Anger and substance abuse: a systematic review and meta-analysis
Objective: Conduct a systematic review and meta-analysis to evaluate levels of anger among substance users compared to non-user controls and to analyze the possible association between anger and psychoactive substance use (PSU). Methods: The procedures of this review followed the Meta-Analyzes of O...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
2021-02-01
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| Series: | Brazilian Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbp/2021nahead/1516-4446-rbp-1516444620201133.pdf |
| _version_ | 1818949205353299968 |
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| author | Helen V. Laitano Amanda Ely Anne O. Sordi Felipe B. Schuch Flavio Pechansky Thiago Hartmann Juliana B. Hilgert Eliana M. Wendland Lisia Von Dimen Juliana N. Scherer Alessandra Mendes Calixto Joana C.M. Narvaez Felipe Ornell Félix H.P. Kessler |
| author_facet | Helen V. Laitano Amanda Ely Anne O. Sordi Felipe B. Schuch Flavio Pechansky Thiago Hartmann Juliana B. Hilgert Eliana M. Wendland Lisia Von Dimen Juliana N. Scherer Alessandra Mendes Calixto Joana C.M. Narvaez Felipe Ornell Félix H.P. Kessler |
| author_sort | Helen V. Laitano |
| collection | DOAJ |
| description | Objective: Conduct a systematic review and meta-analysis to evaluate levels of anger among substance users compared to non-user controls and to analyze the possible association between anger and psychoactive substance use (PSU). Methods: The procedures of this review followed the Meta-Analyzes of Observational Studies in Epidemiology (MOOSE) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases (MEDLINE, EMBASE, BIREME, PsycINFO) were searched. Results: Twelve studies were included in the meta-analysis; 10 used the State-Trait Anger Expression Inventory (STAXI) anger trait subscale and two used the Buss-Perry-Aggression Questionnaire (BPAQ) anger subscale. The sample included 2,294 users of psychoactive substances and 2,143 non-users, all male. The mean difference in anger scale scores between users and non-users was 2.151 (95%CI 1.166-3.134, p ≤ 0.00, inconsistency index [I2] = 98.83) standard deviations. Age and abstinence duration did not moderate the difference in anger between substance users and non-users. Conclusion: Users of psychoactive substances had elevated anger scores compared to non-users, which represents a high risk of relapse. It is suggested that PSU treatment programs include intensive anger management modules, focusing on factors such as dealing with daily stressors, family conflicts, frustrations, and problems. |
| first_indexed | 2024-12-20T08:58:59Z |
| format | Article |
| id | doaj.art-74e2192e650d4b95986422076eefdd9b |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-12-20T08:58:59Z |
| publishDate | 2021-02-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-74e2192e650d4b95986422076eefdd9b2022-12-21T19:45:55ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2021-02-0110.1590/1516-4446-2020-1133Anger and substance abuse: a systematic review and meta-analysisHelen V. Laitanohttps://orcid.org/0000-0003-3782-8488Amanda ElyAnne O. SordiFelipe B. Schuchhttps://orcid.org/0000-0002-5190-4515Flavio PechanskyThiago HartmannJuliana B. HilgertEliana M. WendlandLisia Von DimenJuliana N. SchererAlessandra Mendes CalixtoJoana C.M. NarvaezFelipe OrnellFélix H.P. Kesslerhttps://orcid.org/0000-0001-7059-2564Objective: Conduct a systematic review and meta-analysis to evaluate levels of anger among substance users compared to non-user controls and to analyze the possible association between anger and psychoactive substance use (PSU). Methods: The procedures of this review followed the Meta-Analyzes of Observational Studies in Epidemiology (MOOSE) and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Four electronic databases (MEDLINE, EMBASE, BIREME, PsycINFO) were searched. Results: Twelve studies were included in the meta-analysis; 10 used the State-Trait Anger Expression Inventory (STAXI) anger trait subscale and two used the Buss-Perry-Aggression Questionnaire (BPAQ) anger subscale. The sample included 2,294 users of psychoactive substances and 2,143 non-users, all male. The mean difference in anger scale scores between users and non-users was 2.151 (95%CI 1.166-3.134, p ≤ 0.00, inconsistency index [I2] = 98.83) standard deviations. Age and abstinence duration did not moderate the difference in anger between substance users and non-users. Conclusion: Users of psychoactive substances had elevated anger scores compared to non-users, which represents a high risk of relapse. It is suggested that PSU treatment programs include intensive anger management modules, focusing on factors such as dealing with daily stressors, family conflicts, frustrations, and problems.http://www.scielo.br/pdf/rbp/2021nahead/1516-4446-rbp-1516444620201133.pdfSubstance use disordersubstance usedrug useanger |
| spellingShingle | Helen V. Laitano Amanda Ely Anne O. Sordi Felipe B. Schuch Flavio Pechansky Thiago Hartmann Juliana B. Hilgert Eliana M. Wendland Lisia Von Dimen Juliana N. Scherer Alessandra Mendes Calixto Joana C.M. Narvaez Felipe Ornell Félix H.P. Kessler Anger and substance abuse: a systematic review and meta-analysis Brazilian Journal of Psychiatry Substance use disorder substance use drug use anger |
| title | Anger and substance abuse: a systematic review and meta-analysis |
| title_full | Anger and substance abuse: a systematic review and meta-analysis |
| title_fullStr | Anger and substance abuse: a systematic review and meta-analysis |
| title_full_unstemmed | Anger and substance abuse: a systematic review and meta-analysis |
| title_short | Anger and substance abuse: a systematic review and meta-analysis |
| title_sort | anger and substance abuse a systematic review and meta analysis |
| topic | Substance use disorder substance use drug use anger |
| url | http://www.scielo.br/pdf/rbp/2021nahead/1516-4446-rbp-1516444620201133.pdf |
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