Journal of Affective Disorders Reports最新文献

{"title":"Tracking PMDD: A systematic review of intensive longitudinal evidence on psychosocial and behavioural risk factors for premenstrual dysphoric disorder","authors":"Samantha Trevaskis ,&nbsp;Yvonne Hartnett ,&nbsp;Akansha Naraindas ,&nbsp;Hannah Durand ,&nbsp;Jessica Bramham ,&nbsp;Sonya Deschênes","doi":"10.1016/j.jadr.2026.101057","DOIUrl":"10.1016/j.jadr.2026.101057","url":null,"abstract":"<div><h3>Background</h3><div>Premenstrual Dysphoric Disorder (PMDD) is seen by some as a severe form of PMS, which significantly impacts daily life. While psychosocial and behavioural factors are thought to influence symptom severity, prior research has relied on cross-sectional designs.</div></div><div><h3>Aims</h3><div>This systematic review aimed to (1) identify tools and measures used to assess psychosocial and behavioural risk or protective factors in relation to PMDD symptom severity, and (2) to examine relationships between psychosocial or behavioural risk factors and PMDD symptom severity, which have been identified using intensive longitudinal methods.</div></div><div><h3>Methods</h3><div>A protocol was pre-registered (PROSPERO ID: CRD42023410126) and MEDLINE, Web of Science, Embase, CINAHL, and PsycINFO were searched. Eligible studies included reproductive-age participants, validated PMDD measures and intensive longitudinal methodologies. Data were extracted independently and quality assessed using the JBI critical appraisal tool. Due to heterogeneity, narrative synthesis with effect direction plots was conducted.</div></div><div><h3>Results</h3><div>13,507 records were screened and 12 studies (N = 2486 participants) were included. Nine PMDD measurements were used, most commonly the Daily Record of Severity of Problems. Substantial heterogeneity in study design, inclusion/exclusion criteria, and calculation of PMDD variables limited comparability. Consistent evidence linked family history of PMS, dysmenorrhea, and earlier menarche to higher PMDD symptom severity. Associations with depression, daily stress, and exercise were mixed, while smoking showed no clear relationship.</div></div><div><h3>Conclusions</h3><div>Evidence suggests psychosocial and behavioural factors may influence PMDD severity, but methodological inconsistencies restrict conclusions. Standardised, DSM-aligned measures, broader inclusion criteria, and transparent reporting are essential to advance the field.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101057"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metacognitive functioning in love addiction: An exploratory brief report","authors":"Roberta Gabriella Cavalli,&nbsp;Serena Bruno,&nbsp;Camilla Tacchino,&nbsp;Patrizia Velotti","doi":"10.1016/j.jadr.2026.101029","DOIUrl":"10.1016/j.jadr.2026.101029","url":null,"abstract":"<div><div>Concerning research on behavioral addictions, literature focused on metacognitive beliefs, pointing out a gap in understanding the underlying processes of metacognition. Metacognitive functioning is recognized as a transdiagnostic construct across psychopathological conditions. To explore this aspects, 30 interviews with individual diagnosed with Love Addiction were transcribed and analyzed using the Metacognition Assessment Scale (MAS). Findings indicate that while patients demonstrate a solid grasp of their own mental states, they struggle to comprehend others' minds, both from an egocentric and decentered perspective. Additionally, the most frequently employed coping strategy for managing psychological distress involves the voluntary regulation of mental states, directly modifying maladaptive perceptions. This study serves as an initial step toward a more comprehensive clinical understanding of Love Addiction, identifying both the most impaired and the more functional metacognitive domains.