Changes in anger and aggression after treatment for PTSD in active duty military
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...
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| Veröffentlicht in: | Journal of clinical psychology 2020-03, Vol.76 (3), p.493-507 |
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| container_title | Journal of clinical psychology |
| container_volume | 76 |
| creator | Miles, Shannon R. Dillon, Kirsten H. Jacoby, Vanessa M. Hale, Willie J. Dondanville, Katherine A. Wachen, Jennifer Schuster Yarvis, Jeffrey S. Peterson, Alan L. Mintz, Jim Litz, Brett T. Young‐McCaughan, Stacey Resick, Patricia A. |
| description | 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. |
| doi_str_mv | 10.1002/jclp.22878 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8966765</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2355957172</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4818-8b3024ff68945b1d4f0c5a156cfc9de6d99d729709bcb268f8783ae614892b153</originalsourceid><addsrcrecordid>eNp9kVtrGzEQhUVpaJy0L_0BZaEvJbCJRru6vRSCc8dQQ5xnodVKjsxeXGk3xf8-cpyatA950YiZbw5nOAh9BXwKGJOzlWnWp4QILj6gCWDJ85Jx-RFN0hByyRk5REcxrjDGJQb6CR0WwIsCCJug-fRRd0sbM99l209Ib53p5TLYGH2fmm5IzSFYPbS2GzLXh2y-uL94WTCDf7JZPQ6brPWNH3TYfEYHTjfRfnmtx-jh6nIxvclnv65vp-ez3JQCRC6qApPSOSZkSSuoS4cN1UCZcUbWltVS1pxIjmVlKsKES9cV2jIohSQV0OIY_dzprseqtbVJ3oJu1Dr4NrlQvfbq30nnH9Wyf1JCMsbZVuDHq0Dof482Dqr10dim0Z3tx6hIARQwpRgS-v0_dNWPoUvnJYpSSTlwkqiTHWVCH2Owbm8GsNoGpbZBqZegEvztrf09-jeZBMAO-OMbu3lHSt1NZ_Od6DPHIZ2z</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2355957172</pqid></control><display><type>article</type><title>Changes in anger and aggression after treatment for PTSD in active duty military</title><source>Education Source (EBSCOhost)</source><source>MEDLINE</source><source>Wiley Online Library</source><creator>Miles, Shannon R. ; Dillon, Kirsten H. ; Jacoby, Vanessa M. ; Hale, Willie J. ; Dondanville, Katherine A. ; Wachen, Jennifer Schuster ; Yarvis, Jeffrey S. ; Peterson, Alan L. ; Mintz, Jim ; Litz, Brett T. ; Young‐McCaughan, Stacey ; Resick, Patricia A.</creator><creatorcontrib>Miles, Shannon R. ; Dillon, Kirsten H. ; Jacoby, Vanessa M. ; Hale, Willie J. ; Dondanville, Katherine A. ; Wachen, Jennifer Schuster ; Yarvis, Jeffrey S. ; Peterson, Alan L. ; Mintz, Jim ; Litz, Brett T. ; Young‐McCaughan, Stacey ; Resick, Patricia A. ; STRONG STAR Consortium ; on behalf of the STRONG STAR Consortium</creatorcontrib><description>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.</description><identifier>ISSN: 0021-9762</identifier><identifier>EISSN: 1097-4679</identifier><identifier>DOI: 10.1002/jclp.22878</identifier><identifier>PMID: 31733126</identifier><language>eng</language><publisher>United States: Wiley Periodicals Inc</publisher><subject>active military ; Adult ; Aggression ; Anger ; cognitive processing therapy ; Female ; Humans ; Male ; Military Personnel - psychology ; Post traumatic stress disorder ; posttraumatic stress disorder ; Psychotherapy ; Randomized Controlled Trials as Topic ; Stress Disorders, Post-Traumatic - psychology ; Stress Disorders, Post-Traumatic - therapy</subject><ispartof>Journal of clinical psychology, 2020-03, Vol.76 (3), p.493-507</ispartof><rights>2019 Wiley Periodicals, Inc.</rights><rights>2020 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4818-8b3024ff68945b1d4f0c5a156cfc9de6d99d729709bcb268f8783ae614892b153</citedby><cites>FETCH-LOGICAL-c4818-8b3024ff68945b1d4f0c5a156cfc9de6d99d729709bcb268f8783ae614892b153</cites><orcidid>0000-0001-8925-1321 ; 0000-0002-2203-2404</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjclp.22878$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjclp.22878$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31733126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miles, Shannon R.</creatorcontrib><creatorcontrib>Dillon, Kirsten H.</creatorcontrib><creatorcontrib>Jacoby, Vanessa M.</creatorcontrib><creatorcontrib>Hale, Willie J.</creatorcontrib><creatorcontrib>Dondanville, Katherine A.</creatorcontrib><creatorcontrib>Wachen, Jennifer Schuster</creatorcontrib><creatorcontrib>Yarvis, Jeffrey S.</creatorcontrib><creatorcontrib>Peterson, Alan L.</creatorcontrib><creatorcontrib>Mintz, Jim</creatorcontrib><creatorcontrib>Litz, Brett T.</creatorcontrib><creatorcontrib>Young‐McCaughan, Stacey</creatorcontrib><creatorcontrib>Resick, Patricia A.</creatorcontrib><creatorcontrib>STRONG STAR Consortium</creatorcontrib><creatorcontrib>on behalf of the STRONG STAR Consortium</creatorcontrib><title>Changes in anger and aggression after treatment for PTSD in active duty military</title><title>Journal of clinical psychology</title><addtitle>J Clin Psychol</addtitle><description>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.