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CBT in a Caribbean Context: A Controlled Trial of Anger Management in Trinidadian Prisons

Published online by Cambridge University Press:  15 September 2016

Gerard Hutchinson ,
Paul Willner ,
John Rose ,
Ian Burke  and
Tony Bastick Open the ORCID record for Tony Bastick [Opens in a new window]
Gerard Hutchinson
Affiliation:
University of the West Indies (UWI), Trinidad and Tobago
Paul Willner
Affiliation:
Swansea University, UK
John Rose
Affiliation:
St. Andrews Health Care, Northampton, and the University of Birmingham, UK
Ian Burke
Affiliation:
University of Birmingham, UK
Tony Bastick*
Affiliation:
University of the West Indies (UWI), Trinidad and Tobago
*
Correspondence to Tony Bastick, Psychiatry Unit, Department of Clinical Medical Sciences, Eric Williams Medical Sciences Complex, Mt. Hope Hospital, UWI, Trinidad. E-mail: [email protected]
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Abstract

Background: Anger causes significant problems in offenders and to date few interventions have been described in the Caribbean region. Aim: To evaluate a package of CBT-based Anger Management Training provided to offenders in prison in Trinidad. Method: A controlled clinical trial with 85 participants who participated in a 12-week prison-based group anger management programme, of whom 57 (67%: 16 control, 41 intervention) provided pretrial and posttrial outcome data at Times 1 and 2. Results: Intervention and control groups were not directly comparable so outcome was analysed using t-tests. Reductions were noted for state and trait anger and anger expression, with an increase in coping skills for the intervention group. No changes were noted in the control group. The improvements seen on intervention were maintained at 4 month follow-up for a sub-group of participants for whom data were available. Several predictors of outcomes were identified.

Keywords

CBTangercontrolled trialprisonCaribbeanTrinidad
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 45 , Issue 1 , January 2017 , pp. 1 - 15
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

