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Assessment and treatment of posttraumatic anger and aggression: A review

Assessment and treatment of posttraumatic anger and aggression: A review. Casey T. Taft, PhD; Suzannah K. Creech, PhD; Lorig Kachadourian, PhD. Aim Review literature on posttraumatic stress disorder (PTSD) and its association with anger and aggression. Relevance

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Assessment and treatment of posttraumatic anger and aggression: A review

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  1. Assessment and treatment of posttraumatic anger and aggression: A review Casey T. Taft, PhD; Suzannah K. Creech, PhD; Lorig Kachadourian, PhD

  2. Aim • Review literature on posttraumatic stress disorder (PTSD) and its association with anger and aggression. • Relevance • Problematic anger and aggression frequently occur with PTSD. • Treatment is recommended in 2010 Department of Veterans Affairs (VA)/Department of Defense’s (DOD) VA/DOD Clinical Practice Guideline for Management of Post-Traumatic Stress.

  3. Methods • Reviewed literature on association between PTSD and both anger and aggression: • Included research for 2010 update to guideline and additional relevant literature published since guideline was published. • Theoretical models proposed to explain these associations and other factors contributing to anger and aggression in PTSD are discussed. • Different assessments available and various interventions are also discussed.

  4. Results • Guideline includes irritability, severe agitation, and anger as specific symptoms frequently co-occurring with PTSD. • Includes 9 specific recommendations for their assessment and treatment. • Explanatory models, factors that contribute to anger and aggression in PTSD, assessment of anger and aggression, and effective anger management interventions and strategies are discussed.

  5. Conclusions • Research shows that: • Anger can interfere with PTSD treatment. • Anger and aggression are linked to PTSD and PTSD severity. • Clinicians should incorporate thorough assessment of anger and aggression into their practice: • Use validated self-report measures and clinician interview. • Assessments should inform anger interventions.

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