
Select Articles on Anger, Aggression, and Violence
Fernandez, E. (2023). A framework for understanding emotions in violent ethnic conflict. Aggression and Violent Behavior: A Review Journal. DOI: https://doi.org/10.1016/j.avb.2023.101860
Johnson, S. L., Zisser, M. R., Sandel, D. B., Swerdlow, B. A., Carver, C. S., Sanchez, A. H., & Fernandez, E. (2020). Development of a brief online intervention to address aggression in the context of emotion-related impulsivity: Evidence from a wait-list controlled trial. Behaviour Research and Therapy, 134, 1. DOI: https://doi.org/10.1016/j.brat.2020.103708
Johnson, S. L., Sandel, D., Zisser, M., Pearlstein, J., Swerdlow, B., Sanchez, A., Fernandez, E., & Carver, C. S. (2020). A brief online intervention to address aggression in the context of emotion-related impulsivity for those with remitted bipolar disorder: Feasibility, acceptability and pilot outcome data. Journal of Behavioral and Cognitive Therapy, 30, 65-74. DOI: https://doi.org/10.1016/j.jbct.2020.03.005
Fernandez, E., Callen, A., Johnson, S.L., Gaspar, C., Kulhanek, C., & Jose-Bueno, C. (2020). Prevalence, elicitors, and expression of anger in 21st century mass shootings. Aggression and Violent Behavior. DOI: https://doi.org/10.1016/j.avb.2020.101483
Day, A., & Fernandez, E. (2020). The importance of understanding anger in the clinical assessment of violence. In J.S. Wormith, L.A. Craig & T. Hogue (Eds.). What works in violence risk management: Theory, research and practice (pp. 253-264). Hoboken, NJ: Wiley-Blackwell. DOI: https://doi.org/10.1002/9781119315933.ch12
Fernandez, E., Kiageri, V., Guharajan, D., & Day, A. (2017). Anger parameters in parolees undergoing psychoeducation: Temporal stability, social desirability bias and comparison with non-offenders. Criminal Behaviour and Mental Health, DOI: https://doi.org/10.1002/cbm.2057
Fernandez, E., & Johnson, S.L. (2016). Anger in psychological disorders: Prevalence, presentation, etiology, and prognostic implications. Clinical Psychology Review, 46, 124-135. DOI: https://doi.org/10.1016/j.cpr.2016.04.012
Fernandez, E. & Malley-Morrison, K. (2013). Gender-inclusive and gender-informed treatment of anger. In E. Fernandez, (Ed.). Treatments for anger in specific populations: Theory, application, and outcome (pp.213-235). New York: Oxford University Press. DOI: https://doi.org/10.1093/med:psych/9780199914661.003.0012
Fernandez, E. & Wasan, A. (2010). The anger of pain sufferers: Attributions to agents and appraisals of wrongdoing. In M. Potegal, G. Stemmler, & C. Spielberger (Eds.). The International Handbook of Anger: Constituent and Concomitant Biological, Psychological, and Social Processes (pp. 449-464). New York: Springer. DOI: https://doi.org/10.1007/978-0-387-89676-2_26
Fernandez, E., & Turk, D.C. (1995). The scope and significance of anger in the experience of chronic pain, Pain, 61, 165-175. DOI: https://doi.org/10.1016/0304-3959(95)00192-U
Select Publications on Anger Assessment
Fernandez, E., Woldgabreal, Y., Guharajan, D., Day, A., Ramtahal, N., & Kiageri, V. (2019). Social Desirability Bias against admitting anger: Bias in the test-taker or bias in the test? Journal of Personality Assessment. 101, 644-652. DOI: https://doi.org/10.1080/00223891.2018.1464017
Fernandez, E., Day, A., & Boyle, G.J. (2015). Measures of anger and hostility in adults. In G.J. Boyle, D. Saklofske & G. Matthews (Eds.). Measures of Personality and Social Psychological Constructs (pp.74-100). London: Academic Press. DOI: https://doi.org/10.1016/B978-0-12-386915-9.00004-8
Fernandez, E., Arevalo, I., Torralba, A., & Vargas, R. (2014). Norms for five parameters of anger: How do incarcerated adults differ from the community? International Journal of Forensic Mental Health, 13, 18-24. DOI: https://doi.org/10.1080/14999013.2014.889256
