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Anger Self-Management in Post-Acute Traumatic Brain Injury: A Multi-Center Clinical Trial

Lead Site: Moss Rehabilitation, Elkins Park, PA
Site PI: Cynthia Braden MA, CCC, CPHQ, FACRM
DCC PI: Cynthia Harrison-Felix, PhD
Funded by: National Institutes of Health
Dates: 2012-2016
Contact: Christina Baker cbaker@craighospital.org 303 789 8055

Problematic anger and irritability is a common and persistent problem after traumatic brain injury (TBI). Anger symptoms have negative effects on emotional well-being, community living, and family and social relationships. Available treatments include medications, behavior modification, and cognitive-behavioral interventions, but few have been adapted to the needs of persons with TBI. This study is a Phase II clinical trial designed to test the efficacy of a novel treatment approach called Anger Self-Management Training (ASMT), compared to a control treatment offering supportive therapy focused on personal readjustment and education (PRE) with equivalent therapist time and therapeutic structure. Participants with problematic anger who are at least 6 months post TBI, and a significant other (if available) will be randomized to an 8-session treatment model using ASMT or PRE. A total of 99 participants will be enrolled from 3 clinical sites. This treatment model may eventually offer a readily disseminable method by which people with TBI can learn to regain personal control over problematic anger/ irritability, with expected benefits on their emotional well-being and ability to cope with community living.