Title: Clinical change in anger, shame, and paranoia after a structured cognitive-behavioral group program: Early findings from a randomized trial with male prison inmates
Authors: Brazão, Nélio 
da Motta, Carolina 
Rijo, Daniel 
do Céu Salvador, Maria 
Pinto-Gouveia, José 
Ramos, João 
Keywords: Anger;Antisocial Behavior;Clinical Change;External Shame;Growing Pro- Social;Paranoia
Issue Date: 2015
Project: This research has been supported by the first author, NB, PhD Grant (SFRH/BD/89283/2012), sponsored by the Portuguese Foundation for Science and Technology (FCT), and the Operational Program for the Human Potential (POPH)/European Social Fund (SEE) 
“GPS – Growing Pro-Social, a prevention and rehabilitation program for individuals with antisocial behavior: Efficacy studies in forensic samples” (PTDC/PSI-PCL/102165/2008) is supported by the Foundation for Science and Technology, and it is a partnership between the Research Unit of the Cognitive-Behavioral Research and Intervention Center and the General Directorship of Social Reinsertion and Prison Services of the Portuguese Ministry of Justice. 
Abstract: Objectives: This study’s main goal was to assess the efficacy of a structured cognitive-behavioral group program, Growing Pro-Social (GPS), in reducing anger, paranoia and external shame in male prison inmates. Methods: In this randomized trial, a treatment group (n=24) was compared to a control group (n=24) and both groups were assessed at pre- and post-treatment. Participants answered the State-Trait Anger Expression Inventory, the Paranoia Scale, and the Other as Shamer Scale. Treatment effects were tested using ANCOVA with baseline as covariate and condition as fixed factor. Additionally, in order to assess significant clinical change after intervention, the Reliable Change Index (RCI) was computed. Results: At baseline, no significant differences between conditions were found. ANCOVA with baseline as covariate showed significant differences between groups at post-treatment. When compared to controls, treatment subjects showed lower scores in anger-trait (temperament and reaction subscales) and paranoia. Concerning clinical change, a high percentage of treatment subjects presented improvements in anger, paranoia and external shame; the majority of controls showed significant deterioration in the same variables. After treatment, differences between groups were observed in the distributions by clinical change categories for anger-trait and its subscales, and paranoia. No differences between groups were found in anger-state and external shame. Conclusions: These results point out the GPS’s ability to promote significant change in cognitive and emotional relevant variables associated with antisocial behavior.
URI: http://hdl.handle.net/10316/46698
ISSN: 1572-8315
DOI: 10.1007/s11292-014-9224-5
Rights: openAccess
Appears in Collections:FPCEUC - Artigos em Revistas Internacionais

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