State-Trait Anger Expression Inventory Research Articles

Alterations in the Emotional Regulation Process in Gambling Addiction: The Role of Anger and Alexithymia.

This study aims at the assessment of alexithymia and anger levels in 100 treatment-seeking pathological gamblers compared with controls, who were matched for age, gender and education. Furthermore a positive correlation between alexithymia, anger and severity of gambling disorder and a relationship between gambling behaviour and anger after controlling for alexithymia, are investigated. Finally the role that gender plays in anger in pathological gamblers was also evaluated. Psychological assessment includes the South Oaks Gambling Screen, State-Trait Anger Expression Inventory-2 and the twenty-item Toronto Alexithymia Scale. Statistical analysis of the results shows a higher level of anger in pathological gamblers than in controls, together with alterations in emotional processing. Severity of gambling behaviour positively correlates with alexithymia scores, state-anger and trait-anger. Moreover, a significant contribution of anger in predicting gambling behaviour was suggested after controlling for alexithymia. In conclusion, anger and alexithymia must be regarded as relevant components of the assessment of pathological gamblers, in order to select the best therapeutical strategies to prevent self-defeating behaviours and to reduce drop-out from treatments.

Psychometric Examination of an Arabic Version of the State-Trait Anger Expression Inventory.

This study aimed to examine the psychometric properties of an Arabic version of the trait anger and anger expression scales of the State-Trait Anger Expression Inventory (STAXI). This study took place between April 2005 and August 2014. Adults in Yemen (n = 334) and Tunisia (n = 200) were recruited from university campuses and a smoking cessation clinic, respectively. The STAXI was translated into Arabic using back-translation methods. An explanatory principal component analysis was conducted to explore the factor structure of the anger expression scale, utilising parallel analyses to determine the number of retained factors. Good internal consistency of the trait anger scale was observed among the Yemeni (Cronbach's alpha = 0.76) and Tunisian (Cronbach's alpha = 0.86) samples. The parallel analysis suggested a three-factor solution for the anger expression scale (anger in, anger out and anger control), in accordance with the original STAXI. The internal consistency of anger in, anger out and anger control factors ranged between 0.51-0.79 in the Yemeni sample and 0.66-0.81 in the Tunisian sample. Overall, items loaded on the anger control factor included all items proposed by the original authors and this factor had higher reliability than the other two factors in both samples. The results of the current study provide initial support for the use of the trait anger and anger expression scales of the STAXI in Arabic-speaking countries.

Üniversite öğrencilerinde öfke ifade tarzları ile mizaç ve karakter özellikleri arasındaki ilişki

Objective: The aim of this study is to determine the relationship between temperament and character and anger and anger response styles in late adolescent undergraduate university students. Method: In this study, 227 university students aged between 18 and 25 years volunteered to participate. Temperament and Character Inventory (TCI), State-Trait Anger Expression Inventory (STAXI), and a Personal Information Form (PIF) prepared by one of the researchers were administered. Results: The study found correlations between temperament and character and anger and anger response styles. While a positive correlation was found between trait anger and novelty seeking and harm avoidance, a negative correlation was found between trait anger and reward dependence, self-directedness, and cooperativeness. A positive correlation was found between anger-in and harm avoidance, a negative correlation was found between anger-in and reward dependence, self-directedness, and cooperativeness. A positive correlation was found between anger-out and novelty seeking while a negative correlation was found between reward dependence, self-directedness, and cooperativeness. Finally, a positive correlation was found between anger control and reward dependence, self-directedness and cooperativeness, while a negative correlation was found between anger control and novelty seeking. In addition to these results, some variables have an impact on temperament and anger response styles. Conclusion: Our study is important in that it demonstrates a number of correlations between temperament and character traits and anger response styles. In order to examine the relation between anger and temperament in more detail, it seems necessary to carry out studies with younger adolescents. Another important aspect is to point out the need to take temperament traits into consideration in clinical applications.