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References

Averill, J. R. (1983). Studies on anger and aggression: implications for theories of emotion. American Psychologist. 38, 1145.CrossRefGoogle ScholarPubMed
Boufoy-Bastick, B. (2009). A culturometric assessment of fear of crime in Trinidad. Caribbean Journal of Criminology and Public Safety, 14, 1–48.Google Scholar
Buttell, F. P. and Carney, M. M. (2005). Do batterer intervention programs serve African American and Caucasian batterers equally well? An investigation of a 26-week program. Research on Social Work Practice, 15, 19–28.CrossRefGoogle Scholar
Cameron, H. and Telfer, J. (2004). Cognitive-behavioural group work: its application to specific offender groups. The Howard Journal of Criminal Justice, 43, 47–64.Google Scholar
Dalenberg, C. J. (2004). Maintaining the safe and effective therapeutic relationship in the context of distrust and anger: countertransference and complex trauma. Psychotherapy: Theory, Research, Practice, Training, 41, 438–447.Google Scholar
Davey, L., Day, A. and Howells, K. (2005). Anger, over-control and violent offending. Aggression and Violent Behavior. 10, 624–635.CrossRefGoogle Scholar
Day, A., Kozar, C. and Davey, L. (2013). Treatment approaches and offending behavior programs: some critical issues. Aggression and Violent Behavior, 18, 630–635.Google Scholar
Day, A. and Vess, J. (2013). Targeting anger in forensic populations. In Fernandez, E., (Ed.), Treatments for Anger in Specific Populations: theory, application, and outcome (pp. 158–175). New York: Oxford University Press.Google Scholar
De Guiseppe, R. and Tafrate, R. C. (2003). Anger treatments for adults: a meta-analytic review. Clinical Psychology: Science and Practice, 10, 70–84.Google Scholar
Del Vecchio, T. and O'Leary, J. D. (2004). Effectiveness of treatments for specific anger problems: a meta-analytic review. Clinical Psychology Review, 24, 15–24.Google Scholar
Derogatis, L. R. and Unger, R. (2010). Symptom checklist-90-revised. Corsini Encyclopedia of Psychology, 1–2. doi: 10.1002/9780470479216.corpsy0970 Google Scholar
Down, R., Willner, P., Watts, L. and Griffiths, J. (2011). Anger management groups for adolescents: a mixed methods study of efficacy and treatment preferences. Clinical Child Psychology and Psychiatry, 16, 33–52.Google Scholar
Downs, S. H. and Black, N. (1998). The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health. 52, 377–384.Google Scholar
Faul, F., Erdfelder, E., Lang, A. G. and Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavioral Research Methods, 39, 175–191.Google Scholar
Goldstein, N. S., Serico, J. M., Romaine, C., Zelechoski, A. D., Kalbeitzer, R., Kemp, K., et al. (2013). Development of the juvenile justice anger management treatment for girls. Cognitive and Behavioral Practice, 20, 171–188.CrossRefGoogle ScholarPubMed
Hansen, N. B., Lambert, M. J. and Forman, E. M. (2002). The psychotherapy dose-response effect and implications for treatment delivery services. Clinical Psychology Science and Practice. 9, 329–343.Google Scholar
Harding, K. J. K., Rush, A. J., Arbuckle, M., Trivedi, M. H. and Pincus, H. A. (2011). Measurement-based care in psychiatric practice: a policy framework for implementation. Journal of Clinical Psychiatry, published online ahead of print version.Google Scholar
Hayes, S., Shackell, P., Mottram, P. and Lancaster, R. (2007). The prevalence of intellectual disability in a major UK prison. British Journal of Learning Disabilities, 35, 162–167.Google Scholar
Heseltine, K., Sarre, R. and Day, A. (2011). Prison-based correctional rehabilitation: an overview of intensive interventions for moderate to high-risk offenders. Trends and Issues in Crime and Criminal Justice, 412, 1.Google Scholar
Holi, M. (2003). Assessment of psychiatric symptoms using the SCL-90. Helsinki University Printing House.Google Scholar
Hornsveld, R. H. J. (2005). Evaluation of aggression control therapy for violent forensic psychiatric patients. Psychology, Crime & Law. 11, 403–410.Google Scholar
Ireland, J. L. (2004). Anger management therapy with young male offenders: an evaluation of treatment outcome. Aggressive Behavior. 30, 174–185.Google Scholar
Jahoda, A., Willner, P., Rose, J., Kroese, B. S., Lammie, C., Shead, J., et al. (2013). Development of a scale to measure fidelity to manualized group-based cognitive behavioural interventions for people with intellectual disabilities. Research in Developmental Disabilities, 34, 4210–4221.Google Scholar
Krakowski, M. (2003). Violence and serotonin: influence of impulse control, affect regulation and social functioning. Journal of Neuropsychiatry and Clinical Neuroscience, 15, 294–305.Google Scholar
Long, N. (2008). Editorial: Closing the gap between research and practice: the importance of practitioner training. Clinical Child Psychology and Psychiatry, 13, 187–190.CrossRefGoogle Scholar
Morris, S. B. and DeShon, R. P. (2002). Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychological Methods, 7, 105–125.Google Scholar
Novaco, R., Ramm, M. and Black, L. (2001). Anger treatment with offenders. In Hollin, C.R. (Ed.), Handbook of Offender Assessment and Treatment. Chichester: Wiley Google Scholar
