对患有创伤后应激障碍的男性退伍军人的攻击性及其与愤怒和敌意的关联进行特征描述。
Characterizing aggression and its association to anger and hostility among male veterans with post-traumatic stress disorder.
作者信息
Teten Andra L, Miller Lisa A, Stanford Matthew S, Petersen Nancy J, Bailey Sara D, Collins Robert L, Dunn Nancy Jo, Kent Thomas A
机构信息
Mental Health Care Line, Michael E. DeBakey Veterans Affairs Medical Center, 2002 Holcombe Blvd., Houston, TX 77030, USA.
出版信息
Mil Med. 2010 Jun;175(6):405-10. doi: 10.7205/milmed-d-09-00215.
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.
目的
愤怒、敌意、攻击行为与创伤后应激障碍（PTSD）之间关联的基础仍不明确。我们认为对攻击行为进行分类可能会阐明这些因素之间的关联。基于冲动性攻击（IA）与PTSD在诊断和神经生物学方面的相似性，我们提出IA是PTSD中攻击行为的主要形式，并且当IA也作为预测因素纳入时，愤怒和敌意不会显著预测PTSD。
方法
我们使用了从两组男性退伍军人样本（N = 136）中获得的横断面自我报告数据。
结果
超过70%的PTSD退伍军人报告有IA，而无PTSD的退伍军人中这一比例为29%。显著预测PTSD诊断的是IA，而非愤怒、敌意或预谋性攻击。
结论
愤怒与PTSD之间的关联可能是IA个体所特有的，分别考虑冲动性攻击者和预谋性攻击者可能解释了患有PTSD的攻击性退伍军人样本中发现的异质性。
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