Adherencia al tratamiento y efectividad de un programa cognitivo conductual sobre la rumiación y expresión de la ira
DOI:
https://doi.org/10.5944/rppc.vol.23.num.1.2018.19248Palabras clave:
Abandono, Cambio clínico, Ira, Rumiación, Terapia cognitivo conductualAgencias Financiadoras:
Universidad Iberoamericana PueblaResumen
Abstract: Treatment adherence and effectiveness of a cognitive behavioral program on rumination and anger expression. This research assessed the effects of a cognitive behavioral intervention in a group of 30 individuals with anger and rumination problems. Two groups were compared. The first group of participants attended seven or more sessions (high attendance), while the second group attended less than seven sessions (low attendance). Only the group with high attendance showed statistically significant changes in variables such as revenge, angry afterthoughts, angry memories, and understanding the causes of anger. However, both groups improved in the same proportion, according to the strong effect sizes. Participants who attended less than seven sessions reported that they missed sessions due to academic reasons (doing homework). Participants with high attendance reported they showed up to sessions due to their achievements obtained with the treatment.
Resumen: Esta investigación evaluó los efectos de una intervención cognitivo conductual grupal en 30 individuos con problemas de rumiación e ira. Se compararon dos grupos. El primero se formó de participantes que asistieron siete o más sesiones (alta asistencia), mientras que en el segundo los participantes asistieron menos de siete sesiones (baja asistencia). Se observaron mejoras estadísticamente significativas únicamente en el grupo con alta asistencia en variables de venganza, pensamientos posteriores a la ira, memorias de ira y entendimiento de las causas de la ira. Sin embargo, ambos grupos mejoraron en la misma proporción, lo cual se reflejó en tamaño del efecto fuerte. Los participantes que asistieron menos de siete sesiones informaron que su ausencia se debió a motivos académicos (hacer tareas). Los participantes con alta asistencia informaron que las razones para presentarse a las sesiones fueron los logros que obtenían con el tratamiento.
Descargas
Citas
Alcázar, R. J. (2007). Expectativas, percepción del paciente hacia su terapeuta y razones para asistir a dos o más sesiones. Salud Mental, 30, 55-62.
Alcázar, R. J., Deffenbacher, J. L., & Byrne, Z. S. (2011). Assessing the factor structure of the anger expression inventory (ML-STAXI) in a Mexican sample. International Journal of Psychology and Psychological Therapy, 11, 307-318.
Alcázar-Olán, R. J., Deffenbacher, J. L., Hernández-Guzmán, L. & de la Chaussée, M. E. (2014). The angry thoughts scale: Initial development in a Mexican sample. International Journal of Cognitive Therapy, 7, 373-388. https://doi.org/10.1521/ijct.2014.7.4.373
Beck, R. & Fernandez, E. (1998). Cognitive-behavioral therapy in the treatment of anger: A meta-analysis. Cognitive Therapy and Research, 22, 63-74. http://dx.doi.org/10.1023/A:1018763902991
Deffenbacher, J.L. (1992). Trait anger: Theory, findings, and implications. In C.D. Spielberger & J.N. Butcher (Eds.), Advances in personality assessment (Vol. 9, pp. 177–201). Hillsdale, NJ: Lawrence Erlbaum Associates.
Deffenbacher, J. L. &McKay, M. (2000a). Overcoming situational and general anger: A protocol for the treatment of anger based on relaxation, cognitive restructuring, and coping skills training (therapist protocol). Oakland, CA: New Harbinger.
Deffenbacher, J. L. & McKay, M. (2000b). Overcoming situational and general anger: A protocol for the treatment of anger based on relaxation, cognitive restructuring, and coping skills training (client manual). Oakland, CA: New Harbinger.
Deffenbacher, J. L., McNamara, K., Stark, R. S., & Sabadell, P. M. (1990). A comparison of cognitive behavioral and process-oriented group counseling for general anger reduction. Journal of Counseling & Development, 69, 167-172. http://dx.doi.org/ 10.1002/j.1556-6676.1990.tb01480.x
Denson, T. F., Fabiansson, E. C., Creswell, J. D., & Pedersen, W. C. (2009). Experimental effects of rumination styles on salivary cortisol responses. Motivation and Emotion, 33, 42-48. http://dx.doi.org/ 10.1007/s11031-008-9114-0
DiGiuseppe, R. & Tafrate, R. C. (2003). Anger treatment for adults: A meta-analytic review. Clinical Psychology: Science and Practice, 10, 70-84. http://dx.doi.org/ 10.1093/clipsy.10.1.70
Dowd, L. S., Leisring, P. A., & Rosenbaum, A. (2005). Partner aggressive women: Characteristics and treatment attrition. Violence and Victims, 20, 219-233. http://doi.org/10.1891/vivi.2005.20.2.219
Edmonson, C. B., & Conger, J. C. (1996). A review of treatment efficacy for individuals with anger problems: Conceptual, assessment, and methodological issues. Clinical Psychology Review, 16, 251-275. http://dx.doi.org/10.1016/S0272-7358(96)90003-3
Fernandez, E., Salem, D., Swift, J. K., & Ramtahal, N. (2015). Meta-analysis of dropout from cognitive behavioral therapy: Magnitude, timing, and moderators. Journal of Consulting and Clinical Psychology, 83, 1108-1122. http://dx.doi.org/10.1037/ccp0000044
Gorenstein, E. E., Tager, F. A., Shapiro, P. A., Monk, C., & Sloan, R. P. (2007). Cognitive-behavior therapy for reduction of persistent anger. Cognitive and Behavioral Practice, 41, 168-184. http://dx.doi.org/10.1016/j.cbpra.2006.07.004
Izadpanah, S., Schumacher, M., & Barnow, S. (2017). Anger rumination mediates the relationship between reinforcement sensitivity and psychopathology: results of a 5-year longitudinal study. Personality and Individual Differences, 110, 49-54. http://dx.doi.org/10.1016/j.paid.2017.01.023
Jacobson, N. S., Roberts, L. J., Berns, S. B., & McGlinchey, J. B. (1999). Methods for defining and determining the clinical significance of treatment effects: Description, application, and alternatives. Journal of Consulting and Clinical Psychology, 67, 300-307. http://dx.doi.org/10.1037//0022-006X.67.3.300
Jacobson, N. S. & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12-19. https://doi.org/10.1037/0022-006X.59.1.12
Kassinove & Tafrate, (2006). Anger-related disorders: Basic issues, models, and diagnostic considerations. En E. L. Feindler (Ed.), Anger-related disorders: A practitioner’s guide to comparative treatments (pp. 1-27). New York: Springer publishing company.
