Jakupcak Matthew, Conybeare Daniel, Phelps Lori, Hunt Stephen, Holmes Hollie A, Felker Bradford, Klevens Michele, McFall Miles E
VA Puget Sound Health Care System, Seattle, WA, USA.
J Trauma Stress. 2007 Dec;20(6):945-54. doi: 10.1002/jts.20258.
Iraq and Afghanistan War veterans were grouped by level of posttraumatic stress disorder (PTSD) symptomatology and compared on self-report measures of trait anger, hostility, and aggression. Veterans who screened positive for PTSD reported significantly greater anger and hostility than those in the subthreshold-PTSD and non-PTSD groups. Veterans in the subthreshold-PTSD group reported significantly greater anger and hostility than those in the non-PTSD group. The PTSD and subthreshold-PTSD groups did not differ with respect to aggression, though both groups were significantly more likely to have endorsed aggression than the non-PTSD group. These findings suggest that providers should screen for anger and aggression among Iraq and Afghanistan War veterans who exhibit symptoms of PTSD and incorporate relevant anger treatments into early intervention strategies.
伊拉克和阿富汗战争退伍军人按创伤后应激障碍(PTSD)症状水平分组,并就特质愤怒、敌意和攻击性的自我报告测量进行比较。PTSD筛查呈阳性的退伍军人报告的愤怒和敌意明显高于亚阈值PTSD组和非PTSD组的退伍军人。亚阈值PTSD组的退伍军人报告的愤怒和敌意明显高于非PTSD组的退伍军人。PTSD组和亚阈值PTSD组在攻击性方面没有差异,不过这两组认可有攻击性的可能性都明显高于非PTSD组。这些发现表明,医疗服务提供者应对表现出PTSD症状的伊拉克和阿富汗战争退伍军人进行愤怒和攻击性筛查,并将相关的愤怒治疗纳入早期干预策略。