Relationship of Anger with Alcohol use Treatment Outcome: Follow-up Study

Abstract

Background:Anger is seen as comorbid condition in psychiatric conditions. It has an impact on one's quality of life. It leads to variation in the treatment outcome. The present study is going to explore the relationship of anger with treatment outcome among alcohol users after 1 year of treatment. The data for the present study were taken from the project work on correlates of anger among alcohol users, funded by center for addiction medicine, NIMHANS, Bengaluru, Karnataka, India.Materials and Methods:A total of 100 males (50 alcohol-dependent and 50 abstainers) in the age range of 20–45 years with a primary diagnosis of alcohol dependence were taken for the study. They were administered a semi-structured interview schedule to obtain information about sociodemographic details, information about alcohol use, its relationship with anger and its effects on anger control and the State-Trait Anger Expression Inventory.Results:68% of the dependent and abstainers perceived anger as negative emotion and 76% in control perceived it as negative. The presence of significant difference was seen for relapsers group in relation to trait anger and state anger. The group who remained abstinent from the intake to follow-up differs significantly from the dependent group in relation to state anger and anger control out. Mean score was higher on trait anger for the dependent group.Conclusions:It has implication for anger management intervention/matching of treatment with users attributes and helping the users to develop the behavioral repertoires to manage anger.

Socio-Demographics and Psychological Correlates of Anger Among Individuals Diagnosed with Alcohol Use Disorder In Jordan

“…We have found that the majority of patients had high level of anger inferring that anger among individuals with alcohol use disorder is common. The study finding is supportive for the previous studies that high level of anger is observed among individuals with alcohol use disorder [7]. This could be explained in terms of the destructive effect of alcohol on cognition and emotions as it provokes maladaptive pattern of coping resulted in losing control over self and expression of anger [1].…”

“…The connection also between aggression and alcohol use has also been reported [6]. Not merely during the course of detoxification, but alcohol has also interfered negatively with alcohol use treatment outcomes [7]. This shows the significant role of anger among individuals undergoing treatment of alcohol use disorder and their abilities to sustain their sobriety during and after the detoxification program [8].…”

“…On the other hand, individuals who have higher level of resilience may perform certain strategies to overcome their anger feelings [30]. Despite the limited number of the international studies that addressed the influence of resilience on anger under the effect of alcohol, resilience is well recognized as a safeguard factor against alcohol use and anger related problems [7,14]. The study does sustain this connection between resilience and anger among alcohol users among individuals of culture that strictly prohibit and stigmatize alcohol use.…”

“…The scale consists of 30 items assessing six firstorder factors (attention, motor, self-control, cognitive complexity, perseverance, cognitive instability) and three second-order factors (attentional impulsiveness, motor impulsiveness, and non-planning impulsiveness). The items are scored on a four point scale (Rarely/Never [1], occasionally [2], Often [3], Almost Always/Always [4]), To calculate the scores, items number 1, 7,8,9,10,12,13,15,20,29, 30 scores should be reversed (Patton, Stanford, & Barratt, 1995). For the purposes of this study the total score is obtained, the higher the total score is the higher impulsivity personality trait.…”

Anger and substance abuse: a systematic review and meta-analysis

“…3,[13][14][15][16] Although previous investigations have explored the association of anger with PSU, there are few studies that address aspects of trait anger between users and non-users of psychoactive substances. 17 The frequent and intense anger observed in users of psychoactive substances in clinical treatment has been considered a risk factor for relapse. [18][19][20][21][22] Within this context, the main objective of the present study is to understand, through a systematic review and meta-analysis, the relationship between anger scores in patients using psychoactive substances and non-user controls, including possible moderators such as age, sex, and withdrawal time.…”