Moreno, J.H, Rozo, M. & Cantor, I. (2012). Permanencia y abandono terapéutico en un centro de servicios psicológicos. Psychologia, Avances de la Disciplina, 6, 24-34. http://dx.doi.org/10.21500/19002386.1181
Moscoso, M. (2000). Estructura factorial del inventario multicultural latinoamericano de la expresión de la cólera y la hostilidad. Revista Latinoamericana de Psicología, 32, 321-343.
Ortega, N., Alcázar-Olan, R., Matías, O. M., Rivera, A., & Domínguez, A. (2017). Anger rumination scale: Validation in Mexico. The Spanish Journal of Pscychology, 20, 1-9. http://dx.doi.org/10.1017/sjp.2016.105
Owen, J. M. (2011). Transdiagnostic cognitive processes in high trait anger. Clinical Psychology Review, 31, 193-202. http://dx.doi.org/ 10.1016/j.cpr.2010.10.003
Rosenthal, R. (1991). Meta-analytic procedures for social research (2nd ed.). Newbury Park, CA: Sage. http://dx.doi.org/10.4135/9781412984997#sthash.s0m7g8Yy.dpuf
Salmoiraghi, A., & Sambhi, R. (2010). Early termination of cognitive-behavioural interventions: Literature review. The Psychiatrist, 34, 529-532. http://dx.doi.org/ 10.1192/pb.bp.110.030775
Schum, J. L., Jorgensen, R. S., Verhaeghen, P., Sauro, M., Thibodeau, R. (2003). Trait anger, anger expression, and ambulatory blood pressure: A meta-analytic review. Journal of Behavioral Medicine, 26, 395-415. http://dx.doi.org/10.1023/A:1025767900757
Spielberger, C. D. (1999). Manual for the state trait anger expression inventory-revised. Orlando, FL: Psychological Assessment Resources.
Spielberger, C., D. & Reheiser, E. C. (2009). Assessment of emotions: Anxiety, anger, depression, and curiosity. Applied Psychology: Health and Well-being, 1, 271-302. http://dx.doi.org/ 10.1111/j.1758-0854.2009.01017.x
Stimmel, D. T., Rayburg, J., Waring, W., & Raffeld, P. M. (2005). The relation of internalized and trait anger to psychopathology. Counseling and Clinical Psychology Journal, 2, 112-123.
Sukhodolsky, D. G., Golub, A., & Cromwell, E. N. (2001). Development and validation of the anger rumination scale. Personality and Individual Differences, 31, 689-700. http://dx.doi.org/ 10.1016/S0191-8869(00)00171-9
Swift, J. K., & Greenberg, R. P. (2012). Premature discontinuation in adult psychotherapy: A meta-analysis. Journal of Consulting and Clinical Psychology, 80, 547-559. http://dx.doi.org/10.1037/a0028226
Swift, J. K., & Greenberg, R. P. (2014). A treatment by disorder meta-analysis of dropout from psychotherapy. Journal of Psychotherapy Integration, 24, 193-207. http://dx.doi.org/10.1037/a0037512
Takebe, M., Takahashi, F., & Sato, H. (2016). Anger rumination as a risk factor for trait anger and anger in: A longitudinal study. Journal of Personality and Individual Differences, 101, 451-455. http://dx.doi.org/10.1016/j.paid.2016.06.038
Wang, X., Yang, L., Yang, J., Wang, P., & Lei, L. (2017). Trait anger and cyberbullhying among young adults: A moderated mediation model of moral disengagement and moral identity. Computers in Human Behavior, 73, 519-426. http://dx.doi.org/ 10.1016/j.chb.2017.03.073
Watkins, M. W. (2006). Mac RCI: Reliable Change Index. Disponible en http://edpsychassociates.com/Watkins3.html
Wierzbicki, M., & Pekarik, G. (1993). A meta-analysis of psychotherapy dropout. Professional Psychology: Research and Practice, 24, 190-195. http://dx.doi.org/10.1037/0735-7028.24.2.190
Wilkowski, B. M., & Robinson, M. D. (2007). Keeping one’s cool: trait anger, hostile thoughts, and the recruitment of limited capacity control. Personality and Social Psychology Bulletin, 33, 1201-1213. http://dx.doi.org/10.1037/1528-3542.8.4.578