Fernandez, E. (2008). The angry personality: A representation on six dimensions of anger expression. In G. J Boyle, G. Matthews & D. Saklofske (Eds.). International Handbook of Personality Theory and Testing: Vol. 2: Personality Measurement and Assessment (pp.402-419). London: Sage Publications. DOI: https://doi.org/10.4135/9781849200479.n19
Select Publications on CBAT and Psychotherapy
Fernandez, E., Iwuala, E. Perez, B., Sun, R., Garza, R., White, K.M., Kolaparthi, K., Barnes, W., Dorvil, N., & Wu, W. (2025). CBAT outcomes on anger and opioid misuse in chronic pain patients. International Journal of Pain, 16(2): 83-93. https://doi.org/10.56718/ijp.25-010
Fernandez, E., Woldgabreal, Y., Day, A., Pham, T., Gleich, B., & Aboujaoude, E. (2021). Live psychotherapy by video versus in‐person: A meta‐analysis of efficacy and its relationship to types and targets of treatment.Clinical Psychology & Psychotherapy, doi:http://dx.doi.org.libweb.lib.utsa.edu/10.1002/cpp.2594 [In top 10 cited articles 2021-2022]
Fernandez, E., Malvaso, C., Day, A., & Guharajan, D. (2018). 21st century Cognitive-Behavioral Therapy for anger: A systematic review of research design, methodology, and outcome. Behavioural and Cognitive Psychotherapy, 46, 385-404. DOI: https://doi.org/10.1017/S1352465818000048
Fernandez, E. & Kerns, R.D. (2016). New prospects for alleviation of anger in the context of chronic pain. In Z. Bajwa, C. Warfield, & J. Wootton (Eds.). Principles and Practice of Pain Medicine, 3rd Edition (pp.210-215). New York: McGraw-Hill.
Fernandez, E., Salem, D., Swift, J., & Ramtahal, N. (2015). Meta-analysis of dropout from Cognitive Behavioral Therapy: Magnitude, timing, and moderators. Journal of Consulting and Clinical Psychology, 83, 1108-1122. DOI: https://doi.org/10.1037/ccp0000044
Fernandez, E. (2013). Anger dysfunction and its treatment. In E. Fernandez, (Ed.) Treatments for anger in specific populations: Theory, application, and outcome (pp.1-14). New York: Oxford University Press. DOI: https://doi.org/10.1093/med:psych/9780199914661.003.0001
Fernandez, E. (2013). Treatment of anger in different populations: Common and unique factors. In E. Fernandez, (Ed.). Treatments for anger in specific populations: Theory, application, and outcome (pp.255-265). New York: Oxford University Press. DOI: https://doi.org/10.1093/med:psych/9780199914661.001.0001
Fernandez, E. (2010). Toward an integrative psychotherapy for maladaptive anger. In M. Potegal, G. Stemmler, & C. Spielberger (Eds.). The International Handbook of Anger: Constituent and Concomitant Biological, Psychological, and Social Processes (pp.499-514). New York: Springer. DOI: https://doi.org/10.1007/978-0-387-89676-2_28
Fernandez, E., & Scott, S. (2009). Anger treatment in chemically-dependent inpatients: Evaluation of phase effects and gender. Behavioural and Cognitive Psychotherapy, 37, 431-447. DOI: https://doi.org/10.1017/S1352465809990075
Fernandez, E. (2003). Anger regulation in adolescence. In T. Gullotta & M. Bloom (Eds.) Encyclopedia of Primary Prevention and Health Promotion (pp. 195-199). New York: Kluwer Academic/Plenum Publishers. DOI: https://doi.org/10.1007/978-1-4615-0195-4_27
Fernandez, E. (2003). Anger regulation in childhood. In T. Gullotta & M. Bloom (Eds.) Encyclopedia of Primary Prevention and Health Promotion (pp.190-195). New York: Kluwer Academic/Plenum Publishers. DOI: https://doi.org/10.1007/978-1-4615-0195-4_26
Fernandez, E., & Beck, R. (2001). Cognitive-behavioral self-intervention versus self-monitoring of anger: Effects on anger frequency, duration, and intensity. Behavioural and Cognitive Psychotherapy, 29, 345-356. DOI: https://doi.org/10.1017/S1352465801003071
