Abstract
The goal of the present study was to explore the relationship between anger and dissociation and their relationship to symptoms of posttrauma pathology. One hundred four female assault victims were assessed prospectively 2, 4, and 12 weeks postassault. Measures of posttraumatic stress disorder (PTSD) severity, social functioning, anger, and dissociation were obtained at all assessments. Results revealed that differentiation between symptoms that predict later PTSD and impaired social functioning first becomes evident at 4 weeks postassault. At 4 weeks postassault, anger expression was predictive of later PTSD severity, whereas dissociation was predictive of poorer later functioning.
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References
American Psychiatric Association (1987). Diagnostic and statistical manual of mental health disorders (3rd rev. ed.). Washington, DC: American Psychiatric Press.
American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Press.
Bernstein, E. M., & Putnam, F.W. (1986). Development, reliability and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174, 727–734.
Bremner, J. D., & Brett, E. (1997). Trauma-related dissociative states and long-term psychopathology in posttraumatic stress disorde. Journal of Traumatic Stress, 10(1), 37–49.
Bremner, J. D., Southwick, S., Brett, E., Fontana, A., Rosenheck, R., & Charney, D. S. (1992). Dissociation and posttraumatic stress disorder in Vietnam combat veterans. American Journal of Psychiatry, 149(3), 328–332.
Bryant, R. A., & Harvey, A. G. (1998). Relationship between acute stress disorder and posttraumatic stress disorder following mild traumatic brain injury. American Journal of Psychiatry, 155(5), 625–629.
Carlson, E. B., & Putnam, F.W. (1993). An update on the dissociative experiences scale. Dissociation: Progress in the dissociative disorders, 6(1), 16–27.
Chemtob, C. M., Hamada, R. S., Roitblat, H. L., & Muraoka, M. Y. (1994). Anger, impulsivity, and anger control in combat-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 62(4), 827–832.
Chemtob, C. M., Novaco, R. W., Hamada, R. S., Gross, D. M., & Smith, G. (1997). Anger regulation deficits in combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 10 (1), 17–36.
Classen, C., Koopman, C., Hales, R., & Spiegel, D. (1998). Acute stress disorder as a predictor of posttraumatic stress symptoms. American Journal of Psychiatry, 155(5), 620–624.
Dancu, C.V., Riggs, D. S., Hearst-Ikeda, D., Shoyer, B. G., & Foa, E. B. (1996). Dissociative experiences and posttraumatic stress disorder among female victims of criminal assault and rape. Journal of Traumatic Stress, 9(2), 253–267.
Foa, E. B., & Hearst-Ikeda, D. (1996). Emotional dissociation in response to trauma: An informationprocessing approach. In L. K. Michelson & W. J. Ray ( Eds.), Handbook of dissociation: Theoretical, empirical, and clinical perspectives. (pp. 207–224). New York: Plenum Press.
Foa, E. B., & Rothbaum, B. O. (1997). Treating the trauma of rape. New York: Gilford Press.
Foa, E. B., Riggs, D. S., Dancu, C. V., & Rothbaum, B. O. (1993). Reliability and validity of a brief instrument for assessing posttraumatic stress disorder. Journal of Traumatic Stress, 6, 459–473.
Foa, E. B., Riggs, D. S., Massie, E. D., & Yarczower, M. (1995). The impact of fear activation and anger on the efficacy of exposure treatment for posttraumatic stress disorder. Behavior Therapy, 26, 487–499.
Gerlock, A. A. (1994). Veterans' responses to anger management intervention. Issues in Mental Health Nursing, 15, 393–408.
Harvey, A. G., & Bryant, R. A. (1998). The relationship between acute stress disorder and posttraumatic stress disorder:Aprospective evaluation of motor vehicle accident survivors. Journal of Consulting and Clinical Psychology, 66(3), 507–512.
Hersen, M., & Bellack, A. S. (Eds.). (1988). Dictionary of behavioral assessment techniques. New York: Pergamon Press.
Horowitz, M. J. (1986). Stress response syndromes (2nd ed.). Northvale, NJ: Jason Aronson.
Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the national comorbidity survey. Archives of General Psychiatry, 52, 1048–1060.
Kilpatrick, D. G., Resick, P. A., & Veronen, L. J. (1981). Effects of a rape experience: A longitudinal study. Journal of Social Issues, 37, 105–122.
