愤怒经历和表达与亲密伴侣关系中退伍军人自杀想法之间的关联。
The association between anger experiences and expression and veteran suicidal thoughts in intimate couple relationships.
机构信息
Department of Psychology, Harvard University, Cambridge, Massachusetts.
Semel Institute of Neuroscience and Human Behavior, University of California, Los Angeles, Los Angeles, CA.
出版信息
J Clin Psychol. 2020 Oct;76(10):1869-1881. doi: 10.1002/jclp.22960. Epub 2020 May 14.
OBJECTIVE
Anger has been identified as a risk factor for suicide in veterans with posttraumatic stress disorder (PTSD), theoretically because it erodes social support networks. In romantic relationships, the transactional properties of anger on suicidal ideation (SI) have not been explored.
METHODS
Veterans (n = 138) and their significant others (S-Os; total N = 276) completed assessments on anger and SI as part of a baseline assessment in a treatment outcome study for veterans with PTSD and their S-Os. Actor Partner Interdependence Moderation Model (APIMoM) with Multilevel Modeling (MLM) was conducted.
RESULTS
Veteran and S-Os verbal and anger expression were associated with veteran's SI, while S-Os' physical anger expression was associated with veteran's SI. S-Os' feeling angry was associated with veteran's SI. Veteran angry temperament was associated with veteran SI.
DISCUSSION
Anger should be considered an assessment and treatment target in veterans with PTSD with SI and their S-Os.
目的
愤怒已被确定为创伤后应激障碍（PTSD）退伍军人自杀的一个风险因素，理论上是因为它破坏了社会支持网络。在浪漫关系中，愤怒对自杀意念（SI）的交易特性尚未得到探讨。
方法
作为 PTSD 退伍军人及其重要他人（S-O）治疗结果研究的基线评估的一部分，退伍军人（n=138）及其 S-O 完成了关于愤怒和 SI 的评估。采用 Actor Partner Interdependence Moderation Model（APIMoM）与 Multilevel Modeling（MLM）进行分析。
结果
退伍军人和 S-O 的言语和愤怒表达与退伍军人的 SI 有关，而 S-O 的身体愤怒表达与退伍军人的 SI 有关。S-O 的愤怒感与退伍军人的 SI 有关。退伍军人的愤怒气质与退伍军人的 SI 有关。
讨论
对于有 SI 的 PTSD 退伍军人及其 S-O，愤怒应该被视为评估和治疗的目标。
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