Orlinsky, D. E., Grawe, K. and Parkes, B. K. (1994). Process and outcome in psychotherapy: noch einmal. In Bergin, A. E. and Garfield, S. L., Handbook of Psychotherapy and Behavior Change (4th ed.), (pp.270–476). New York: Wiley.Google Scholar
Republic of Trinidad and Tobago Final Report of the Cabinet Appointed Task Force on Prison Reform and Transformation (2002). Composition of Prison Population (1990-2000). p. 235, Retrieved from http://ttprisons.com/downloads/taskforcereport.pdf Google Scholar
Rose, J. (2013). A preliminary investigation into the influence of therapist experience on the outcome of individual Anger Interventions for people with intellectual disabilities. Behavioural and Cognitive Psychotherapy, 41, 470–478.Google Scholar
Rose, J., Loftus, M., Flint, B. and Carey, C. (2005). Factors associated with the efficacy of a group intervention for anger in people with intellectual disabilities. British Journal of Clinical Psychology, 44, 305–317.CrossRefGoogle ScholarPubMed
Schamborg, S., Tully, R. J. and Browne, K. D. (2015). The use of the State–Trait Anger Expression Inventory–II with forensic populations: a psychometric critique. International Journal of Offender Therapy and Comparative Criminology, 0306624X15577932.Google Scholar
Serin, R. C. (1994). Treating Violent Offenders: a review of current practices. Research report R-38, Ottawa, Ontario, Canada: Correctional Service of Canada.Google Scholar
Soper, D. S. (2016). A-priori sample size calculator for multiple regression. http://www.danielsoper.com/statcalc Google Scholar
Sorensen, J. and Cunningham, M. D. (2010). Conviction offense and prison violence: a comparative study of murderers and other offenders. Crime & Delinquency, 56, 103–125.Google Scholar
Spielberger, C. D. (1999). STAXI-2: Professional Manual. PAR, Lutz, Florida.Google Scholar
Spielberger, C. D. and Rheiser, E. C. (2004). Measuring anxiety, anger, depression, and curiosity as emotional states and personality traits with the STAI, STAXI, and STPI. Comprehensive Handbook of Psychological Assessment, 2, 70–86.Google Scholar
Tite, L. (2013). Counselling Psychologists’ Experiences of Working with Clients who Present with Anger Issues in Prison Settings. PhD Dissertation, Roehampton University, London, UK.Google Scholar
Trinidad and Tobago, Ministry of Planning and Development, Central Statistical Office (2000). Table 3, Number of Serious Crimes by Cases Reported, Cases Detected, Persons Arrested and Persons Convicted, 1998, 1999. Port of Spain: Ministry of Planning and Sustainable Development.Google Scholar
Trinidad and Tobago, Ministry of Planning and Development, Central Statistical Office (2009). Total Number of Serious Crimes Reported to the Police (excluding traffic accidents), 1998-2008. Port of Spain: Ministry of Planning and Sustainable Development.Google Scholar
US State Bureau Diplomatic Security (2015). Trinidad and Tobago 2014 Crime and Safety Report. Retrieved from https://www.osac.gov/pages/ContentReportDetails.aspx?cid=16263 Google Scholar
Wechsler, D. and Zhou, X. (2011).Wechsler Abbreviated Scale of Intelligence (2nd ed.) (WASI-2). Psychological Corporation.Google Scholar
Williamson, P., Day, A., Howells, K., Bubner, S. and Jauncey, S. (2003). Assessing offender readiness to change problems with anger. Psychology, Crime and Law, 9, 295–307.CrossRefGoogle Scholar
Willner, P., Brace, N. and Phillips, J. (2005). Assessment of anger coping skills in individuals with intellectual disabilities. Journal of Intellectual Disability Research. 49, 329–339.Google Scholar
Willner, P., Jones, J., Tams, R. and Green, G. (2002). A randomised controlled trial of the efficacy of a cognitive-behavioural anger management group for clients with learning disabilities. Journal of Applied Research in Intellectual Disabilities, 15, 224–235.Google Scholar
Willner, P., Rose, J., Jahoda, A., Kroese, B. S., Felce, D., Cohen, D., et al. (2013). Group-based cognitive-behavioural anger management for people with mild to moderate intellectual disabilities: cluster randomised controlled trial. The British Journal of Psychiatry, 203, 288–296.Google Scholar
Willner, P. and Tomlinson, S. (2007). Generalization of anger coping skills from day-service to residential settings, Journal of Applied Research in Intellectual Disabilities, 20, 553–562.Google Scholar
Wilson, C., Gandolfi, S., Dudley, A., Thomas, B., Tapp, J. and Moore, E. (2013). Evaluation of anger management groups in a high-security hospital. Criminal Behaviour and Mental Health. 23, 356–371 Google Scholar
Witt, K., van Dorn, R. and Fazel, S. (2013). Risk factors of violence in psychosis: systematic review and meta-regression analysis of 110 studies. PLoS One 8 (2) e55942.Google Scholar
World Health Organization (2002). World Report on Violence and Health. Geneva: WHO. Available at http://whqlibdoc.who.int/publications/2002/9241545615_eng.pdf?ua=1 Google Scholar
Wydo, M. R., De Guiseppe, R. and Unger, F. (2013). The Prevalence of Anger in Antisocial Personality Disordered Male Prison Inmates. Presented at the Association for Behavioral and CognitiveTherapies (ABCT) 47th Annual Convention, Nashville, TN, 24 November 24.Google Scholar
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