There’s no shortage of things to feel angry about these days. Whether it’s politics, social injustice, climate change or the cost-of-living crisis, the world can feel like a pressure cooker.

Research suggests nearly one-quarter of the world’s population feels angry on any given day. While anger is a normal human emotion, if it’s intense and poorly managed, it can quickly lead to aggression, and potentially cause harm.

Feeling angry often can also have negative effects on our relationships, as well as our mental and physical health.

So how should you manage feelings of anger to keep them in check? Our new research suggests mindfulness can be an effective tool for regulating anger and reducing aggression.

What is mindfulness?

Mindfulness is the ability to observe and focus on your thoughts, emotions and bodily sensations in the present moment with acceptance and without judgement.

Mindfulness has been practised for thousands of years, most notably in Buddhist traditions. But more recently it has been adapted into secular programs to support mental health and emotional regulation.

Mindfulness is taught in a variety of ways, including in-person classes, residential retreats and through digital apps. These programs typically involve guided meditations, and practices that help people become more aware of their thoughts, feelings and surroundings.

Mindfulness is linked to a range of mental health benefits, including reduced anxiety, depression and stress.

Neuroscience research also suggests mindfulness is associated with reduced activity in brain regions linked to emotional reactivity, and greater activity in those involved in self-regulation (the ability to manage our thoughts, emotions and behaviours).

In this way, mindfulness could foster emotional awareness essential for the effective regulation of emotions such as anger. And when people are less overwhelmed by anger, they may be better able to think clearly, reflect on what matters and take meaningful action, rather than reacting impulsively or shutting down.

We reviewed the evidence

To better understand whether mindfulness actually helps with regulating anger and aggression, we conducted a meta-analysis. This is a study that combines the results of many previous studies to look at the overall evidence.

We analysed findings from 118 studies across different populations and countries, including both people who were naturally more mindful and people who were randomly assigned to take part in interventions aimed at increasing mindfulness.

People who were naturally more mindful were those who scored higher on questionnaires measuring traits such as present-moment awareness and non-judgmental thinking. We found these people tended to report less anger and behave less aggressively.

However, mindfulness isn’t just something you have or don’t have – it’s also a skill you can develop. And our results show the benefits of lower anger and aggression extend to people who learn mindfulness skills through practice or training.

We also wanted to know whether mindfulness might work better for certain people or in particular settings. Interestingly, our results suggest these benefits are broadly universal. Practising mindfulness was effective in reducing anger and aggression across different age groups, genders and contexts, including whether people were seeking treatment for mental health or general wellbeing, or not.

Some anger management strategies aren’t backed by science

To manage feelings of anger, many people turn to strategies that are not supported by evidence.

Research suggests “letting off steam” while thinking about your anger is not a healthy strategy and may intensify and prolong experiences of anger.

For example, in one experiment, research participants were asked to hit a punching bag while thinking of someone who made them angry. This so-called “cathartic release” made people angrier and more aggressive rather than less so.

Breaking things in rage rooms, while increasingly popular, is similarly not an evidence-based strategy for reducing anger and aggression.

On the other hand, our research shows there’s good evidence to support mindfulness as a tool to regulate anger.

Mindfulness may reduce anger and aggression by helping people become more aware of their emotional reactions without immediately acting on them. It can foster a non-judgmental and accepting stance toward difficult emotions such as anger, which may interrupt the cycle whereby anger leads to aggressive behaviour.

Mindfulness is not a magic bullet

All that said, it’s important to keep in mind that mindfulness is not a magic bullet or a quick fix. Like any new skill, mindfulness can be challenging at first, takes time to master, and works best when practised regularly.

It’s also important to note mindfulness may not be suitable for everyone – particularly when used as a standalone approach for managing more complex mental health concerns. For ongoing emotional challenges it’s always a good idea to seek support from a qualified mental health professional.

However, if you’re looking to dial down the impact of daily frustrations, there are plenty of accessible ways to give mindfulness a go. You can get started with just a few minutes per day. Popular apps such as Smiling Mind and Headspace offer short, guided sessions that make it easy to explore mindfulness at your own pace — no prior experience needed.

While mindfulness may not solve the problems that make us angry, our research shows it could help improve how we experience and respond to them.

Siobhan O’Dean, Research Fellow, The Matilda Centre for Research in Mental Health and Substance Use, University of Sydney; Elizabeth Summerell, Lecturer, School of Psychology, Faculty of Health and Medical Sciences, University of Adelaide, and Tom Denson, Professor of Psychology, UNSW Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

An estimated one in five women and one in 16 men in Australia have experienced sexual violence.

After such a traumatic experience, it’s understandable many are unsure if they want to report it to the police. In fact, less than 10% of Australian women who experience sexual assault ever make a police report.

In Australia there is no time limit on reporting sexual assault to police. However, there are tight time frames for collecting forensic evidence, which can sometimes be an important part of the police investigation, whether it’s commenced at the time or later.

