The management of aggression in third wave behavioral therapies: A systematic review

IF 3.4 2区心理学 Q1 CRIMINOLOGY & PENOLOGY Aggression and Violent Behavior Pub Date : 2024-11-01 DOI:10.1016/j.avb.2024.102012

Kaique P. de Almeida, André H.N. da Silva, Vanessa D. Di Rienzo

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Abstract

Aggressive behavior has long been a focal point of inquiry within behavioral therapies. However, there is a lack of comprehensive reviews synthesizing the efficacy of third-wave behavioral therapies in managing aggression. This study addresses this gap through a systematic review, examining the effectiveness of third-generation behavioral therapies—Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), Functional Analytical Psychotherapy (FAP), and Behavioral Activation (BA)—in managing aggressive behavior among adults.

Out of 38 articles selected for full reading, only six met the criteria for inclusion in this synthesis: three employing Acceptance and Commitment Therapy (ACT) as an intervention strategy and three employing Dialectical Behavior Therapy (DBT). Merely three of these studies were RCTs. Overall, these interventions exhibited a notable reduction in aggressive behavior during the treatment phase but failed to maintain this improvement during follow-up assessments.

This review contextualizes its findings in relation to existing systematic reviews and employs the Quality Assessment Tool for Quantitative Studies to gauge the level of evidence. The collective evidence underscores the need for additional research employing diverse intervention strategies, with the objective of establishing more robust and enduring treatments for aggressive behavior.

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第三波行为疗法中的攻击行为管理：系统回顾

长期以来，攻击行为一直是行为疗法研究的焦点。然而，目前还缺乏全面综述第三波行为疗法在控制攻击行为方面的疗效。本研究通过系统性综述填补了这一空白，研究了第三代行为疗法--辩证行为疗法（DBT）、接纳与承诺疗法（ACT）、功能分析心理疗法（FAP）和行为激活疗法（BA）--在控制成人攻击行为方面的有效性。在38篇被选作全文阅读的文章中，只有6篇符合纳入本综述的标准：3篇采用接纳与承诺疗法（ACT）作为干预策略，3篇采用辩证行为疗法（DBT）。这些研究中只有三项是研究性临床试验（RCT）。总体而言，这些干预措施在治疗阶段显著减少了攻击性行为，但在后续评估中未能保持这种改善。本综述结合现有的系统性综述对其研究结果进行了分析，并采用定量研究质量评估工具来衡量证据水平。这些综合证据强调，有必要开展更多的研究，采用不同的干预策略，以建立更稳健、更持久的攻击性行为治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aggression and Violent Behavior Multiple-

CiteScore

7.50

自引率

4.30%

发文量

期刊介绍： Aggression and Violent Behavior, A Review Journal is a multidisciplinary journal that publishes substantive and integrative reviews, as well as summary reports of innovative ongoing clinical research programs on a wide range of topics germane to the field of aggression and violent behavior. Papers encompass a large variety of issues, populations, and domains, including homicide (serial, spree, and mass murder: sexual homicide), sexual deviance and assault (rape, serial rape, child molestation, paraphilias), child and youth violence (firesetting, gang violence, juvenile sexual offending), family violence (child physical and sexual abuse, child neglect, incest, spouse and elder abuse), genetic predispositions, and the physiological basis of aggression.