Koenen, K., Hearst-Ikeda, D., Caulfield, M. B., & Muldar, R. (1997, November). The relationship of anger and coping to PTSD symptoms in traumatized women. Poster presented at the 31st annual meeting of the Association for the Advancement of Behavior Therapy (AABT), Miami FL.
Koopman, C., Classen, C., & Spiegel, D. (1994). Predictors of posttraumatic stress symptoms among Oakland/Berkeley firestorm survivors. American Journal of Psychiatry, 151, 888–894.
Lynn, S. J., & Rhue, R. W. ( Eds.). (1994). Dissociation: Clinical and theoretical perspectives. New York: Guilford Press.
Marmar, C. R., Weiss, D. S., Schlenger, D. S., Fairbank, J. A., Jordan, B. K., Kulka, R. A., & Hough, R. L. (1994). Peritraumatic dissociation and posttraumatic stress in maleVietnam theater veterans. American Journal of Psychiatry, 151, 902–907.
Putnam, F. W. (1989). Pierre Janet and modern views of dissociation. Journal of Traumatic Stress, 2, 413–429.
Resick, P. A., Calhoun, K. S., Atkeson, B. M., & Ellis, E. M. (1981). Social adjustment in victims of sexual assault. Journal of Consulting and Clinical Psychology, 49(5), 705–712.
Resnick, H. S., Kilpatrick, D. G., Dansky, B. S., Saunders, B. E., & Best, C. L. (1993). Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. Journal of Consulting and Clinical Psychology, 61(6), 984–991.
Riggs, D. S., Dancu, C. V., Gershuny, B. S., Greenberg, D., & Foa, E. B. (1992). Anger and posttraumatic stress disorder in female crime victims. Journal of Traumatic Stress, 5(4), 613–625.
Riggs, D. S., Rothbaum, B. O., & Foa, E. B. (1995). A prospective examination of symptoms of posttraumatic stress disorder in victims of non-assault. Journal of Interpersonal Violence, 2, 201–214.
Rothbaum, B. O., Foa, E. B., Murdock, T., Riggs, D. S., & Walsh, W. (1992). Aprospective examination of posttraumatic stress disorder in rape victims. Journal of Traumatic Stress, 5, 455–475.
Spielberger, C. D. (1988). Anger expression scale. In M. Hersen & A. S. Bellack (Eds.), Dictionary of behavioral assessment techniques. (pp. 446–448). New York: Pergamon Press.
Spielberger, C. D., Johnson, E. H., Russel, S. F., Crane, R. J., Jacobs, G. A., & Worden, T. J. (1985). The experience and expression of anger: Construction and validation of an anger expression scale. In M. A. Chesney & R. H. Rosenman (Eds.), Anger and hostility in cardiovascular and behavioral disorders (pp. 5–28). New York: Hemisphere.
Tichenor, V., Marmar, C. R.,Weiss, D. S., Metzler, T. J., & Ronfeldt, H. M. (1996). The relationship of peritraumatic dissociation and posttraumatic stress: Findings in female Vietnam theater veterans. Journal of Consulting & Clinical Psychology, 64(5), 1054–1059.
Van der Hart, O., & Horst, R. (1989). The dissociation theory of Pierre Janet. Journal of Traumatic Stress, 2, 397–412.
Weaver, T., Kilpatrick, D. G., Resnick, H. S., Best, C. L., & Saunders, B. E. (1997). An examination of physical assault and childhood victimization histories within a national probability sample of women. In G. K. Kantor & J. L. Jasinski ( Eds.), Out of darkness: Contemporary perspectives on family violence. Thousand Oaks, CA: Sage.
Weissman, M. M., & Paykel, E. S. (1974). The depressed woman: A study of social relations. Chicago: University of Chicago Press.
Woolfolk, R. L., & Grady, D. A. (1988). Combat-related posttraumatic stress disorder: Patterns of symptomatology in help-seeking Vietnam veterans. Journal of Nervous & Mental Disorders, 176, 107–111.
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Feeny, N.C., Zoellner, L.A. & Foa, E.B. Anger, Dissociation, and Posttraumatic Stress Disorder Among Female Assault Victims. J Trauma Stress 13, 89–100 (2000). https://doi.org/10.1023/A:1007725015225
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DOI: https://doi.org/10.1023/A:1007725015225