Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorder

Journal of Traumatic Stress - Tập 21 Số 2 - Trang 142-149 - 2008
David Forbes1, Ruth Parslow2, Mark Creamer1, Nicholas B. Allen2, Tony McHugh3, Mal Hopwood3
1Australian Centre for Posttraumatic Mental Health and Department of Psychiatry, University of Melbourne, Victoria, Australia
2ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Victoria, Australia
3Veterans' Psychiatry Unit, Austin Health, Heidelberg, Victoria Australia

Tóm tắt

AbstractResearch has identified anger as prominent in, and an influence on, treatment outcome for military veterans with posttraumatic stress disorder (PTSD). This study examined factors influencing the relationship between anger and outcome to improve treatment effectiveness. Participants comprised 103 veterans attending PTSD treatment. Measures of PTSD and comorbidity were obtained at intake and 9‐month follow‐up. Measures also included potential mediators of therapeutic alliance, social support, problematic/undermining relationships and fear of emotion. Path analyses supported anger as a predictor of treatment outcome, with only fear of anger and alcohol comorbidity accounting for the variance between anger and outcome. To improve treatment effectiveness, clinicians need to assess veterans' anger, aggression, and alcohol use, as well as their current fear of anger and elucidate the relationship between these factors.

Từ khóa


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Thông tin xuất bản

Journal of Traumatic Stress

Tập 21 Số 2

142-149

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