TY - JOUR PY - 2020// TI - Anger dimensions and mental health following a disaster: distribution and implications after a major bushfire JO - Journal of Traumatic Stress A1 - Cowlishaw, Sean A1 - Metcalf, Olivia A1 - Varker, Tracey A1 - Stone, Caleb A1 - Molyneaux, Robyn A1 - Gibbs, Lisa A1 - Block, Karen A1 - Harms, Louise A1 - MacDougall, Colin A1 - Gallagher, Colin H. A1 - Bryant, Richard A1 - Lawrence-Wood, Ellie A1 - Kellett, Connie A1 - O'Donnell, Meaghan A1 - Forbes, David SP - ePub EP - ePub VL - ePub IS - ePub N2 - Anger is an important dimension of affect and a prominent feature of posttraumatic mental health, but it is commonly overlooked in postdisaster settings. We aimed to examine the distribution and implications of significant anger problems in the aftermath of a natural disaster, via analyses of Beyond Bushfires survey data from 736 residents of rural communities 5 years after the 2009 Black Saturday bushfires in Victoria, Australia. Assessments included the five-item Dimensions of Anger Reaction (DAR-5) scale along with measures of PTSD, depression, and significant mental illness, and indicators of life satisfaction, suicidality, hostile aggressive behavior, and violence exposure. The results indicated that approximately 10% of respondents from areas highly affected by the bushfires scored above the provisional cutoff criteria for significant anger problems on the DAR-5, which was a more than 3-fold increase, OR = 3.26, relative to respondents from areas of low-to-moderate bushfire impact. The rates were higher among women, younger participants, and those who were unemployed, and co-occurred commonly, although not exclusively, with other postdisaster mental health problems. Anger problems were also associated with lower life satisfaction, β = -.31, an 8-fold increase in suicidal ideation, OR = 8.68, and a nearly 13-fold increase in hostile aggressive behavior, OR = 12.98. There were associations with anger problems and violence exposure, which were reduced when controlling for covariates, including probable PTSD. The findings provide evidence indicating that anger is a significant issue for postdisaster mental health and should be considered routinely alongside other posttraumatic mental health issues.
Language: en
LA - en SN - 0894-9867 UR - http://dx.doi.org/10.1002/jts.22616 ID - ref1 ER -