Changes in anger and aggression after treatment for PTSD in active duty military.

Journal Article (Journal Article)

OBJECTIVE: To examine whether treating posttraumatic stress disorder (PTSD) reduces anger and aggression and if changes in PTSD symptoms are associated with changes in anger and aggression. METHOD: Active duty service members (n = 374) seeking PTSD treatment in two randomized clinical trials completed a pretreatment assessment, 12 treatment sessions, and a posttreatment assessment. Outcomes included the Revised Conflict Tactics Scale and state anger subscale of the State-Trait Anger Expression Inventory. RESULTS: Treatment groups were analyzed together. There were small to moderate pretreatment to posttreatment reductions in anger (standardized mean difference [SMD] = -0.25), psychological aggression (SMD = -0.43), and physical aggression (SMD = -0.25). The majority of participants continued to endorse anger and aggression at posttreatment. Changes in PTSD symptoms were mildly to moderately associated with changes in anger and aggression. CONCLUSIONS: PTSD treatments reduced anger and aggression with effects similar to anger and aggression treatments; innovative psychotherapies are needed.

Full Text

Duke Authors

Cited Authors

  • Miles, SR; Dillon, KH; Jacoby, VM; Hale, WJ; Dondanville, KA; Wachen, JS; Yarvis, JS; Peterson, AL; Mintz, J; Litz, BT; Young-McCaughan, S; Resick, PA; STRONG STAR Consortium,

Published Date

  • March 2020

Published In

Volume / Issue

  • 76 / 3

Start / End Page

  • 493 - 507

PubMed ID

  • 31733126

Pubmed Central ID

  • PMC8966765

Electronic International Standard Serial Number (EISSN)

  • 1097-4679

Digital Object Identifier (DOI)

  • 10.1002/jclp.22878


  • eng

Conference Location

  • United States