State Anger and the Risk of Injury: A Case-Control and Case-Crossover Study

Vinson, Daniel C.; Arelli, Vineesha

doi:10.1370/afm.390

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…In a combined case-control and case-crossover study Vinson et al found an association between state anger and risk of injury. In sub-analyses of different types of injury they reported increased risk estimates for fall injuries however statistically non-significant [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…In a study among children aged 10–15 we have established that different kinds of emotional states, caused by peer victimization as well as perceived school failure have the potential to trigger unintentional injuries [ 12 - 15 ]. Another study has shown that although anger is strongly related to intentional injuries among adult men and women it does not seem to have the same impact on fall injuries [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

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Emotional stress as a trigger of falls leading to hip or pelvic fracture. Results from the ToFa study – a case-crossover study among elderly people in Stockholm, Sweden

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Emotional stress as a trigger of falls leading to hip or pelvic fracture. Results from the ToFa study – a case-crossover study among elderly people in Stockholm, Sweden

et al. 2009

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“…13 Anger is associated with intentional injury infl icted by another person, but not with fall and traffi c injuries.…”

Section: Quality Communication Anger and Depressionmentioning

confidence: 98%

In This Issue: Diabetes Quality of Care

Stange¹

2006

The Annals of Family Medicine

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Two important and, until recently, undervalued research traditions are brought together in a research study, a case study, and an editorial in this issue. The study by Westfall and colleagues 1 surveys practice-based research networks (PBRNs) and fi nds that more than one half have a method to engage community members and/or patients in their research. In a related case study available online in the Annals, the Community Advisory Council for the High Plains Research Network describes their experience of participating in practice-based network research.2 These articles show the potential for PBRNs to bridge the gap between clinical research and community needs. The editorial by Macauley and Nutting highlights the potential of bringing together PBRN research and community-based participatory research to solve some of the most intractable problems facing health and health care.3 This approach is the kind called for by the NIH Roadmap. 4 Westfall and colleagues and Macauley and Nutting show us the way. If primary care researchers, academic health centers, communities, and primary care practices can come together around a vision for community-and practicebased participatory research, we can reduce the problem of translating research into practice by translating practice and community life into research. DIABETES DIAGNOSIS AND MANAGEMENTThis issue features 5 studies that address diabetes quality of care from innovative viewpoints. These research frameworks are grounded in the perspectives of health care systems, front-line practice, and consideration of how diabetes care is nested within care of other important conditions.In a large study of a cohort of adult patients in a multispecialty medical group, O'Connor and colleagues examine the symptoms, clinical incidents, and types of health care visits that precede the diagnosis of diabetes mellitus.5 They identify markers for the new diagnosis and go further to track the course of important clinical parameters after the diagnosis. The fi ndings are useful in considering how systems and practices might enhance their early recognition and treatment of diabetes. The reduction in risk factors apparent after the diagnosis in this large multispecialty group hints that earlier detection and treatment might be worthwhile.Spann and colleagues 6 provide a snapshot of diabetes care across the United States in a national PBRN. The study fi nds both patient and practice factors that are associated with better process markers of quality care; the authors conclude that substantial practice redesign may be necessary to achieve markedly improved chronic illness care.Three innovatively conceptualized studies in this issue put diabetes care into the context of other competing demands. Fenton and colleagues 7 examine how diabetes process-of-care-quality measures are related both to frequency of visits and to whether visits are for lower-priority conditions based on the Oregon State Prioritized Health Service List. Parchman et al 8 examine how the delivery of recommended diabetes care servic...

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“…Anger can be considered as state anger, an episode of anger occurring at a specified time, and as trait anger, an aspect of personality,[12] and is typically measured on four State Anger, Trait Anger, Anger In, Anger Out and Anger Control (STAXI) scales. [3]…”

Section: Introductionmentioning

confidence: 99%

Topiramate for anger control: A systematic review

et al. 2010

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Background:Uncontrolled anger while being most commonly associated with personality disorders could also be part of many other conditions such as chronic low back ache and post-traumatic stress disorder. The intensity of anger as an emotional state at a particular time is known as “State Anger,” whereas how often angry feelings are experienced over time is known as “Trait Anger.” Anger could also manifest as expression of anger toward other persons or objects in the environment (Anger-Out), holding in or suppressing angry feelings (Anger-In) and controlling angry feelings by preventing the expression of anger toward other persons or objects in the environment or controlling suppressed angry feelings by calming down or cooling off (Anger Control).Objective:To prove the effectiveness of topiramate in the control of anger as compared to placebo and to disprove that its use leads to psychiatric adverse events by systematically reviewing the available randomized controlled trials.Materials and Methods:The basic search was performed in MEDLINE (1966 through November 2008) combined with the optimal search strategy for randomized controlled trials described in the Cochrane Reviewers’ Handbook. To update this search, we regularly screened citations from PubMed till November 2008 for eligible studies or reviews that might include eligible studies. The Cochrane Central Register of Controlled Trials (CENTRAL) was searched using the terms “topiramate” and “anger or aggression.” In addition, we screened bibliographies of reviews and identified articles. Randomized clinical trials wherein study participants were aggressive adults were included.Results:We could arrive at a weighted mean difference of −3.16 (−3.64 to −2.68) in State Anger. The reduction in the score was highest in borderline personality disorder (BPD) patients as compared to those with low back ache. Trait Anger dropped by −2.93 (−3.49 to −2.37), especially in female BPD patients. Anger In reduced more or less uniformly across the studies by −1.43 (−1.84 to −1.03). Anger Out decreased by −2.8 (−3.19 to −2.42). This effect was minimal among the male BPD patients. Anger Control uniformly increased across the four studies by 2.32 (2.00−2.64). There is sufficient evidence to suggest that topiramate is significantly effective in stabilizing the “trait anger” while reducing the “state anger.” “Anger Out” and “hostility” were significantly reduced. “Anger In” was the feature that was the least affected, although this was significant. This suggests that topiramate is effective in controlling anger. There was no suggestion of topiramate precipitating psychomorbidity.Conclusions:Topiramate appears to be a safe and effective drug in the management of anger/aggression. Additional research is needed to determine whether these results can be reproduced and how long lasting are the benefits of long-term treatment with topiramate.

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State Anger and the Risk of Injury: A Case-Control and Case-Crossover Study

Cited by 13 publications

References 17 publications

Emotional stress as a trigger of falls leading to hip or pelvic fracture. Results from the ToFa study – a case-crossover study among elderly people in Stockholm, Sweden

Emotional stress as a trigger of falls leading to hip or pelvic fracture. Results from the ToFa study – a case-crossover study among elderly people in Stockholm, Sweden

In This Issue: Diabetes Quality of Care

Topiramate for anger control: A systematic review

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