Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans.
Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans.
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DOI：
10.1037/rep0000178
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发表时间：
2018-03
影响因子：
2.7
通讯作者：
Calhoun PS
中科院分区：
文献类型：
--
作者：
Van Voorhees EE;Moore DA;Kimbrel NA;Dedert EA;Dillon KH;Elbogen EB;Calhoun PS
在退伍军人中观察到，攻击性驾驶导致部署后机动车相关伤害和死亡的高比率，退伍军人将愤怒、攻击性驾驶和路怒问题列为他们最紧迫的驾驶相关问题。在寻求治疗的退伍军人样本中，创伤后应激障碍(PTSD)和创伤性脑损伤(TBI)都与驾驶相关缺陷有关，但在更广泛的战斗退伍军人中，这些疾病对攻击性驾驶问题的相对贡献尚不清楚。我们使用卡方和Logistic回归分析来检验创伤后应激障碍、创伤后应激障碍以及同时发生的创伤后应激障碍和创伤后创伤后应激障碍与自我报告的道路愤怒问题之间的相关性。结果表明，控制相关的人口统计学变量，无创伤的创伤后应激障碍(OR=3.44，p&t；.001)和伴有创伤后应激障碍(OR=4.71，p&t；.001)的创伤后应激障碍与道路愤怒的风险增加相关，而无创伤后应激障碍与道路愤怒的风险增加无关。我们的发现表明，无论是否合并脑损伤，创伤后应激障碍可能与退伍军人攻击性驾驶的风险增加有关。讨论了治疗道路愤怒问题的临床意义，包括针对敌对解释偏见的干预措施的使用，以及情绪和生理唤醒调节技能的训练。
Aggressive driving contributes to the high rates of post-deployment motor vehicle-related injury and death observed among veterans, and veterans cite problems with anger, aggressive driving, and road rage as being among their most pressing driving-related concerns. Both posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) have been associated with driving-related deficits in treatment-seeking samples of veterans, but the relative contribution of each of these conditions to problems with aggressive driving in the broader population of combat veterans is unclear. Chi-square and logistic regression analyses were used to examine the relative association of PTSD, TBI, and co-occurring PTSD and TBI to self-reported problems with road rage in a sample of 1102 veterans living in the mid-Atlantic region of the United States who had served in Afghanistan or Iraq. Results indicate that controlling for relevant demographic variables, PTSD without TBI (OR=3.44, p<.001), and PTSD with co-occurring TBI (OR=4.71, p<.001) were associated with increased risk of road rage, but TBI without PTSD was not. Our findings suggest that PTSD, with or without comorbid TBI, may be associated with increased risk of aggressive driving in veterans. Clinical implications for treating problems with road rage are discussed, including use of interventions targeting hostile interpretation bias and training in emotional and physiological arousal regulation skills.
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影响因子：
3.3
作者：
Dursa, Erin K.;Reinhard, Matthew J.;Schneiderman, Aaron I.
通讯作者：
Schneiderman, Aaron I.
影响因子：
2
作者：
Lew, Henry L.;Amick, Melissa M.;Cifu, David X.
通讯作者：
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影响因子：
56.9
作者：
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通讯作者：
PETTIT, GS
影响因子：
4.1
作者：
Forbes, D;Creamer, M;Biddle, D
通讯作者：
Biddle, D
影响因子：
2.9
作者：
Classen, Sherrilene;Levy, Charles;Waid-Ebbs, J. Kay
通讯作者：
Waid-Ebbs, J. Kay