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Mechanisms of anger and treatment outcome in combat veterans with posttraumatic stress disorder

✍ Scribed by David Forbes; Ruth Parslow; Mark Creamer; Nicholas Allen; Tony McHugh; Mal Hopwood


Publisher
Springer
Year
2008
Tongue
English
Weight
245 KB
Volume
21
Category
Article
ISSN
0894-9867

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✦ Synopsis


Abstract

Research has identified anger as prominent in, and an influence on, treatment outcome for military veterans with posttraumatic stress disorder (PTSD). This study examined factors influencing the relationship between anger and outcome to improve treatment effectiveness. Participants comprised 103 veterans attending PTSD treatment. Measures of PTSD and comorbidity were obtained at intake and 9‐month follow‐up. Measures also included potential mediators of therapeutic alliance, social support, problematic/undermining relationships and fear of emotion. Path analyses supported anger as a predictor of treatment outcome, with only fear of anger and alcohol comorbidity accounting for the variance between anger and outcome. To improve treatment effectiveness, clinicians need to assess veterans' anger, aggression, and alcohol use, as well as their current fear of anger and elucidate the relationship between these factors.


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