The Effect of a Psychodrama-Based Group Intervention on Anger and Self-Injurious Behaviors in Adolescents Diagnosed with Substance Use Disorder: A Randomized Controlled Trial.

Background: Psychodrama, a psychotherapy involving dramatization and role-playing, promotes insight and behavioral change. Recent studies highlight its effectiveness in treating adolescents with substance use disorders by enhancing psychological support in clinical settings.

Objective: This study examined the effects of psychodrama-based group work on anger and self-injury behaviors in adolescents with substance use disorders.

Methods: A randomized controlled trial with 43 adolescents (21 experimental, 22 control) was conducted. The experimental group received psychodrama-based group sessions, while the control group received no intervention. Data were collected using the Trait Anger and Anger Expression Styles Scale (TAAESS) and the Inventory of Statements About Self Injury (ISAS).

Results: Compared to controls, the experimental group showed significantly lower post-test scores in total anger, trait anger, anger out, and anger in, along with higher anger control scores ( < 0.05). Self-injury behaviors measured by ISAS also decreased significantly ( < 0.05).

Conclusion: Psychodrama group work significantly reduced anger and self-injury behaviors in adolescents with substance use disorders. Integrating psychodrama into treatment is recommended to improve care outcomes.