Department of Psychology, Vanderbilt University, 301 Wilson Hall, 11121st Avenue South, Nashville, TN 37203, USA.
Behav Ther. 2010 Mar;41(1):93-105. doi: 10.1016/j.beth.2009.01.004. Epub 2009 Sep 2.
The available empirical literature suggests that anger may be characteristic of posttraumatic stress disorder (PTSD). Meta-analytic strategies were used to evaluate the extent to which the experience of anger is specific to PTSD rather than anxiety disorders in general. Thirty-four anxiety disorder patient samples (n=2,169) from 28 separate studies were included in the analysis. Results yielded a large effect size indicating greater anger difficulties among anxiety disorder patients versus controls. Compared to control samples, a diagnosis of PTSD was associated with significantly greater difficulties with anger than was any other anxiety disorder diagnosis. Other anxiety disorder diagnoses did not differ significantly from each other. However, the specific association between PTSD and anger did vary depending on the anger domain assessed. Difficulties with anger control, anger in, and anger out significantly differentiated PTSD from non-PTSD anxiety disorder samples, whereas difficulties with anger expression, state anger, and trait anger did not. These findings are discussed in the context of future research on the role of anger in PTSD.
现有实证文献表明，愤怒可能是创伤后应激障碍（PTSD）的特征之一。采用元分析策略来评估愤怒体验是 PTSD 的特征，还是焦虑症的一般特征。分析中纳入了来自 28 项独立研究的 34 个焦虑症患者样本（n=2169）。结果表明，与对照组相比，焦虑症患者的愤怒困难程度较大，存在较大的效应量。与任何其他焦虑症诊断相比，PTSD 诊断与愤怒困难的相关性显著更大。其他焦虑症诊断彼此之间没有显著差异。然而，PTSD 与愤怒之间的具体关联因评估的愤怒领域而异。愤怒控制、愤怒内射和愤怒外射方面的困难显著区分了 PTSD 和非 PTSD 焦虑症患者样本，而愤怒表达、状态愤怒和特质愤怒方面的困难则没有。这些发现将在未来关于愤怒在 PTSD 中的作用的研究中进行讨论。
