{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T09:28:05Z","timestamp":1786354085356,"version":"build-2736575974"},"reference-count":46,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Natural Science Foundation of Guangdong Province, China","award":["2023A1515110296"],"award-info":[{"award-number":["2023A1515110296"]}]},{"name":"Shenzhen Education Science Planning Project 2023","award":["yb23014"],"award-info":[{"award-number":["yb23014"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behav. Sci.","Behavioral Sciences"],"abstract":"<jats:p>Violent crime is a widely recognized public health concern. According to emotion regulation theory, aggressive behavior in violent offenders is linked to maladaptive emotion regulation strategies. However, few studies have explored interventions targeting emotional factors to reduce aggression in this population. Expressive arts therapy (EAT), which facilitates emotional expression and release, has shown therapeutic potential, but its effectiveness for violent offenders remains understudied. This randomized controlled trial examined the effects of an 8-week EAT program on emotion regulation and aggressive behavior in male violent offenders from a prison in China. Participants were assigned to either the intervention group (n = 31) or the control group (n = 34). Outcomes were assessed using cognitive reappraisal tasks, the Implicit Association Test, visual analogue mood scales, and the Emotion Regulation Strategies for Artistic Creative Activities Scale. Key findings revealed that, after 4 weeks of intervention, the experimental group demonstrated significantly improved cognitive reappraisal abilities and weakened \u201cviolence-positive\u201d implicit associations, suggesting that enhanced cognitive reappraisal may be one key mechanism through which EAT operates. These results suggest that EAT effectively fosters positive psychological resources (i.e., cognitive reappraisal) and promotes non-violent implicit attitudes among violent offenders. This study provides initial quantitative evidence for EAT as a promising intervention for reducing aggression-related cognitive and implicit processes. Future research should further investigate its long-term effects and underlying mechanisms.<\/jats:p>","DOI":"10.3390\/bs16081366","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T08:08:53Z","timestamp":1786349333000},"page":"1366","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effects of Expressive Arts Therapy on Emotion Regulation and Aggression in Violent Offenders: A Randomized Controlled Trial"],"prefix":"10.3390","volume":"16","author":[{"given":"Zhijie","family":"Xu","sequence":"first","affiliation":[{"name":"School of Psychology, Shenzhen University, Shenzhen 518052, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xixi","family":"Ou","sequence":"additional","affiliation":[{"name":"School of Psychology, Shenzhen University, Shenzhen 518052, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1530-4739","authenticated-orcid":false,"given":"Jialin","family":"Fan","sequence":"additional","affiliation":[{"name":"School of Psychology, Shenzhen University, Shenzhen 518052, China"},{"name":"School of Artificial Intelligence, Shenzhen University, 518060, Shenzhen, China"},{"name":"Shenzhen Humanities and Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen 518060, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1037\/pspa0000337","article-title":"Under the veil of tolerance: A justification\u2013suppression approach to anti-Islamic implicit bias in reaction to terrorist attacks","volume":"125","author":"Arnoult","year":"2023","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref_2","unstructured":"Bai, L., Ma, H., Huang, Y., and Luo, J. (, January October). The compilation of Chinese affective picture system [Paper presentation]. Tenth National Conference of Psychology, Shanghai, China."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1037\/0033-2909.106.1.59","article-title":"Frustration-aggression hypothesis: Examination and reformulation","volume":"106","author":"Berkowitz","year":"1989","journal-title":"Psychological Bulletin"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1007\/s10862-015-9514-x","article-title":"Development and validation of a brief version of the difficulties in emotion regulation scale: The DERS-16","volume":"38","author":"Bjureberg","year":"2016","journal-title":"Journal of Psychopathology and Behavioral Assessment"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1111\/hojo.12154","article-title":"The arts of desistance: Assessing the role of arts-based programmes in reducing reoffending","volume":"55","author":"Cheliotis","year":"2016","journal-title":"The Howard Journal of Crime and Justice"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1177\/0963721417700457","article-title":"The role of positive affect in aggression","volume":"26","author":"Chester","year":"2017","journal-title":"Current Directions in Psychological Science"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1037\/pspi0000080","article-title":"Combating the sting of rejection with the pleasure of revenge: A new look at how emotion shapes aggression","volume":"112","author":"Chester","year":"2017","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1177\/1073191106287666","article-title":"The short-form Buss-Perry Aggression Questionnaire (BPAQ-SF): A validation study with federal offenders","volume":"13","author":"Diamond","year":"2006","journal-title":"Assessment"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1016\/j.jcrimjus.2018.07.006","article-title":"Emotion