Effectiveness of Emotional Intelligence Group Training on Anger in Adolescents With Substance-Abusing Fathers

ABSTRACTParental substance abuse is associated with impaired skills and ability to take care of children. Children of substance-abusing parents display higher levels of emotional difficulties. This article shows the effectiveness of emotional intelligence group training on anger in adolescents with substance-abusing fathers. The sample consisted of 60 high school boys with substance-abusing fathers, selected from referrals to public academic counseling centers in the city of Bojnurd in northeastern Iran. Next, the individuals were randomly divided into control and experimental groups. The experimental group received eight weekly one-and-a-half-hour emotional intelligence group training sessions in a school setting. The two groups were compared before and after the intervention using the Spielberger's State-Trait Anger Expression Inventory. In the experimental group, mean score of state anger decreased from 29.8 ± 4.2 to 15.6 ± 0.8 in pretest to posttest. Results of RMANOVA showed that training was effective in all four areas of Trait Anger, State Anger, Anger Control-In, and Anger Control-Out (p < 0.05). This study indicated that training of emotional intelligence skills was effective in reducing anger in adolescents with substance-abusing fathers.

CAPACIDAD PREDICTIVA DE LA IRA SOBRE LA ANSIEDAD ESCOLAR EN ESTUDIANTES CHILENOS DE EDUCACIÓN SECUNDARIA

La ira y la ansiedad están relacionadasa través dela vulnerabilidadbiológicasubyacente en ambos constructos, ya que los individuos reaccionan ante una amenaza conirao ansiedad. Pero ¿tiene la ira la capacidad para predecir la ansiedad? En este estudio nos hemos propuesto analizar esta capacidad predictiva de la ira sobre la ansiedad escolar en una muestra de 1131estudiantes chilenos de Educación Secundaria, 560 chicos y 571 chicas (49,51% y 51,49%, respectivamente) todos ellos con edades comprendidas entre los 13 y los 18 años (M=15.30; DE=1.10). La expresión de la ira se midió con el State-Trait Anger Expression Inventory for Children and Adolescents (STAXI-NA) y la Ansiedad Escolar con el Inventario de Ansiedad Escolar (IAES). Los análisis de regresión logística revelaron que altas puntuaciones en sentimientos de ira, temperamento de ira, expresión interna de ira, ira-estado e ira-rasgo predicen la alta ansiedad. Estos resultados sugieren la necesidad de diseñar y desarrollar programas educativos que ayuden a los estudiantes a canalizar la expresión de la ira y disminuyan los niveles de ansiedad escolar. Palabras claves: ira, ansiedad escolar, Educación Secundaria, adolescencia, regresión logística. PREDICTIVE ABILITY OF ANGER ON SCHOOL ANXIETY CHILEAN STUDENTS OF SECONDARY EDUCATIONAnger and anxiety are related through the underlying biological vulnerability in both constructs, because individuals react facing to a threat with anger or anxiety. But, has the anger the ability to predict anxiety? In this study we have proposed to analyze the predictive ability of anger on school anxiety in a sample of 1131 Chilean students Secondary Education, 560 boys and 571 girls (49.51% and 51.49%, respectively) between 13 to 18 years (M = 15.30; SD = 1.10). The anger expression was measured by the State-Trait Anger Expression Inventory for Children and Adolescents (STAXI-NA) and School Anxiety with Anxiety Inventory School (IAES). The logistic regression analysis revealed that high scores on feelings of anger, anger temperament, internal expression of anger, rage and anger-state-trait predict high anxiety. These results suggest the need to design and develop educational programs that help students to direct the anger expression and decrease school anxiety levels. Keywords: anger, anxiety school, Secondary Education, adolescence, logistic regression.

청소년의 외재화 및 내재화 문제행동에 영향을 미치는 요인: 고등학교 1학년 학생을 중심으로

Purpose The purpose of this study was to investigate the influencing factors on externalized and internalized problem behaviors among high school students. Methods The subjects for this study were 707 students in two high schools in K province. The data were collected during the period from October to November, 2014 by use of questionnaires. The instruments used were the Korean Youth Self-report, Daily Hassles Questionnaire, State-Trait Anger Expression Inventory, and Ego Resiliency Scale. The data were analyzed using SPSS. Results Significant predictors to explain externalized problem behaviors comprised anger-out, anger-in, anger-control, relation with parents, daily stress, and religion. It was found that these factors explained 46% of externalized problem behavior. Ego resiliency, anger-in, daily stress, gender, relation with parent, and anger-out were significant predictors to explain internalized problem behaviors. It was found that these factors explained 45% of internalized problem behaviors. Conclusion This study suggests that the influencing factors on problem behaviors differ from externalized and internalized problem behaviors. So these findings will provide the basic data to develop a program that is differentiated by problem behavior type. Keywords: Problem behavior, Adolescent, Life stress, Anger 주요어: ë¬¸ì œí–‰ë™, ì²­ì†Œë „, 일상생활 ìŠ¤íŠ¸ë ˆìŠ¤, ë¶„ë ¸

