The impact of psychological therapies on violent behaviour in clinical and forensic settings: A systematic review

Ross, Joy; Quayle, Ethel; Newman, Emily; Tansey, Louise

doi:10.1016/j.avb.2013.09.001

Cited by 49 publications

(31 citation statements)

References 62 publications

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“…Other work has established the promise of psychological approaches to violence reduction in Table 2 Correlations of illness and personality variables with the AQ anger and aggression scales (N ¼58). psychiatric populations (Ross et al, 2013). Hence there is already evidence to suggest that aggression and violence can be reduced.…”

Section: Discussionmentioning

confidence: 97%

Emotion-relevant impulsivity predicts sustained anger and aggression after remission in bipolar I disorder

Johnson

Carver

2016

Journal of Affective Disorders

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Section: Discussionmentioning

confidence: 97%

Emotion-relevant impulsivity predicts sustained anger and aggression after remission in bipolar I disorder

Johnson

Carver

2016

Journal of Affective Disorders

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“…From a broader perspective, this study will shed light on the effectiveness of VR interventions in forensic populations. If proven to be effective, VRAPT could be a useful addition to current interventions in forensic psychiatry and be implemented in other forensic psychiatric centers, especially as evidence based interventions to reduce aggressive behavior are scarce [ 14 ]. In addition, reducing aggression of forensic patients is of great importance for patients, but also for staff working in forensic psychiatric centers, as many fellow patients and treatment staff are victimized by aggression of forensic patients.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is important that effective and early interventions focusing on reactive aggression should be top priority for forensic facilities. A systematic review by Ross et al showed a significant reduction of physically aggressive behavior following an intervention, thereby demonstrating tentative support for the hypothesis that interventions have a positive effect on the reduction of aggressive behavior [ 14 ]. Ross et al discussed research on psychotherapeutic interventions (e.g., Cognitive Behavioral Therapy) for aggressive and violent behavior in forensic populations.…”

Section: Introductionmentioning

confidence: 99%

“…Ross et al discussed research on psychotherapeutic interventions (e.g., Cognitive Behavioral Therapy) for aggressive and violent behavior in forensic populations. Nevertheless, quality assessments of studies included in this review revealed that there were several methodological flaws; overall, most studies were of average quality and none of them included a power analysis [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Effect of virtual reality aggression prevention training for forensic psychiatric patients (VRAPT): study protocol of a multi-center RCT

Tuente

Bogaerts

IJzendoorn³

et al. 2018

BMC Psychiatry

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BackgroundMany patients residing in forensic psychiatric centers have difficulties regulating their aggression in an adequate manner. Therefore, they are frequently involved in conflicts. Evidenced-based aggression therapies in forensic psychiatry are scarce, and due to the highly secured environment, it is hard to practice real-life provocations. We have developed a Virtual Reality aggression prevention training (VRAPT), providing safe virtual environments, in which patients can practice controlling their aggressive behaviors in an adequate way. The main objective of this study is to examine whether VRAPT is effective in reducing aggression among forensic psychiatric inpatients.MethodsFour forensic psychiatric centers in the Netherlands are participating in this study. Participants will be randomly assigned to either VRAPT or a waiting list. The two groups will be compared at several different time points: baseline (12 weeks before intervention), pre-intervention, post-intervention and at 12 weeks follow-up. After follow-up measurements are completed, participants from the waiting list will also receive VRAPT. The primary outcome is level of aggressive behavior, consisting of staff-reported and self-reported measures. Secondary outcomes are self-report questionnaires on e.g., anger, impulsivity and aggression.DiscussionTo the best of our knowledge this is the first study to examine the effectiveness of a VR aggression prevention training in forensic psychiatric centers. Further details on the methodological issues are discussed in this paper.Trial registrationDutch Trial Register (NTR, TC = 6340). Retrospectively registered 14–04-2017.

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“…A systematic review of psychological therapies designed for violent behavior in clinical and forensic settings found ten studies, providing tentative support for the effectiveness on aggressive behavior. However, the review included only two randomized controlled trials, both of cognitive behavioral therapy, one of which had negative outcomes [5]. Another more recent systematic review included 16 studies on the effect of Aggression Replacement Training (ART) on antisocial behavior in young people and adults [6].…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality Aggression Prevention Therapy (VRAPT) versus Waiting List Control for Forensic Psychiatric Inpatients: A Multicenter Randomized Controlled Trial

Tuente

Bogaerts

Bulten

et al. 2020

JCM

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Many forensic psychiatric inpatients have difficulties regulating aggressive behavior. Evidence of effective aggression treatments is limited. We designed and investigated the effectiveness of a transdiagnostic application of a virtual reality aggression prevention training (VRAPT). In this randomized controlled trial at four Dutch forensic psychiatric centers, 128 inpatients with aggressive behavior were randomly assigned to VRAPT (N = 64) or waiting list control group (N = 64). VRAPT consisted of 16 one-hour individual treatment sessions twice a week. Assessments were done at baseline, post-treatment and at 3-month follow-up. Primary outcome measures were aggressive behavior observed by staff and self-reported aggressive behavior. Analysis was by intention to treat. This trial was registered in the Dutch Trial Register (NTR, TC = 6340). Participants were included between 1 March 2017, and 31 December 2018. Compared to waiting list, VRAPT did not significantly decrease in self-reported or observed aggressive behavior (primary outcomes). Hostility, anger control, and non-planning impulsiveness improved significantly in the VRAPT group compared to the control group at post-treatment. Improvements were not maintained at 3-month follow-up. Results suggest that VRAPT does not decrease aggressive behavior in forensic inpatients. However, there are indications that VRAPT temporarily influences anger control skills, impulsivity and hostility.

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The impact of psychological therapies on violent behaviour in clinical and forensic settings: A systematic review

Cited by 49 publications

References 62 publications

Emotion-relevant impulsivity predicts sustained anger and aggression after remission in bipolar I disorder

Emotion-relevant impulsivity predicts sustained anger and aggression after remission in bipolar I disorder

Effect of virtual reality aggression prevention training for forensic psychiatric patients (VRAPT): study protocol of a multi-center RCT

Virtual Reality Aggression Prevention Therapy (VRAPT) versus Waiting List Control for Forensic Psychiatric Inpatients: A Multicenter Randomized Controlled Trial

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