Center for Health Care Evaluation, 152-MPD, Veterans Affairs Palo Alto Health Care System, 795 Willow Rd, Menlo Park, CA 94025, United States.
J Anxiety Disord. 2012 Mar;26(2):337-42. doi: 10.1016/j.janxdis.2011.11.012. Epub 2011 Dec 3.
This study examined the relation between posttraumatic stress disorder (PTSD) severity and aggression (verbal, psychological, and physical aggression) in a longitudinal dataset. Participants were 175 males in PTSD residential treatment who were assessed at pre-treatment, post-treatment, and at 4-month follow-up. Post-treatment PTSD severity predicted aggression at post-treatment and 4-month follow-up, adjusting for age, pre-treatment PTSD severity, and pre-treatment aggression. When examining the relation between aggression and specific PTSD symptom clusters, post-treatment Reexperiencing, Avoidance/Numbing and Hyperarousal symptoms predicted aggression at posttreatment and 4-month follow-up. These results support the hypothesis that post-treatment PTSD severity may be an important marker of post-treatment aggression risk and may offer unique information important to clinicians and patients focused on the development and maintenance of adaptive, non-aggressive relationships after intensive PTSD treatment.
这项研究在纵向数据集中考察了创伤后应激障碍（PTSD）严重程度与攻击行为（言语、心理和身体攻击）之间的关系。参与者是 175 名 PTSD 住院治疗的男性，他们在治疗前、治疗后和 4 个月随访时接受了评估。治疗后 PTSD 严重程度可预测治疗后和 4 个月随访时的攻击行为，调整了年龄、治疗前 PTSD 严重程度和治疗前攻击行为。当检查攻击行为与特定 PTSD 症状群之间的关系时，治疗后再体验、回避/麻木和过度警觉症状可预测治疗后和 4 个月随访时的攻击行为。这些结果支持了以下假设，即治疗后 PTSD 严重程度可能是治疗后攻击风险的一个重要指标，并且可能为专注于 PTSD 强化治疗后发展和维持适应性、非攻击性关系的临床医生和患者提供重要的独特信息。
