Question:
How effective are cognitive behavioural interventions (e.g. anger management) compared to no intervention at reducing aggression, violence and anger in people within psychiatric and offender populations (prison, hospital or community)?
Answer:
Limited evidence, from two small RCTs and observational studies
included in a systematic review suggests that group CBT
interventions may be associated with short-term, post-treatment
improvements in measures of anger, aggression and hostility in
incarcerated violent offenders. The longer-term effects of group
CBT in this population remain unknown, as no study reported
follow-up data beyond the end of treatment. There are no consistent
data on the effects of individual CBT, the effects of group CBT in
other relevant populations, or the effects of CBT on incidence of
violent or aggressive behaviour or recidivism rates in violent
offenders.
Further research is required to assess the longer-term effects
of CBT in relevant populations and to ascertain the optimal format,
mode of delivery and duration of CBT.
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