Cargando…
Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients
OBJECTIVE: Preventing and reducing violence is of high importance for both individuals and society. However, the overall efficacy of current treatment interventions aimed at reducing aggressive behavior is limited. New technological-based interventions may enhance treatment outcomes, for instance by...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036768/ https://www.ncbi.nlm.nih.gov/pubmed/36968738 http://dx.doi.org/10.3389/fpsyg.2023.983286 |
_version_ | 1784911729326555136 |
---|---|
author | ter Harmsel, Janna F. Noordzij, Matthijs L. van der Pol, Thimo M. Swinkels, Lise T. A. Goudriaan, Anna E. Popma, Arne |
author_facet | ter Harmsel, Janna F. Noordzij, Matthijs L. van der Pol, Thimo M. Swinkels, Lise T. A. Goudriaan, Anna E. Popma, Arne |
author_sort | ter Harmsel, Janna F. |
collection | PubMed |
description | OBJECTIVE: Preventing and reducing violence is of high importance for both individuals and society. However, the overall efficacy of current treatment interventions aimed at reducing aggressive behavior is limited. New technological-based interventions may enhance treatment outcomes, for instance by facilitating out-of-session practice and providing just-in-time support. Therefore, the aim of this study was to assess the effects of the Sense-IT biocueing app as an addition to aggression regulation therapy (ART) on interoceptive awareness, emotion regulation, and aggressive behavior among forensic outpatients. METHODS: A combination of methods was used. Quantitatively, a pretest-posttest design was applied to explore group changes in aggression, emotion regulation, and anger bodily sensations associated with the combination of biocueing intervention and ART. Measures were assessed at pretest, after 4 weeks posttest, and after one-month follow-up. During the 4 weeks, a single-case experimental ABA design was applied for each participant. Biocueing was added in the intervention phase. During all phases anger, aggressive thoughts, aggressive behavior, behavioral control, and physical tension were assessed twice a day, and heart rate was measured continuously. Qualitative information regarding interoceptive awareness, coping, and aggression was collected at posttest. 25 forensic outpatients participated. RESULTS: A significant decrease in self-reported aggression was found between pre- and posttest. Furthermore, three-quarters of participants reported increased interoceptive awareness associated with the biocueing intervention. However, the repeated ambulatory measurements of the single-case experimental designs (SCEDs) did not indicate a clear effect favoring the addition of biocueing. On group level, no significant effects were found. On the individual level, effects favoring the intervention were only found for two participants. Overall, effect sizes were small. CONCLUSION: Biocueing seems a helpful addition to increase interoceptive awareness among forensic outpatients. However, not all patients benefit from the current intervention and, more specifically, from its behavioral support component aimed at enhancing emotion regulation. Future studies should therefore focus on increasing usability, tailoring the intervention to individual needs, and on integration into therapy. Individual characteristics associated with effective support by a biocueing intervention should be further investigated, as the use of personalized and technological-based treatment interventions is expected to increase in the coming years. |
format | Online Article Text |
id | pubmed-10036768 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100367682023-03-25 Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients ter Harmsel, Janna F. Noordzij, Matthijs L. van der Pol, Thimo M. Swinkels, Lise T. A. Goudriaan, Anna E. Popma, Arne Front Psychol Psychology OBJECTIVE: Preventing and reducing violence is of high importance for both individuals and society. However, the overall efficacy of current treatment interventions aimed at reducing aggressive behavior is limited. New technological-based interventions may enhance treatment outcomes, for instance by facilitating out-of-session practice and providing just-in-time support. Therefore, the aim of this study was to assess the effects of the Sense-IT biocueing app as an addition to aggression regulation therapy (ART) on interoceptive awareness, emotion regulation, and aggressive behavior among forensic outpatients. METHODS: A combination of methods was used. Quantitatively, a pretest-posttest design was applied to explore group changes in aggression, emotion regulation, and anger bodily sensations associated with the combination of biocueing intervention and ART. Measures were assessed at pretest, after 4 weeks posttest, and after one-month follow-up. During the 4 weeks, a single-case experimental ABA design was applied for each participant. Biocueing was added in the intervention phase. During all phases anger, aggressive thoughts, aggressive behavior, behavioral control, and physical tension were assessed twice a day, and heart rate was measured continuously. Qualitative information regarding interoceptive awareness, coping, and aggression was collected at posttest. 25 forensic outpatients participated. RESULTS: A significant decrease in self-reported aggression was found between pre- and posttest. Furthermore, three-quarters of participants reported increased interoceptive awareness associated with the biocueing intervention. However, the repeated ambulatory measurements of the single-case experimental designs (SCEDs) did not indicate a clear effect favoring the addition of biocueing. On group level, no significant effects were found. On the individual level, effects favoring the intervention were only found for two participants. Overall, effect sizes were small. CONCLUSION: Biocueing seems a helpful addition to increase interoceptive awareness among forensic outpatients. However, not all patients benefit from the current intervention and, more specifically, from its behavioral support component aimed at enhancing emotion regulation. Future studies should therefore focus on increasing usability, tailoring the intervention to individual needs, and on integration into therapy. Individual characteristics associated with effective support by a biocueing intervention should be further investigated, as the use of personalized and technological-based treatment interventions is expected to increase in the coming years. Frontiers Media S.A. 2023-03-10 /pmc/articles/PMC10036768/ /pubmed/36968738 http://dx.doi.org/10.3389/fpsyg.2023.983286 Text en Copyright © 2023 ter Harmsel, Noordzij, van der Pol, Swinkels, Goudriaan and Popma. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychology ter Harmsel, Janna F. Noordzij, Matthijs L. van der Pol, Thimo M. Swinkels, Lise T. A. Goudriaan, Anna E. Popma, Arne Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
title | Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
title_full | Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
title_fullStr | Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
title_full_unstemmed | Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
title_short | Exploring the effects of a wearable biocueing app (Sense-IT) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
title_sort | exploring the effects of a wearable biocueing app (sense-it) as an addition to aggression regulation therapy in forensic psychiatric outpatients |
topic | Psychology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10036768/ https://www.ncbi.nlm.nih.gov/pubmed/36968738 http://dx.doi.org/10.3389/fpsyg.2023.983286 |
work_keys_str_mv | AT terharmseljannaf exploringtheeffectsofawearablebiocueingappsenseitasanadditiontoaggressionregulationtherapyinforensicpsychiatricoutpatients AT noordzijmatthijsl exploringtheeffectsofawearablebiocueingappsenseitasanadditiontoaggressionregulationtherapyinforensicpsychiatricoutpatients AT vanderpolthimom exploringtheeffectsofawearablebiocueingappsenseitasanadditiontoaggressionregulationtherapyinforensicpsychiatricoutpatients AT swinkelsliseta exploringtheeffectsofawearablebiocueingappsenseitasanadditiontoaggressionregulationtherapyinforensicpsychiatricoutpatients AT goudriaanannae exploringtheeffectsofawearablebiocueingappsenseitasanadditiontoaggressionregulationtherapyinforensicpsychiatricoutpatients AT popmaarne exploringtheeffectsofawearablebiocueingappsenseitasanadditiontoaggressionregulationtherapyinforensicpsychiatricoutpatients |