Relations between anger and DSM-5 posttraumatic stress disorder symptoms

被引:10
|
作者
Durham, Tory A. [1 ]
Byllesby, Brianna M. [1 ]
Armour, Cherie [2 ]
Forbes, David [3 ,4 ]
Elhai, Jon D. [1 ,5 ]
机构
[1] Univ Toledo, Dept Psychol, Mail Stop 948,2801 W Bancroft St, Toledo, OH 43606 USA
[2] Univ Ulster, Sch Psychol, Coleraine Campus, Coleraine BT52 1SA, Londonderry, North Ireland
[3] Australian Ctr Posttraumat Mental Hlth, Melbourne, Vic, Australia
[4] Univ Melbourne, Dept Psychiat, Melbourne, Vic, Australia
[5] Univ Toledo, Dept Psychiat, Toledo, OH 43606 USA
关键词
Posttraumatic stress disorder; Anger; DSM-5; Dysphoric arousal; CONFIRMATORY FACTOR-ANALYSIS; DYSPHORIC AROUSAL; LATENT STRUCTURE; 5-FACTOR MODEL; PSYCHOMETRIC PROPERTIES; UNDERLYING DIMENSIONS; ANXIETY DISORDERS; PTSD CHECKLIST; VETERANS; TRAUMA;
D O I
10.1016/j.psychres.2016.08.004
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
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. (C) 2016 Elsevier Ltd. All rights reserved.
引用
收藏
页码:403 / 409
页数:7
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