Abstract P208: Anger During Young Adulthood Increases the Risk of Developing Coronary Heart Disease

Background: Some cohort studies have found that anger in adults aged 45+ is associated with incident coronary heart disease (CHD). However, this relationship has not been tested rigorously in young adults. We took advantage of longitudinal measures collected by the Bogalusa Heart Study to examine this association prospectively in young adults. Methods: From 1985-1986, 768 young adults from the Bogalusa Heart Study completed the State Trait Anger Expression Inventory (STAXI) and were followed for cardiovascular risk factors. STAXI score is summed from a ten-point test with four response options (1=”never angry”; 2=”sometimes angry”; 3=”often angry”; 4=”almost always angry”). Multivariable linear regression, adjusted for race, BMI, pulse, blood glucose, and alcohol use, was used to test the association between anger and Framingham risk score as a global indicator of CHD risk. Participants were followed through 2010 and a general estimating equations model was used to assess the association between young adult anger (modeled using a restricted cubic spline function) and longitudinal development of CHD risk. Results: Our study population was (63.3%) female and (23.2%) black. At baseline, age ranged from 17-27 with a mean (SD) of 22.7 (2.4), and mean STAXI score was 18.6 (5.2). In cross-sectional analyses, STAXI score was not associated with CHD risk at baseline (p=0.20). However, after a median follow-up of 18 years, young adult anger was strongly associated (p=.006) with risk of CHD, with “always angry” subjects having a greater Framingham risk score at follow-up compared to “never angry” subjects (RR=1.71; 95%CI, 1.08 to 2.71), corresponding to a four-fold increase in 10-year risk of incident CHD (4% vs 1%, respectively). Conclusions: While it is currently established that anger in middle or late adulthood increases CHD risk, our analysis shows that, in fact, this relationship may be etiologically present much earlier in adulthood and among populations with a low overall CHD risk.

Anger expression, impulsivity and expressed emotion: A comparison between patients with eating disorder and schizophrenia

IntroductionThe level of express emotion (EE) is a measure of the attitude of close relatives towards a patient and include dimensions as critical comments, hostility and emotional over-involvement. Anger and impulsivity may lead to self-injurious and aggressive behaviours, and often represent an obstacle to treatment.AimsTo compare anger expression, impulsivity and expressed emotion in ED and SCHZ, and to explore the different level of caregivers’ EE in the two groups.MethodsTwenty-five female with ED diagnosis and 25 patients with schizophrenia, were recruited at the Psychiatry Ward and outpatient Service of AOU – Novara, during one year period. Patient's assessment included Global Assessment of Functioning (GAF), Structured Clinical Interview (SCID 1-2), Level of Expressed Emotion Scale (LEE), Paykel scale, State and Trait Anxiety Inventory (STAY 1-2), State-Trait Anger Expression Inventory (STAXY), Barratt Impulsiveness Scale (BIS-11).ResultsLevels of anxiety (both state and trait) are higher in the ED group than in SCHZ. As far as the STAXY is concerned, SCHZ patients score higher than ED ones on control over anger, while general index of anger expression was higher in ED patients. We did not find significant differences in EE between two groups, except for the patient's emotional response of the patient to the disease, which was greater among SCHZ. Both SCHZ and ED patients scored higher on the LEE, Paykel and STAY than their caregivers.ConclusionsSCHZ and ED patients show different patterns of anxiety and anger, but similar profile as far as EE is concerned. Implications for treatment will be discussed.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Anger Assessment in Clinical and Nonclinical Populations: Further Validation of the State-Trait Anger Expression Inventory-2.

The most commonly used instrument for measuring anger is the State-Trait Anger Expression Inventory-2 (STAXI-2; Spielberger, 1999). This study further examines the validity of the STAXI-2 and compares anger scores between several clinical and nonclinical samples. Reliability, concurrent, and construct validity were investigated in Dutch undergraduate students (N = 764), a general population sample (N = 1211), and psychiatric outpatients (N = 226). The results support the reliability and validity of the STAXI-2. Concurrent validity was strong, with meaningful correlations between the STAXI-2 scales and anger-related constructs in both clinical and nonclinical samples. Importantly, patients showed higher experience and expression of anger than the general population sample. Additionally, forensic outpatients with addiction problems reported higher Anger Expression-Out than general psychiatric outpatients. Our conclusion is that the STAXI-2 is a suitable instrument to measure both the experience and the expression of anger in both general and clinical populations.

