anger and anger expression style. The hypothesis that there was no difference between the intervention and control groups in terms of trait anger, anger-in, anger-out and anger control after the intervention were tested.

Interventions

BEHAVIORALCognitive-Behavioral Approach Based Psychoeducation Program

A 6 session cognitive-behavioral approach based psychoeducation program developed in line with the literature review is applied in the research. Group training sessions have been held once a week with each session 90 minutes on average. The techniques such as automatic thought recording, finding cognitive errors, thought-stopping, forming alternative thoughts, daydreaming, countdown, problem solving, role playing, modeling, deep breathing, relaxation exercises, summarizing, explaining, informing, homework were used in the sessions.

Sponsors

Kafkas University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Intervention model description

Following recruitment, the nursing students were divided into a intervention and a control group by randomization.

Eligibility

Sex/Gender
ALL
Age
18 Years to 25 Years
Healthy volunteers
No

Inclusion criteria

* To agree to participate in the study, * Not to have participated in the training program on anger expression and management given by mental health professionals before, * Not to have a psychiatric diagnosis-treatment history, * Not to have hearing-vision problems, * To be between the ages of 18-25, * To have participated in at least four of the sessions, * To get a high score from the Trait Anger Sub-scale compared to other students

Exclusion criteria

* Having previously attended a training program on anger expression and management given by mental health professionals * Having a problem that prevents filling out the forms to be used in the research * Having hearing or vision problems * Being under 18 or over 25 * Having a history of psychiatric diagnosis and treatment * Having not attended more than four sessions

Design outcomes

Primary

MeasureTime frameDescription
Trait anger and anger expression styles before interventionBefore the 6-week intervention was administered to studentsStudents' trait anger and anger expression styles were assessed before the intervention. Trait Anger and Anger Expression Scale was used in the evaluation. Trait Anger and Anger Expression Scale: The 4-point Likert-type scale designed (1983) has a total of 34 questions. Turkish adaptation of this scale was made (1994). Ten questions in the scale question trait anger and twenty-four questions question anger expression styles. A score between 10-40 is obtained from the trait anger scale and between 8-32 from the other sub-scales (anger-in, anger-out and anger control). High scores from trait anger indicate that the level of anger is high, high scores from the anger control scale indicate that anger can be controlled, high scores on the anger-out subscale indicate that anger can be expressed externally, and high scores from the anger-in subscale indicate that anger is suppressed.

Secondary

MeasureTime frameDescription
Trait anger and anger expression styles after interventionAfter the 6-week intervention was administered to studentsStudents' trait anger and anger expression styles were assessed after the intervention. Trait Anger and Anger Expression Scale was used in the evaluation.

Other

MeasureTime frameDescription
Trait anger and anger expression styles three months after the interventionThree months after the 6-week intervention was administered to studentsTrait anger and anger expression styles were assessed three months after the intervention. Trait Anger and Anger Expression Scale was used in the evaluation.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026