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101029"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to PTSD treatment in veterans with traumatic brain injury: A mixed-methods analysis","authors":"Tamar Rodney,&nbsp;Kara Elizabeth Leonard,&nbsp;Marcus Charles Dyson,&nbsp;Akasi Aryitey,&nbsp;Emma Mangano","doi":"10.1016/j.jadr.2026.101027","DOIUrl":"10.1016/j.jadr.2026.101027","url":null,"abstract":"<div><div>Traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) are prevalent among veterans, often leading to significant functional, social, and occupational impairments, as well as chronic health issues and increased suicide risk. The objective of this study was to evaluate PTSD symptom severity and the time elapsed between diagnosis and treatment-seeking among veterans with TBI. Using online recruitment via social media platforms and veteran databases, 150 veterans participated between January 2021 and July 2022. The study utilized qualitative interviews and an online survey to explore the decision-making process and barriers to seeking PTSD treatment. All data were self-reported. The severity of PTSD symptoms was assessed using the Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), with a score above 31 indicating probable PTSD. Findings revealed that 63% of veterans had probable PTSD. Notably, the time taken to seek treatment ranged from 1 to 37 years, with an average delay of 3.57 years. These results highlight the need for improved mental healthcare delivery among veterans and the importance that prolonged treatment-seeking behaviors can have on veterans' PTSD symptoms and ultimately their health.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101027"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146080639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Depression and its Associated Factors among Higher Socio-Economic Married Working Women in Bangladesh","authors":"Md. Imdadul Haque ,&nbsp;Tasnim Akter ,&nbsp;Md. Monir Hossain Shimul ,&nbsp;Roman Hossain ,&nbsp;Faisal Muhammad ,&nbsp;Md. Golam Dostogir Harun ,&nbsp;Md Zobaer Hasan ,&nbsp;ABM Alauddin Chowdhury","doi":"10.1016/j.jadr.2026.101062","DOIUrl":"10.1016/j.jadr.2026.101062","url":null,"abstract":"<div><h3>Background</h3><div>Mental health challenges among working women are increasingly recognized as critical human rights concerns that cut across geographical, cultural, and socioeconomic contexts. This study examined the prevalence and associated factors of depression among higher socioeconomic, married working women in Bangladesh.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among 560 married working women employed in various organizations in Dhaka City between June and November 2023. Data were collected using a semi-structured questionnaire, and depressive symptoms were assessed using the CES-D Scale. Multivariable logistic regression analysis was performed to examine factors associated with depressive symptoms. Adjusted odds ratios (AORs) with 95% confidence intervals were reported.</div></div><div><h3>Results</h3><div>The mean age of participants was 35.66 ± 4.77 years. The prevalence of depression was 27.7%, of which 11.6% reported severe depressive symptoms and 16.1% reported moderate depressive symptoms. The likelihood of poor mental health was significantly higher among women who were consistently overloaded with work (AOR=10.919, 95% CI 1.313-90.819), those whose family members expected them to perform household tasks equivalent to non-working women (AOR=9.369, 95% CI 1.077-81.525), and those experiencing challenges from family, relatives, or neighbors regarding their employment (AOR=8.180, 95% CI 3.663-18.268). Unfavorable working conditions, excessive workload, limited organizational support, and inadequate family support were also associated with depressive symptoms.</div></div><div><h3>Conclusion</h3><div>Poor mental health can adversely affect work productivity, family responsibilities, and social relationships. Strengthening workplace support systems, promoting equitable domestic responsibility-sharing, and formulating targeted policies and programs are essential to improving the mental well-being of working women in Bangladesh.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101062"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147702551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mistreatment during health facility-based childbirth and symptoms suggestive of postpartum depression in low resource settings","authors":"Meresa Berwo Mengesha ,&nbsp;Hagos Mehari Mezgebo ,&nbsp;Gessessew Teklebrhan Gebrehiwot ,&nbsp;Haftom Tesfay Gebremedhin ,&nbsp;Etsay Weldekidan Tsegay ,&nbsp;Natnael Etsay Assefa ,&nbsp;Abadi Hailay Atsbaha ,&nbsp;Hiluf Ebuy Abraha ,&nbsp;Zenawi Hagos Gufue","doi":"10.1016/j.jadr.2026.101055","DOIUrl":"10.1016/j.jadr.2026.101055","url":null,"abstract":"<div><h3>Introduction</h3><div>Postpartum depression (PPD) is a substantial public health concern among mothers in sub-Saharan Africa but may be underestimated due to limited screening and treatment. Mistreatment during facility-based childbirth has been associated with PPD in prior studies, yet evidence on which mistreatment types are linked to greater PPD symptom severity remains limited. This study assessed the association between mistreatment during facility childbirth and PPD symptoms.