Anger Dimensions and Mental Health Following a Disaster: Distribution and Implications After a Major Bushfire.


Journal

Journal of traumatic stress
ISSN: 1573-6598
Titre abrégé: J Trauma Stress
Pays: United States
ID NLM: 8809259

Informations de publication

Date de publication:
02 2021
Historique:
received: 23 04 2020
revised: 11 08 2020
accepted: 19 09 2020
pubmed: 3 11 2020
medline: 23 11 2021
entrez: 2 11 2020
Statut: ppublish

Résumé

Anger is an important dimension of affect and a prominent feature of posttraumatic mental health, but it is commonly overlooked in postdisaster settings. We aimed to examine the distribution and implications of significant anger problems in the aftermath of a natural disaster, via analyses of Beyond Bushfires survey data from 736 residents of rural communities 5 years after the 2009 Black Saturday bushfires in Victoria, Australia. Assessments included the five-item Dimensions of Anger Reaction (DAR-5) scale along with measures of PTSD, depression, and significant mental illness, and indicators of life satisfaction, suicidality, hostile aggressive behavior, and violence exposure. The results indicated that approximately 10% of respondents from areas highly affected by the bushfires scored above the provisional cutoff criteria for significant anger problems on the DAR-5, which was a more than 3-fold increase, OR = 3.26, relative to respondents from areas of low-to-moderate bushfire impact. The rates were higher among women, younger participants, and those who were unemployed, and co-occurred commonly, although not exclusively, with other postdisaster mental health problems. Anger problems were also associated with lower life satisfaction, β = -.31, an 8-fold increase in suicidal ideation, OR = 8.68, and a nearly 13-fold increase in hostile aggressive behavior, OR = 12.98. There were associations with anger problems and violence exposure, which were reduced when controlling for covariates, including probable PTSD. The findings provide evidence indicating that anger is a significant issue for postdisaster mental health and should be considered routinely alongside other posttraumatic mental health issues.

Identifiants

pubmed: 33136348
doi: 10.1002/jts.22616
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

46-55

Informations de copyright

© 2020 International Society for Traumatic Stress Studies.

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Auteurs

Sean Cowlishaw (S)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol United Kingdom.

Olivia Metcalf (O)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

Tracey Varker (T)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

Caleb Stone (C)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

Robyn Molyneaux (R)

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.

Lisa Gibbs (L)

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.

Karen Block (K)

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.

Louise Harms (L)

Department of Social Work, The University of Melbourne, Melbourne, Australia.

Colin MacDougall (C)

Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
College of Medicine and Public Health, Flinders University, Adelaide, Australia.

H Colin Gallagher (HC)

Centre for Transformative Innovation, Swinburne University of Technology, Melbourne, Australia.

Richard Bryant (R)

School of Psychology, University of New South Wales, Sydney, Australia.

Ellie Lawrence-Wood (E)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

Connie Kellett (C)

Victorian Department of Justice and Community Safety, Melbourne, Australia.

Meaghan O'Donnell (M)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

David Forbes (D)

Phoenix Australia Centre for Posttraumatic Mental Health, Department of Psychiatry, The University of Melbourne, Melbourne, Australia.

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