Citation

Smeijers D, Bulten E, Buitelaar J, Verkes RJ. Int. J. Offender Ther. Comp. Criminol. 2018; 62(12): 3834-3852.

Affiliation

Forensic Psychiatric Centre Pompestichting, Nijmegen, The Netherlands.

Copyright

(Copyright © 2018, SAGE Publishing)

DOI

10.1177/0306624X17747052

PMID

29254396

Abstract

Aggression replacement training (ART) is widely used to reduce aggression.

RESULTS regarding its effectiveness, however, are inconclusive regarding adults and specific populations displaying severe aggression. The current open uncontrolled treatment study aimed at assessing the social skills and anger control modules of the ART to reduce aggression in forensic psychiatric outpatients (FPOs). Furthermore, characteristics associated with treatment outcome and dropout were examined. The results suggested that aggression changed during the ART. In addition, higher baseline levels of trait aggression were associated with greater reductions of aggression, whereas more cognitive distortions were associated with less reduction. Treatment dropouts were characterized by higher levels of psychopathic traits, proactive aggression, and more weekly substance use. As there was a considerable amount of dropout; it is important to assess risk of dropping out of treatment and, subsequently, improve treatment motivation. This might enhance treatment adherence which may lead to a more successful reduction of aggression.

Language: en

Keywords

aggressive behavior; forensic psychiatric patients; responsivity; treatment