The Relationship Between Emotion Dysregulation and Impulsive Aggression in Veterans With Posttraumatic Stress Disorder Symptoms

Journal of Interpersonal Violence - Tập 31 Số 10 - Trang 1795-1816 - 2016
Shannon R. Miles1,2,3, Deleene S. Menefee1,2,3, Jill L. Wanner1,2, Andra Teten Tharp1, Thomas A. Kent4,1,2,3
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston TX USA
2Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA
3South Central Mental Illness, Research, Education and Clinical Center (MIRECC), Department of Veterans Affairs, Houston, TX, USA
4Department of Neurology, Baylor College of Medicine, Houston, TX, USA

Tóm tắt

While Veterans in general are no more dangerous than the civilian population, Veterans with posttraumatic stress disorder (PTSD) have stronger associations with anger and hostility and certain forms of aggression, such as intimate partner violence, than civilians with PTSD. This is alarming because up to 21% of Veterans seeking Veterans Affairs (VA) health care are diagnosed with PTSD. Emotion regulation difficulties (emotion dysregulation) are also related to increased PTSD symptom severity and may play a role in aggressive behavior. Because the predominant form of aggression in PTSD appears to be the impulsive subtype, the authors sought to clarify the relationship between PTSD, emotion dysregulation, and impulsive aggression. We examined how emotion dysregulation influenced impulsive aggression in a Veteran sample ( N = 479) seeking treatment for trauma sequelae. All Veterans completed measures that assessed demographic information, emotion dysregulation, aggression frequency and subtype, and PTSD symptoms. Men generally reported more aggression than women. The emotion dysregulation, aggression, and PTSD measures were significantly correlated. Two cross-sectional mediation models showed emotion dysregulation fully accounted for the relationship between PTSD and impulsive aggression (indirect path for men: b = .07, SE = .026, bias-correct and accelerated confidence interval [BCa CI] = [0.02, 0.13]; indirect path for women: b = .08, SE = .022, BCa CI = [0.05, 0.13]). PTSD can increase negative emotions yet does not always lead to aggressive behaviors. The ability to regulate emotions may be pivotal to inhibiting aggression in those with PTSD. PTSD interventions may benefit from augmentation with emotion regulation skills training.

Từ khóa


Tài liệu tham khảo

10.1002/jts.20336

American Psychiatric Association, 2000, Diagnostic and statistical manual of mental disorders, 4

10.1176/appi.books.9780890425596

10.1016/j.janxdis.2013.01.003

10.1097/00004714-199710000-00002

10.1016/S0006-3223(96)00175-8

Blake D. D., 1990, Behavior Therapist, 18, 187

10.1159/000173701

10.1002/jts.21733

10.1007/s10896-007-9072-4

10.2147/NDT.S17130

10.1017/S0033291713000068

10.1037//0022-006X.69.3.567

10.1037/0022-006x.70.5.1067

Cohen J., 1988, Statistical power analysis in the behavioral sciences, 2

10.1037/a0021156

10.1016/j.janxdis.2010.06.017

Ekman P., 2007, Emotions revealed: Recognizing faces and feelings to improve communication and emotional life, 2

10.1176/appi.ajp.2010.09050739

10.1016/j.janxdis.2010.08.003

10.1002/jts.21840

10.1037/a0027649

10.1023/B:JOBA.0000007455.08539.94

10.1007/s10862-008-9102-4

Gross J. J., 2014, Handbook of emotion regulation, 2, 3

10.1037/0022-3514.85.2.348

Grossman D., 1996, On killing: The psychological costs of learning to kill in war and society

10.1093/oxfordhb/9780195366877.013.0009

10.1080/03637750903310360

10.1037/0022-006X.64.6.1152

10.1002/jts.21732

10.1111/j.1755-5949.2009.00100.x

Hoge C. W., 2010, Once a warrior always a warrior: Navigating the transition from combat to home including combat stress, PTSD, and mTBI

10.1037/10090-002

10.1002/jts.20258

10.1002/da.21914

10.1002/jts.20278

Linehan M. M., 1993, Cognitive-behavioral treatment of borderline personality disorder

10.1016/j.cpr.2005.05.009

10.1176/appi.neuropsych.20.3.261

10.1146/annurev-clinpsy-032511-143109

Norris F. H., 2007, Handbook of PTSD: Science and practice, 78

10.1037/0022-006X.74.4.698

Panksepp J., 2008, Handbook of emotions, 3, 47

10.3758/BF03206553

10.1080/08995605.2012.678197

10.1016/j.avb.2011.09.006

Stanford M. S., 2011, Procedures for the classification of aggressive/violent acts

10.1177/1073191103010002009

10.1037/lhb0000035

10.1682/JRRD.2011.09.0156

10.1037/a0022196

10.1177/1754073910388685

10.7205/MILMED-D-09-00215

10.1177/0886260509354583

10.1016/j.paid.2010.10.003

10.1016/j.beth.2006.10.001

10.1007/s10608-011-9393-8

10.1002/da.1029

Weathers F. W., 1993, Paper presented at the annual convention of the International Society for Traumatic Stress Studies

10.2174/1874440000802010029

10.1371/journal.pone.0050891

10.1016/j.janxdis.2012.01.007

Thông tin
Thông tin xuất bản

Journal of Interpersonal Violence

Tập 31 Số 10

1795-1816

Thông tin tác giả