VA Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105, USA.
J Anxiety Disord. 2012 Mar;26(2):271-8. doi: 10.1016/j.janxdis.2011.12.005. Epub 2011 Dec 16.
Prior research suggests that dissociation and anger are risk factors for the development of posttraumatic stress disorder (PTSD). Research found that trauma survivors with higher levels of anger also report more severe PTSD overall. Studies also support a relationship between PTSD severity and dissociation. Only one prior study of sexual assault survivors by Feeny, Zoellner, and Foa (2000) examined the relationships among dissociation, anger, and PTSD. While Veterans have been found to report high levels of anger and dissociation, the relationship between these factors and PTSD has not been examined among Veterans. This paper examines the relationship among anger, dissociation, and PTSD in treatment-seeking Veterans who presented for evaluation at the PTSD Clinic in the VA Ann Arbor Healthcare System during a four year period. Anger and dissociation predicted PTSD, hyperarousal, and avoidance/numbing severity while dissociation predicted intrusive severity. The implications of these results for clinical practice are discussed.
先前的研究表明，分离和愤怒是创伤后应激障碍（PTSD）发展的风险因素。研究发现，愤怒程度较高的创伤幸存者总体上也报告了更严重的 PTSD。研究还支持 PTSD 严重程度与分离之间的关系。Feeny、Zoellner 和 Foa（2000）对性侵犯幸存者进行的一项先前研究仅检查了分离、愤怒和 PTSD 之间的关系。虽然退伍军人被发现报告了高水平的愤怒和分离，但这些因素与 PTSD 之间的关系尚未在退伍军人中进行检查。本文研究了在四年期间在 VA 安阿伯医疗系统的 PTSD 诊所接受评估的寻求治疗的退伍军人中，愤怒、分离和 PTSD 之间的关系。愤怒和分离预测了 PTSD、警觉过度和回避/麻木的严重程度，而分离预测了侵入性严重程度。讨论了这些结果对临床实践的意义。
