A preliminary investigation into the influence of therapist experience on the outcome of individual anger interventions for people with intellectual disabilities

Behav Cogn Psychother. 2013 Jul;41(4):470-8. doi: 10.1017/S1352465812000823. Epub 2012 Oct 22.

Abstract

Background: There is a developing literature into Anger Management interventions for people with intellectual disability. While initial reports suggest that these interventions are effective there are few evaluations examining what aspects of the therapeutic process contribute to effectiveness.

Method: Individuals with an intellectual disability and anger control difficulties who were referred to community psychology services were allocated to either experienced clinical psychologists or a less experienced assistant psychologist who followed the same intervention framework.

Results: Significant reductions in self-reported anger intensity were reported; however, the group who were treated by more experienced therapists reported more change and more individuals reported clinically significant change.

Conclusions: While effective change was reported by both groups, these results suggest that clinical experience and training may be an important variable in determining the magnitude of change. This has implications for the design of intellectual disability mental health services.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aggression / psychology*
  • Anger*
  • Clinical Competence*
  • Cognitive Behavioral Therapy* / education
  • Education, Graduate
  • England
  • Female
  • Humans
  • Intellectual Disability / psychology*
  • Intellectual Disability / therapy*
  • Male
  • Middle Aged
  • Outcome and Process Assessment, Health Care
  • Professional-Patient Relations
  • Psychology, Clinical / education
  • Surveys and Questionnaires
  • Treatment Outcome
  • Young Adult