Posttraumatic stress disorder patients' readiness to change alcohol and anger problems.

Rosen, Craig S.; Murphy, Ronald T.; Chow, Helen C.; Drescher, Kent D.; Ramirez, Gil; Ruddy, Robyn; Gusman, Fred D.

doi:10.1037/0033-3204.38.2.233

Cited by 25 publications

(26 citation statements)

References 37 publications

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“…Most of the research that has been used to support the TTM comes from the addiction and health-related behavior fields. Only four studies thus far have examined the applicability of the TTM to trauma survivors and even these have not fully examined the assumptions of the TTM (Boyd, unpublished doctoral dissertation; Gewirtz, unpublished doctoral dissertation; Koraleski & Larson, 1997;Rosen et al, 2001). The current study is therefore directed towards evaluating the application of this model to a PTSD veteran population.…”

Section: Decisional Balance (Db)mentioning

confidence: 94%

“…Boyd (unpublished doctoral dissertation) found that adult female trauma survivors at entry to treatment highly endorsed items assessing the contemplation SOC. Furthermore, Rosen et al (2001) found that at entry to treatment between 18 and 25% of their PTSD sample were in the precontemplation SOC for the assessed areas (i.e. anger and alcohol).…”

Section: Stages Of Change (Socs)mentioning

confidence: 98%

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A test of the assumptions of the transtheoretical model in a post-traumatic stress disorder population

Rooney

Hunt

Humphreys

et al. 2005

Clin. Psychol. Psychother.

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Prior reports suggest an ambivalence regarding treatment in individuals with Post-Traumatic Stress Disorder (PTSD). A model that accommodates such ambivalence is the Transtheoretical Model of Behavior Change (TTM, also known as the Stages-of-Change Model). Fifty veterans presenting for treatment completed self-report measures (94% response rate) that assessed disorder variables and constructs relating to the TTM. While the relationships between the components of each specific construct were found to be consistent with the findings of other studies and a number of predicted relationships between variables were confirmed, many results were inconsistent with the TTM. Notwithstanding questions about the suitability of the self-report measures, the unique characteristics of the veteran sample and the small sample size, the results suggest that the assumptions of the TTM were not met in veterans with PTSD.

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Section: Decisional Balance (Db)mentioning

confidence: 94%

Section: Stages Of Change (Socs)mentioning

confidence: 98%

A test of the assumptions of the transtheoretical model in a post-traumatic stress disorder population

Rooney

Hunt

Humphreys

et al. 2005

Clin. Psychol. Psychother.

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show abstract

“…Despite this evidence, there is a lack of research examining this association among individuals with SUD. Some studies have demonstrated that PTSD is significantly associated with elevated levels of anger and difficulties managing anger among individuals with alcohol use disorder (Elbogen et al, 2010;Jakupcak et al, 2007;Rosen et al, 2001). These studies, however, are generally limited to samples of male combat veterans who misuse alcohol.…”

Section: Anger Among Individuals With Sudmentioning

confidence: 97%

Mental health correlates of anger and violence among individuals entering substance use treatment

Barrett

Mills

Teesson

et al. 2013

Mental Health and Substance Use

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Individuals with substance use disorders (SUDs) have consistently been shown to report elevated levels of anger and rates of violence perpetration. Given that heightened anger can increase risk for violence and also impede treatment for SUD, it is important to identify correlates of anger and violence among individuals in SUD treatment settings. While previous research has identified factors associated with anger and violence among individuals with SUD, these studies tend not to adequately address the role of comorbidity or trait aggression in their samples. This is particularly important given that comorbid mental health disorders, for example post traumatic stress disorder (PTSD), have been shown to be associated with anger and violence perpetration among individuals with SUD. This paper aims to examine demographic and mental health correlates of anger and violence among individuals in treatment for SUD. Structured interviews were carried out with 58 participants recruited from a residential detoxification clinic. Findings indicate that individuals with comorbid mental health symptoms, particularly symptoms of anxiety, are also likely to present with elevated levels of anger. In addition, a history of childhood trauma exposure and high levels of trait aggression were significantly associated with violence perpetration in the sample. This information can assist clinicians in identifying individuals prone to anger and violence and aid in the development of interventions designed to reduce anger and the likelihood of violence among individuals entering substance use treatment.

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“…One study applying the model to Vietnam veterans with PTSD and their readiness to change alcohol use and anger (Rosen et al, 2001) found that veterans with PTSD varied in their readiness to change, and that readiness to change was unrelated to PTSD symptom severity. To date, there has been no evaluation of a stages of change model in veterans with PTSD returning from Iraq and Afghanistan, and since this group is typically younger and may be more likely to use VA services (Seal, Bertenthal, Miner, Sens, & Marmar, 2007) it may be useful to evaluate the stages of change model in this cohort.…”

Section: Introductionmentioning

confidence: 99%

Smoking in help-seeking veterans with PTSD returning from Afghanistan and Iraq

Kirby¹,

Hertzberg²,

Collie³

et al. 2008

Addictive Behaviors

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Past research has shown that veterans and individuals with posttraumatic stress disorder (PTSD) have increased rates of smoking. However, the rates of smoking in younger help-seeking veterans returning from Afghanistan and Iraq, and possible correlates of smoking among this population are unknown. In this study, we evaluated the rate of lifetime and current smoking among a sample of 90 returning male veterans diagnosed with PTSD. Fifty-nine percent reported a lifetime history of smoking including 32% that were current smokers. Current smokers were significantly younger than nonsmokers. Current smokers (mean age = 31) reported a mean age of smoking onset as 15.86 with a pack year history of 8.89. These smokers reported on average five previous quit attempts. According to a stages-of-change model, one-half of the smokers were in the contemplation phase of stopping smoking (50%), 29% were in the precontemplation phase and 21% were in the preparation phase. The results are placed in the context of non-psychiatric and psychiatric smokers.

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Posttraumatic stress disorder patients' readiness to change alcohol and anger problems.

Cited by 25 publications

References 37 publications

A test of the assumptions of the transtheoretical model in a post-traumatic stress disorder population

A test of the assumptions of the transtheoretical model in a post-traumatic stress disorder population

Mental health correlates of anger and violence among individuals entering substance use treatment

Smoking in help-seeking veterans with PTSD returning from Afghanistan and Iraq

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