Veterans' Responses to Anger Management Intervention

Gerlock, April A.

doi:10.3109/01612849409006916

Cited by 43 publications

(35 citation statements)

References 24 publications

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“…This suggests that PTSD patients who have higher levels of anger and hostility will be more likely to have sexual dysfunction [18, 19, 20, 34, 35]. Interestingly, this correlation was not found in items not related to a partner, such as degree of sleep erections, degree of masturbatory erection and frequency of masturbation.…”

Section: Discussionmentioning

confidence: 79%

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Kotler

Cohen

Aizenberg

et al. 2000

Psychother Psychosom

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Background: Previous studies have suggested that sexual dysfunction may be associated with posttraumatic stress disorder (PTSD). Yet such studies have not examined a full range of sexual functioning and have not accounted for the possibility that medication used to treat PTSD may contribute to sexual dysfunction. Objective: The current study compares the various components of sexual functioning among three groups of males: (1) untreated PTSD patients (n = 15), (2) PTSD patients currently treated with selective serotonin reuptake inhibitor (SSRI) agents (n = 27) and (3) a group of normal controls (n = 49). Methods: All participants completed an 18-item questionnaire for assessment of sexual functioning. Those with PTSD also completed the Impact of Events Scale and the Symptom Check List-90 (SCL-90). Results: Untreated and treated PTSD patients had significantly poorer sexual functioning in all domains (desire, arousal, orgasm, activity and satisfaction) as compared to normal controls. Those treated with SSRI had greater impairment in desire, arousal and frequency of sexual activity with a partner. There was a high correlation between sexual dysfunction among the PTSD group and the anger-hostility subscale of the SCL-90. Conclusions: PTSD appears to be associated with pervasive sexual dysfunction that is exacerbated by treatment with SSRIs. PTSD may represent a heterogeneous syndrome. Patients with PTSD have a high rate of comorbid panic disorder, major depression and anxiety, and it could thus be argued that these comorbid disorders, rather than PTSD, accounted for the observed result. Future research aimed at understanding comorbidity and heterogeneity should help to illuminate the psychobiology of PTSD and eventually guide both medication and psychosocial treatments.

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Section: Discussionmentioning

confidence: 79%

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Kotler

Cohen

Aizenberg

et al. 2000

Psychother Psychosom

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“…For example, as previously mentioned, the study conducted by Gerlock did not include a control group [67] and the Chemtob et al study used a small sample [44]. Furthermore, neither study focused on aggression as an outcome, so it is unclear to what extent the interventions they implemented are effective in decreasing such behavior.…”

Section: Effective Interventions For Anger and Aggressionmentioning

confidence: 99%

“…Although these studies conducted by Chemtob et al [44] and Gerlock [67] are promising in that they provide support for the effectiveness of anger interventions among Veterans with PTSD, they are limited in a number of respects. For example, as previously mentioned, the study conducted by Gerlock did not include a control group [67] and the Chemtob et al study used a small sample [44].…”

Section: Effective Interventions For Anger and Aggressionmentioning

confidence: 99%

“…Although very few studies have been conducted evaluating the effectiveness of such interventions, findings have shown positive results. For example, Gerlock implemented a cognitivebehavioral anger management intervention with 51 male Veterans [67]. Most of these Veterans (72%) served in the Vietnam war, and about half (57%) had diagnosable PTSD resulting from war trauma.…”

Section: Effective Interventions For Anger and Aggressionmentioning

confidence: 99%

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Assessment and treatment of posttraumatic anger and aggression: A review

Taft¹,

Creech²,

Kachadourian³

2012

JRRD

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Abstract-The Department of Veterans Affairs (VA) and Department of Defense's (DOD) recently published and updated Department of Veterans Affairs/Department of Defense VA/ DOD Clinical Practice Guideline for Management of PostTraumatic Stress includes irritability, severe agitation, and anger as specific symptoms that frequently co-occur with PTSD. For the first time, the guideline includes nine specific recommendations for the assessment and treatment of PTSDrelated anger, irritability, and agitation. This article will review the literature on PTSD and its association with anger and aggression. We highlight explanatory models for these associations, factors that contribute to the occurrence of anger and aggression in PTSD, assessment of anger and aggression, and effective anger management interventions and strategies.

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“…The VA health care system has been at the forefront of developing anger management interventions that address veterans' combat experience. 49,50 However, these interventions have been designed primarily for male veterans and different approaches to anger management may be necessary to address the needs of female veterans. Future research should focus on better understanding the link between combat experience and aggressive behavior in female veterans, as well as the likely complex relationship with PTSD, depression, and other sequelae of combat.…”

Section: Implications For Practice and Policymentioning

confidence: 99%

Differential Impact of Combat on Postdeployment Symptoms in Female and Male Veterans of Iraq and Afghanistan

et al. 2015

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Objectives: We aimed to describe differences in combat experience for male and female veterans and characterize differential effects on postdeployment physical and mental health symptoms, including aggression. Methods: Retrospective cross-sectional health screening data from 554 Operation Enduring Freedom and Operation Iraqi Freedom veterans who enrolled for Veterans Affairs health care in San Diego were examined including measures of combat experience, pain intensity, traumatic brain injury symptoms, military sexual trauma, post-traumatic stress disorder, depression, alcohol use, and aggression. Results: Although male veterans (n = 458) experienced significantly higher rates of combat than female veterans (n = 96), both experienced similar levels of postdeployment post-traumatic stress disorder and depression symptoms as well self-reported aggressive behavior compared to male veterans. Female veterans had higher rates of military sexual trauma and lower alcohol consumption than male veterans. Conclusions: All Operation Enduring Freedom and Operation Iraqi Freedom veterans returning from deployment may benefit from broad-based screening of physical and mental health symptoms, beyond those currently mandated by Veterans Affairs, including anger and aggression.

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Veterans' Responses to Anger Management Intervention

Cited by 43 publications

References 24 publications

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Sexual Dysfunction in Male Posttraumatic Stress Disorder Patients

Assessment and treatment of posttraumatic anger and aggression: A review

Differential Impact of Combat on Postdeployment Symptoms in Female and Male Veterans of Iraq and Afghanistan

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