Aggressive behaviour
Conditions
Interventions
Aggression regulation treatment (ART), is an individually oriented treatment
protocol, based on cognitive behavioural techniques and elements of Aggression
Replacement Training (Goldstein, Glick & G
this construct is called added heart rate
(Myrtek, Aschenbrenner & Brügner, 2005
Yang, Jia, Liu & Sun, 2017). Patients
will get a simple notification of significant heightened physiological arousal
when their heart rate is four or five standard deviations abov
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
12 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Proven lack of anger management skills, indicated by either a recently committed violent crime and/or a high risk of committing one; 2. Assigned to individual outpatient Aggression Regulation Treatment after multidisciplinary consultation; 3. Basic understanding of mobile applications; 4. Aged 16 years or above.
Exclusion criteria
Exclusion criteria: 1. Acute manic or psychotic symptoms according to the clinician and/or DSM-V criteria as measured with the (revised) Mini International Neuropsychiatric Interview (MINI), indicated by a score of 3 (or higher) on item 6 or addendum item 1 of the Health of the Nations Outcome Scales (HoNOS); 2. Current high risk of suicide requiring immediate intervention according to the clinician and/or DSM-V criteria as measured with the MINI, indicated by a score of 3 (or higher) on item 2 of the HoNOS; 3. Severe addiction problems, indicated by a score of 4 on the HoNOS, or severe conditions requiring immediate intervention or hospitalisation; 4. Insufficient understanding of the spoken and written Dutch language.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures in this research project are the daily self-reported values (Likert Scales) of aggression-related concepts, as they will be requested using Ecological Momentary Assessment (EMA). This concerns a set of questions, including: "How (physically) tense did you feel today?", "How angry did you feel today?", "To what extent did you have aggressive thoughts?", "To what extent have you shown aggressive behavior today?", "To what extent were you able to control your anger / aggression today? In addition, the physiological (heart rate) values will be included. | — |
Secondary
| Measure | Time frame |
|---|---|
| Aggressive behaviour: - Self-reported amount of anger and coping skills: Aggression Questionnaire (AQ) en State-Trait Anger Expression Inventory (STAXI-2). - Insight in bodily sensations: Anger Bodily Sensations Questionnaire (ABSQ) - Therapist rating of aggression on the Health of the Nations Outcome Scales (HoNOS). Autonomic Nervous System (ANS) functioning: - Measurement of heart rate, heart rate variability and skin conductance level in rest and during reactivity to emotionally arousing stimuli using VU-AMS (De Geus, Willemsen, Klaver, & Van Doornen, 1995; Willemsen, De Geus, Klaven, Van Doornen, & Carroll, 1996). Regulation of emotions - Self-report: Difficulties in Emotion Regulation Scale (DERS). - Neuropsychological functioning: Delay Frustration Task (DeFT). Psychological and general functioning: - Psychiatric diagnosis: DSM-5 diagnosis determined by multidisciplinary staff - Therapist rating of general functioning: Health of the Nations Outcome Scales (HoNOS). Criminal recidivism: - Self-report: Self-Reported Delinquency scale (SRD). Usability and user experiences: - Self-report: System Usability Scale (SUS) - Qualitative interview | — |
Countries
Netherlands
Outcome results
None listed