The Relationship between Anger Expression and Its Indices and Oral Lichen Planus.

Oral lichen planus (OLP) is a common inflammatory disease with unknown etiology. Depression, stress and anxiety are psychological factors that their influence on the expression of lichen planus by affecting the immune system's function has been confirmed. There is a probable relationship between anger and OLP expression. Therefore, the present study aimed to evaluate the association of "anger" and OLP. In this descriptive study 95 subjects were included in 3 groups. A: patients with oral lichen planus, B: positive control, C: negative control. Anger and its indices were assessed by the State-Trait Anger Expression Inventory-2 (STAXI-2) questionnaire, and pain was measured via the Visual Analogue Scale (VAS). The collected data were analyzed statistically using SPSS 18 software. The lichen planus and positive control groups bore higher total anger index (AX index) values compared with the negative control. Comparing anger expression-in (AXI) among the lichen planus and negative control groups revealed higher grades in lichen planus group. Evaluating the pain severity index (VAS) data and anger indices in lichen planus group, Spearman's Rank Correlation Test revealed a significant correlation between TAngR (reactional anger traits) and pain severity. The findings of this study indicated that there was a significant correlation between anger control and suppression of lichen planus development. On the other hand, the patients with more severe pain mostly expressed their anger physically. Based on the findings, we can make the claim that anger suppression and its control-in (gathering tension) may play a role in the development of lichen planus as a known psychosomatic disorders.

The Effectiveness of Anger Management Training on Decreasing the Anger of Unsupervised Girl Adolescents

This study aims to study the effectiveness of anger management training on decreasing anger of unsupervised girl adolescents aged 15 - 18 years old of Tehran. This research was an experimental one with plan of pre-test-post-test control group. The statistical universe of this research consisted of all unsupervised girl adolescents aged 15 - 18 years old of Tehran. The sample was 24 unsupervised girl adolescents identified from girls assigned to the two groups: experimental group and control group. Data were collected using the State-Trait Anger Expression Inventory (STAXI-2). Analysis of variance with repeated measure showed that the anger management training significantly decreased anger in the experimental group (P < 0.01). This finding has important implications as regards the education and mental health of adolescents.

Anger Assessment Using State-Trait Anger Expression Inventory in Middle-School Students in Korea and Association with Depression

Objectives : The purpose of this study was to assess anger of middle school adolescents in an urban community using State-Trait Anger Expression Inventory (STAXI)-Korean and Korean Child Behavior Checklist (K-CBCL), and to determine whether specific anger expression of adolescents is associated with certain psychopathology including depression. Methods : Data were collected from 395 middle school students and their parents in Incheon city. The students completed the STAXI, Children`s Depression Inventory, Korean version of Mood disorder Questionnaire, and Conners-Wells` Adolescent Self-Report Scale (Short Form), and their parents completed the K-CBCL. Results : No significant correlation was observed between aggression subscale K-CBCL and each scale of the STAXI, except anger out (r

Cognitive Behavioural Group Counselling in Reducing Anger and Aggression among Male Prison Inmates in Malaysia

This study aims to examine the effectiveness of cognitive behavioural group counselling in reducing anger and aggression among male prison inmates (hereinafter referred to as inmates) in Malaysia. This quasi-experimental study used a pre-test and post-test research design with a comparison group. A total of 80 male inmates participated in this study. The participants were assigned into experimental group (N=40) and control group (N=40) through purposive sampling. The experimental group received eight sessions of group counselling while the control groups were placed on a waiting list. The State-Trait Anger Expression Inventory-2 (STAXI-2) was used to measure anger and the Aggression Questionnaire (AQ) was used to measure aggression. The results using analysis of covariance (ANCOVA) showed that both the anger and aggression were significantly reduced among the inmates in the experimental group compared with the control group. The implications of the findings and suggestions for future research are discussed.

A Serious Videogame as an Additional Therapy Tool for Training Emotional Regulation and Impulsivity Control in Severe Gambling Disorder.