</div></div><div><h3>Methods</h3><div>A multi-center, cross-sectional study was conducted among 414 postpartum women recruited from selected urban public health facilities using stratified systematic random sampling. Binary logistic regression model was used to estimate adjusted odds of symptoms suggestive of PPD among women reporting mistreatment during childbirth. Poisson regression with robust standard errors was used to assess differences in Edinburgh Postnatal Depression Scale (EPDS) total scores according to reported exposure to specific forms of mistreatment. Adjusted measures with 95% confidence intervals (CIs) were reported, with statistical significance set at <em>p</em> &lt; 0.05.</div></div><div><h3>Results</h3><div>Among the 400 postpartum women included in the final analysis, 15.00% (95% CI: 11.65%–18.88%) had symptoms suggestive of PPD. In adjusted analyses, expressed as adjusted mean ratios (aMRs), physical abuse (aMR = 1.37; 95% CI: 1.07–1.74), stigma and discrimination (aMR = 1.28; 95% CI: 1.06–1.54), verbal abuse (aMR = 1.12; 95% CI: 1.01–1.24), and poor provider rapport (aMR = 1.12; 95% CI: 1.00–1.25) were significantly associated with higher expected EPDS total scores. Physical restraint was not significantly associated with expected EPDS total scores (aMR = 1.34; 95% CI: 1.00–1.81).</div></div><div><h3>Conclusions</h3><div>PPD symptoms were more prevalent among women who reported mistreatment during facility-based childbirth, and symptom severity differed by type of mistreatment. Strengthening respectful maternity care, addressing inequities, and fostering supportive community environments may help reduce institutional violence and the burden of PPD symptoms.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101055"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the natural landscape of the chronology of major depressive disorder and mania in youth","authors":"Maria Iorini ,&nbsp;Maura DiSalvo ,&nbsp;Gagan Joshi ,&nbsp;Janet Wozniak ,&nbsp;Mai Uchida","doi":"10.1016/j.jadr.2026.101037","DOIUrl":"10.1016/j.jadr.2026.101037","url":null,"abstract":"<div><h3>Introduction</h3><div>Major Depressive Disorder (MDD) and Bipolar Disorder (BPD) are debilitating disorders increasingly prevalent in pediatric populations. MDD and BPD often share depressive symptoms, making them difficult to distinguish. Despite these similarities, treatment courses differ vastly, and incorrect prescriptions can worsen the clinical course. Thus, accurate diagnosis is critical. Further complicating diagnosis is that BPD may initially present with depression, mania, or both. However, there is limited literature examining the course of disorder development. This was a naturalistic cohort study aiming to identify the main patterns of symptoms and relationship to MDD versus BPD development over time.</div></div><div><h3>Methods</h3><div>A cross-sectional assessment of psychiatric interviews (K-SADS-E) was reviewed from 2947 consecutive referrals of patients aged 3 to 17 to a pediatric psychopharmacology program (1991–2008).</div></div><div><h3>Results</h3><div>46% (<em>n</em> = 1357) of the sample met criteria for depression and/or mania. Among them, 60% (<em>n</em> = 818) had only MDD, 7% (<em>n</em> = 101) only mania, and 33% (<em>n</em> = 428) had both. Of the comorbid group, 29% (<em>n</em> = 126) developed depression before mania, 39% (<em>n</em> = 172) developed both concurrently, and 32% (<em>n</em> = 140) had mania before depression. Average age of onset was 5.9 ± 4.4 years for mania and 7.4 ± 4.2 years for depression.</div></div><div><h3>Discussion</h3><div>The results highlight irregularity in the trajectory of depression and mania in youth. Without biomarkers, clinical acumen is necessary to distinguish between the two. Given the high consequences of misdiagnosis, including manic switch, great care must be taken in prescribing. By illustrating the chronology of mood symptoms, we aim to support clinicians in the diagnostic process.