Moderating role of CBT-based art and expressive eclectic nursing interventions on anger and assertiveness: An interventional study

Moderating role of CBT-based art and expressive eclectic nursing interventions on anger and assertiveness:An interventional study I t is important to express anger clearly, productively, and as- sertively, using good communication skills to maintain one's well-being.Assertiveness, as a skill and functional communication attitude, is one of the main components of social interactions.Relevant studies have shown that communication skills affect young adults both personally and professionally. [1][2[3][4][5][6][7] Despite this, it has been reported that nurses and nursing students, as young adults, require anger regulation support. [8,9] When intra/interpersonal conflicts are not resolved, feelings of anger occur frequently, [10,11] which, if not managed properly, can negatively affect individuals, their interpersonal communication, and interactions. [3,12,13]Therefore, having good communication skills that enable one to express anger clearly, productively, and assertively is important. [11]jectives: This study aimed to examine the effects of eclectic nursing interventions on functional anger and assertiveness in young adults.Methods: The cross-sectional interventional pretest-posttest design study sample consisted of 16 undergraduate nursing students who were at risk for anger and had above-average scores on the Trait Anger subscales of the State-Trait Anger Expression Inventory.The intervention was prepared by integrating the basic principles of cognitive behavioral theory with psychodramatic-directed warm-up games and expressionist art interventions.Ten sessions of the eclectic intervention program were implemented, and pretest, posttest, and follow-up data were collected using the Rathus Assertiveness Inventory and the State-Trait Anger Expression Inventory.Results: Repeated measurements between the dependent groups after the program revealed a statistically significant difference in total and sub-dimension anger and assertiveness scores (p<0.05).This difference, observed as a result of the intervention program, remained significant in the long term. Conclusion:The present study suggests that brief art-integrated psychotherapeutic nursing interventions may be helpful in promoting assertiveness and regulating anger in undergraduate students.CBT-based art and expressive eclectic courses may be incorporated into undergraduate curricula for health promotion and may therefore contribute to well-being and protect against burnout.