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Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans.

Publication ,  Journal Article
Van Voorhees, EE; Moore, DA; Kimbrel, NA; Dedert, EA; Dillon, KH; Elbogen, EB; Calhoun, PS
Published in: Rehabil Psychol
February 2018

PURPOSE: Aggressive driving contributes to the high rates of postdeployment motor vehicle-related injury and death observed among veterans, and veterans cite problems with anger, aggressive driving, and road rage as being among their most pressing driving-related concerns. Both posttraumatic stress disorder (PTSD) and traumatic brain injury (TBI) have been associated with driving-related deficits in treatment-seeking samples of veterans, but the relative contribution of each of these conditions to problems with aggressive driving in the broader population of combat veterans is unclear. METHOD: χ2 and logistic regression analyses were used to examine the relative association of PTSD, TBI, and co-occurring PTSD and TBI to self-reported problems with road rage in a sample of 1,102 veterans living in the mid-Atlantic region of the United States who had served in Afghanistan or Iraq. RESULTS: Results indicate that controlling for relevant demographic variables, PTSD without TBI (odds ratio = 3.44, p < .001), and PTSD with co-occurring TBI (odds ratio = 4.71, p < .001) were associated with an increased risk of road rage, but TBI without PTSD was not. CONCLUSIONS: Our findings suggest that PTSD, with or without comorbid TBI, may be associated with an increased risk of aggressive driving in veterans. Clinical implications for treating problems with road rage are discussed, including use of interventions targeting hostile interpretation bias and training in emotional and physiological arousal regulation skills. (PsycINFO Database Record

Duke Scholars

Published In

Rehabil Psychol

DOI

EISSN

1939-1544

Publication Date

February 2018

Volume

63

Issue

1

Start / End Page

160 / 166

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Stress Disorders, Post-Traumatic
  • Self Report
  • Rehabilitation
  • Male
  • Iraq War, 2003-2011
  • Humans
  • Female
  • Comorbidity
 

Citation

APA
Chicago
ICMJE
MLA
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Van Voorhees, E. E., Moore, D. A., Kimbrel, N. A., Dedert, E. A., Dillon, K. H., Elbogen, E. B., & Calhoun, P. S. (2018). Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans. Rehabil Psychol, 63(1), 160–166. https://doi.org/10.1037/rep0000178
Van Voorhees, Elizabeth E., Daniel A. Moore, Nathan A. Kimbrel, Eric A. Dedert, Kirsten H. Dillon, Eric B. Elbogen, and Patrick S. Calhoun. “Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans.Rehabil Psychol 63, no. 1 (February 2018): 160–66. https://doi.org/10.1037/rep0000178.
Van Voorhees EE, Moore DA, Kimbrel NA, Dedert EA, Dillon KH, Elbogen EB, et al. Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans. Rehabil Psychol. 2018 Feb;63(1):160–6.
Van Voorhees, Elizabeth E., et al. “Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans.Rehabil Psychol, vol. 63, no. 1, Feb. 2018, pp. 160–66. Pubmed, doi:10.1037/rep0000178.
Van Voorhees EE, Moore DA, Kimbrel NA, Dedert EA, Dillon KH, Elbogen EB, Calhoun PS. Association of posttraumatic stress disorder and traumatic brain injury with aggressive driving in Iraq and Afghanistan combat veterans. Rehabil Psychol. 2018 Feb;63(1):160–166.

Published In

Rehabil Psychol

DOI

EISSN

1939-1544

Publication Date

February 2018

Volume

63

Issue

1

Start / End Page

160 / 166

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Stress Disorders, Post-Traumatic
  • Self Report
  • Rehabilitation
  • Male
  • Iraq War, 2003-2011
  • Humans
  • Female
  • Comorbidity