[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-anger-test":3,"all-assessments-nav":308,"related-assessments-query":988},{"id":4,"title":5,"body":6,"category":267,"categoryTitle":268,"clinicalCitations":269,"copyright":267,"description":282,"disclaimer":267,"downloadLink":267,"extension":283,"faqs":284,"featured":297,"i18nReady":297,"icon":267,"interpreter":267,"lastReviewed":298,"meta":299,"navigation":300,"path":301,"permissionsNote":267,"published":297,"recommendedFrequency":267,"relatedCodes":267,"relatedConditions":267,"reviewedBy":267,"seo":302,"slug":303,"stem":304,"summary":305,"takeaways":267,"timeline":267,"type":306,"usedToDiagnose":267,"__hash__":307},"assessments\u002Fassessments\u002Fanger-test.md","Anger Test (STAXI-2 Guide)",{"type":7,"value":8,"toc":255},"minimark",[9,13,18,21,24,27,31,34,37,41,44,111,116,119,180,184,187,248,252],[10,11,12],"p",{},"An anger test measures anger frequency, intensity, and expression styles. Key tools: STAXI-2 (Spielberger, 1999) with state\u002Ftrait anger and 4 expression scales; Buss-Perry Aggression Questionnaire (BPAQ) for 4 aggression components; Novaco Anger Scale (NAS) for forensic use.",[14,15,17],"h2",{"id":16},"understanding-anger-assessment","Understanding Anger Assessment",[10,19,20],{},"Anger is a universal human emotion that evolved as a protective\nresponse to threat, frustration, or injustice. Anger becomes clinically relevant\nwhen it occurs frequently, at high intensity, for extended duration, and when its\nexpression causes harm, to relationships, health, legal standing, or occupational\nfunctioning. The distinction between anger (the emotion) and aggression (the\nbehavior) is clinically important: anger does not inevitably lead to aggression,\nand aggression can occur without significant anger.",[10,22,23],{},"The most detailed validated scale is the State-Trait Anger\nExpression Inventory-2 (STAXI-2) by Spielberger (1999), which distinguishes\nState Anger (current angry feelings), Trait Anger\n(general tendency to experience anger), and four Anger Expression\u002FControl\nstyles: Anger-In (suppressed), Anger-Out (expressed outwardly\u002Faggressively),\nAnger Control-In (internal control), and Anger Control-Out (control over outward\nexpression). The Anger Expression Index (AXI) combines AX-In\nand AX-Out minus the two control scales.",[10,25,26],{},"Clinically significant anger dysregulation is associated with\nIntermittent Explosive Disorder (IED), characterized by\nrecurrent, impulsive aggressive outbursts disproportionate to provocation,\nas well as PTSD (irritability and angry outbursts in Criterion E),\nBorderline Personality Disorder (Criterion 8: inappropriate\nintense anger), and substance use disorders. Evidence-based\ntreatments include cognitive restructuring, relaxation-based techniques,\nproblem-solving skills, and DBT (particularly interpersonal\neffectiveness and distress tolerance skills).",[14,28,30],{"id":29},"anger-self-assessment","Anger Self-Assessment",[10,32,33],{},"Rate how often these statements describe you over the past month. This brief reflection tool is based on anger trait dimensions, not a validated clinical tool.",[10,35,36],{},"This brief reflection is for educational awareness only and is not a validated clinical tool. For formal anger assessment, the STAXI-2 (Spielberger, 1999) is the criterion-standard self-report tool, available from PAR (psychassessment.com). If anger is causing problems in your life, a mental health professional can help.",[14,38,40],{"id":39},"staxi-2-anger-expression-styles","STAXI-2 Anger Expression Styles",[10,42,43],{},"Spielberger (1999). The four anger expression\u002Fcontrol scales capture how individuals typically express and regulate anger, not whether anger itself is pathological. Each scale is scored against T-score norms (mean = 50, SD = 10); scores at or above the 75th percentile are generally considered clinically elevated. The Anger Expression Index (AXI) is