Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members.
Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members.
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男性和女性国民警卫队和预备役军人的愤怒问题和创伤后应激障碍。
DOI：
10.1016/j.jpsychires.2014.04.004
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发表时间：
2014
影响因子：
4.8
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
愤怒是退伍军人的一个常见问题，并与创伤后应激障碍（PTSD）有关。本研究旨在通过检查性别差异和触发创伤性事件是否与部署相关而非与现役军人相关的差异来提高对愤怒和创伤后应激障碍如何共同发生的理解。一个具有代表性的队列的储备和国民警卫队服务人员（n= 1293）进行了采访，以评估部署或与部署有关的创伤，创伤后应激障碍和愤怒。男性（n= 1036）和女性（n= 257）的服务成员之间的自我报告的愤怒问题的患病率进行了估计。对数泊松回归模型与强大的标准误差被用来估计与愤怒的问题与创伤后应激障碍和创伤后应激障碍症状的严重程度为男性和女性的关联。男性（53.0%）和女性（51.3%）的服务人员中，自我报告的愤怒问题是常见的。调整后的患病率（PR）显示，愤怒和创伤后应激障碍与平民和部署相关的创伤（PR分别为1.77（95%CI 1.52-2.05）和1.85（95%CI 1.62-2.12））之间的关联。PTSD症状的严重程度也与愤怒有关。这项研究是横断面的，因此PTSD和愤怒之间的因果关系无法建立。愤怒的问题在男性和女性现任警卫和预备役成员中很常见。这些研究结果表明，愤怒的治疗应提供给当前的服务成员，临床医生应评估愤怒的问题，无论性别。未来的研究应该检查愤怒治疗方案的有效性。
Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n= 1293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n= 1036) and female (n= 257) service members. Log Poisson regression models with robust standard errors were used to estimate the associations of problems with anger with PTSD and PTSD symptom severity for men and women. Self-reported anger problems were common among male (53.0%) and female (51.3%) service members. Adjusted prevalence ratios (PR) showed associations between anger and PTSD connected to both civilian- and deployment-related traumas (PR were 1.77 (95% CI 1.52–2.05) and 1.85 (95% CI 1.62–2.12), respectively). PTSD symptom severity was also associated with anger. This study was cross-sectional and so a causal relationship between PTSD and anger cannot be established. Problems with anger are common among male and female current Guard and Reserve members. These findings suggest that anger treatment should be made available to current service members and that clinicians should assess anger problems irrespective of gender. Future research should examine the effectiveness of anger treatment protocols by gender.