Anger and Posttraumatic Stress Disorder Symptom Severity in a Trauma-Exposed Military Population: Differences by Trauma Context and Gender.
Anger and Posttraumatic Stress Disorder Symptom Severity in a Trauma-Exposed Military Population: Differences by Trauma Context and Gender.
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遭受创伤的军人的愤怒和创伤后应激障碍症状严重程度：创伤背景和性别的差异。
DOI：
10.1002/jts.22050
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发表时间：
2015
影响因子：
3.3
通讯作者：
Ahern,Jennifer
中科院分区：
文献类型：
--
作者：
Worthen,Miranda;Rathod,SujitD;Cohen,Gregory;Sampson,Laura;Ursano,Robert;Gifford,Robert;Fullerton,Carol;Galea,Sandro;Ahern,Jennifer
研究发现，在军人群体中，愤怒与创伤后应激障碍（PTSD）严重程度之间的联系比在非军人群体中更强。人们提出了两种假设来解释这种差异：军人比普通人更容易愤怒，在部署过程中经历的创伤比非部署过程中经历的创伤更容易产生愤怒。为了检验这些假设，我们使用线性回归评估了从未部署过且有非部署创伤的军人（n= 226）和部署过且有部署创伤的军人（n= 594）的愤怒与创伤后应激障碍严重程度之间的关系。我们进一步研究了按性别分层的这些关联。在非部署和部署事件中，愤怒和创伤后应激障碍严重程度之间的双变量关联相似；然而，性别改变了这种联系。对于男性来说，部署事件的相关性强于非部署事件（β = 0.18,r= 0.53 vs. β = 0.16,r= 0.37），而对于女性来说则相反（部署：β = 0.20,r= 0.42 vs.非部署：β = 0.25,r= 0.65）。在男性中，研究结果支持了一种假设，即部署创伤在PTSD和愤怒之间产生了更强的联系，这与假设的人群差异不一致。然而，在女性身上，这两种假设都没有明显的契合。
Studies have found a stronger association between anger and posttraumatic stress disorder (PTSD) severity in military populations than in nonmilitary populations. Two hypotheses have been proposed to explain this difference: Military populations are more prone to anger than nonmilitary populations, and traumas experienced on deployment create more anger than nondeployment traumas. To examine these hypotheses, we evaluated the association between anger and PTSD severity among never‐deployed military service members with nondeployment traumas (n= 226) and deployed service members with deployment traumas (n= 594) using linear regression. We further examined these associations stratified by gender. Bivariate associations between anger and PTSD severity were similar for nondeployment and deployment events; however, gender modified this association. For men, the association for deployment events was stronger than for nondeployment events (β = .18,r= .53 vs. β = .16,r= .37, respectively), whereas the reverse was true for women (deployment: β = .20,r= .42 vs. nondeployment: β = .25,r= .65). Among men, findings supported the hypothesis that deployment traumas produce stronger associations between PTSD and anger and are inconsistent with hypothesized population differences. In women, however, there was not a clear fit with either hypothesis.