</description><subject>active military</subject><subject>Adult</subject><subject>Aggression</subject><subject>Anger</subject><subject>cognitive processing therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Military Personnel - psychology</subject><subject>Post traumatic stress disorder</subject><subject>posttraumatic stress disorder</subject><subject>Psychotherapy</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><issn>0021-9762</issn><issn>1097-4679</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVtrGzEQhUVpaJy0L_0BZaEvJbCJRru6vRSCc8dQQ5xnodVKjsxeXGk3xf8-cpyatA950YiZbw5nOAh9BXwKGJOzlWnWp4QILj6gCWDJ85Jx-RFN0hByyRk5REcxrjDGJQb6CR0WwIsCCJug-fRRd0sbM99l209Ib53p5TLYGH2fmm5IzSFYPbS2GzLXh2y-uL94WTCDf7JZPQ6brPWNH3TYfEYHTjfRfnmtx-jh6nIxvclnv65vp-ez3JQCRC6qApPSOSZkSSuoS4cN1UCZcUbWltVS1pxIjmVlKsKES9cV2jIohSQV0OIY_dzprseqtbVJ3oJu1Dr4NrlQvfbq30nnH9Wyf1JCMsbZVuDHq0Dof482Dqr10dim0Z3tx6hIARQwpRgS-v0_dNWPoUvnJYpSSTlwkqiTHWVCH2Owbm8GsNoGpbZBqZegEvztrf09-jeZBMAO-OMbu3lHSt1NZ_Od6DPHIZ2z</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Miles, Shannon R.</creator><creator>Dillon, Kirsten H.</creator><creator>Jacoby, Vanessa M.</creator><creator>Hale, Willie J.</creator><creator>Dondanville, Katherine A.</creator><creator>Wachen, Jennifer Schuster</creator><creator>Yarvis, Jeffrey S.</creator><creator>Peterson, Alan L.</creator><creator>Mintz, Jim</creator><creator>Litz, Brett T.</creator><creator>Young‐McCaughan, Stacey</creator><creator>Resick, Patricia A.</creator><general>Wiley Periodicals Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-8925-1321</orcidid><orcidid>https://orcid.org/0000-0002-2203-2404</orcidid></search><sort><creationdate>202003</creationdate><title>Changes in anger and aggression after treatment for PTSD in active duty military</title><author>Miles, Shannon R. ; Dillon, Kirsten H. ; Jacoby, Vanessa M. ; Hale, Willie J. ; Dondanville, Katherine A. ; Wachen, Jennifer Schuster ; Yarvis, Jeffrey S. ; Peterson, Alan L. ; Mintz, Jim ; Litz, Brett T. ; Young‐McCaughan, Stacey ; Resick, Patricia A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4818-8b3024ff68945b1d4f0c5a156cfc9de6d99d729709bcb268f8783ae614892b153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>active military</topic><topic>Adult</topic><topic>Aggression</topic><topic>Anger</topic><topic>cognitive processing therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Military Personnel - psychology</topic><topic>Post traumatic stress disorder</topic><topic>posttraumatic stress disorder</topic><topic>Psychotherapy</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miles, Shannon R.</creatorcontrib><creatorcontrib>Dillon, Kirsten H.</creatorcontrib><creatorcontrib>Jacoby, Vanessa M.</creatorcontrib><creatorcontrib>Hale, Willie J.</creatorcontrib><creatorcontrib>Dondanville, Katherine A.</creatorcontrib><creatorcontrib>Wachen, Jennifer Schuster</creatorcontrib><creatorcontrib>Yarvis, Jeffrey S.</creatorcontrib><creatorcontrib>Peterson, Alan L.</creatorcontrib><creatorcontrib>Mintz, Jim</creatorcontrib><creatorcontrib>Litz, Brett T.</creatorcontrib><creatorcontrib>Young‐McCaughan, Stacey</creatorcontrib><creatorcontrib>Resick, Patricia A.</creatorcontrib><creatorcontrib>STRONG STAR Consortium</creatorcontrib><creatorcontrib>on behalf of the STRONG STAR Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miles, Shannon R.</au><au>Dillon, Kirsten H.</au><au>Jacoby, Vanessa M.</au><au>Hale, Willie J.</au><au>Dondanville, Katherine A.</au><au>Wachen, Jennifer Schuster</au><au>Yarvis, Jeffrey S.</au><au>Peterson, Alan L.</au><au>Mintz, Jim</au><au>Litz, Brett T.</au><au>Young‐McCaughan, Stacey</au><au>Resick, Patricia A.</au><aucorp>STRONG STAR Consortium</aucorp><aucorp>on behalf of the STRONG STAR Consortium</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in anger and aggression after treatment for PTSD in active duty military</atitle><jtitle>Journal of clinical psychology</jtitle><addtitle>J Clin Psychol</addtitle><date>2020-03</date><risdate>2020</risdate><volume>76</volume><issue>3</issue><spage>493</spage><epage>507</epage><pages>493-507</pages><issn>0021-9762</issn><eissn>1097-4679</eissn><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.</abstract><cop>United States</cop><pub>Wiley Periodicals Inc</pub><pmid>31733126</pmid><doi>10.1002/jclp.22878</doi><tpages>15</tpages><orcidid>https://orcid.org/0000-0001-8925-1321</orcidid><orcidid>https://orcid.org/0000-0002-2203-2404</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of clinical psychology, 2020-03, Vol.76 (3), p.493-507 |
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| language | eng |
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| source | Education Source (EBSCOhost); MEDLINE; Wiley Online Library |
| subjects | active military Adult Aggression Anger cognitive processing therapy Female Humans Male Military Personnel - psychology Post traumatic stress disorder posttraumatic stress disorder Psychotherapy Randomized Controlled Trials as Topic Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy |
| title | Changes in anger and aggression after treatment for PTSD in active duty military |
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