Assessment and treatment of posttraumatic anger and aggression: A review

Taft, Casey T.; Creech, Suzannah K.; Kachadourian, Lorig K.

doi:10.1682/jrrd.2011.09.0156

Cited by 66 publications

(49 citation statements)

References 61 publications

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“…The prevalence of anger in this population is comparable to recent veteran populations (Pew Research Center, 2011; Sayer et al, 2010; Wheeler, 2007), suggesting problems with anger likely precede separation from the military. While no studies have examined the effectiveness of treatment for anger problems in current service members and only a few have examined these treatments in veterans, there is general support for the effectiveness of anger treatment in reducing anger problems (Taft et al, 2012). Given that anger is a problem for half of Guard and Reserve members, treatment opportunities should be made available to current service members.…”

Section: Discussionmentioning

confidence: 99%

“…Second, the present analysis was cross-sectional in nature and thus we are unable to establish whether anger problems developed after PTSD or whether anger problems pre-existed exposure to trauma or the development of PTSD. This is a limitation in common with most of the research examining anger and PTSD in military populations, which tends to focus on these two factors’ co-occurrence rather than focusing on establishing a causal relationship (Taft et al, 2012). As there is some question in the literature about the temporality of how anger problems impact the phenomenology of PTSD (e.g.…”

Section: Discussionmentioning

confidence: 99%

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Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members

Worthen

Rathod

Cohen

et al. 2014

Journal of Psychiatric Research

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Anger is a common problem among veterans and has been associated with posttraumatic stress disorder (PTSD). This study aimed to improve understanding of how anger and PTSD co-occur by examining gender differences and differences by whether the triggering traumatic event is deployment-related vs. civilian-related in current service members. A representative cohort of Reserve and National Guard service personnel (n = 1,293) were interviewed to assess for deployment- or civilian-related traumas, PTSD, and anger. The prevalence of self-reported anger problems was estimated among male (n = 1,036) and female (n = 257) service members. Log Poisson regression models with robust standard errors were used to estimate the associations of problems with anger with PTSD and PTSD symptom severity for men and women. Self-reported anger problems were common among male (53.0%) and female (51.3%) service members. Adjusted prevalence ratios (PR) showed associations between anger and PTSD connected to both civilian- and deployment-related traumas (PR were 1.77 (95% CI 1.52 – 2.05) and 1.85 (95% CI 1.62 – 2.12), respectively). PTSD symptom severity was also associated with anger. This study was cross-sectional and so a causal relationship between PTSD and anger cannot be established. Problems with anger are common among male and female current Guard and Reserve members. These findings suggest that anger treatment should be made available to current service members and that clinicians should assess anger problems irrespective of gender. Future research should examine the effectiveness of anger treatment protocols by gender.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members

Worthen

Rathod

Cohen

et al. 2014

Journal of Psychiatric Research

View full text Add to dashboard Cite

show abstract

“…Other measures administered at baseline include a Readiness to Change ruler (31) to gauge the participant’s stage of change in dealing differently with anger, and the Post- Traumatic Stress Disorder Checklist-Civilian Version (PCL-C; 32) due to the known association between irritability and PTSD (33). The level of habitual alcohol use during the previous year is measured by the interview version of the AUDIT (34).…”

Section: Design and Methodsmentioning

confidence: 99%

Anger self-management in chronic traumatic brain injury: protocol for a psycho-educational treatment with a structurally equivalent control and an evaluation of treatment enactment

Hart

Brockway

Fann

et al. 2015

Contemporary Clinical Trials

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Anger and irritability are important and persistent clinical problems following traumatic brain injury (TBI). Treatment options include medications, behavioral modification, and psychotherapies, but some are impractical and none have proven efficacy with this population. We describe a randomized multi-center clinical trial testing a novel, one-on-one, 8-session psychoeducational treatment program, Anger Self-Management Training (ASMT), designed specifically for people with TBI who have significant cognitive impairment. The trial is notable for its use of a structurally equivalent comparison treatment, called Personal Readjustment and Education (PRE), which was created for the study and is intended to maximize equipoise for both participants and treaters. Fidelity assessment is conducted in real time and used in therapist supervision sessions. The primary outcome is change in self-reported anger on validated measures from pre-treatment to 1 week after the final session. Secondary outcomes include participant anger as reported by a significant other; emotional distress in domains other than anger/ irritability; behavioral functioning; and quality of life. An interim assessment after the 4th session will allow examination of the trajectory of any observed treatment effects, and a follow-up assessment 2 months after the end of intervention will allow examination of persistence of effects. A treatment enactment phase, in which participants are interviewed several months after the last therapy session, is designed to provide qualitative data on whether and to what extent the principles and techniques learned in treatment are still carried out in daily life.

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“…However, as migrants are unlikely to be a random sample and since those factors influencing conflict perceptions might also affect the initial decision to migrate, the Appendix discusses an analysis that focuses on both non-migrants and migrants who 56 They provide empirical support for their theoretical argument by studying study the Chilean earthquake of 2010. 57 Haer and Böhmelt 2016;Taft, Creech, and Kachadourian 2012;Holt, Buckley, and Whelan 2008;Garbarino 1995;Berkowitz 1993;Nordstrom 1992;Bandura 1973. originally come from the same area. When comparing individuals who have stayed in the area with those who have left, we are able to isolate the effect of environmental stressors on the decision to migrate as comparing individuals from the same region ensures that the context for all individuals is identical; at the same time, we can effectively control for selection effects.…”

Section: Survey Overviewmentioning

confidence: 99%

The Determinants of Environmental Migrants' Conflict Perception

Koubi¹,

Böhmelt²,

Spilker³

et al. 2018

Int Org

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Migration is likely to be a key factor linking climate change and conflict. However, our understanding of the factors behind and consequences of migration is surprisingly limited. We take this shortcoming as a motivation for our research and study the relationship between environmental migration and conflict at the micro level. In particular, we focus on environmental migrants' conflict perceptions to shed new theoretical and empirical light on this debate. We contend that variation in migrants' conflict perception can be explained by the type of environmental event people experienced in their former home, i.e., gradual, long-term or sudden onset, short-term environmental changes. We examine and further develop this argument before quantitatively analyzing newly collected micro-level data on intra-state migration from five developing countries. The results emphasize that migrants who suffered from gradual, long-term environmental events in their former homes are more likely to perceive conflict in their new location than those having experienced sudden, short-term environmental events. These findings are therefore in line with our theoretical argument that environmental migrants who suffer to a large degree from environmentally induced grievances, are ultimately more likely to perceive conflict and challenges in their new homes.

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Assessment and treatment of posttraumatic anger and aggression: A review

Cited by 66 publications

References 61 publications

Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members

Anger problems and posttraumatic stress disorder in male and female National Guard and Reserve Service members

Anger self-management in chronic traumatic brain injury: protocol for a psycho-educational treatment with a structurally equivalent control and an evaluation of treatment enactment

The Determinants of Environmental Migrants' Conflict Perception

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