a composite derived from the expression and control scales, providing a summary of overall anger management style.",[45,46,47,63],"table",{},[48,49,50],"thead",{},[51,52,53,57,60],"tr",{},[54,55,56],"th",{},"Scale",[54,58,59],{},"Abbreviation",[54,61,62],{},"What it measures",[64,65,66,78,89,100],"tbody",{},[51,67,68,72,75],{},[69,70,71],"td",{},"Anger Expression-In",[69,73,74],{},"AX-In",[69,76,77],{},"Tendency to suppress angry feelings inwardly rather than express them",[51,79,80,83,86],{},[69,81,82],{},"Anger Expression-Out",[69,84,85],{},"AX-Out",[69,87,88],{},"Tendency to direct anger outwardly toward people or objects",[51,90,91,94,97],{},[69,92,93],{},"Anger Control-In",[69,95,96],{},"AC-In",[69,98,99],{},"Tendency to monitor and temper angry feelings internally",[51,101,102,105,108],{},[69,103,104],{},"Anger Control-Out",[69,106,107],{},"AC-Out",[69,109,110],{},"Tendency to control outward expression of anger in interactions with others",[112,113,115],"h3",{"id":114},"anger-related-diagnoses","Anger-Related Diagnoses",[10,117,118],{},"Several DSM-5 diagnoses involve anger dysregulation as a core or associated feature. Assessment tools such as the STAXI-2 can document baseline severity and monitor treatment progress, but diagnosis requires a structured clinical interview.",[45,120,121,134],{},[48,122,123],{},[51,124,125,128,131],{},[54,126,127],{},"Condition",[54,129,130],{},"Primary anger feature",[54,132,133],{},"DSM-5 reference",[64,135,136,147,158,169],{},[51,137,138,141,144],{},[69,139,140],{},"Intermittent Explosive Disorder (IED)",[69,142,143],{},"Recurrent, impulsive aggressive outbursts disproportionate to provocation; verbal or physical",[69,145,146],{},"Disruptive, Impulse Control, and Conduct Disorders cluster; A1 (high-frequency\u002Flow-intensity) and A2 (low-frequency\u002Fhigh-intensity) subtypes",[51,148,149,152,155],{},[69,150,151],{},"PTSD",[69,153,154],{},"Irritability and angry outbursts with little or no provocation",[69,156,157],{},"Criterion E — alterations in arousal and reactivity (E1)",[51,159,160,163,166],{},[69,161,162],{},"Borderline Personality Disorder (BPD)",[69,164,165],{},"Inappropriate, intense anger or difficulty controlling anger",[69,167,168],{},"Criterion 8 of DSM-5 BPD diagnostic criteria",[51,170,171,174,177],{},[69,172,173],{},"Substance Use Disorders",[69,175,176],{},"Irritability and aggression during intoxication or withdrawal, and as a feature of chronic use",[69,178,179],{},"Variable by substance; anger often diminishes with sustained abstinence",[112,181,183],{"id":182},"anger-assessment-tools","Anger Assessment Tools",[10,185,186],{},"Multiple validated self-report tools are available for different clinical contexts. Selection depends on whether the referral question concerns anger experience, aggression, or specific situational provocation.",[45,188,189,204],{},[48,190,191],{},[51,192,193,196,199,201],{},[54,194,195],{},"Tool",[54,197,198],{},"Items",[54,200,62],{},[54,202,203],{},"Typical use context",[64,205,206,220,234],{},[51,207,208,211,214,217],{},[69,209,210],{},"STAXI-2 (Spielberger, 1999)",[69,212,213],{},"57",[69,215,216],{},"State anger, trait anger, and four expression\u002Fcontrol styles (AX-In, AX-Out, AC-In, AC-Out)",[69,218,219],{},"General clinical, occupational, and research settings",[51,221,222,225,228,231],{},[69,223,224],{},"Buss-Perry Aggression Questionnaire (BPAQ; Buss & Perry, 1992)",[69,226,227],{},"29 (full); 12-item short form (BPAQ-SF)",[69,229,230],{},"Physical aggression, verbal aggression, anger, and hostility subscales",[69,232,233],{},"Clinical, forensic, and research settings",[51,235,236,239,242,245],{},[69,237,238],{},"Novaco Anger Scale and Provocation Inventory (NAS-PI; Novaco, 2003)",[69,240,241],{},"NAS: 60 items; PI: 25 items",[69,243,244],{},"Cognitive, arousal, and behavioural components of anger; provocation reactivity",[69,246,247],{},"Forensic psychiatric and offender