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Anger Common in Psychiatric Outpatients

Compr Psychiatry; ePub 2016 Oct 17; Genovese, et al

Anger is as common as depressed mood and psychic anxiety amongst psychiatric outpatients, according to a recent study, and problems with anger cut across diagnostic categories. 3,800 individuals presenting to the Rhode Island Hospital Department of Psychiatry outpatient practice underwent a semi-structured interview to determine current Axis I (n=3,800) and Axis II (n=2,151) pathology. Severity of subjective anger and overt aggression within the past week were also assessed for each patient, and odds ratios were determined for each disorder. Researchers found:

  • Almost half of the sample reported moderate-to-severe levels of current subjective anger, and more than 20% endorsed moderate-to-severe levels of current overt aggression.
  • The frequency of anger was similar to the frequencies of depressed mood and psychic anxiety.
  • Anger and aggression were elevated across all diagnoses except adjustment disorder.
  • Anger and aggression were most elevated in patients with major depressive disorder, panic disorder with agoraphobia, post-traumatic stress disorder, intermittent explosive disorder, and cluster B personality disorders.

Citation:

Genovese T, Dalrymple K, Chelminski I, Zimmerman M. Subjective anger and overt aggression in psychiatric outpatients. [Published online ahead of print October 17, 2016]. Compr Psychiatry. doi:10.1016/j.comppsych.2016.10.008.