This means the decision of whether or not to undergo a medical forensic examination needs to be made quite quickly after an assault.

I work as a medical forensic examiner. Here’s what you can expect if you present for a medical forensic examination after a sexual assault.

A team of specialists

There are about 100 sexual assault services throughout Australia providing 24-hour care. As with other areas of health care, there are extra challenges in regional and rural areas, where there are often further distances to travel and staff shortages.

Sexual assault services in Australia are free regardless of Medicare status. To find your nearest service you can call 1800 RESPECT (1800 737 732) or Full Stop Australia (1800 385 578) who can also provide immediate telephone counselling support.

It’s important to call the local sexual assault service before turning up. They can provide the victim-survivor with information and advice to prevent delays and make the process as helpful as possible.

The consultation usually occurs in a hospital emergency department which has a designated forensic suite, or in a specialised forensic service.

The victim-survivor is seen by a doctor or nurse trained in medical and forensic care. There’s a sexual assault counsellor, crisis worker or social worker present to support the patient and offer counselling advice. This is called an “integrated response” with medical and psychosocial staff working together.

In most cases the victim-survivor can have their own support person present too.

Depending on what the victim-survivor wants, the doctor or nurse will take a history of the assault to guide any medical care which may be needed (such as emergency contraception) and to guide the examination.

Sexual assault services are always very aware of giving victim-survivors a choice about having a medical forensic examination. If a person presents to a sexual assault service, they can receive counselling and medical care without undergoing a forensic examination if they do not wish to. https://www.youtube.com/embed/CGlbTgia0Ek?wmode=transparent&start=0 Sexual assault services are inclusive of all genders.

Collecting forensic samples

Samples collected during a medical forensic examination can sometimes identify the perpetrator’s DNA or intoxicating substances (alcohol or drugs that might be relevant to the investigation). The window of opportunity to collect these samples can be as short as 12 hours, or up to 5–7 days, depending on the nature of the sexual assault.

In most of Australia, an adult who has experienced a recent sexual assault can be offered a medical forensic examination without making a report to police.

Depending on the state or territory, the forensic samples can usually be stored for 3 to 12 months (up to 100 years in Tasmania). This allows the victim-survivor time to decide if they want to release them to police for processing.

The doctor or nurse will collect the samples using a sexual assault investigation kit, or a “rape kit”.

Collecting these samples might involve taking swabs to try to detect DNA from external and internal genital areas and anywhere there may have been DNA transfer. This can be from skin cells, where the perpetrator touched the victim-survivor, or from bodily fluids including semen or saliva.

The doctor or nurse carrying out the examination do their best to minimise re-traumatisation, by providing the victim-survivor information, choices and control at every step of the process.

How about STIs and pregnancy?

During the consultation, the doctor or nurse will address any concerns about sexually transmitted infections (STIs) and pregnancy, if applicable.

In most cases the risk of STIs is small. But follow-up testing at 1–2 weeks for infections such as chlamydia and gonorrhoea, and at 6–12 weeks for infections such as syphilis and HIV, is usually recommended.

Emergency contraception (sometimes called the “morning after pill”) can be provided to prevent pregnancy. It can be taken up to five days after sexual assault (but the sooner the better) with follow-up pregnancy testing recommended at 2–3 weeks.

Things have improved over time

When I was a junior doctor in the late 90s, taking forensic swabs was usually the responsibility of the busy obstetrics and gynaecology trainee in the emergency department, who was often managing multiple patients and had little training in forensics. There was also usually no supportive counsellor.

Anecdotally, both the doctor and the patient were traumatised by this experience. Research shows that when specialised, integrated services are not provided, victim-survivors’ feelings of powerlessness are magnified.

But the way we carry out medical forensic examinations after sexual assault in Australia has improved over the years.

With patient-centred practices, and designated forensic and counselling staff, the experience for the patient is thought to be empowering rather than re-traumatising.

Our research

In new research published in the Australian Journal of General Practice, my colleagues and I explored the experience of the medical forensic examination from the victim-survivor’s perspective.

We surveyed 291 patients presenting to a sexual assault service in New South Wales (where I work) over four years.

Some 75% of patients reported the examination was reassuring and another 20% reported it was OK. Only 2% reported that it was traumatising. The majority (98%) said they would recommend a friend present to a sexual assault service if they were in a similar situation.

While patients spoke positively about the care they received, many commented that the sexual assault service was not visible enough. They didn’t know how to find it or even that it existed.

We know many victim-survivors don’t present to a sexual assault service or undergo a medical forensic examination after a sexual assault. So we need to do more to increase the visibility of these services.

The National Sexual Assault, Family and Domestic Violence Counselling Line – 1800 RESPECT (1800 737 732) – is available 24 hours a day, seven days a week for any Australian who has experienced, or is at risk of, family and domestic violence and/or sexual assault.

Mary Louise Stewart, Senior Career Medical Officer, Northern Sydney Local Health District; PhD Candidate, University of Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.