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焦虑障碍中的愤怒问题:一项基于人群的研究结果。

Anger problems across the anxiety disorders: findings from a population-based study.

机构信息

Department of Psychology, Florida State University, Tallahassee, Florida 32306, USA.

出版信息

Depress Anxiety. 2011 Feb;28(2):145-52. doi: 10.1002/da.20764. Epub 2010 Dec 13.

DOI:10.1002/da.20764
PMID:21284067
Abstract

BACKGROUND

Previous research examining anger problems among the anxiety disorders has been limited by the use of nonrepresentative samples, univariate analyses, as well as low sample size. The current study examined the association between posttraumatic stress disorder (PTSD), panic disorder (PD), social anxiety disorder, specific phobia (SP), and generalized anxiety disorder (GAD) and anger experience and expression. We hypothesized that greater anger experience and expression would be associated with all anxiety disorders, but that it would be most consistently associated with PTSD and PD diagnoses, and that these relationships would remain significant after controlling for demographics (i.e. age, gender, ethnicity, marital status, and income) and comorbid disorders.

METHODS

Participants included 5,692 (54% female) adults from the National Comorbidity Survey-Replication, a large, nationally representative survey.

RESULTS

Our data suggest that there are unique relationships between multiple anxiety disorders and various indices of anger experience and expression that are not better accounted for by psychiatric comorbidity. Contrary to predictions, PTSD and PD were not consistently associated with anger experience and expression.

CONCLUSIONS

Overall, these findings lend support to the emerging literature demonstrating a potentially important relationship between anxiety disorders and anger problems.

摘要

背景

以往研究焦虑障碍中的愤怒问题受到非代表性样本、单变量分析以及小样本量的限制。本研究考察了创伤后应激障碍(PTSD)、恐慌症(PD)、社交焦虑障碍、特定恐惧症(SP)和广泛性焦虑障碍(GAD)与愤怒体验和表达之间的关联。我们假设,更多的愤怒体验和表达将与所有焦虑障碍相关,但与 PTSD 和 PD 诊断的相关性最一致,并且这些相关性在控制人口统计学因素(即年龄、性别、种族、婚姻状况和收入)和共病障碍后仍然显著。

方法

参与者包括来自国家共病调查-复制的 5692 名成年人(54%为女性),这是一项大型的全国代表性调查。

结果

我们的数据表明,多种焦虑障碍与愤怒体验和表达的各种指标之间存在独特的关系,这些关系不能用精神共病更好地解释。与预测相反,PTSD 和 PD 与愤怒体验和表达并不始终相关。

结论

总体而言,这些发现支持了越来越多的文献,表明焦虑障碍与愤怒问题之间存在潜在的重要关系。

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