Department of Psychology, University of Toledo, Toledo, OH, USA.
School of Psychology, University of Ulster, Coleraine Campus, Northern Ireland, UK.
Psychiatry Res. 2016 Oct 30;244:403-9. doi: 10.1016/j.psychres.2016.08.004. Epub 2016 Aug 5.
The present study investigated the relationship between posttraumatic stress disorder (PTSD) and anger. Anger co-occurring with PTSD is found to have a severe effect across a wide range of traumatic experiences, making this an important relationship to examine. The present study utilized data regarding dimensions of PTSD symptoms and anger collected from a non-clinical sample of 247 trauma-exposed participants. Confirmatory factor analysis (CFA) was used to determine the underlying factor structure of both PTSD and anger by examining anger in the context of three models of PTSD. Results indicate that a five-factor representation of PTSD and one-factor representation of anger fit the data best. Additionally, anger demonstrated a strong relationship with the dysphoric arousal and negative alterations in cognitions and mood (NACM) factors; and dysphoric arousal was differentially related to anger. Clinical implications include potential need to reevaluate PTSD's diagnostic symptom structure and highlight the potential need to target and treat comorbid anger in individuals with PTSD. In regard to research, these results support the heterogeneity of PTSD.
本研究探讨了创伤后应激障碍(PTSD)与愤怒之间的关系。研究发现,与 PTSD 共病的愤怒在各种创伤经历中产生严重影响,因此这是一个值得研究的重要关系。本研究利用了来自 247 名创伤暴露参与者的 PTSD 症状和愤怒维度的非临床样本数据。通过在 PTSD 的三种模型中考察愤怒,验证性因子分析(CFA)用于确定 PTSD 和愤怒的潜在因子结构。结果表明,PTSD 的五因素表示和愤怒的单因素表示最适合数据。此外,愤怒与心境低落唤醒和认知及情绪的负性改变(NACM)因素密切相关;心境低落唤醒与愤怒的关系也不同。临床意义包括可能需要重新评估 PTSD 的诊断症状结构,并强调需要针对 PTSD 患者共病的愤怒进行治疗。在研究方面,这些结果支持 PTSD 的异质性。