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Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorder
Author(s) -
Forbes David,
Parslow Ruth,
Creamer Mark,
Allen Nicholas,
McHugh Tony,
Hopwood Mal
Publication year - 2008
Publication title -
journal of traumatic stress
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.259
H-Index - 134
eISSN - 1573-6598
pISSN - 0894-9867
DOI - 10.1002/jts.20315
Subject(s) - anger , comorbidity , psychology , clinical psychology , psychiatry , posttraumatic stress , aggression , poison control , injury prevention , medicine , medical emergency
Research has identified anger as prominent in, and an influence on, treatment outcome for military veterans with posttraumatic stress disorder (PTSD). This study examined factors influencing the relationship between anger and outcome to improve treatment effectiveness. Participants comprised 103 veterans attending PTSD treatment. Measures of PTSD and comorbidity were obtained at intake and 9‐month follow‐up. Measures also included potential mediators of therapeutic alliance, social support, problematic/undermining relationships and fear of emotion. Path analyses supported anger as a predictor of treatment outcome, with only fear of anger and alcohol comorbidity accounting for the variance between anger and outcome. To improve treatment effectiveness, clinicians need to assess veterans' anger, aggression, and alcohol use, as well as their current fear of anger and elucidate the relationship between these factors.