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Peer-reviewedCC BYFrontiers in behavioral neuroscience

Therapeutic physical activity as a recreational intervention for anger control among students with physical disability: a behavioral model

  1. 1Department of Physical Education, College of Education, King Faisal University , ,
  2. 2Department of Physical Education and Sports, College of Basic Education, Public Authority for Applied Education and Training ,

Abstract

Background: Therapeutic Physical Activity (TPA) is an unaddressed behavioral recreational method in anger management programs in higher education in Egypt, especially among students with physical disabilities (SWPD).

Purpose: This study aimed to assess the efficacy of an 8-week TPA intervention on the severity of anger in male university students with physical disabilities in Egypt.

Methods: A randomized controlled trial (RCT) design (parallel-group) was used with 140 male undergraduate students at Minia University who were randomly divided into an 8-week TPA group (n = 70) and a treatment-as-usual (TAU) control group (n = 70). Severity of anger was measured at baseline and at the end of the intervention with the PROMIS Anger Short Form 8a.

Results: There was a clinically significant and statistically significant difference between the TPA and controls in the severity of anger, F(1, 137) = 48.62, p < 0.001, partial η2 = 0.262, with a mean difference of −10.42 T-score points (95% CI: −13.48, −7.36) greater than the MCID. Reductions in anger were not associated with physical functioning changes, indicating non-physiological mechanisms. Moderately positive relationships were found between adherence and anger reduction (r = 0.42; p < 0.001), and sensitivity analyses showed that the results were consistent across disability severity.

Conclusion: TPA is a culturally affirming, body-based, anger-management approach that incorporates adaptive sports and behavioral learning for SWPD emotion regulation. Therapeutic recreation may be implemented as a low-stigma, easy-to-access supplemental mental health support program in the University disability services, especially for male students in collectivist contexts.

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BibTeX
@article{hassan2026therapeutic,
  title = {{Therapeutic physical activity as a recreational intervention for anger control among students with physical disability: a behavioral model}},
  author = {Ahmed K. Hassan and Maryam Khalifah Arab and Abdulmalek K. Bursais and Badeer Aldimkhi and Albujulaya Naif},
  journal = {Frontiers in behavioral neuroscience},
  year = {2026},
  month = oct,
  doi = {10.3389/fnbeh.2026.1969746},
  url = {https://europepmc.org/article/PMC/PMC13719462},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Therapeutic physical activity as a recreational intervention for anger control among students with physical disability: a behavioral model
AU  - Ahmed K. Hassan
AU  - Maryam Khalifah Arab
AU  - Abdulmalek K. Bursais
AU  - Badeer Aldimkhi
AU  - Albujulaya Naif
PY  - 2026
DA  - 2026/10/16
JO  - Frontiers in behavioral neuroscience
DO  - 10.3389/fnbeh.2026.1969746
UR  - https://europepmc.org/article/PMC/PMC13719462
AB  - Background: Therapeutic Physical Activity (TPA) is an unaddressed behavioral recreational method in anger management programs in higher education in Egypt, especially among students with physical disabilities (SWPD).  Purpose: This study aimed to assess the efficacy of an 8-week TPA intervention on the severity of anger in male university students with physical disabilities in Egypt.  Methods: A randomized controlled trial (RCT) design (parallel-group) was used with 140 male undergraduate students at Minia University who were randomly divided into an 8-week TPA group (n = 70) and a treatment-as-usual (TAU) control group (n = 70). Severity of anger was measured at baseline and at the end of the intervention with the PROMIS Anger Short Form 8a.  Results: There was a clinically significant and statistically significant difference between the TPA and controls in the severity of anger, F(1, 137) = 48.62, p < 0.001, partial η2 = 0.262, with a mean difference of −10.42 T-score points (95% CI: −13.48, −7.36) greater than the MCID. Reductions in anger were not associated with physical functioning changes, indicating non-physiological mechanisms. Moderately positive relationships were found between adherence and anger reduction (r = 0.42; p < 0.001), and sensitivity analyses showed that the results were consistent across disability severity.  Conclusion: TPA is a culturally affirming, body-based, anger-management approach that incorporates adaptive sports and behavioral learning for SWPD emotion regulation. Therapeutic recreation may be implemented as a low-stigma, easy-to-access supplemental mental health support program in the University disability services, especially for male students in collectivist contexts.
SN  - 1662-5153
ER  -