regulation, mindfulness, and alexithymia: Specific or general impairments in sexual, violent, and homicide offenders?","volume":"58","author":"Gillespie","year":"2018","journal-title":"Journal of Criminal Justice"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1038\/nrn3640","article-title":"Neurocriminology: Implications for the punishment, prediction and prevention of criminal behaviour","volume":"15","author":"Glenn","year":"2014","journal-title":"Nature Reviews. Neuroscience"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1080\/026999399379186","article-title":"Emotion regulation: Past, present, future","volume":"13","author":"Gross","year":"1999","journal-title":"Cognition and Emotion"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1080\/1047840X.2015.989751","article-title":"The extended process model of emotion regulation: Elaborations, applications, and future directions","volume":"26","author":"Gross","year":"2015","journal-title":"Psychological Inquiry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1037\/0022-3514.85.2.348","article-title":"Individual differences in two emotion regulation processes: Implications for affect, relationships, and well-being","volume":"85","author":"Gross","year":"2003","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref_14","doi-asserted-by":"crossref","unstructured":"Ho, R. T. H., Chan, C. K. P., Fong, T. C. T., Lee, P. H. T., Lum, D. S. Y., and Suen, S. H. (2020). Effects of expressive arts-based interventions on adults with intellectual disabilities: A stratified randomized controlled trial. Frontiers in Psychology, 11.","DOI":"10.3389\/fpsyg.2020.01286"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"100163","DOI":"10.1016\/j.scog.2019.100163","article-title":"Impaired facial emotion perception of briefly presented double masked stimuli in violent offenders with schizophrenia spectrum disorders","volume":"19","author":"Kristiansson","year":"2020","journal-title":"Schizophrenia Research. Cognition"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"341","DOI":"10.2466\/03.20.PR0.114k22w4","article-title":"Relation between emotion regulation and mental health: A meta-analysis review","volume":"114","author":"Hu","year":"2014","journal-title":"Psychological Reports"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Ivarsson, D., Delfin, C., Enebrink, P., and Wallinius, M. (2023). Pinpointing change in virtual reality assisted treatment for violent offenders: A pilot study of Virtual Reality Aggression Prevention Training (VRAPT). Frontiers in Psychiatry, 14.","DOI":"10.3389\/fpsyt.2023.1239066"},{"key":"ref_18","first-page":"763","article-title":"The Chinese version of the TAS-20: Reliability and validity","volume":"17","author":"Jinyao","year":"2003","journal-title":"Chinese Mental Health Journal"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1080\/15401381003627350","article-title":"A story of a healing relationship: The person-centered approach in expressive arts therapy","volume":"5","author":"Kim","year":"2010","journal-title":"Journal of Creativity in Mental Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"108767","DOI":"10.1016\/j.biopsycho.2024.108767","article-title":"The impact of culture on emotion suppression: Insights from an electrophysiological study of emotion regulation in Japan","volume":"187","author":"Kraus","year":"2024","journal-title":"Biological Psychology"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1037\/vio0000254","article-title":"Changing perception: A randomized controlled trial of emotion recognition training to reduce anger and aggression in violent offenders","volume":"10","author":"Kuin","year":"2020","journal-title":"Psychology of Violence"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1098","DOI":"10.1037\/tra0001947","article-title":"The application of expressive art therapies for survivors of child sexual abuse","volume":"18","author":"Lavania","year":"2025","journal-title":"Psychological Trauma: Theory, Research, Practice, and Policy"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1250","DOI":"10.1037\/0022-3514.71.6.1250","article-title":"Why do bad moods increase self-defeating behavior? Emotion, risk taking, and self-regulation","volume":"71","author":"Leith","year":"1996","journal-title":"Journal of Personality and Social Psychology"},{"key":"ref_24","unstructured":"Levine, E., Knill, P., and Levine, S. (2004). Principles and practice of expressive arts therapy: Toward a therapeutic aesthetics, Jessica Kingsley Publishers."},{"key":"ref_25","first-page":"198","article-title":"The relationship between parental rearing styles, self-esteem level and aggressive behavior in college students [\u7236\u6bcd\u6559\u517b\u65b9\u5f0f\u3001\u81ea\u5c0a\u6c34\u5e73\u4e0e\u5927\u5b66\u751f\u653b\u51fb\u884c\u4e3a\u7684\u5173\u7cfb\u7814\u7a76]","volume":"16","author":"Luo","year":"2008","journal-title":"Zhongguo Linchuang Xinlixue Zazhi"},{"key":"ref_26","unstructured":"Malchiodi, C. A. (2003). Handbook of art therapy, The Guilford Press."