Problematic anger among military personnel after combat deployment: prevalence and risk factors.


Journal

BMC psychology
ISSN: 2050-7283
Titre abrégé: BMC Psychol
Pays: England
ID NLM: 101627676

Informations de publication

Date de publication:
23 Aug 2024
Historique:
received: 12 04 2024
accepted: 16 08 2024
medline: 24 8 2024
pubmed: 24 8 2024
entrez: 23 8 2024
Statut: epublish

Résumé

Problematic anger, characterized by excessive frequency, intensity, and duration of anger which causes substantial emotional distress and functional interference, poses a marked challenge in military populations. Despite its importance, research on this topic is limited. This study contributes to the literature by exploring problematic anger in a large sample of Norwegian military personnel who served in NATO missions in Afghanistan. All Norwegian military personnel who deployed to Afghanistan between 2001 and 2020 were sent a link to a cross-sectional web-based survey by the Joint Medical Services of the Norwegian Armed Forces in 2020. A total of 6205 individuals (response rate: 67.7%) participated. The cross-sectional survey assessed problematic anger, mental and physical health, war zone stressor exposure, and quality of life. Overall, 8.4% of participants reported problematic anger. Mental health disorders, deployment-related shame and guilt, chronic pain, and challenges with the military-to-civilian transition were independently associated with problematic anger. Both staying in service and maintaining a part-time connection with the military as a reservist mitigated the risk of problematic anger after deployment, compared to complete separation from military service. Findings demonstrate a sizeable prevalence of problematic anger among veterans of combat deployments. Given the associations between problematic anger and mental health disorders, chronic pain, and transition challenges, interventions designed to mitigate problematic anger need to be multi-faceted, including the possibility of maintaining an ongoing connection to military service. By reducing the risk of problematic anger, occupational, interpersonal and health outcomes may be improved for service members. Future research should examine the impact of problematic anger on adjustment over time, prevention strategies, and problematic anger in other high-risk occupations.

Sections du résumé

BACKGROUND BACKGROUND
Problematic anger, characterized by excessive frequency, intensity, and duration of anger which causes substantial emotional distress and functional interference, poses a marked challenge in military populations. Despite its importance, research on this topic is limited. This study contributes to the literature by exploring problematic anger in a large sample of Norwegian military personnel who served in NATO missions in Afghanistan.
METHODS METHODS
All Norwegian military personnel who deployed to Afghanistan between 2001 and 2020 were sent a link to a cross-sectional web-based survey by the Joint Medical Services of the Norwegian Armed Forces in 2020. A total of 6205 individuals (response rate: 67.7%) participated. The cross-sectional survey assessed problematic anger, mental and physical health, war zone stressor exposure, and quality of life.
RESULTS RESULTS
Overall, 8.4% of participants reported problematic anger. Mental health disorders, deployment-related shame and guilt, chronic pain, and challenges with the military-to-civilian transition were independently associated with problematic anger. Both staying in service and maintaining a part-time connection with the military as a reservist mitigated the risk of problematic anger after deployment, compared to complete separation from military service.
CONCLUSION CONCLUSIONS
Findings demonstrate a sizeable prevalence of problematic anger among veterans of combat deployments. Given the associations between problematic anger and mental health disorders, chronic pain, and transition challenges, interventions designed to mitigate problematic anger need to be multi-faceted, including the possibility of maintaining an ongoing connection to military service. By reducing the risk of problematic anger, occupational, interpersonal and health outcomes may be improved for service members. Future research should examine the impact of problematic anger on adjustment over time, prevention strategies, and problematic anger in other high-risk occupations.

Identifiants

pubmed: 39180131
doi: 10.1186/s40359-024-01955-8
pii: 10.1186/s40359-024-01955-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

451

Informations de copyright

© 2024. The Author(s).

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Auteurs

Andreas Espetvedt Nordstrand (AE)

Joint Medical Services, Institute of Military Psychiatry, Norwegian Armed Forces, Grev Wedels plass 2, Oslo, 0015, Norway. a.e.nordstrand@gmail.com.
Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway. a.e.nordstrand@gmail.com.
Department of Psychological Sciences, Northern Arizona University (NAU), Flagstaff, AZ, USA. a.e.nordstrand@gmail.com.

Frederick Anyan (F)

Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Hans Jakob Bøe (HJ)

Joint Medical Services, Institute of Military Psychiatry, Norwegian Armed Forces, Grev Wedels plass 2, Oslo, 0015, Norway.
Department of Psychology, University of Oslo (UiO), Oslo, Norway.

Odin Hjemdal (O)

Department of Psychology, Norwegian University of Science and Technology (NTNU), Trondheim, Norway.

Laura Katherine Noll (LK)

Department of Psychological Sciences, Northern Arizona University (NAU), Flagstaff, AZ, USA.

Jon Gerhard Reichelt (JG)

Joint Medical Services, Institute of Military Psychiatry, Norwegian Armed Forces, Grev Wedels plass 2, Oslo, 0015, Norway.

David Forbes (D)

Department of Psychiatry, University of Melbourne, Melbourne, Australia.

Amy B Adler (AB)

Walter Reed Army Institute of Research, Silver Spring, MD, USA.

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