populations",[14,249,251],{"id":250},"behavioural-health-outcome-monitoring","Behavioural Health Outcome Monitoring",[10,253,254],{},"PHQ-9, GAD-7, DERS, PCL-5, and anger\u002Faggression outcomes, integrated monitoring for DBT, anger management, forensic, and community mental health programs.",{"title":256,"searchDepth":257,"depth":257,"links":258},"",3,[259,261,262,266],{"id":16,"depth":260,"text":17},2,{"id":29,"depth":260,"text":30},{"id":39,"depth":260,"text":40,"children":263},[264,265],{"id":114,"depth":257,"text":115},{"id":182,"depth":257,"text":183},{"id":250,"depth":260,"text":251},null,"Anger & Emotion Regulation",[270,273,276,279],{"text":271,"link":272},"Lievaart M, Franken IH, Hovens JE. Anger Assessment in Clinical and Nonclinical Populations: Further Validation of the State-Trait Anger Expression Inventory-2. J Clin Psychol. 2016;72(3):263-78.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F26766132\u002F",{"text":274,"link":275},"Coccaro EF, Lee R, McCloskey MS. Validity of the new A1 and A2 criteria for DSM-5 intermittent explosive disorder. Compr Psychiatry. 2014;55(2):260-7.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F24321204\u002F",{"text":277,"link":278},"Moeller SB, Novaco RW, Heinola-Nielsen V, Hougaard H. Validation of the Novaco Anger Scale-Provocation Inventory (Danish) With Nonclinical, Clinical, and Offender Samples. Assessment. 2016;23(5):624-36.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F25934160\u002F",{"text":280,"link":281},"Diamond PM, Magaletta PR. The short-form Buss-Perry Aggression Questionnaire (BPAQ-SF): a validation study with federal offenders. Assessment. 2006;13(3):227-40.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F16880276\u002F","Anger assessment guide covering STAXI-2 expression styles (Anger-In, Anger-Out, Control-In, Control-Out), brief self-reflection questionnaire, and...","md",[285,288,291,294],{"question":286,"answer":287},"Is the STAXI-2 a self-report or clinician-administered tool?","The STAXI-2 is a self-report questionnaire. Respondents rate each item on a frequency or intensity scale, and clinicians then review and interpret the profile against published normative data. It does not require clinician observation during administration.",{"question":289,"answer":290},"What does a high Anger-Out score on the STAXI-2 mean?","A high Anger-Out score indicates a person tends to express anger outwardly — through verbally or physically aggressive behaviour directed at other people or objects. Elevated Anger-Out, particularly when combined with low Anger Control-Out, is associated with conflict in relationships and increased risk of aggressive incidents.",{"question":292,"answer":293},"Can an anger test diagnose Intermittent Explosive Disorder?","No. Self-report anger questionnaires such as the STAXI-2 are screening and monitoring tools, not diagnostic instruments. A diagnosis of Intermittent Explosive Disorder (IED) requires a structured clinical interview to confirm the DSM-5 criteria, including the frequency, intensity, and disproportionality of aggressive outbursts.",{"question":295,"answer":296},"What is the difference between the Anger Expression Index and trait anger?","Trait anger is the stable tendency to experience anger frequently and intensely across many situations. The Anger Expression Index (AXI) reflects how that anger is typically handled — combining Anger-In and Anger-Out (expression) scores and subtracting the two Anger Control scales. A high AXI indicates chronically suppressed or poorly managed anger expression rather than just frequent angry feelings.",false,"2026-06-03",{},true,"\u002Fassessments\u002Fanger-test",{"title":5,"description":282},"anger-test","assessments\u002Fanger-test","Anger assessment guide covering STAXI-2 expression styles (Anger-In, Anger-Out, Control-In, Control-Out), brief self-reflection questionnaire, and anger-related diagnoses (IED, PTSD, BPD). 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