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。

IF 2.4 3区 医学 Q2 PSYCHIATRY
Maya L Roth, Sonya G Wanklyn, Brian M Bird, Erin Collins, Dominic Gargala, Stephanie A Houle, David Forbes, Anthony Nazarov, J Don Richardson
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引用次数: 0

摘要

愤怒是一种自然的、适应性的情绪,在军事环境中被文化所接受。在军人和退伍军人群体中,有问题的愤怒(即强烈的愤怒伴随着显著的痛苦和功能障碍)正受到越来越多的关注。这项研究调查了882名到专门心理健康诊所就诊的加拿大武装部队人员和退伍军人的愤怒问题。入院评估包括愤怒、心理状况、军事和人口变量的测量。大约63%的参与者报告了有问题的愤怒。认同问题性愤怒的被调查者有较高的创伤后应激障碍(PTSD)症状严重程度,d = 1.06;抑郁,d = 0.82;焦虑症状频次,d = 0.94;有害饮酒,d = 0.36, ps调整后= 0.18,95% CI [0.16, 0.20], R2 = 0.37,焦虑症状频度,b调整后= 0.55,95% CI [0.49, 0.61], R2 = 0.33,在问题性愤怒症状严重程度的方差中占最大比例。这是第一个在加拿大军队/退伍军人的背景下报道问题性愤怒的研究,结果表明,几乎三分之二的退伍军人认同问题性愤怒,这比之前报道的患病率要高。本研究为更好地了解加拿大军人和退伍军人问题性愤怒的风险和脆弱性因素,并阐明问题性愤怒、创伤后应激障碍和焦虑症状之间的联系提供了一个起点。对问题性愤怒实施标准化筛查可以提高诊断准确性、治疗计划和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
CiteScore
5.80
自引率
6.10%
发文量
125
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.
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