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101037"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Light therapy in seasonal affective disorder: a systematic review and meta-analysis of randomized controlled and crossover trials","authors":"Chiung-Jane Wu ,&nbsp;Doreen Phiri ,&nbsp;Hsiu-Ju Jen ,&nbsp;Anggi Setyowati ,&nbsp;Min-Huey Chung","doi":"10.1016/j.jadr.2025.101021","DOIUrl":"10.1016/j.jadr.2025.101021","url":null,"abstract":"<div><h3>Background</h3><div>The efficacy of light therapy for seasonal affective disorder (SAD) has been supported in several studies. However, the duration of the effectiveness of light therapy at different time points has not been robustly examined.</div></div><div><h3>Objective</h3><div>To investigate the effect of light therapy at different time points of treatment and at post-treatment follow-up among individuals with seasonal affective disorder.</div></div><div><h3>Design</h3><div>A meta-analysis of randomized controlled and crossover trials.</div></div><div><h3>Method</h3><div>Articles were searched in nine electronic databases from inception to April 2025, and 17 eligible randomized controlled trials and crossover trials were included. The risk of bias for each included study was assessed using the criteria in the Cochrane Handbook for Systematic Reviews of Interventions, Version 2.0.</div></div><div><h3>Results</h3><div>Light therapy significantly reduced symptoms of seasonal affective disorder during week 2 (Hedges’ <em>g</em> = -0.62, <em>p</em> &lt; 0.001), while the effect at weeks 1, 3, and 4 were non-significant (<em>g</em> = -0.17, <em>p</em> = 0.066, <em>g</em> = -0.60, <em>p</em> = 0.134, <em>g</em> = -0.15, <em>p</em> = 0.313). These effects correspond to estimated reductions of approximately 0.8, 3.1, 3.05, and 0.8 points, respectively, on the SIGH-SAD scale. At 1-week post-treatment follow-up, the maintenance effects of light therapy were not statistically significant for either 1-week (<em>g</em> = -0.52, <em>p</em> = 0.078) or 2-week (<em>g</em> = -0.36, <em>p</em> = 0.090) treatment durations. Measurement period was the significant moderator at week 2.</div></div><div><h3>Conclusion</h3><div>Light therapy can reduce symptoms of seasonal affective disorder, with a minimum of two weeks recommended to achieve desirable outcomes.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101021"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The contributions of mentalizing and impulsivity dimensions to the clinical expressions of attention-deficit hyperactivity disorder during adulthood","authors":"Margaux Bouteloup ,&nbsp;Vincent Besch ,&nbsp;Roland Hasler ,&nbsp;Rosetta Nicastro ,&nbsp;Eléonore Pham ,&nbsp;Karen Dieben ,&nbsp;Martin Blay ,&nbsp;Eva Rüfenacht ,&nbsp;RF-TBM Consortium ,&nbsp;Nader Perroud ,&nbsp;Martin Debbané","doi":"10.1016/j.jadr.2026.101060","DOIUrl":"10.1016/j.jadr.2026.101060","url":null,"abstract":"<div><div>The aim of our study is to characterize how transdiagnostic dimensions of personality trait impulsivity and mentalizing can be related to clinical domains and functional impairments in adults with ADHD. We specifically explore their relationship to 3 levels of expression of psychopathology: number of diagnostic symptoms (1), additional clinical indicators of severity (2), general social functioning (3).</div><div>We included 157 outpatients with ADHD aged to 16 to 77 consulting in a specialized psychiatric center in an University Hospital. Diagnostic procedure was based on the ACE+ and the ASRS. Mentalizing was assessed with the Mentalization Scale and impulsivity was evaluated with the UPPS-P Short Form.</div><div>Several forward stepwise linear and logistic regressions were performed.</div><div>Our results show that independently of gender and age effects, impulsivity facets of personality and especially urgence dimensions are significantly related to ADHD symptoms, clinical severity and quality of life. We also found that mentalizing dimensions, and most prominently self-mentalizing, further contributed to self-rated ADHD symptoms, clinical severity (suicidal history in particular) and quality of life.</div><div>These results suggest that an evaluation of impulsivity and mentalizing dimensions may be worthwhile to enrich evaluation, personalize diagnosis, case formulation, psychoeducation strategies and treatment for adults receiving the diagnosis of ADHD.