Background: Gambling disorder (GD) is characterized by a significant lack of self-control and is associated with impulsivity-related personality traits. It is also linked to deficits in emotional regulation and frequently co-occurs with anxiety and depression symptoms. There is also evidence that emotional dysregulation may play a mediatory role between GD and psychopathological symptomatology. Few studies have reported the outcomes of psychological interventions that specifically address these underlying processes.Objectives: To assess the utility of the Playmancer platform, a serious video game, as an additional therapy tool in a CBT intervention for GD, and to estimate pre-post changes in measures of impulsivity, anger expression and psychopathological symptomatology.Method: The sample comprised a single group of 16 male treatment-seeking individuals with severe GD diagnosis. Therapy intervention consisted of 16 group weekly CBT sessions and, concurrently, 10 additional weekly sessions of a serious video game. Pre-post treatment scores on South Oaks Gambling Screen (SOGS), Barratt Impulsiveness Scale (BIS-11), I7 Impulsiveness Questionnaire (I7), State-Trait Anger Expression Inventory 2 (STAXI-2), Symptom Checklist-Revised (SCL-90-R), State-Trait Anxiety Inventory (STAI-S-T), and Novelty Seeking from the Temperament and Character Inventory-Revised (TCI-R) were compared.Results: After the intervention, significant changes were observed in several measures of impulsivity, anger expression and other psychopathological symptoms. Dropout and relapse rates during treatment were similar to those described in the literature for CBT.Conclusion: Complementing CBT interventions for GD with a specific therapy approach like a serious video game might be helpful in addressing certain underlying factors which are usually difficult to change, including impulsivity and anger expression.

Anger profiles in social anxiety disorder

Individuals with social anxiety disorder (SAD) exhibit elevated levels of anger and anger suppression, which are both associated with increased depression, diminished quality of life, and poorer treatment outcomes. However, little is known about how anger experiences differ among individuals with SAD and whether any heterogeneity might relate to negative outcomes. This investigation sought to empirically define anger profiles among 136 treatment-seeking individuals with SAD and to assess their association with distress and impairment. A latent class analysis was conducted utilizing the trait subscales of the State-Trait Anger Expression Inventory-2 as indicators of class membership. Analysis revealed four distinct anger profiles, with greatest distress and impairment generally demonstrated by individuals with elevated trait anger, a greater tendency to suppress the expression of anger, and diminished ability to adaptively control their anger expression. These results have implications for tailoring more effective interventions for socially anxious individuals.

Effects of the Anger Coping Programme based on cognitive behavioural techniques on adolescents' anger, aggression and psychological symptoms.

This study aimed to determine the effects of an Anger Coping Programme based on cognitive behavioural techniques on adolescents' anger, aggression and psychological symptoms. In this randomized controlled experimental study, 385 ninth-year high school students in Turkey were administered the State-Trait Anger Expression Inventory, the Aggression Scale and the Brief Symptom Inventory in 2011-2012. Of the 385 students, 62 who met the inclusion criteria were randomly assigned to experimental and control groups by gender and the scores they obtained from the scales. The students in the experimental group met 1 day a week for 1.5 h, and the study lasted 10 weeks. The scales were administered three times: before the programme was started, immediately after the programme was completed and 6 weeks later. The Anger Coping Programme was effective at reducing students' anger and aggression levels, and a range of psychological symptoms except for somatization.

Analysis of psychopathological comorbidity behind the common symptoms and signs of endometriosis

ObjectiveThe present study was aimed to investigate quality of life, negative emotions, such as anger, anxiety and depression, and possible psychopathological comorbidity in patients affected by endometriosis. Study designWe undertook a prospective, cohort study between October 2013 and February 2014. We selected patients with histologically confirmed ovarian endometriosis (Endometriosis Group) and with other benign adnexal diseases (Control Group) who underwent laparoscopic surgery. Participants underwent a psychometric assessment using the following self-report instruments: Symptom Checklist-90-R, State-Trait Anger Expression Inventory-2, Self-Rating Anxiety Scale, Self-Rating Depression Scale, Quality of Life Index. ResultsThe Endometriosis Group was formed by 166 patients (mean age: 36±6 yrs) matched with 48 controls (mean age: 38.4±12.8 yrs). Somatization (p=0.02), depression (p=0.01), sensitivity (p=0.04) and phobic anxiety (p=0.04) were higher in Endometriosis Group than in Control Group. Endometriosis Group was further characterized by significantly higher levels of anxiety than Control Group (p=0.03) as assessed by Self-Rating Anxiety Scale. Regarding Quality of Life Index, a significant health decline in Endometriosis Group compared with Control Group (p=0.008) was found. ConclusionHigher levels of somatization, depression, sensitivity and anxiety were found in Endometriosis Group compared with Control Group.

