Anger, impulsivity and wall/object punching in a sample of U.S. veterans with psychiatric disorders.

Anger, impulsivity and wall/object punching in a sample of U.S. veterans with psychiatric disorders.
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DOI:
10.1016/j.jpsychires.2022.01.036
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发表时间:
2022-03
影响因子:
4.8
通讯作者:
Kimbrel NA
Kimbrel NA
中科院分区:
医学2区
文献类型:
--
作者:
Patel TA;Dillon KH;Cassiello-Robbins C;Calhoun PS;Beckham JC;Kimbrel NA

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非自杀性自残(NSSI)已被认为是自杀企图的最强预测因子之一。在男性退伍军人中,墙壁/物体拳击是一种特别普遍的NSSI形式,与冲动和愤怒有关。本研究的目的是考察冲动对愤怒击打墙壁/物体的间接影响。参与者包括124名退伍军人(32名女性,92名男性),至少有一种精神障碍。三分之一的样本符合NSSI障碍的标准(33.1%),其余样本中近一半支持NSSI。近一半(41.94%)的样本支持墙壁/物体出拳。与我们的假设一致,冲动与愤怒显著相关,而愤怒又与墙壁/物体拳打脚踢显著相关。研究发现,冲动与通过愤怒打墙或打物体间接相关。这些发现强调了评估和治疗参与墙壁/物体拳击的退伍军人愤怒的重要性。提高我们对愤怒和冲动的了解,以及它们与退伍军人中这种特别普遍的NSSI形式的关系,可能会使我们更好地了解退伍军人的自杀风险,并为未来的治疗提供指导。
Nonsuicidal self-injury (NSSI) has been identified as one of the strongest predictors of suicide attempts. Wall/object punching is a particularly prevalent form of NSSI among male veterans that has been linked to both impulsivity and anger. The objective of the present study was to examine the indirect effect of impulsivity on wall/object punching via anger. Participants included 124 veterans (32 identified as women, 92 identified as men) with at least one psychiatric disorder. A third of the sample met criteria for NSSI disorder (33.1%) with nearly a half of the remaining sample endorsing NSSI. Almost half (41.94%) of the sample endorsed wall/object punching. Consistent with our hypothesis, impulsivity was significantly associated with anger, which was, in turn, significantly associated with wall/object punching. Impulsivity was found to be indirectly related to wall/object punching via anger. These findings underscore the significance of assessing and treating anger among veterans engaging in wall/object punching. Improving our knowledge of anger and impulsivity and their relationship with this particularly prevalent form of NSSI among veterans may lead to a better understanding of suicide risk among veterans and inform future treatments.
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