Associations among clinical variables and anger differ by early life adversity among post-9/11 veterans.
Associations among clinical variables and anger differ by early life adversity among post-9/11 veterans.
复制标题
9/11 事件后的退伍军人中，临床变量与愤怒之间的关联因早年生活的逆境而异。
DOI：
10.1002/cpp.2722
复制
发表时间：
2022
影响因子：
3.6
通讯作者：
McGlinchey,ReginaE
中科院分区：
文献类型：
--
作者：
Etchin,AnnaG;Corbo,Vincent;Brown,Emma;Fortier,CatherineB;Fonda,JenniferR;Milberg,WilliamP;Currao,Alyssa;McGlinchey,ReginaE
适应不良的愤怒和攻击性在美国退伍军人中很常见，并增加了社会关系和功能受损、正义参与和暴力的风险。早年生活（18岁之前）的逆境使退伍军人日后更容易患上精神疾病，尽管这与晚年愤怒情绪的增加之间的联系尚不清楚。我们分析了来自创伤性脑损伤和应激障碍转化研究中心的158名9/11后退伍军人的横截面数据，这些退伍军人有或没有早期生活逆境史（ns分别= 109和49）。我们探讨了主要临床变量与当前退伍军人愤怒（愤怒反应维度）之间的关系，以及这些变量与有和没有回顾性自我报告的早期生活逆境史（童年创伤问卷）的参与者之间的关联是否不同。在整个样本中，创伤后应激障碍（PTSD）和抑郁严重程度与当前退伍军人愤怒的相关性最强（βs = 0.261和0.263；p值分别= 0.0022和0.0103）。在没有早期生活逆境的亚样本中，只有PTSD严重程度与愤怒显著相关（β= 0.577,p= 0.0004）。在早期生活逆境亚样本中，这种强关联减弱，不再显著（β= 0.168,p= 0.1007）；相反，焦虑和抑郁严重程度与愤怒表现出中度关联（βs分别为0.243和0.287，p值分别为0.0274和0.0130）。研究结果表明，临床医生应该对有早期生活逆境史的退伍军人进行筛查，以便在出现愤怒时发现抑郁和焦虑。
Maladaptive anger and aggression are common in US military veterans and increase risk for impaired social relationships and functioning, justice‐involvement and violence. Early life (before age 18) adversity predisposes veterans to later life psychopathology, though the link to increased later life anger is unclear. We analysed cross‐sectional data of 158 post‐9/11 veterans from the Translational Research Center for Traumatic Brain Injury and Stress Disorders study with and without a history of early life adversity (ns = 109 and 49, respectively). We explored the relationship among major clinical variables and current veteran anger (Dimensions of Anger Reactions) and whether the associations with these variables differed among participants with and without a history of retrospective self‐reported early life adversity (Childhood Trauma Questionnaire). In the overall sample, posttraumatic stress disorder (PTSD) and depression severities had the strongest associations with current veteran anger (βs = 0.261 and 0.263;p‐values = 0.0022 and 0.0103, respectively). In the subsample without early life adversity, only PTSD severity was significantly associated with anger (β= 0.577,p= 0.0004). In the early life adversity subsample, this strong association weakened and was no longer significant (β= 0.168,p= 0.1007); instead, anxiety and depression severities showed moderate associations with anger (βs = 0.243 and 0.287,p‐values = 0.0274 and 0.0130, respectively). Findings suggest that clinicians should screen veterans with history of early life adversity for depression and anxiety when anger is present.