• James I Gerhart, Veronica Sanchez Varela, and John W Burns.
• Department of Behavioral Sciences, Rush University Medical Center, Chicago, IL, USA. Electronic address: james_gerhart@rush.edu.
• J Pain Symptom Manage. 2017 Sep 1; 54 (3): 355-360.e2.

ContextAnger is a common reaction to pain and life-limiting and life-threatening illness, is linked to higher levels of pain, and may disrupt communication with medical providers. Anger is understudied compared with other emotions in mental health and health care contexts, and many providers have limited formal training in addressing anger.ObjectivesThe objective of this study was to assess if a brief provider training program is a feasible method for increasing providers' self-efficacy in responding to patient anger.MethodsProviders working in stem cell transplant and oncology units attending a brief training session on responding to patient anger. The program was informed by cognitive behavioral models of anger and included didactics, discussion, and experiential training on communication and stress management.ResultsProvider-rated self-efficacy was significantly higher for nine of 10 skill outcomes (P < .005) including acknowledging patient anger, discussing anger, considering solutions, and using relaxation to manage their own distress. All skill increases were large in magnitude (Cohen's d = 1.18-2.22).ConclusionProviders found the program to be useful for increasing their confidence in addressing patient anger. Discussion, didactics, and experiential exercises can support provider awareness of anger, shape adaptive communication, and foster stress management skills.Copyright © 2017 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

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