Beck, R., & Fernandez, E. (1998a). Cognitive-behavioral self-regulation of the frequency, duration, and intensity of anger. Journal of Psychopathology and Behavioral Assessment, 20, 217-229. DOI: https://doi.org/10.1023/A:1023063201318
Beck, R., & Fernandez, E. (1998b). Cognitive-Behavioral Therapy in the treatment of anger: A meta-analysis. Cognitive Therapy and Research, 22, 63-74 [Also abstracted in Evidence-Based Mental Health, 1998, Vol. 1, No. 4, p.105]. DOI: https://doi.org/10.1023/A:1018763902991
Select Publications on Pain & Psychosomatics
Fernandez, E., Pham, T., Kolaparthi, K., Sun, R., Perez, B., Iwuala, E., Wu, W. & Shattuck, E. (2022). Parameters of anger related to components of pain. Scandinavian Journal of Pain, https://doi.org/10.1515/sjpain-2022-0131
Fernandez, E., Wu, W., Shattuck, E., & Kolaparthi, K. (2022). Sensory versus affective pain descriptors predicting functional versus psychosocial disability. The Journal of Pain. DOI: https://doi.org/10.1016/j.jpain.2022.04.002
Jackson, A., Ski, C.F., Murphy, B.M., Fernandez, E., Alvarenga, M., Le Grande, M.R., & Thompson, D.R. (2018). What role does personality play in cardiovascular disease? British Journal of Cardiac Nursing, 13, 2-9. DOI: https://doi.org/10.12968/bjca.2018.13.7.330
Fernandez, E., & Smith, T.W. (2016). Anger, hostility, and cardiovascular disease in the context of interpersonal relationships. In M. Alvarenga & D.G. Byrne (Eds.). Handbook of Psychocardiology (pp. 665-683). New York: Springer Sciences. DOI: https://doi.org/10.1007/978-981-287-206-7_31
Fernandez, E. & Kerns, R.D. (2012). Pain and affective disorders: Looking beyond the “chicken and egg” conundrum. In M.A. Giamberardino & T. Jensen (Eds.). Pain Comorbidities: Understanding and Treating the Complex Patient (pp.279-296). Seattle: International Association for the Study of Pain (IASP) Press.
Fernandez, E. (2012). Defining pain: Natural Semantic Metalanguage meets IASP: A Commentary on Wierzbicka’s “Is Pain a Human Universal?: A Cross-Linguistic and Cross-Cultural Perspective on Pain”. Emotion Review, 4, 320-321. DOI: https://doi.org/10.1177/1754073912439769
Fernandez, E., Vargas, R., Mahometa, M., Ramamurthy, S. & Boyle, G.J. (2012). Descriptors of Pain Sensation: A Dual Hierarchical Model of Latent Structure. The Journal of Pain, 13, 532-536. DOI: https://doi.org/10.1016/j.jpain.2012.02.006
Fernandez, E., Krusz, J.C., & Hall, S. (2011). Parsimonious collection of pain descriptors: Classification and calibration by pain patients. The Journal of Pain, 12, 444-450. DOI: https://doi.org/10.1016/j.jpain.2010.10.011
Fernandez, E. & Kerns, R.D. (2008). Anxiety, depression, and anger: The core of negative affect in medical populations. In G. J Boyle, G. Matthews & D. Saklofske (Eds.). International Handbook of Personality Theory and Testing: Vol. 1: Personality Theories and Models (pp. 659-676). London: Sage Publications. DOI: https://doi.org/10.4135/9781849200462.n32
Wasan, A., Fernandez, E., Jamison, R.N., & Bhattacharya, N. (2007). Association of anxiety and depression with reported disease severity in patients undergoing evaluation for chronic rhinosinusitis. Annals of Otology, Rhinology, and Laryngology, 116, 491-497. DOI:https://doi.org/10.1177/000348940711600703
Fernandez, E., & Boyle, G.J. (2002). Affective and evaluative descriptors of pain in the McGill Pain Questionnaire: Reduction and reorganization. The Journal of Pain, 3, 70-77. [Reprinted in G.J. Boyle & D.H. Saklofske (2003) Psychology of Individual Differences. London: Sage Publications] DOI: https://doi.org/10.1054/jpai.2001.25530
Fernandez, E., Clark, T.S., & Rudick-Davis, D. (1999). A framework for conceptualization and assessment of affective disturbance in pain. In A.R. Block, E.F. Kremer, & E. Fernandez (Eds.), Handbook of Pain Syndromes: Biopsychosocial perspectives (pp. 123-147). Mahwah, NJ: Erlbaum.