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/978-3-322-80474-7_7","article-title":"Desistance from crime: A theoretical reformulation","volume":"43","author":"Maruna","year":"2004","journal-title":"K\u00f6lner Zeitschrift f\u00fcr Soziologie und Sozialpsychologie"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1016\/j.avb.2015.09.001","article-title":"Seeing enemies? A systematic review and treatment proposal for anger bias in the perception of facial expressions among anger-prone and aggressive populations","volume":"25","author":"Mellentin","year":"2014","journal-title":"Aggression and Violent Behavior"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e12282","DOI":"10.1111\/cpsp.12282","article-title":"A meta-analytic review of the efficacy of psychological treatments for violent offenders in correctional and forensic mental health settings","volume":"26","author":"Papalia","year":"2019","journal-title":"Clinical Psychological Science and Practice"},{"key":"ref_30","unstructured":"Porges, S. W. (2011). The polyvagal theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation, W. W. Norton."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Quinsey, V. L., Harris, G. T., Rice, M. E., and Cormier, C. A. (2006). Violent offenders: Appraising and managing risk, American Psychological Association. [2nd ed.].","DOI":"10.1037\/11367-000"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"77","DOI":"10.21649\/akemu.v23i1.1512","article-title":"Cross cultural variation in emotion regulation: A systematic review","volume":"23","author":"Ramzan","year":"2017","journal-title":"Annals of King Edward Medical University"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1037\/0003-066X.52.4.414","article-title":"Violent offender research and implications for the criminal justice system","volume":"52","author":"Rice","year":"1997","journal-title":"The American Psychologist"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.avb.2011.09.006","article-title":"Emotion regulation and aggression","volume":"17","author":"Roberton","year":"2012","journal-title":"Aggression and Violent Behavior"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1080\/1068316X.2014.893333","article-title":"Maladaptive emotion regulation and aggression in adult offenders","volume":"20","author":"Roberton","year":"2014","journal-title":"Psychology, Crime & Law"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1037\/0033-295X.110.1.145","article-title":"Core affect and the psychological construction of emotion","volume":"110","author":"Russell","year":"2003","journal-title":"Psychological Review"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1177\/0539018405058216","article-title":"What are emotions? And how can they be measured?","volume":"44","author":"Scherer","year":"2005","journal-title":"Social Science Information"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/j.cortex.2020.11.018","article-title":"Being the victim of virtual abuse changes default mode network responses to emotional expressions","volume":"135","author":"Seinfeld","year":"2021","journal-title":"Cortex"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1037\/a0018378","article-title":"The efficacy of psychodynamic psychotherapy","volume":"65","author":"Shedler","year":"2010","journal-title":"The American Psychologist"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1037\/amp0001237","article-title":"Emotion regulation strategies and psychological health across cultures","volume":"79","author":"Tamir","year":"2024","journal-title":"The American Psychologist"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Taylor, G. J., Bagby, R. M., and Parker, J. D. A. (1997). Disorders of affect regulation: Alexithymia in medical and psychiatric illness, Cambridge University Press.","DOI":"10.1017\/CBO9780511526831"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"3583","DOI":"10.1038\/s41598-017-03870-y","article-title":"Anger provocation in violent offenders leads to emotion dysregulation","volume":"7","author":"Tonnaer","year":"2017","journal-title":"Scientific Reports"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1037\/a0027600","article-title":"Dealing with feeling: A meta-analysis of the effectiveness of strategies derived from the process model of emotion regulation","volume":"138","author":"Webb","year":"2012","journal-title":"Psychological Bulletin"},{"key":"ref_44","first-page":"151","article-title":"A study on the relationship between implicit violent attitudes and violent behavior in violent offenders [\u66b4\u529b\u72af\u5185\u9690\u66b4\u529b\u6001\u5ea6\u4e0e\u66b4\u529b\u884c\u4e3a\u5173\u7cfb\u7814\u7a76]","volume":"27","author":"Xiang","year":"2014","journal-title":"Hubei Jingguan Xueyuan Xuebao"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"101780","DOI":"10.1016\/j.aip.2021.101780","article-title":"Regulatory effect of drawing on negative emotion: A functional near-infrared spectroscopy study","volume":"74","author":"Yan","year":"2021","journal-title":"The Arts in Psychotherapy"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"NP15058","DOI":"10.1177\/0886260521989848","article-title":"Facial emotion perceptual tendency in violent and non-violent offenders","volume":"37","author":"Zeng","year":"2022","journal-title":"Journal of Interpersonal Violence"}],"container-title":["Behavioral Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/8\/1366\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T08:32:18Z","timestamp":1786350738000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-328X\/16\/8\/1366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,10]]},"references-count":46,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8]]}},"alternative-id":["bs16081366"],"URL":"https:\/\/doi.org\/10.3390\/bs16081366","relation":{},"ISSN":["2076-328X"],"issn-type":[{"value":"2076-328X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,10]]}}}