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101060"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147599958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language influences perception of impulsive tendencies of depressed individuals","authors":"Huaixuan “Knox” Huang,&nbsp;Kristi Erdal","doi":"10.1016/j.jadr.2026.101040","DOIUrl":"10.1016/j.jadr.2026.101040","url":null,"abstract":"<div><h3>Background</h3><div>Impulsivity, particularly when triggered by emotions, is a significant predictor of various forms of psychopathology. However, most impulsivity research has been conducted in Western cultures. This study assessed whether culture influences perception of a depressed individual’s impulsive behavioral tendencies.</div></div><div><h3>Methods</h3><div>Vignettes of depressed individuals were used to examine 124 bilingual people’s (English and Japanese or Korean or Mandarin) (<em>M_age</em>=32.37 years; 57% male) perception of a depressed individual’s impulsivity, when language and vignette character name were varied. Impulsivity perception was measured using the five subscales of the UPPS-P Impulsive Behavior Scale - Short Form. Acculturation and self-construal were covaried.</div></div><div><h3>Results</h3><div>Reading and thinking in East Asian languages (compared to English) led to a depressed individual being perceived as more likely to lose control under negative emotion, to seek sensation, and to not think before acting. When the vignette character had a typical English name, participants perceived them as less likely to persevere. Acculturation and self-construal were not significant covariates.</div></div><div><h3>Limitations</h3><div>One impulsivity subscale was dropped due to its poor reliability in two East Asian Languages. Ecological validity was restricted by the vignette methodology, the assessment of impulsivity perception rather than behavior, and the geographical distribution of the sample.</div></div><div><h3>Conclusions</h3><div>Findings support how culture influences perception of impulsive tendencies of depressed individuals differently when thinking about a cultural context (name) and when thinking within a cultural context (language).</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101040"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal associations between service member problematic anger and marital dysfunction in U.S. military couples: Findings from the Millennium Cohort Program","authors":"Travis N. Ray ,&nbsp;Matthew P. Forsstrom ,&nbsp;Rayan Joneydi ,&nbsp;Cynthia A. LeardMann ,&nbsp;Valerie A. Stander ,&nbsp;Hope S. McMaster","doi":"10.1016/j.jadr.2026.101034","DOIUrl":"10.1016/j.jadr.2026.101034","url":null,"abstract":"<div><div>Problematic anger is prevalent among service members and is associated with numerous dysfunctional outcomes. Research is needed to determine whether service member problematic anger has a unique, long-term impact on marital functioning. This study examined problematic anger and its longitudinal associations with marital dysfunction outcomes among 3456 U.S. service member–spouse dyads enrolled in the Millennium Cohort Program. Service members completed a self-report measure of problematic anger at Time 1 (2014–2016); spouses completed self-report assessments of intimate partner violence (IPV), marital quality, marital dissolution, relationship trust, and parenting alliance at Time 2 (2019–2021). Logistic regressions were conducted to examine associations between service member problematic anger and marital dysfunction outcomes using hierarchical adjustment for categories of covariates. Service member problematic anger was associated with IPV experience, low martial quality, marital dissolution, and low relationship trust among spouses after adjusting for demographic characteristics and military contextual variables. However, after adjusting for mental health variables, IPV was the only marital dysfunction outcome associated with service member problematic anger. The association between problematic anger and IPV remained after adjusting for adverse childhood experiences in the final model. Results suggest that mental health conditions, in general, may contribute to marital dysfunction in military couples, but problematic anger appears to be particularly crucial in predicting IPV. Screenings and targeted interventions for problematic anger among service members are needed. Such efforts may help to mitigate the downstream effects of problematic anger on marital dysfunction, thus improving service member readiness.</div></div>","PeriodicalId":52768,"journal":{"name":"Journal of Affective Disorders Reports","volume":"24 ","pages":"Article 101034"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146190105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}