Okuda Mayumi, Picazo Julia, Olfson Mark, Hasin Deborah S, Liu Shang-Min, Bernardi Silvia, Blanco Carlos
1Department of Psychiatry,New York State Psychiatric Institute,College of Physicians and Surgeons of Columbia University,New York,New York,USA.
2Department of Psychiatry,Instituto de Investigaciones Neuropsiquiátricas Dr. López Ibor,Madrid,Spain.
CNS Spectr. 2015 Apr;20(2):130-9. doi: 10.1017/S1092852914000182.
Little is known about the prevalence and correlates of anger in the community.
We used data derived from a large national sample of the U.S. population, which included more than 34,000 adults ages 18 years and older. We defined inappropriate, intense, or poorly controlled anger by means of self-report of the following: (1) anger that was triggered by small things or that was difficult to control, (2) frequent temper outbursts or anger that lead to loss of control, or (3) hitting people or throwing objects in anger.
The overall prevalence of inappropriate, intense, or poorly controlled anger in the U.S. population was 7.8%. Anger was especially common among men and younger adults, and was associated with decreased psychosocial functioning. Significant and positive associations were evident between anger and parental factors, childhood, and adulthood adverse events. There were strong associations between anger and bipolar disorder, drug dependence, psychotic disorder, borderline, and schizotypal personality disorders. There was a dose-response relationship between anger and a broad range of psychopathology.
A rationale exists for developing screening tools and early intervention strategies, especially for young adults, to identify and help reduce anger.
关于社区中愤怒情绪的患病率及其相关因素，我们所知甚少。
我们使用了来自美国大量全国性样本的数据，其中包括超过34000名18岁及以上的成年人。我们通过自我报告来定义不适当、强烈或控制不佳的愤怒：(1) 由小事引发或难以控制的愤怒；(2) 频繁发脾气或愤怒导致失去控制；(3) 愤怒时打人或扔东西。
美国人群中不适当、强烈或控制不佳的愤怒情绪总体患病率为7.8%。愤怒在男性和年轻人中尤为常见，并且与心理社会功能下降有关。愤怒与父母因素、童年和成年期不良事件之间存在显著的正相关。愤怒与双相情感障碍、药物依赖、精神障碍、边缘型和分裂型人格障碍之间存在密切关联。愤怒与广泛的精神病理学之间存在剂量反应关系。
开发筛查工具和早期干预策略是有道理的，特别是针对年轻人，以识别并帮助减少愤怒情绪。
