Shannon R Miles1,2, Kirsten H Dillon3,4, Vanessa M Jacoby5, Willie J Hale5,6, Katherine A Dondanville5, Jennifer Schuster Wachen7,8, Jeffrey S Yarvis9, Alan L Peterson5,10, Jim Mintz5,11, Brett T Litz8,12, Stacey Young-McCaughan5, Patricia A Resick4. 1. James A. Haley Veterans' Hospital, Tampa, Florida. 2. Department of Psychiatry & Behavioral Neurosciences, Morsani College of Medicine, University of South Florida, Tampa, Florida. 3. Research and Development, Durham VA Medical Center, Durham, North Carolina. 4. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina. 5. Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center at San Antonio, San Antonio, Texas. 6. Department of Psychology, University of Texas at San Antonio, San Antonio, Texas. 7. National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts. 8. Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts. 9. Department of Behavioral Health, Carl R. Darnall Army Medical Center, Fort Hood, Texas. 10. Research and Development Service, South Texas Veterans Health Care System, San Antonio, Texas. 11. Department of Epidemiology and Biostatistics, University of Texas Health Science Center at San Antonio, San Antonio, Texas. 12. Massachusetts Veterans Epidemiological Research and Information Center, VA Boston Healthcare System, Boston, Massachusetts.
Abstract
OBJECTIVE: To examine whether treating posttraumatic stress disorder (PTSD) reduces anger and aggression and if changes in PTSD symptoms are associated with changes in anger and aggression. METHOD: Active duty service members (n = 374) seeking PTSD treatment in two randomized clinical trials completed a pretreatment assessment, 12 treatment sessions, and a posttreatment assessment. Outcomes included the Revised Conflict Tactics Scale and state anger subscale of the State-Trait Anger Expression Inventory. RESULTS: Treatment groups were analyzed together. There were small to moderate pretreatment to posttreatment reductions in anger (standardized mean difference [SMD] = -0.25), psychological aggression (SMD = -0.43), and physical aggression (SMD = -0.25). The majority of participants continued to endorse anger and aggression at posttreatment. Changes in PTSD symptoms were mildly to moderately associated with changes in anger and aggression. CONCLUSIONS: PTSD treatments reduced anger and aggression with effects similar to anger and aggression treatments; innovative psychotherapies are needed.
OBJECTIVE: To examine whether treating posttraumatic stress disorder (PTSD) reduces anger and aggression and if changes in PTSD symptoms are associated with changes in anger and aggression. METHOD: Active duty service members (n = 374) seeking PTSD treatment in two randomized clinical trials completed a pretreatment assessment, 12 treatment sessions, and a posttreatment assessment. Outcomes included the Revised Conflict Tactics Scale and state anger subscale of the State-Trait Anger Expression Inventory. RESULTS: Treatment groups were analyzed together. There were small to moderate pretreatment to posttreatment reductions in anger (standardized mean difference [SMD] = -0.25), psychological aggression (SMD = -0.43), and physical aggression (SMD = -0.25). The majority of participants continued to endorse anger and aggression at posttreatment. Changes in PTSD symptoms were mildly to moderately associated with changes in anger and aggression. CONCLUSIONS: PTSD treatments reduced anger and aggression with effects similar to anger and aggression treatments; innovative psychotherapies are needed.
Authors: Leslie A Morland; Carolyn J Greene; Craig S Rosen; David Foy; Patrick Reilly; Jay Shore; Qimei He; B Christopher Frueh Journal: J Clin Psychiatry Date: 2010-01-26 Impact factor: 4.384
Authors: Shannon R Miles; Kristi E Pruiksma; Danica Slavish; Jessica R Dietch; Sophie Wardle-Pinkston; Brett T Litz; Matthew Rodgers; Karin L Nicholson; Stacey Young-McCaughan; Katherine A Dondanville; Risa Nakase-Richardson; Jim Mintz; Terence M Keane; Alan L Peterson; Patricia A Resick; Daniel J Taylor Journal: J Clin Sleep Med Date: 2022-06-01 Impact factor: 4.324
Authors: M Tracie Shea; Robert L Stout; Madhavi K Reddy; Elizabeth Sevin; Candice Presseau; Jennifer Lambert; Amy Cameron Journal: Depress Anxiety Date: 2021-12-08 Impact factor: 8.128
Authors: Stephanie Y Wells; Carolyn L Brennan; Elizabeth E Van Voorhees; Jean C Beckham; Patrick S Calhoun; Carolina P Clancy; Michael A Hertzberg; Kirsten H Dillon Journal: J Trauma Stress Date: 2021-06-06