An Assessment Instrument for Anger Management in Correctional Settings: The Angry Cognitions Scale-Prison Form

As the rates of both violent crime and prison violence continue to rise, anger management programs have become a common treatment recommendation for prisoners. Several psychology treatment programs have incorporated anger management as core curricula, and many supervisory and probation officers mandate anger management as a post release requirement for probationers. Assessment tools that provide direction in treatment planning and therapeutic will surely be very helpful. The Angry Cognitions Scale (ACS) (Martin and Dahlen in J Ration Emot Cogn Behav Therapy 25:155–173, 2007) was formulated to assess the cognitive antecedents to anger: overgeneralizing, inflammatory labeling, demandingness, catastrophic evaluation, and misattributing causation. Evaluation of adaptive anger was also included. A limitation of that study is its lack of generalization to populations beyond college students and the authors recommended rewriting the scenarios to fit specific clinical populations. Researchers have noticed that prisoners may exhibit unique responses to anger provocations due to their conditions of confinement, potential consequences for acts of violence, and cultural norms of the prison environment (Wydo in Measuring anger in a prison population using the Anger Disorders Scale and the Personality Assessment Inventory, 2003). In the current study, the original scenarios from the Angry Cognitions Scale were reworded or reconstructed to replicate common anger provoking events in jails and prisons. As opposed to events that happen in the general public, such as driving a car or going to the mall, it is posited that inmates will more easily relate to everyday occurrences in jail settings and thus provide more accurate responses to be used in therapy. Two hundred and thirty male inmates completed the Angry Cognitions Scale-Prison Form (ACS-PF) and the State-Trait Anger Expression Inventory-2 (STAXI-2). Results indicated that the five maladaptive subscales of the Angry Cognitions Scale-Prison Form were highly correlated and showed good convergent validity with the STAXI-2, while the adaptive process subscale demonstrated discriminant validity. A factor analysis of all ACS-PF items yielded a three factor solution that offers an alternative scoring method. Results support the hypothesis that the ACS-PF provides information on six distinct cognitive processes that prisoners may experience in response to provocations.

Alteración emocional en atención primaria y urgencias pediátricas. ¿Se enfadan los padres durante la atención pediátrica?

A study was conducted in order to determine the presence of anxiety and anger in paediatric health care, exploring possible differences between primary health care and paediatric emergencies. The study also sought to determine which of the variables studied better predict anxiety in the sample of parents studied. A total of 1.517 parents whose children had been attended in paediatric department participated in this study. The method was based on a cross-sectional descriptive study using a questionnaire, where all the participants answered the State-Trait Anger Expression Inventory and the Spielberger State-Trait Anxiety Inventory. The results indicate a significant association between anxiety and both the considered dimensions of anger and the level of severity perceived by parents in the child's health status. From the anger dimensions considered, anger as a feeling is the most predictive expression of parental anxiety. Emotional alterations in paediatric health care settings should be prevented, detected when they occur, and effectively treated to avoid different negative consequences.

가정폭력 피해여성들의 사건충격과 정서 그리고 삶의 질에 대한 M&amp;L 트라우마 심리치료 프로그램의 효과에 대한 임상연구

Received: May 14, 2015 Revised: June 5, 2015 Accepted: June 8, 2015 Objectives: The purpose of this study is to investigate the effects of the ML Euro QOL-5 Dimension (EQ5D); Five-facet Mindfulness Questionnaire (FFMQ); and psychological tests. Methods: Eight middle-aged women subjected to domestic violence participated in the two-day M&L Trauma Psychotherapy Program. The Program was executed 5 times 2 days for about 3 hours. We evaluated IES-R-K, EQ5D, FFMQ, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), State-Trait Anger Expression inventory (STAXI) and SUDS before the Program and for four weeks afterwards, to analyze the effects of the M&L Trauma Psychotherapy Program. Results: The scores of IES-R-K, BDI, STAI-S, STAI-T, Hwa ST and Hwa CT decreased significantly (p<0.05). EQ5D scores increased significantly (p<0.05) and overall physical condition scale (VAS) increased. In the FFMQ scores, all five facet scores increased slightly. Scores of SUDS decreased significantly right after the program, and remained decreased four weeks later, rather than before the Program (p<0.05). Conclusions: The results suggested that the M&L Trauma Psychotherapy Program improved post-traumatic stress, quality of life and mindfulness skills, and had positive responses to psychological problems depression, anxiety, anger and distress.