Prevalence and correlates of anger in the community: results from a national survey.

Prevalence and correlates of anger in the community: results from a national survey.
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DOI:
10.1017/s1092852914000182
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发表时间:
2015-04
期刊:
影响因子:
3.3
通讯作者:
Blanco C
Blanco C
中科院分区:
医学3区
文献类型:
--
作者:
Okuda M;Picazo J;Olfson M;Hasin DS;Liu SM;Bernardi S;Blanco C

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关于愤怒在社区中的流行程度及其相关性,人们知之甚少。我们使用的数据来自美国人口的全国大样本,其中包括34,000多名18岁及以上的成年人。我们通过自我报告的方式定义了不适当的、强烈的或控制不好的愤怒:1)由小事引发的或难以控制的愤怒;2)频繁的脾气暴发或导致失控的愤怒;或3)愤怒中打人或投掷物品。在美国人口中,不适当、强烈或控制不佳的愤怒的总体流行率为7.8%。愤怒在男性和年轻人中尤其普遍,并与心理社会功能下降有关。愤怒与父母因素、童年和成年期不良事件之间存在明显的正相关。愤怒与双相情感障碍、药物依赖、精神障碍、边缘人格障碍和分裂型人格障碍之间有很强的关联性。愤怒和广泛的精神病理学之间存在剂量-反应关系。开发筛查工具和早期干预策略,特别是针对年轻人,以识别和帮助减少愤怒是有道理的。
Little is known about the prevalence and correlates of anger in the community. We used data derived from a large national sample of the United States population which included more than 34,000 adults ages 18 years and older. We defined inappropriate, intense, or poorly controlled anger by means of self-report of: 1) anger that was triggered by small things or that was difficult to control; 2) frequent temper outbursts or anger that lead to loss of control; or 3) hitting people or throwing objects in anger. The overall prevalence of inappropriate, intense, or poorly controlled anger in the U.S. population was 7.8%. Anger was especially common among men and younger adults, and was associated with decreased psychosocial functioning. Significant and positive associations were evident between anger and parental factors, childhood, and adulthood adverse events. There were strong associations between anger and bipolar disorder, drug dependence, psychotic disorder, borderline, and schizotypal personality disorders. There was a dose-response relationship between anger and a broad range of psychopathology. A rationale exists for developing screening tools and early intervention strategies, especially for young adults, to identify and help reduce anger.