Fernandez, E. (1998). The role of affect in somatoform and factitious disorders. Current Review of Pain, 2, 109-114. DOI: https://doi.org/10.1007/s11916-998-0054-x
Fernandez, E., & Sheffield, J. (1996). Relative contributions of life events versus daily hassles to the frequency and intensity of headaches. Headache, 36, 595-602. DOI: https://doi.org/10.1046/j.1526-4610.1996.3610595.x
Fernandez, E., & Sheffield, J. (1996). Descriptive features and causal attributions of headache in an Australian community sample. Headache, 36, 246-250. DOI: https://doi.org/10.1046/j.1526-4610.1996.3604246.x
Towery, S., & Fernandez, E. (1996). Reclassification and rescaling of McGill Pain Questionnaire verbal descriptors of pain sensation: A replication. The Clinical Journal of Pain, 12, 270-276. DOI: https://doi.org/10.1097/00002508-199612000-00006
Fernandez, E., & Towery, S. (1996). A parsimonious set of verbal descriptors of pain sensation derived from the McGill Pain Questionnaire. Pain, 66, 31-37. DOI: https://doi.org/10.1016/0304-3959(96)02992-2
Fernandez, E., & McDowell, J.J. (1995). Response-reinforcement relationships in chronic pain syndrome: Applicability of Herrnstein’s hyperbola. Behaviour Research and Therapy, 33, 855-863. DOI: https://doi.org/10.1016/0005-7967(95)00005-I
Fernandez, E., & Sheffield, J. (1995). Psychosocial stressors predicting headache occurrence: The major role of minor hassles. Invited paper. Headache Quarterly: Current Treatment and Research, 6, 215-220.
Fernandez, E., & Milburn, T.E. (1994). Sensory and affective predictors of overall pain, and emotions associated with affective pain, The Clinical Journal of Pain, 10, 3-9. [Also published as abstract in Multidisciplinary Pain Abstracts, 1994, 4, issue 4, p.325]. DOI: https://doi.org/10.1097/00002508-199403000-00002
Fernandez, E., & Turk, D.C. (1994). Demand characteristics underlying differential ratings of sensory versus affective components of pain, Journal of Behavioral Medicine, 17, 375-390. DOI: https://doi.org/10.1007/BF01858009
Fernandez, E., & Turk, D. C. (1992). Sensory and affective components of pain: Separation and synthesis. Psychological Bulletin, 112, 205-217. DOI: https://doi.org/10.1037/0033-2909.112.2.205
Fernandez, E., & Turk, D. C. (1989).The utility of cognitive coping strategies for altering pain perception: A meta-analysis. Pain, 38, 123-135. [Also published as abstract in Behavioral Medicine Abstracts]. DOI: https://doi.org/10.1016/0304-3959(89)90230-3
Fernandez, E. (1986). A classification system of cognitive coping strategies for pain. Pain, 26, 141-151. DOI: https://doi.org/10.1016/0304-3959(86)90070-9
Beck, R. & Fernandez, E. (1998). Cognitive-behavioral therapy in the treatment of anger: A meta-analysis. Cognitive Therapy and Research, 22, (1), 63-74. 74 [Also abstracted in Evidence-Based Mental Health, 1998, Vol. 1, No. 4, p.105]. DOI: https://doi.org/10.1023/A:1018763902991
That familiar feeling of being wronged or mistreated and the urge to correct or undo the wrongdoing. There’s a word for it in almost every language — ira in Latin, krodah in Sanskrit, and anger in English.
Anger is natural and serves a function but it can also become dysfunctional, adding to the risk of medical ailments e.g., high blood pressure, coronary heart disease, headaches, and gastrointestinal disorders. In terms of mental health, anger is often a key element in conflict at home, in the workplace, or the community. At it worst, anger often manifests as aggression and violence but it can be equally maladaptive when suppressed or expressed in passive indirect ways.
Fortunately, major advances have occurred in anger regulation or anger management as it is popularly called. Foremost among these is CBAT or Cognitive Behavioural Affective Therapy.
CBAT is a highly enhanced and integrative program of numerous cognitive, behavioural, and affective techniques that are carefully sequenced into phases of psychoeducation, prevention, intervention, and postvention. These are delivered online (or in-person) in two sessions per week for 4 weeks. There is also an orientation session at the start and follow-up session at the end.
Is anger adversely affecting your relationships (home, work, elsewhere)?
Are you personally concerned about your anger?
Have others pointed out your anger?
Has your anger expression led to any legal consequences?
Are you keen to improve in ways to prevent and reduce anger?
The more answers of “yes”, the more likely you’re a candidate for CBAT. Originally pioneered in adult populations, the program is also adaptable to children and adolescents.
CBAT is backed up by research evidence from several studies published over at least two decades. Evaluated using a new generation of psychometric assessments and daily logs of self-monitored anger, CBAT has been demonstrably effective in college students, chronic pain patients, individuals with substance dependence, and community samples.
For all those completing the program, a certificate is presented. This may meet requirements for various institutions including court-mandated anger management. Most importantly, the overriding goal is self-improvement.

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