Maya L Roth, Sonya G Wanklyn, Brian M Bird, Erin Collins, Dominic Gargala, Stephanie A Houle, David Forbes, Anthony Nazarov, J Don Richardson
{"title":"寻求治疗的加拿大退伍军人群体中的问题性愤怒:患病率、评估和治疗意义。","authors":"Maya L Roth, Sonya G Wanklyn, Brian M Bird, Erin Collins, Dominic Gargala, Stephanie A Houle, David Forbes, Anthony Nazarov, J Don Richardson","doi":"10.1002/jts.23160","DOIUrl":null,"url":null,"abstract":"<p><p>Anger is a natural, adaptive emotion that is culturally accepted in military settings. Problematic anger (i.e., intense anger paired with significant distress and functional impairment linked to) is gaining attention in military and veteran populations. This study examined problematic anger in 882 Canadian Armed Forces personnel and veterans referred to a specialized mental health clinic. Intake assessments included measures of anger, psychological conditions, and military and demographic variables. Approximately 63% of participants reported problematic anger. Respondents who endorsed problematic anger had higher rates of posttraumatic stress disorder (PTSD) symptom severity, d = 1.06; depression, d = 0.82; anxiety symptom frequency, d = 0.94; and harmful drinking, d = 0.36, ps < .001, compared to those who did not. Sequential linear regression analyses demonstrated that PTSD symptom severity, B<sub>adjusted</sub> = 0.18, 95% CI [0.16, 0.20], R<sup>2</sup> = .37, and anxiety symptom frequency, B<sub>adjusted</sub> = 0.55, 95% CI [0.49, 0.61], R<sup>2</sup> = .33, accounted for the largest proportion of the variance in problematic anger symptom severity. This is the first study to report on problematic anger in a Canadian military/veteran context, and the results suggest that almost two thirds of veterans endorsed problematic anger, which is higher than previously reported prevalence rates. This study is a starting point for better understanding risk and vulnerability factors for problematic anger among Canadian military personnel and veterans and clarifying the associations among problematic anger, PTSD, and anxiety symptoms. Implementing standardized screening for problematic anger may improve diagnostic precision, treatment planning, and outcomes.</p>","PeriodicalId":17519,"journal":{"name":"Journal of traumatic stress","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Problematic anger in a treatment-seeking Canadian veteran population: Prevalence, assessment, and treatment implications.\",\"authors\":\"Maya L Roth, Sonya G Wanklyn, Brian M Bird, Erin Collins, Dominic Gargala, Stephanie A Houle, David Forbes, Anthony Nazarov, J Don Richardson\",\"doi\":\"10.1002/jts.23160\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Anger is a natural, adaptive emotion that is culturally accepted in military settings. Problematic anger (i.e., intense anger paired with significant distress and functional impairment linked to) is gaining attention in military and veteran populations. This study examined problematic anger in 882 Canadian Armed Forces personnel and veterans referred to a specialized mental health clinic. Intake assessments included measures of anger, psychological conditions, and military and demographic variables. Approximately 63% of participants reported problematic anger. Respondents who endorsed problematic anger had higher rates of posttraumatic stress disorder (PTSD) symptom severity, d = 1.06; depression, d = 0.82; anxiety symptom frequency, d = 0.94; and harmful drinking, d = 0.36, ps < .001, compared to those who did not. Sequential linear regression analyses demonstrated that PTSD symptom severity, B<sub>adjusted</sub> = 0.18, 95% CI [0.16, 0.20], R<sup>2</sup> = .37, and anxiety symptom frequency, B<sub>adjusted</sub> = 0.55, 95% CI [0.49, 0.61], R<sup>2</sup> = .33, accounted for the largest proportion of the variance in problematic anger symptom severity. This is the first study to report on problematic anger in a Canadian military/veteran context, and the results suggest that almost two thirds of veterans endorsed problematic anger, which is higher than previously reported prevalence rates. This study is a starting point for better understanding risk and vulnerability factors for problematic anger among Canadian military personnel and veterans and clarifying the associations among problematic anger, PTSD, and anxiety symptoms. Implementing standardized screening for problematic anger may improve diagnostic precision, treatment planning, and outcomes.</p>\",\"PeriodicalId\":17519,\"journal\":{\"name\":\"Journal of traumatic stress\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2025-04-28\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of traumatic stress\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jts.23160\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of traumatic stress","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jts.23160","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Problematic anger in a treatment-seeking Canadian veteran population: Prevalence, assessment, and treatment implications.
Anger is a natural, adaptive emotion that is culturally accepted in military settings. Problematic anger (i.e., intense anger paired with significant distress and functional impairment linked to) is gaining attention in military and veteran populations. This study examined problematic anger in 882 Canadian Armed Forces personnel and veterans referred to a specialized mental health clinic. Intake assessments included measures of anger, psychological conditions, and military and demographic variables. Approximately 63% of participants reported problematic anger. Respondents who endorsed problematic anger had higher rates of posttraumatic stress disorder (PTSD) symptom severity, d = 1.06; depression, d = 0.82; anxiety symptom frequency, d = 0.94; and harmful drinking, d = 0.36, ps < .001, compared to those who did not. Sequential linear regression analyses demonstrated that PTSD symptom severity, Badjusted = 0.18, 95% CI [0.16, 0.20], R2 = .37, and anxiety symptom frequency, Badjusted = 0.55, 95% CI [0.49, 0.61], R2 = .33, accounted for the largest proportion of the variance in problematic anger symptom severity. This is the first study to report on problematic anger in a Canadian military/veteran context, and the results suggest that almost two thirds of veterans endorsed problematic anger, which is higher than previously reported prevalence rates. This study is a starting point for better understanding risk and vulnerability factors for problematic anger among Canadian military personnel and veterans and clarifying the associations among problematic anger, PTSD, and anxiety symptoms. Implementing standardized screening for problematic anger may improve diagnostic precision, treatment planning, and outcomes.
期刊介绍:
Journal of Traumatic Stress (JTS) is published for the International Society for Traumatic Stress Studies. Journal of Traumatic Stress , the official publication for the International Society for Traumatic Stress Studies, is an interdisciplinary forum for the publication of peer-reviewed original papers on biopsychosocial aspects of trauma. Papers focus on theoretical formulations, research, treatment, prevention education/training, and legal and policy concerns. Journal of Traumatic Stress serves as a primary reference for professionals who study and treat people exposed to highly stressful and traumatic events (directly or through their occupational roles), such as war, disaster, accident, violence or abuse (criminal or familial), hostage-taking, or life-threatening illness. The journal publishes original articles, brief reports, review papers, commentaries, and, from time to time, special issues devoted to a single topic.