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Using Interpretation Bias Modification to Reduce Anger in Veterans with Posttraumatic Stress Disorder: A Pilot Study
Kirsten H Dillon1,2, Alyssa M Medenblik2, Tiffany M Mosher1
1Durham Veterans Affairs Medical Center, Durham, North Carolina, USA.
This study found that an interpretation bias modification (IBM) intervention effectively reduced anger and hostile interpretations in veterans with posttraumatic stress disorder (PTSD). The treatment was feasible, acceptable, and helpful for participants.
Area of Science:
- Psychology
- Clinical Psychology
- Trauma Studies
Background:
- Difficulty controlling anger is a primary reintegration challenge for veterans with posttraumatic stress disorder (PTSD).
- Hostile interpretation bias (HIB), the tendency to perceive ambiguous social cues as hostile, is linked to problematic anger.
- Previous research indicates computer-based interpretation bias modification (IBM) can reduce HIB and anger, but it hasn't been evaluated in veterans with PTSD.
Purpose of the Study:
- To pilot a modified IBM intervention for problematic anger in veterans diagnosed with PTSD.
- To assess the feasibility, acceptability, and preliminary efficacy of this IBM intervention.
Main Methods:
- A pilot study involving seven veterans with PTSD and high anger levels.
- Participants underwent eight sessions of a computer-based IBM intervention over four weeks.
- Data collected included pre- and post-treatment self-report questionnaires and a post-treatment acceptability interview.
Main Results:
- Veterans showed significant reductions in hostile interpretation bias (HIB) and self-reported anger from pre- to post-treatment (large effect sizes observed).
- Recruitment, retention, and treatment completion rates were high, indicating feasibility.
- The majority of participants found the IBM intervention acceptable, helpful, and easy to use.
Conclusions:
- The IBM intervention for anger is a feasible and acceptable treatment for veterans with PTSD.
- The intervention demonstrated preliminary efficacy in reducing hostile interpretations and anger.
- Further research is warranted to investigate the broader effectiveness of this approach in a larger veteran population.
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