Characterizing Aggression and Its Association to Anger and Hostility Among Male Veterans With Post-Traumatic Stress Disorder
Characterizing Aggression and Its Association to Anger and Hostility Among Male Veterans With Post-Traumatic Stress Disorder
复制标题
DOI：
10.7205/milmed-d-09-00215
复制
发表时间：
2010-06-01
影响因子：
1.2
通讯作者：
Kent, Thomas A.
中科院分区：
文献类型：
--
作者：
Teten, Andra L.;Miller, Lisa A.;Kent, Thomas A.
目的：愤怒、敌意、攻击行为和创伤后应激障碍（PTSD）之间联系的基础尚不清楚。我们建议对攻击行为进行分类可以阐明这些因素之间的联系。基于冲动性攻击与PTSD在诊断和神经生物学上的相似性，我们提出冲动性攻击是PTSD中主要的攻击形式，当冲动性攻击也作为预测因素时，愤怒和敌意不能显著预测PTSD。方法：采用2例男性退伍军人（N = 136）的横断面自述数据。结果：超过70%患有PTSD的退伍军人报告了IA，而没有PTSD的退伍军人只有29%报告了IA。IA，而不是愤怒、敌意或有预谋的攻击，能显著预测PTSD的诊断。结论：愤怒与创伤后应激障碍之间的联系可能是IA个体所特有的，将冲动性和有预谋的攻击者分开考虑可能解释了攻击性创伤后应激障碍退伍军人样本中的异质性。
Objectives: The basis for the associations among anger, hostility, aggressive behavior, and post-traumatic stress disorder (PTSD) remains unclear. We suggest classifying aggressive behavior may elucidate the associations among these factors. On the basis of diagnostic and neurobiological similarities between impulsive aggression (IA) and PTSD, we proposed that IA was the predominant form of aggression in PTSD and that anger and hostility would not significantly predict PTSD when IA was also included as a predictor. Methods: We used cross-sectional self-report data obtained from two samples of male veterans (N = 136). Results: Over 70% of veterans with PTSD reported IA compared to 29% of those without PTSD. IA, not anger, hostility, or premeditated aggression significantly predicted a diagnosis of PTSD. Conclusions: Associations between anger and PTSD may be unique to individuals with IA, and considering impulsive and premeditated aggressors separately may account for the heterogeneity found within samples of aggressive veterans with PTSD.